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