HomeMy WebLinkAbout184043 04/08/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CHECK AMOUNT: $216.00
CARMEL, INDIANA 46032 Po eox zess
KOKOMO IN 46904 -2856 CHECK NUMBER: 184043
CHECK DATE: 4/8/2010
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 216.00 FOOD BEVERAGES
MID�AMERICA INVOICE
B B>ROOKSN I RE FIRST' MORTGAGE
-ANC■ d ba BRO OKSH I RE GQLF CLUB'
12120 B'ROOKSHIRE PARKWAY
ENNOW 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903542 EXP. 07/1.3/10
765 459 3117
800 382 0675 Thursday D e l i. v e r y
Fax: 765
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
f
04/08/10 417824 Dustin Smith 13 BOO 13
•••r r r AMO
•r
109 5 Budweiser 24 Lse Can 16.40 82.00
209 10 Bud Lt 24 Lse Can 16.40 164.00
r
Cases 15
r r TOTAL SALE 246.00
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 112 30.00 H
10405 EMPTY AB 1/4 30.00 �D �0 A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00 K
9270. IMPORT PUMP DEPOSIT 33.00 246
C REDITS Y
CREDITS r
Cash EFT Escrow] heck Number
r
Driver Received By
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VOUCHER NO. WARRANT NO.
Mid America Beverage Inc. ALLOWED 20
IN SUM OF
P'O. Box 285
Kokomo, IN 46904 -2856
$21 6.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
l Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 412824 42- 390.40 $216.00 1 hereby certify that the attached invoice(s), or
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, April 08, 2010
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale Board of Accounts Cky Form No. 201 (Rev 199;
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/08/10 412824 Beer $216.0
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
Clerk- Treasurer