HomeMy WebLinkAbout330657 10/02/18 %'��p"� CITY OF CARMEL, INDIANA VENDOR: 359294
® ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $*******102.45*
s. � CARMEL, INDIANA 46032 PO BOX 2856 CHECK NUMBER: 330657
'4jd.oN�` KOKOMO IN 46904-2856 CHECK DATE: 10/02/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 102.45 FOOD & BEVERAGES
.j
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359294 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MID AMERICA BEVERAGE INC IN SUM OF$ 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
$102.45
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
10042096 42-390.40 $102.45 1 hereby certify that the attached invoice(s),or 10/4/18 10042096 Beer $102.45
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
Friday,October 05,2018
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
MID-AMERICA BENERA6E INC
2755 COMMERCE DRIVE
KOKOMO, IN 46902
(765) 459-3117
Thu Oct 04, 2018 9:50 AM
:count: 00800 Invoice#: 10042096 PO#:
[TY OF CARMEL License : RR2903542 Expires Oct 13, 2018
ZOOKSHIRE GOLF CLUB Load : 4041
?120 BROOKSHIRE PARKWAY Terms : CASH/CHECK
ML, IN 46032 Driver : 024 - BILL HART
317) 846-7431 Sal esrep: 0113 - KIMBERLY FOREM
iURSDAY DELIVE
...............---------------------------------------------------.............
[TEM# QTY DESCRIPTION PRICE DISC DEP DPRICE EXT
-------------------- ----------------------------------------------------------
10109 2'BUD 24/12 OZ CN 19.80 0.00 0.00 19.80 39.60
10209. 2 BUD.LT 24/12 OZ CN 19.80 0.00 0.00 19.80 39.60
12007 1 MICH ULTRA 2/12/12 OZ CN 23.25 0.00 0.00 23.25 23.25
-------------------------------------------------------------------------------
:ses: 5
)tt 1 es: 0
%l ions: 11.25 f
.gs: 0
i sc: 0
-edits: 0
•----------- ----------------------------------------------------------------
Total Sales 102.45
Total Discount -0.00
--------------
Total Content 102.45
Total Deposit 0.00
Total Credits 0.00 j
--------------
Invoice Total 102.45 I
PAYMENT
•------------------------------------------------------------------------------
IVOICE# PAYMENT TYPE AMOUNT
-------------------------------------------------------------------------------
1042096 Check 330657 102.45
PAYMENT TOTALS
-----=------------------------------------------------------------------------
PAYMENT TYPE AMOUNT
-----------------------------=-------------....................................
Check 330657 102.45
TOTAL CASH/CHECK 102.45
ISTOMER SIGNATURE : DRIVER SIGNATURE
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