HomeMy WebLinkAbout327992 07/25/18 a°r'c�AM
CITY OF CARMEL, INDIANA VENDOR: 364942
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $.....**208.84*
�_�; CARMEL, INDIANA 46032 700 W MORRIS ST CHECK NUMBER: 327992
MRroN'6�. INDIANAPOLIS IN 46225-1447 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4343004 208.84 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 364942 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
REPUBLIC NATIONAL DIST COMPANY IN SUM OF$ CITY OF CARMEL
700 W MORRIS ST 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.
INDIANAPOLIS, IN 46225-1447
Payee
$208.84
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
2933302 42-390.40 $208.84 1 hereby certify that the attached invoice(s),or 7/26/18 2933302 Spirits $208.84
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
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CUSTOMER NO. CUSTOMER P.O.NUMBER ,INVOICE NUMBER
Gl-fY OF C-ARilEL HISTHIBUTINO COMMY [IC VI V0 Y.GC 7 916 9133. 2
12120 E`F',00!XSN1PE PRIVY ER
ORDER NO. P
.�El�PERMIT PE -;jl 11 1'E
NO. TYPE 0 /��I'
'700 W'. 51-treet A L
r I E L 7F
IN 'b62253,-1447 ROUTE IT r 9,�l N PA
,23_1 .,1 0/ 11�Rrl YG
(3 1.7 31 1.7 6-'3�5 q=•"0
STATE PERMIT W4?--091.33
SPECIAL INSTRUCTIONS: SHIPMENT NO. DIV.NO.SALES NO.�DIV.NO.SALES NO.�DIV.7 6 5 1 13 NO.SALES NO DIV.NO.SALES NO.
1 .3 "1,: 13 122113
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE�D E".'—
0
is FRIN'TED 201B 07 25 .19".E-F.,: 5-�0
ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT UNIT COST NET BOTTLE NET PRICE
,BULK LOC. UPC VINTAGE PRICE DEAL# COST
14111103 FTFREBA.I-L. CIHN I-MIKY LL 12 1 116. 113 53, s'3 18. 14 13. 1.1
9 8 0 0 1 6 7
I:, V0111*rl Y LL A e�: 6= .7u. 'Jc'. 00. 0-k
2 0 a 2113 CA'J� 11:01 2
k"015 Ii:n li-j 1*11-liS'.'-*i'tt) i*i^4,tiI'-. YV 1- 11 4� 'j. 33.-"'5
o a 1, e flit rite P%J.';'C3'j f:t' T 1, -a I F, 1 d ltjv ft.tP?1-9f "I p 11 tj C rj I sio 1'i f"I A i n Fla us d L�I V e 1, Cis.
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0
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0
0
RETURN CODES: A-Out of Stock
LIQUOR LITERS GALS. WINE LITERS GALS. BEER LIFERS GALS. B-Picking Error 7 7 7
O-Did not order C-Too Earyfroo Late
2-Pricing Error D-Damaged on Truck 203. 84
3-Out of Business E-No Money TOTAL
-Do -0 ice Cancel
LOW WINE ITERS SPARKLING TG—ALS 6-W( CHECK#
LS. IS
4-Duplicate
PI�calcean or not authorized D fec;ve
HIGH WINE LITERS GA 6-Won't s
J-S rt n T c
ACCEPTEDli,
RECEIVED BY CHECK AMOUNT
1,as the licensee,agent his;ke 6-- 1
i Tdo,ore ployee thereof o business accept the merchandise F' {3 E 1
shown o certify I a to the best of my knowledge there has been no change in
lownershl. 11"without notification to the State Alcohol Board and is the holder of an DATE: TIME:
effective permiVlicense. 'hQre will be a$50 service charge for any dishonored check.We are not
responsible for breakage, loss, or damage to merchandise after delivery or acceptance by
Common Carder.