HomeMy WebLinkAbout185078 05/05/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
s` �o CARMEL, INDIANA 46032 PO BOX 2856
CHECK AMOUNT: $200.55
KOKOMO IN 46904 -2856 CHECK NUMBER: 185078
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CHECK DATE: 5/5/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1207 4239040 200.55 FOOD BEVERAGES
°rAiWA 1ERICA I NVOICE
B BROOKSHIRE F-I -RST- MORTGAGE
1NC dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. C:ARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903 542 EXP. 07 13 10
765- 459 -3117
800 382 -0675 Thursday Delivery
J.:',:
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/04/10 415279 Dustin Smith 13 800 13
PRODUCT
BASE April 5, 2010A
PROMO #0510A
PUMP $40/$33 REFUNDABLE
109 4 Budweiser 24 Lse Can 16.40 65.60
209 6 Bud Lt 24 Lse Can 16.40 98.40
408 1�°"� Bud Lt Lime 2/12 Can 20.15 20.15
909 1 Mich Ultra 24 Lse Can 16.40 16.40
Cases 12
TOTAL SALE 200.55
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00
9270. IMPORT PUMP.DEPOSIT 33.00 200.55
T RETURNS Y
O CREDITS
Cash EFT Escrow Ocheck Number U/"1i
Driver Received By
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$200.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 415279 42- 390.40 $200.55 I 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, May 06, 2010
Director, Brookshirergolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City 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))
05/04/10 415279 Beer $200.5
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