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312579 6/14/2017 ��'"�� CITY OF CARMEL, INDIANA VENDOR: 359294 `= MID AMERICA BEVERAGE INC CHECK AMOUNT: $***.*'"308.85' ONE CIVIC SQUARE CHECK NUMBER: 312579 4? ro CARMEL, INDIANA 46032 PO Box 2856 9KOKOMO IN 46904-2856 CHECK DATE: 06/14/17 MirpN L-0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION FOOD & BEVERAGES 1207 4239040 308.85 / � 0 0 E5 o 0 z 0 = \ 0 C \ \ O n / n 0 " q m \ c k / k 2 CLE $ < k % CC) § 0 w o 0 o a \ m # (1) � e ;17 < \ ƒ q e co 6 q G T / k \ § § 3 > 0 k / \ § a 7 § \ 7 m E C 2 E -i zz e > -n / 0 \ / C | \ 8 / % a) a a gLT - 2 r- � / / k k CD g o m / $ /\ / \ \ A. m # f CL / { § \ C- m - E 7 § % 3§ k ° 0 ( \ 0 CD/ g 7 \ 5 S i a � / 8 . w C \ / f [ \ CD a § crc ; � - e , ƒ %I G # G ƒ § < § [ 2 \ @ \ % - ( ; # % \$ 02 / J = � k \ _ @ 2 \ � ® \ �w k k k 0 0 ƒ / k o SI) ) - « # # / ; mg m \ } ( § %E \ \ �< o D \/ CD CD _ D §\ / / \ r \ CD » q ƒ \ 0 / \ 2. j _E / \ r 0 CD ¥ 2 ) � CD C 0 � § $ / k G m 0 \ §CL CD / CD G / f CL L ] § k ® & F k k E > D ( \ fA 0 CD . 8 / ¥ \ MIWAMERICIA INVOICE BEVERAGE BROOKSH I RE GOLF CLUB CITY OF CARMEL INC, 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 RR2903542 EXP. 07/1.3/17 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE-DATE INVOICE NUMBER SALESMAN NUMBERCUSTOMER NUMBER ROUTE 06/14/17 697369 Kimberly Foreman 13 800 13 I1 ()IMCI BASE September 26,2016 WINE W3428B70 W SI, E user na : client sSS 110RD: r21 ! 109 2 Bfud '24Lse Can 19.80 39.60 209 10- Bud Lt 24 L 19.80 198.00 908 2 � '� Mich a 2Can 22.05 44. 10 7025 2 '� Goose 3 x2'/'12 Can 27. 15 54.30 11 l� / � 1 Cases 16 TOTAL SALE 336.00 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 10301 EMPTY CROWN 1/4 BBL 30.00 N 9230 PUMP DEPOSIT K 9270 IMPORT PUMP DEPOSIT 336.00 RETURNS IWALCHEIATS 00. Y / 0 CREDITS El Cash ❑ EFT El Escrow I Escrow Check Number 0 f V Driver Received By MIWAMERIGA INVOICE B�RA�E BROOKSHIRE GOLF CLUB CITY OF CARMEL IMC. 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 FRR2903542 EXP. 071t3/t7 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 06/08/17 696468 Kimberly Foreman 13 BOO 13 TO VFRIFYAUTHENTIC(TY.SEE REVERSE SIDE FOR DESCRIPTION OF THE I I SECURITY FEATURES BC1A 10 F� SfCI1� HChst Y C1 CARMEL 2@�i?f rb�r r / PAIJ4T r, CSQLk7►RE r /;'.� �iY81tty /%' 2863- CA�4.11i1l► awt ,INDIANA DATE 17 � �W,�"x�; `TATE Si7P! OF THREW *&IDRP �T`HIFt'I'Y I30L a, �` 7CS Ff46 Y(kAAE3AAll " x I�GkMBFdi 3�( N�}A fi rc r X yam , 314Nt lj l p °� �° TcC9TCCiMO � A69�1��'' �SG rj f u13L2L2611' 1: 213637L6631: 90002 210411' Cases 15 11H,01) COPE (-)I y DESCRIPTION AMU TOTAL SALE 303.7; 10303 EMPTY AB 1/6 30.00 T — 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 10301 EMPTY CROWN 1/4 BBL 30.00 N 9230 PUMP DEPOSIT 9270 IMPORT PUMP DEPOSIT K 303.7: RETURNS TOTALCREDIIS Y CREDITS 0 ❑ Cash ❑ EFT ❑ Escrow Check Number U 0F–'I= r Driver Received By