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313595 07/12/17 CITY OF CARMEL, INDIANA VENDOR: 359294 q ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: S"""""""341.10" rQ CARMEL, INDIANA 46032 PO BOX lass CHECK NUMBER: 313595 + KOKOMO IN 46904-2856 CHECK DATE: 07/12/17 *1 ipN Gp' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 341.10 FOOD & BEVERAGES 03 \ < CD O O \ \ j4t z 0 ? CL> 0 7 & n 0 m ® m _ �_ m \ 0 z k > k 2 > CL ) < k $ _ % O C) 0 o q m # oA « ƒ q # 6 q \ > k f \ m -n > � 0 / O m D 0). § # j \ k 2 E a z z < _ - . | / \ / O m \ \ % ! 3 9 - 2 z / [ [ / D k § { k g E 0 m � m ] \ / \ -n 0 k k ® f 2 + - E7 % \ 2 k - 2 , v o % / } C? a / E/ co w a § - 0 } f = C 3 | / , - ZIQ a ƒ K Z G , m § e k/ \ j ) \ } Dcr CD ® 0 \ 0 § k w 71 z ; ° 0 ) 0 « k [/ § * m ƒ C o _ - o # # 2 2 2K $ / 3 _ 2 k § k C/) } a2 7 � 2 -0 e® � = D }R CD \ 0' • > o (D \ CID - 0 q n / SR ( 0 E / c \ \ r- 0 7 z E § C _ = % m ƒ § m } / / CL 0 M 2 } \/ / 2 § ; \ § § E _ . DCD E Q \ o E ) \ � m MIWAIVIERICA INVOICE BEVERACaE BROOKSHIRE GOLF CLUB CITY OF CARMEL INC, 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 RR2903 542 EXP. 07/13/17 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 07/11/17 700750 Kimberly Forem n 13 B00 13 PROD ANTITY . • DEPOSIT• AMOUNT •D BASE September 26,2016 WINE W3428870 WEBSITE username: client PASSWORD: beerlover2l '. 109 51-- Bud 24 Lse Can 19.80 99.00 209 10 Bud Lt 24 Lse Can 19.80 196.00 ' 908 2 Mich Ultra 2/12 Can 22.05 44 . 10 Cases 17 PROD.CODE OTY. DESCRIPTION PRICE AMOUNT TOTAL SALE 341 . 10 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 341 . 10 RETURNS TOTALCREDITS Y O CREDITS ❑ Cash ❑ EFT ❑ Escrow ❑ Check Number V Driver —f� Received By