322565 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 364765
d ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS INDIANA CHECK AMOUNT: $*******273.20*
CARMEL, INDIANA 46032 Pb,BOx 864860 CHECK NUMBER: 322565
ORLANDO.FL 32886-4860 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION
1207 4239040 273.20 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
Vendor# 364765
ACCOUNTS PAYABLE VOUCHER
.
SOUTHERN WINE&SPIRITS-INDIANA IN SUM OF$ CITY OF CARMEL
PO BOX 864860 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
ORLANDO, FL 32886-4860
Payee
$273.20
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoices)or bill(s)) AMOUNT
2513333 42-390.40 $219.40 I hereby certify that the attached invoice(s),or 3/7/18 2513333 Alcohol $219.40
1207 101 1207 101
2514738 42-390.40 $53.80 bill(s)is(are)true and correct and that the 3/8/18 2514738 Alcohol $53.80
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Friday, March 09,2018
v!
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
SOUTHERN 3901 Hanna CiAZe R 'S OF IN REMIT TO: I IIIIII VIII IIIII IIIII
SOUTHERN GLAZER'S OF IN IIIII IIIII VIII IIII INI IiIIIIII III IIIiI IIII IN INVOICE
NUMBER 2514738
Indianapolis, IN. 46241
317-883-5800PO BOX 864860
Permits:W41_27133&W4,-27134 ORLANDO, 32686-4860 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIlilllllll llllllllllllllllll NUMBER T 1653
9 9 1-800-2727 6-5148
SCITY OF CARMEL S BROOKSHIRE GOLF CLUB ROUTE` 199 STOP 1
O 12120 BROOKSHIRE PKWY H 12120 BROOKSHIRE PKWY IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
L CARMEL IN 46033 1 CARMEL IN . 46033
D P
T T PAGE 1 OF 1
O O
2500 754
1 3 Exp: 7/13/2018 DEPOT DROP 751
___......._.._..__..._.........._._..........._...._......._.._...._......_.........................._._...................___................................_........
f€ S'.f#Y€ € k15€ .,..�..{.:...........,...........;..:.:.>•:;>.:.: .......{................................."..........................,,....................................F............. PHONE NUMBER INVOICE CE DATESALES PERSON PERMIT NUMBER
995 29-03542 P.O.#: 317-846-7431 3/08/2018
PRODUCT NET CASE NET BTLUNIT DIV UNIT
.
LOC CASES BTLS SIZE; DESCRIPTION PACK W-LOC. B-LOC. NET AMOUNT
_� .. CODE PRICE PRICE PRICE CDE DISCOUNT
2�,750ML 12.05 RHUBARB LIQ 40 6 447227 147.00 26.90 28.40 020 1.50 53.80
TOT BTL 2 YTD rOTAL DISCOUNT: 36.8
CASES BOTTLES
PAGE TOTAL ORDPAGE TOTAL ORDER TOTAL WINE GALLON CUSTOMER - PAGE GROSS TOTAL TOTAL DISCOUNT PAY THIS AMOUNT
ER TOTAL
LIQUOR GALLON .40 ,••:rty:::;i:;;:::::i; i>ri;;::;::::;:i::::;::;
2 2 BEER GALLON BROOKSHIRE GOLF CLUB 1 56.80 3.00
.nd Conditi.n.:This sale shall bo made i......d....with of"'Iicobla —ca charge of 530.00 will be charged on th.�..........of a bounced chock.
CARTON DRIVER LOADED e'mand ragwaa.n¢.Custom.r shall berecpansible foY.Il¢ales tox due on.I.. INVOICEAO. CUSTOMER NO. NET AMOUNT DUE DATE easo examine geode bolare algning.All clv—including b...k.georahonege.must
of good.In the avant of action taken to collect indebtedness cre.tad by the made immediately upon rocoipt of ahIlr— .OUR RESPONSIBILITY FOR SAFE
aces of good,,Southern GI—'.of IN shall b..ntitlad I--,from the DELIVERY OF GOODS CEASES WHEN GOODS ARE IN BUYER'S POSSESSION OR
mor hemi.the principal.mount of th.indebted....,.11.ccrevd and BUYER'S AGENT,SIGNS DELIVERY RECEIPT.Sueh....pt...e of goads...liana
cs uiing¢erWce charges es of the dere of the Bale of these good..All accrued g—m—that this invoice Is p.yab..t the add,...above end that the total invoice i.
n`d'..r:.ring.aert...t...d...—Al m.m.ys fee..C.¢t—farm.. 2 514 7 3 8� 16 5 3 � 5 3.8 0 3 2 3 2 018 d—rd payable vrithin fihaen 1161 days of the invoice due data,date of invoice
gree.that any lawsuit involving ony dispvm between the company end rho naNdod.If not fully paid,thio and.II prior Invoices will,os permitted'Y"-""'boar
moy be glod In Jehnsan.r Marian county et Southern Glazai.of IN's DELIVERY RECEIPT:NO CLAIMS FOR SHORTAGES WILL BE ALLOWED UNLESS'INSPECTED AND NOTED AT TIME OF DELIVERY
PUT UP CHECK BY ..Pace hv... oma.nargeab.mdm..p.r.h...etl.B�,p.rmanm.ndwinr...ni.
