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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 $237.60 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, May 03,2018 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MID-AMERICA BEVERAGE INC 2755 COMMERCE DRIVE KOKOMO, IN 46902 (765) 459-3117 Thu May 03, 2018 10:30 AM Account: 00800 Invoice#: 10022588 PO#: CITY OF CARMEL License ; RR2903542 Expires Jul 13, 2018 BROOKSHIRE.GOLF CLUB Load : 4041 12120 BROOKSHIRE PARKWAY Terms CASH/CHECK CARMEL, IN 46032 Driver : 024 - BILL HART (317) 846-7431 Salesrep: 0113 - KIMBERLY FOREM ' THURSDAY DELIVE -------------------------------------------------------------------------------- ITEM$ 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 -------------------------------------------------------------------------------- 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 -------------------------------------------------------------------------------- INVOICU PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- 10022588 Check 324805 237.60 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- Check 324805 237.60 TOTAL CASH/CHECK 237.60 CUSTOMER SIGNATURE : DRIVER SIGNATURE ' hw!1f pi:388 4333.EP Final