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 - .
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Final