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HomeMy WebLinkAbout325835 05/30/18 CITY OF CARMEL, INDIANA VENDOR: 359294 a i ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******342.70* CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 325835 KOKOMO IN 46904-2856 CHECK DATE: 05/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 342.70 FOOD & BEVERAGES J V VVVI ICF\ IVV. vvr%F\F\PIIY 1 IVV. Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID AMERICA BEVERAGE INC IN.SUM OF$ 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 $342.70 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 10026116 42-390.40 $342.70 1 hereby certify that the attached invoice(s),or 5/31/18 10026116 Beer $342.70 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 31,2018 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 31, 2018 9:47 AM Account: 00800 Invoice#: 10026116 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 -------------------------------------------------------------------------------- 10209 15 BUD LT 24112 OZ CN 19.80 0.00 0.00 19.80 297.00 12007 2 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 45.70 -------------------------------------------------------------------------------- Cases: 17 Bottles: 0 Gallons: 38.25 Kegs: 0 Misc: 0 Credits: 0 -------------------------------------------------------------------------------- Total Sales 342.70 Total Discount -0.00 -------------- Total Content 342.70 Total Deposit 0.00 Total Credits 0.00 Invoice Total 342.70 PAYMENT ------------------------------ ---------------------------------- INVOICE# PAYMENT TYPE AMOUNT ------------------------------- ------------------------------------------------ 10026116 Check 325835 342.70 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE l AMOUNT ----------------------------- ' - --- ----- --------------------------------- Check 325835 342.70 TOTAL CASH/CHECK 342.70 CUSTOMER SIGNATURE : DRIVER SIGNATURE 1.;1016116 5171.76 ' t �7C-GI.I.1.1:T Final