HomeMy WebLinkAbout184397 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
's 4 CHECK AMOUNT: $180.45
�a CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 184397
CHECK DATE: 41l4/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 180.45 FOOD BEVERAGES
AIWMMERICA
BROOKSHIRE FIRST MORTGAGE,
BEVERAGE- dba BROOKSHIRE
INC■ 1212d BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765- 459 -3117 R+R2903542 EXP 07/13/10
a
800 382 0675 Thursday Delivery
Fax: 765 457 7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04:15/10 413404 Dustin Smith 13 800 13
'C OD E
BASE April 5, 2010A
PROMO #0410A
PUMP $40/$33 REFUNDABLE
225 1-r'' Bud Lt 1/4 BHL 42.50 30.00 72.50
418 1 Bur_! ,Lt Lime 16/12 oz can 15.05 15.05
909 2 Mich Ultra 24 Lse Can 16.40 :32. BO
760 1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
Cases 3. 1/4 Barrels 2
PROD. CODE TOTAL SALE 205
10303 EMPTY AB 1/6 30.00 a' T
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 112 30.00 N
9230 PUMP DEPOSIT 33.00 K
9270 IMPORT PUMP DEPOSIT 33.00
205
RETURNS ,,TOTAL;CR
CREDITS
Cash EFT Escrow 2 Check Number U
Received By
e
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$175.35
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 413404 42- 390.40 $175.35 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 15, 2010
�1
Director, Broo hie Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form ho. 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))
04/15/10 413404 Beer $175.3
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