HomeMy WebLinkAbout184846 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CARMEL, INDIANA 46032 PO Box 2856 CHECK AMOUNT: $246.00
KOKOMO IN 46904 -2856
c� CHECK NUMBER: 184846
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 246.00 FOOD BEVERAGES
MISMAMERICA INVOICE 2755 Commerce Dr.
ONCE 12120 BROCKSHIPE
P.O. Box 2856
nvxv~o IN 46904-2856
7e5'459'3117
800-382-06 75 Thursday Del ivery
Fax: 7e5'*577967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
041- 1 -0 41467e Dustin Smith. E300 t
BASE April 5, 2 -010A
PROMO �0410A
PUMP $40/$33 REFUNDABLE
1U9 5 Budweissr 24 Lse Can 16.40 B2.0('
209 B Bud Lt 24 Lse Can 16.40 13 1
1 708 2 Mich Ultra 2/12 Can 17.55 35.1(
Cases 15
TOTAL SALE 242.3(
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 3000 A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00 K
9270 IMPORT PUMP DEPOSIT 33.00 24-9.3(
l y
CREDITS
Cash EFT Escrow Check Number U
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$248.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 414678 42- 390.40 $248.30 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 29, 2010
Director, Brookshire Golf 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))
04/29/10 414678 Beer $248.2
1 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