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HomeMy WebLinkAbout329447 08/27/18 +off.c�qy CITY OF CARMEL, INDIANA VENDOR: 359294 ® 'il ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******161.45* CARMEL, INDIANA 46032 PO Box 2856 CHECK NUMBER: 329447 KOKOMO IN 46904-2856 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 161.45 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359294 ALLOWED 20- ACCOUNTS PAYABLE VOUCHER MID AMERICA BEVERAGE INC IN SUM OF$ CITY OF CARMEL PO BOX 2856 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,bywhom,rates perday,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 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 10037275 42-390.40 $161.45 1 hereby certify that the attached invoice(s),or 8/28/18 10037275 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 Tuesday,August 28,2018 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 Tue Aug 28, 2018 1:12 PM Account: 00800 Invoicef: 10037275 PO#: CITY OF CARMEL License : RR2903542 Expires Oct 13,,2018 BROOKSHIRE GOLF CLUB Load : 2041 12120 BROOKSHIRE PARKWAY Terms CASH/CHECK CARMEL, IN 46032 Driver : 021 - KEVIN SPANGLER (317)846-7431 Salesrep: 0113 - KIMBERLY FOREM THURSDAY DELIVE ------------r QTY DESCRIPTION PRICE DISC DEP DPRICE EXT -------------------------------------------------------------------------------- 10109 1 BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 19.80 10209 6 BUD LT 24/12 OZ CN 19.80 0.00 0.00 19.80 118.80 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 -------------------------------------------------------------------------------- 10037275 Check 329447 161.45 PAYMENT TOTALS -------------------------------------------------------------------------------- PAYMENT TYPE AMOUNT ------------------------------------------------------------7------------------- Check 329447 161.45 TOTAL CASH/CHECK 161.45 CUSTOMER SIGNATURE : DRIVER SIGNATURE mea uenns a�es.as - . 0!-K[VI'I 91111.'.M Final