Loading...
HomeMy WebLinkAbout324034 04/11/18 i` CITY OF CARMEL, INDIANA VENDOR: 359294 d ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $******"283.30* s ?� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 324034 v ,TON. KOKOMOIN 46904-2856 CHECK DATE: 04/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT DESCRIPTION 1207 4239040 283.30 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID AMERICA BEVERAGE INC IN SUM OF$ CITY OF CARMEL PO BOX 2856 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. KOKOMO, IN 46904-2856 Payee $283.30 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 invoice(s)or bill(s)) AMOUNT 10019893 42-390.40 $283.30 I hereby certify that the attached invoice(s),or 4/12/18 10019893 Beer $283.30 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 Thursday,April 12,2018 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 MID-AMERICA BEVERAGE INC 2755 COMMERCE DRIVE KOKOMO, IN 46902 (765) 459-3117 Thu Apr 12, 2018 10:18 AM Account: 00800 Invoice#: 10019893 PO#: CITY OF CARMEL License : RR2903542 Expires Jul 13, 2018 BROOKSHIRE GOLF CLUB Load : 4041 12120 BROOKSHIRE PARKWAY Terms CASH/CHECK CARMEL, IN 46032 Driver : 024 - BILL HART (317) 846-7431 Salesrep: 0113 - KIMBERLY FOREM THURSDAY DELIVE -----------------------'--------------------------------------------------------- ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT -------------------------------------------------------------------------------- 10109 4 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 79.20 10209 8 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 158.40 12007 2 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 45.70 -------------------------------------------------------------------------------- Cases: 14 Bottles: 0 Gallons: 31.50 Kegs: 0 Misc: 0 Credits: 0 -------------------------------------------------------------------------------- Total Sales 283.30 Total Discount -0.00 -------------- Total Content 283.30 Total Deposit 0.00 Total Credits 0.00 Invoice Total 283.30 PAYMENT -------------------------------------------------------------------------------- INVOICE# PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- 10019893 Check 324034 283.30 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- Check 324034 283.30 TOTAL CASH/CHECK 283.30 CUSTOMER SIGNATURE : DRIVER SIGNATURE Irv:310-11 s323.3P 4 Y ]ta-6111.1 iT Final