HomeMy WebLinkAbout325835 05/30/18 CITY OF CARMEL, INDIANA VENDOR: 359294
a i ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******342.70*
CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 325835
KOKOMO IN 46904-2856 CHECK DATE: 05/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 342.70 FOOD & BEVERAGES
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Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN.SUM OF$ 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
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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
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Cases: 17
Bottles: 0
Gallons: 38.25
Kegs: 0
Misc: 0
Credits: 0
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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