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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 -------------------------------------------------------------------------------- ITEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT -------------------------------------------------------------------------------- 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 -------------------------------------------------------------------------------= Cases: 8 Bottles: 0 Gallons: 18.00 Kegs: 0 Misc: 0 Credits: 0. -------------------------------------------------------------------------------- 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 -------------------------------------------------------------------------------- INVOICE# PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- 10035012 Check-328347 164.50 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE AMOUNT -------------------------------------------------------------------------------- Check 328347 164.50 TOTAL CASH/CHECK 164.50 CUSTOMER SIGNATURE : DRIVER SIGNATURE Irv:1f 035012 x1P..SP 124-.1.11-T Final