HomeMy WebLinkAbout327927 07/25/18 �ur_C�F,y
! \� CITY OF CARMEL, INDIANA VENDOR: 359294
i� ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******266.55*
=Q CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 327927
�"74oi7 moo. KOKOMO IN 46904-2856 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 266.55 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
Vendor# 359294 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$266.55
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
10033236 42-390.40 $266.55 1 hereby certify that the attached invoice(s),or 7/26/18 10033236 Beer $266.55
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,July 26,2018
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 Jul 26, 2018 9:25 AM
Account: 00800 Invoice#: 10033236 PO#:
CITY OF CARMEL License : RR2903542 Expires Oct 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
-------------------------------7------------------------------------------------
ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT
--------------------------------------------------------------------------------
10209 10 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 198.00
12007 3 MICH ULTRA.2/12/12 OZ CN 22.85 0.00 0.00 22.85 68.55
--------------------------------------------------------------------------------
Cases: 13
Bottle's: 0
Gallons: 29.25
Kegs: 0
Misc: 0
Credits: 0
--------------------------------------------------------------------------------
Total Sales 266.55
Total Discount -0.00
--------------
Total Content 266.55
Total Deposit' 0.00
Total Credits 0.00
--------------
Invoice Total 266.55
PAYMENT
--------------------------------------------------------------------------------
INVOICE# PAYMENT TYPE AMOUNT
--------------------------------------7--------------------------------------:--
10033236 Check 7927 266.55
PAYMENT TOTALS
--------------------------------------------------------------------------------
PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
Check 7927 266.55
TOTAL CASH/CHECK 266.55
CUSTOMER SIGNATURE : DRIVER SIGNATURE
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