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HomeMy WebLinkAbout325953 06/05/18 %'sq*�� CITY OF CARMEL, INDIANA VENDOR: 359294 { ® 3i ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******41 1.25* ?� CARMEL, INDIANA 46032 Po Box 2856 CHECK NUMBER: 325953 +MiroN:c� KOKOMO IN 46904-2856 CHECK DATE: 06/05/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 BEER CHECKS 411.25 FOOD & BEVERAGES Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID AMERICA BEVERAGE INC IN SUM OF$ 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,numberof units,price per unit,etc. KOKOMO, IN 46904-2856 Payee $411.25 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 10027031 42-390.40 $411.25 1 hereby certify that the attached invoice(s),or 6/7/18 10027031 Beer $411.25 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday,June 07,2018 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MID-AMERICA BEVERAGE INC 2755 COMMERCE DRIVE KOKOMO, IN 46902 (765) 459-3117 Thu Jun 07, 2018 9:21 AM Account: 00800 Invoicei#: 10027031 PD$: 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 J Salesrep: 0113- KIMBERLY FOREM THURSDAY DELIVE -------------------------------------------------------------------------------- ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT ----------------------------------------------------1---------------------------- 10109 5 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 99.00 10209 10 BUD LT 24/12.OZ CN 19.80 0.00 0.00 19.80 198.00 10408 3 BUD LT LIME 2/12/12 OZ CN 22.85 0.00 _0.00 22.85 68.55 12007 2 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 45.70 -------------------------------------------------------------------------------- Cases: 20 Bottles: 0 Gallons: 45.00 Kegs: 0 Misc: 0 Credits: 0 -------------------------------------------------------------------------------- Total Sales 411.25 Total Discount -0.00 -------------- Total Content 411.25 Total Deposit 0.00 Total Credits 0.00 -------------- Invoice Total 411.25 PAYMENT -------------------------------------------------------------------------------- INVOICE# PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- 10027031 Check 325953 411:25 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- Check 325953 411.25 TOTAL CASH/CHECK 411.25 CUSTOMER SIGNATURE : DRIVER SIGNATURE Irv:110i1B31 sif l.I3 oi.ua:r Final