HomeMy WebLinkAbout325236 05/15/18 •Coq".
CITY OF CARMEL, INDIANA VENDOR: 359294
($ ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******371.65*
?� CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 325236
KOKOMO IN 46904-2856 CHECK DATE: 05/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 371.65 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.11995)
Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$371.65
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
10024361 42-390.40 $371.65 1 hereby certify that the attached invoice(s),or 5/17/18 10024361 Beer $371.65
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 17,2018
'J
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance wfth 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 17, 2018 9:57 AM
Account: 00800 Invoice#: 10024351 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 I PRICE DISC DEP DPRICE EXT
----------------------------------------'----------------------------------------
10109 3 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 59.40
10209 10 BUD-LT 24/12 OZ CN 19.80 0.00 0.00 19.80 198.00
10408 1 BUD LT LIME 2/12/12 OZ CN 22.85 0.00 0.00 22.85 22.85
12007 4 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 91.40
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Cases: 18
Bottles: 0
Gallons: 40.50
Kegs: 0
Misc: 0
Credits: 0
--------------------------------------------------------------------------------
Total Sales 371.65
Total Discount -0.00
--------------
Total Content 371.65
Total Deposit 0.00
Total Credits 0.00
--------------
Invoice Total 371.65
PAYMENT
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INVOICE# PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
10024361 Check 325236 371.65
PAYMENT TOTALS
--------------------------------------------------------------------------------
PAYMENT TYPE AMOUNT
----------------------------- --------------------------------------------------
Check 325236 371.65
TOTAL CASH/CHECK 371.65
CUSTOMER SIGNATURE : DRIVER SIGNATURE
2..:1t0.ii61 s1t1.61
Final