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
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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
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Cases: 20
Bottles: 0
Gallons: 45.00
Kegs: 0
Misc: 0
Credits: 0
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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
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INVOICE# PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
10027031 Check 325953 411:25
PAYMENT TOTALS
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PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
Check 325953 411.25
TOTAL CASH/CHECK 411.25
CUSTOMER SIGNATURE : DRIVER SIGNATURE
Irv:110i1B31 sif l.I3
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Final