HomeMy WebLinkAbout326319 06/14/18 `%'���� CITY OF CARMEL, INDIANA VENDOR: 359294
i; ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******875.80*
•i? ,=a; CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 326319
'.y`,��oN�: KOKOMO IN 46904-2856 CHECK DATE: 06/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 875.80 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$875.80
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
10028225 42-390.40 $875.80 1 hereby certify that the attached invoice(s),or 6/18/18 10028225 Beer $875.80
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
Monday,June 18,2018
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•COM4ERCE•DRIVE •
KOKOMO, IN 46902 `
(765) 459-3117
Mon Jun 18, 2018 10:33 AM
iccount: 00800 Invoice#: 10028225 PO#:
:ITY OF CARMEL License: RR2903542 Expires Jul 13, 2018
IROOKSHIRE GOLF CLUB Load : 1200
2120 BROOKSHIRE PARKWAY Terms CASH/CHECK
:ARMEL, IN 46032 Driver : 029 - BUD BROWN
'317) 846-7431 Salesrep: 0113 - KIMBERLY FOREM
HURSDAY DELIVE
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ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT
•-------------------------------------------------------------------=-----------
10109 10 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 198.00
10209 25 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 495.00
10408 2 BUD LT LIME 2/12/12 OZ CN 22.85 0.00 0.00 22.85 45.70
12007 6 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 137.10
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:ases: 43
fottles: 0
iallons: 96.75':.;'"
;egs: 0
list: 0
:redits: 0 r`
------------------'----------------------- -------------------------------------
Total Sales 875.80
Total Discount -0.00
--------------
Total Content 875.80
Total Deposit 0.00
Total Credits 0.00
--------------
t . Invoice Total 875.80
INVOICE# PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
10028225 Charge 875.80
PAYMENT TOTALS
---------------------------- ---------------------------------------------------
PAYMENT TYPE AMOUNT
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:USTOMER SIGNATURE : DRIVER SIGNATURE
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