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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 -------------------------------------------------------------------------------- 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 -------------------------------------------------------------------------------- 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 -------------------------------------------------------------------------------- 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