HomeMy WebLinkAbout328868 08/14/18 4F, CITY OF CARMEL, INDIANA VENDOR: 359294
`• ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******161.45*
s CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 328868
yiTON.,�` KOKOMO IN 46904-2656 CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 161.45 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts Uny roan No.zui(tcev.19Ub)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 359294
IN SUM OF$ CITY OF CARMEL
MID AMERICA BEVERAGE INC
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
$161.45
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Brookshire Golf Course
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
10035919 42-390.40 $161.45 1 hereby certify that the attached invoice(s),or 8/16/18 10035919 Beer $161.45
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 16, 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 16, 2018 9:55 AM
Account: 00800 Invoice#: 10035919 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 DPR ICE EXT
--------------------------------------------------------------------------------
10209 7 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 ' 138.60
12007 1 MICH ULTRA 2/12/12 OZ CN 22.85 0.00 0.00 22.85 22.85
--------------------------------------------------------------------------------
Cases: 8
Bottles: 0
Gallons: 18.00
Kegs: 0
Misc: 0
Credits: 0
--------------------------------------------------------------------------------
Total Sales 161.45
Total Discount - -0.00
--------------
Total Content 161:45
Total Deposit 0.00
Total Credits 0.00
--------------
Invoice Total 161.45
PAYMENT
--------------------------------------------------------------------------------
INVOICE# PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
10035919 Check 328868 161.45
PAYMENT TOTALS
--------------------------------------------------7-----------------------------
PAYMENT TYPE AMOUNT
--------------------------------------------------------------------------------
Check 328868 161.45
TOTAL CASH/CHECK 161.45
CUSTOMER SIGNATURE : DRIVER SIGNATURE
Icvi te0339t9 }tll.3!
Final