HomeMy WebLinkAbout324805 04/30/18 .Cqq
"F. CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $**"****237.60*
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 324805
*a r KOKOMO.IN.46904-2856 CHECK DATE: 04/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 237.60 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$237.60
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
10022588 42-390.40 $237.60 I hereby certify that the attached invoice(s),or 5/3/18 10022588 Beer $237.60
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 03,2018
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MID-AMERICA BEVERAGE INC
2755 COMMERCE DRIVE
KOKOMO, IN 46902
(765) 459-3117
Thu May 03, 2018 10:30 AM
Account: 00800 Invoice#: 10022588 PO#:
CITY OF CARMEL License ; RR2903542 Expires Jul 13, 2018
BROOKSHIRE.GOLF CLUB Load : 4041
12120 BROOKSHIRE PARKWAY Terms CASH/CHECK
CARMEL, IN 46032 Driver : 024 - BILL HART
(317) 846-7431 Salesrep: 0113 - KIMBERLY FOREM '
THURSDAY DELIVE
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ITEM$ QTY DESCRIPTION PRICE DISC DEP DPRICE EXT
--------------------------------------------------------------------------------
10109 6 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 118.80
10209 6 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 118.80
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Cases: 12
Bottles: 0
Gallons: 27.00
Kegs: 0
hisc: 0
Credits: 0
--------------------------------------------------------------------------------
Total Sales 237.60
Total Discount -0.00
--------------
Total Content 237.60
Total Deposit 0.00
Total Credits 0.00
--------------
Invoice Total 237.60
PAYMENT
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INVOICU PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
10022588 Check 324805 237.60
PAYMENT TOTALS
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PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
Check 324805 237.60
TOTAL CASH/CHECK 237.60
CUSTOMER SIGNATURE : DRIVER SIGNATURE
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Final