314507 08/01/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 359294
►tf ikkk ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $ 308.45
CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 314507
KOKOMOIN 46904-2856 CHECK DATE: 08/01/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 308.45 FOOD & BEVERAGES
} § 7 0 O / C k / O
w t # 2 2 7 K ? 0
/ n 0 m
00
m
\ w < /
7 § \
§ m q 2 .
W § k q e /
� k
0 f
\ O T & m
Ili -n > K m 2
\ G d E 0 o T X
3' { _ E
Q ° CDz
®
2 O 2
> 9
O
/ p / m |
CD c
$
J a i g 9 - 2 r-
z m $ ( ƒ / k k
{ A g E
CD 0 a ; k §
c ) § / R -
CL
a - ; # f
C 2 -
w § [
> C . & -
c ! 3 § \
a 0 m
7 C = � k
§ i @ Sr $ /
, ; Sri E
& f / �
«
\ } /
m - , y
%I m
G 7 § a
Eƒ 2 ® ` -
w _ m i (
m ; J CY
\$ 0 D \
)
/m / 2 � / $ 0
m k 0 ƒ c \
} 03 / >
\ /
N,
%k § k /
�<
\\ 0 / \
f� C) >
$\ } _ £ E
/E CD \ \
7 / 0CD
n } 0 a r- 0
E ¥ 2 Z « ] ¢ cr c@
0 U ° C
T § m } /
/ \ CL / /
c (
2
. }
§ [ ] § P
\ \R.
\ f CD D
0
ƒ CO
® m
MIDAMERICA INVOICE
f BEVERAGE BROOKSH I RE GOLF CLUB
INC, CITY OF CARMEL
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 RR2903542 EXP. 07/13/13
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/03/17 703522 Kimberly Foreman 13 800 13
PRODUCT� QUANTITY DESCRIPTION PRICE DEPOSIT
AMOUNT
•.
BASE September 26,2016
WINE W3428870
WEBSITE username: client
PASSWORD: beerlover2l '.
109 4 Bud 24 Lse Can 19.80 79.20
209 6 ,,- Bud Lt 24 Lse Can 19.80 118.80
408 1 ,,-" B Lt Lime 2/12 Can 22.25 22.25
908 4 Mich Ultra 2/12 Can 22.05 86.20
Cases 15
PROD. CODE ' DESCRIPTIONTOTAL SALE 3bE.45
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 308.45
CREDITSRETURNS TOTAL
O CREDITS
El Cash ❑ EFT El Escrow Check Number7/T/ D -7 U
i
Driver Received By