HomeMy WebLinkAbout328347 08/08/18 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
$164.50
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
10035012 42-390.40 $164.50 1 hereby certify that the attached invoice(s),or 8/9/18 10035012 Beer $164.50
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,August 09,2018
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 Aug 09, 2018 10:12 AM
Account: 00800 Invoice#: 10035012 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
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ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT
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10209 6 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 118.80
12007 2 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 45.70
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Cases: 8
Bottles: 0
Gallons: 18.00
Kegs: 0
Misc: 0
Credits: 0.
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Total Sales 164.50
Total Discount -0.00
Total Content 164.50
Total Deposit 0.00
Total Credits 0.00
--------------
Invoice Total 164.50
PAYMENT
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INVOICE# PAYMENT TYPE AMOUNT
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10035012 Check-328347 164.50
PAYMENT TOTALS
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PAYMENT TYPE AMOUNT
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Check 328347 164.50
TOTAL CASH/CHECK 164.50
CUSTOMER SIGNATURE : DRIVER SIGNATURE
Irv:1f 035012 x1P..SP
124-.1.11-T
Final