HomeMy WebLinkAbout185119 05/11/2010 _j
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: $155.10
KOKOMO IN 46904 -2856
CHECK NUMBER: 185119
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 155.10 FOOD BEVERAGES
MIWAMERICA INVOICE
BEVERAGE HROOKSH I RE F i R5T E�iCIRTGAG
INCe d ba BROOKSH I RE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765- 459 -3117 RR2903542 EXP. 07113/10
800 382 0675 Thursday Delivery
Fax: 765 457 7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/13/10 415961 Dustin Smith 13 300 13
QUANTI
Ty DESCRIPTION PRict DEPOSIT,, AmOUNT,
j
BASE April 5, 2010A
PROMO #0510A
PUMP $40/$33 REFUNDABLE
109 2"'`� Budweiser 24 Lse Can 16.40 32.80
209 5 Bud Lt 24 Lse Can 16.40 62.00
408 2 Bud Lt Lime 2/12 Can 20.15 40.30
A
IV
7 F,
Gases 9
DESCRIPTION
TOTAL SALE 155.1
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 34.00. 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 33.00 155.10
R ETU R NS T
CREDITS
Cash EFT Escrow kJ Number �J-��� U ��1
Driver /f J//
e ,Y Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
r
P.O.. Box 2856
Kokomo, IN 46904 -2856
$125.10
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 415961 42- 390.40 $125.10 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
Friday, May 14, 2010
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
05113/10 415961 Beer $125.1
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