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312729 06/16/2017 o", CITY OF CARMEL, INDIANA VENDOR: 364765ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANACHECK AMOUNT: S*******254.78* CARMEL, INDIANA 46032 PO BOX 864860 CHECK NUMBER: 312729 ORLANDO FL 32886-4860 CHECK DATE: 06/16/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 2308942 254.78 FOOD & BEVERAGES 0 q Q q 3 ? / O G 2 2 \ _ \ o C \ 0/ m § c r-& / 2 2 CL § \ / 2 k % _ 0 ® = m E 2 m O $ » s ~ ® -n / £ « 0 f $ \ \ � � 00 d 0 & § k / 0 q z 3 / * C / k ® / z/ z 4Ag . | } \ k O z ® & _ $ a i 2 R � f r \ $ ( ƒ ƒ E E % A 0 E E 7 ¥ m , \ 2 G k § E 2 k + 3 - $ # f CL CCD 2 2 7 k * - E 7 CD § � / E o k k ° ƒ - M k CL aCL / / %E \ I 3 q § � ƒ � k� G / w > / OL/ - \ —1 --I \ i C. CD k D \ .« ) \ } § \ U � � C � [ 0 0 }} k OD N k ) ƒ \ k o 2 7 ~ ^ } / / \ N ki ' � c 0 7_ % / -< # 6Ln/ f g > � D -2 m \ / 0 �9 ) = K 00 b)� L, 2 § \ / { � 0 / \ j E \ \ r- 0 (D3 � » ) \ / 7 C $ c m % ( § $ / E n $ A) Ur � / CO \ CD / \ $ § \ § , \ $ E D ; \ CD # o E CD j � \ Southern Glazer's of IN INVOICE 3901 Hanna Circle 2308942 Indianapolis, IN 46241 317-883-5800 Permits:W41-27133&W41-27134 REMIT TO: Stop#: 8 Route#: 137 800-276-5148 Delivered By: ROUTE 137 Default User PO BOX#864860 995 ORLANDO,FL 32886-4860 Sales Person: Sales Phone: SOLD TO: SHIP TO: BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB C/O:CITY OF CARMEL 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL,IN 46033 CARMEL,IN 46033 317-846-7431 PO NUMBER DEX PERMIT PERMIT EXP INVOICE DATE DELIVERY DATEITIME N 29-03542 7/13/17 5/17/17 5/17/17 2:28 PM ACCOUNT# VENDOR# COUNTY REFERENCE# 1653 Hamilton UNIT CS BTLS ITEM UNITUNIT NET TOTAL ORDIDLV ORD/DLV PRICE DISC AMOUNT TAXES 2/2 SEAGRAMS 7 CROWN 80 20.22 20.22 0.00 40.44 ITEM#:3001 BPC:12 SIZE: 1.0L 4/4 ABSOLUT VODKA 80 29.50 29.50 0.00 118.00 ITEM#: 15402 BPC: 12 SIZE: I.OL 2/2 BACARDI RUM SUPERIOR WHITE 80 20.20 20.20 0.00 40.40 ITEM#:28728 BPC: 12 SIZE:1.0L 2/2 TANQUERAY GIN 94.6 27.97 27.97 0.00 55.94 ITEM#:278078 BPC:12 SIZE: 1.0L DELIVERY CHARGE 0.00 0.00 0.00 0.00 ITEM#: 126161 BPC: 1 SIZE:UNIT TOTAL TOTAL TOTAL TOTAL TOTAL TOTALTAXES CS/BTLS GROSS AMT DISCOUNTS DEPOSIT FEE NET AMOUNT 0/10 254.78 0.00 0.00 254.78 0.00 PAYMENT DUE DATE PAYMENT TERMS:NET 15 DAYS PAY THIS AMOUNT 6/1/17 254.78 TERMS AND CONDITIONS TERMS Thissale shall be made in accordance with all applicable laws and regulations. Customer A service charge of$30.00 will be charged on the occurrence of a bounced check.Please shall be responsible for all sales tax due on sales of goods.In the event of action to collect examine goods before signing.All claims,including breakage or shortage must be made indebtedness created by the sale of goods.Southern Glazers Wine&Spirits of Indiana,LLC immediately upon receipt of shipment.OUR RESPONSIBILITY FOR SAFE DELIVERY OF shall be entitled to recover from the customer herein the principal amount of the GOODS CEASES WHEN GOODS ARE IN BUYER'S POSSESSION OR BUYERS AGENT indebtedness,all accrued and accruing service charges as of the date of the sale of these SIGNS DELIVERY RECEIPT.Such acceptance of goods confirms agreement that this goods,all accrued and accruing court costs and reasonable attorney's fees. Customer invoice is payable to the address above and that the total invoice is due and payable within further agrees that any lawsuit involving any dispute between the company and licensee fifteen(15)days of the invoice date included if not then fully paid this and all prior invoices may be filed in Johnson or Marion County at Southern Glazers Wine&Spirits'option. will,as permitted by law,bear interest or service charges from date of purchase at 1.5%per month and will result in loss of any discount and may result in loss of credit privileges, reasonable costs and attomeys'fees will be added. 1 of 2 CUSTOMER: 1653 BROOKSHIRE GOLF CLUB INVOICE 2308942 NO CLAIMS FOR SHORTAGE OR DAMAGE WILL BE ALLOWED UNLESS NOTED AT THE TIME OF DELIVERY f 1ti.J Wednesday, Y 5/17/2017 SIGNATURE: ug DATE 2 of 2