HomeMy WebLinkAbout325324 05/23/18 CITY OF CARMEL, INDIANA VENDOR: 359294
ONE CIVIC SQUARE ? 1VIID,AMERICA BEVERAGE INC CHECK AMOUNT: $*******178.20*
CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 325324
KOKOMO IN 46904-2856 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 178.20 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$178.20
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
10025255 42-390.40 $178.20 1 hereby certify that the attached invoice(s),or 5/24/18 10025255 Beer $178.20
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 24,2018
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 May 24, 2018 10:58 AM
Account: 00800 Invoicef: 10025255 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 5 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 99.00
--------------------------------------------------------------------------------
Cases: 9
Bottles: 0
Gallons: 20.25
Kegs: 0
Misc: 0
Credits: 0
--------------------------------------------------------------------------------
Total Sales 178.20
Total Discount -0.00
--------------
Total Content 178.20
Total Deposit 0.00
Total Credits 0.00
--------------
Invoice Total 178.20
PAYMENT
--------------------------------------------------------------------------------
INVOICE# PAYMENT TYPE AMOUNT
---------------------------------------------- ---------------------------------
10025255 Check 325324 178.20
PAYMENT TOTALS
-------------------------------------------------------------------------------
PAYMENT TYPE AMOUNT
------------------------------------------- ------------------------------------
Check 325324 178.20
TOTAL CASH/CHECK 178.20
CUSTOMER SIGNATURE : DRIVER SIGNATURE
n..:xesns we.xe
Lam/
Final