IPtion. ^ ` e
X X s of any d..Witt.nd moy..salt in lose of credit privilagea.Reasonable costa end
�1 \\ 1 ) Rorn.y'.foes will ba odd.d.
ININVCE2 - - Warehouse Copy Print Name
Si ata e
southern Glazer's of IN
901 Hanna Circle DRAFT INVOICE'.
gdlanapolls, IN 46241 2513333
00-276-5148
ermits:W41-27133&W41-27134
=MIT TO Stop#: 14
0 BOX#864880 Houle#: 108-751
RLANDO,FL 32886-4660 Delivered By: Wlllle Boyd
Sales Person: I 995
Sales Person Phone:
SOLD TO SHIP TO
7ROOK6HIRE GOLF CLUB BROOKSHIRE GOLF CLUB
10:CITY OF CARMEL 12120 BROOKSHIRE PKWY
2120 BROOKSHIRE PKWY CARMEL,IN 46083
ARM EL,IN 46033 817-846-7431
17-846-7431
I
PO NUMBER DEX PERMIT PERMIT EXP INVOICE DATE DELIVERY DATEITIME
N 29-08542 7113118 3f7118
I
ACCOUNT# VENDOR# COUNTY REFERENCE#
1653
UNIT UNIT UNIT NET
CSIBT ITEM PRICE DISCOUNT AMOUNT I(TAXES I TOTAL
012 12.06 VODKA 80 23.40 7.00 16.40 I 0.00 32.80
ITEM#: 441613 BPC: 6-750ML
1
012 12.08 GIN 80 28.40 2.90 25.50 1 0.00 51.00
ITEM#: 441614 BPC: 6-750ML I
I
012 12.05 WSKY BARRELED REPORTER 86 37,40 3.80 88.90 0.00 67.80
ITEM#: 441616 BPC: 6-750ML
I
012 12.06 WHEAT WSKY WHITE ON LINE 90 37.40 3.80 38.90 0.00 67.80
ITEM#: 441617 BPC: 6-750ML
010 12.05 RHUBARB LIQ40 0.00 0.00 0'00' 0.00 0.00
ITEM#: 447227 BPC: 6-750ML
2 BOTTLE(6)BACKORDERED;REOflDER
010 DELIVERY CHARGE 0.00 0.00 0.00 0.00 0.00
ITEM#: 126161 BPC: 1 -UNIT
TOTAL TOTAL TOTAL TOTAL � TOTAL
CBIBTLS 011088 AMT DISCOUNTS NET AMOUNT I TAXES
018 283.20 33.80 1 219.40 j 0.00
PAYMENT DUE DATE PAY AMOUNT
3122118 '
PAYMENT TERMS:NET 1e DAYS
TERMS AND CONDITIONS / TERMS
his sale:hall be made In accordance with ell Ammrvlce charge of$30.00 will be charged on
ppficabfe laws nd regulations.Customer the occurrence of a bounced check.Please
*1 be responsible for all mala In due on examins goods before signing.NI claim,
in of good:.In the event of action to Including breakage or shortage must be made
ollect Indabtednea created by the sale of Immediately upon receipt of shipment.OUR
nods.Southern Dieter's Wine&Splrlb of RESPONSIBILITY FOR SAFE DELIVERY OF GOODS
Edlene,LLC shell be entitled to recover from CEASES WHEN GOODS ARE IN BUYER'S POSSESSION OR
is customer herein the principal amount of the BUYERS AGENT BIONS DELIVERY RECEIPT.Such
idebtedeess,all accrued and accruing service acceptance of goods confirm agreement that
harges no of the dale of the sale of these this Invoice is payable to the addrea above
code,all accrued and accruing court cab and and that the total Invoice Is dualand payable
iacnabie aeornay's fees, Customer further within fifteen lfIII days of the Invoice date
gross that any lawsuit Involving any dispute Included If not then fully paid this and all
atween the company and Ilcenese may be filed prior Invoices will,as permitted'by law,beer
i Johnson or Merlon County at Southern Interest or service charges from dote of
lwar's Wine&Spirits'option. purchase:11.1%per month and will result In
los of any discount and may result In loo of
credit privileges,reaonebie cels and
attorneys'fess will be added.
NO CLAIMS FOR SHORTAGES WILL BE ALLOWED UNLESS INSPECTED AND NOTED AT TIME OF DELIVERY
I
DATE