HomeMy WebLinkAbout322563 03/12/18 CITY OF CARMEL, INDIANA VENDOR: 364942
d J ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $*******215.46*
?Q CARMEL, INDIANA 46032 700 W MORRIS ST CHECK NUMBER: 322563
INDIANAPOLIS IN 46225-1447 CHECK DATE: 03/12/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 215. 6 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 364942 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
REPUBLIC NATIONAL DIST COMPANY IN SUM OF$ CITY OF CARMEL
700 W MORRIS ST 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.
INDIANAPOLIS, IN 46225-1447
Payee
$215.46
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2816851 42-390.40 $215.46 1 hereby certify that the attached invoice(s),or 3/8/18 2816851 Alcohol $215.46
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, March 09,2018
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
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; BROOKSHIRE GULF CL UD 21 2
CUSTOMER NO. CUSTOMER P.O.NUMBER INVOICE NUMBER
) CITY OF CARMEL UISTRINTINO CUMPONY Rc INVOICE 7716 28168SI
12120 BROOVSHIRE PUY ORDER NO. PERMIT/LICENSE NO. TYPE INVOICE DATE
r MY) W. r1orris Street iR29-03S,42 ALL �03/06/18
GARNEL IN 4 •032 IIIDIMAI01-16, M 46225-1-447, ROUTE � STOP EXPIRATION DAT TERMS
(317)-291-9042 607 002- 107/13/18.1 MET, MS DAYS
SPECIAL INSTRUCTIONS: STATE PERMIT 049-.01?133 SHIPMENT NO. DIV.NO.SALES NO.JDIV.NO.SALES NO.JDIV.NO.SALES NO DIV.NO.SALES NO.
72064 132i3 12213 13213. 12213
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE'
P-RINTED 20-10 Cj" 0 L9: 07:32
ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT NET BOTTLE
BULK LOC. UPC VINTAGE PRICE DEAL# UNIT COST COST NET PRICE
10:3 -1) ;?['43 EFFEN CIJICUM VODKA tL 6 2 381. so 38. =ao 38. 50 77. 00-
103026 R`%23 EFFEN GREEN APL VODKA 1L 6 1 388. SO 38. 50 3s. so 38. 570
5413 81403 JACK DANIELS EIL.K [J-11SKY IL 12 3 33. 32 33. 32 33. 32 99. 96
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LITERS GALLONAGE
RETURN CODES: A-Oul of Stock
LIQUOR LITERS GALS. WINE LITERS/GALS. BEER LITERS GALS. O-Did not order B-Picking Error
C-Too Earlyrroo Late
2-Pricing Error D-Damaged on Truck 6 6 6
3-Out of Business E-No Money •
4-Duplicate F-Office Cancel 4 6
HIGH WINE LITERS GALS. LOW WINE LIT SPARKLING LITERS --LITERS GALS. 6-wont scan or not authorized H-Defective CHECK If
"hod on Tru(k
ACCEPTED
RECEIVED BY X CHECK AMOUNT
11PAGE I
,as the licensee,agent of this`licensee,or employee thereof of the business accept the merchandise DATE:
shown an the invoice and certify that to the best of my knowledge there has been no change in TIME:
ownership of this business without notification to the State Alcohol Board and is the holder of an
effective permit/license.There will be a$50 service charge for any dishonored check.We are not
if,F71 1131Is for breakage, loss, or damage to merchandise atter delivery or acceptance by
=Carder.