HomeMy WebLinkAbout185495 05/18/2010 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: $127.30
KOKOMOIN 46904 -2856
CHECK NUMBER: 185495
CHECK DATE: 5/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 127.30 FOOD BEVERAGES
M 1 ERIC INVOICE
BEWRA BROOKSHIRE FIRST MORTGAGE
dba BROOKSHIRE GOLF.CLUB
I C 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765 459 3117 RR2903542 EXP 07/13/1
800- 382 -0675 Thursday Delivery
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/20/10 416516 Dustin Smith 13 800 13
e o
•a
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 82.00
225 1 Bud Lt 1/4 BBL 42.50 30.00 72.50
i
3
Cases 7 1/4 Barrels 1
TOTAL SALE 1a7.30
10303 EMPTY AB 1/6 30.00
10304 EMPTY AB 1/2 30.00
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 33.00 187.30
o o D; y
Q} CREDITS 30, 60 0
Cash EFT Escrow Check Number I r U
Driver Received By
MIWAMERICA INVOICE
BEWRAGE BROOKSHIRE FIRST MORTGAGE
INC dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765- 459 -3117 RR2903542 EXP. 07/13/10
800- 382 -0675 Thursday Del ivery
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/13/10 415961 Dustin Smith 13 £300 1.3
APPROVED BY THE STATE BOARD OF ACCOUNTS FOR THE CITY OF CARMEL 2002 RES UME
CHECK NO,
PAYABLE AT
CIT 7 1-859
Y OF CARMEL; INDIANA FIFFHTHIRD,BANK 1851 �9
QNE CIVIC SQUARE INDIANAPOLIS. INDIANA 749
f CARMEL, INDIANA 46032 6ENE"L ACCOUNT DATE: 5/11/2010
1
f
AMOUNT
PAY o
DINE F IVE -•11 $155.10
R
THIS WARRANT IS VOID TWO (2) YEARS AFTER
DECEMBER 31 OF THE YEAR OF ISSUE
To MID AMERICA INC
The PQ;BOX 2856
CLERK- TREASURER
Ofdef
Of KOKOMO IN 46904 -2856
1 f" X851 1, 911 1 :07 1 ,908594: 9 9 9111 9 3 1 2711'
a 14 effiffigni HIM
'MID AMERICA OWES
YOIJ OWE ifL 4�
Cases 9
♦9D p D o TOTAL SALE 155.10
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00
10310 j EMPTY IMPORT 1/2 30.0 N
0
9230 PUMP DEPOSIT 33.00
9 IMPORT PUMP DEPOSIT 33.00 155.10
0 D 'r
6 CREDITS
0
Cash EFT Escrow
Check Number J U
Driver Received By
r
VOUCHER NO. JARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$127.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1207 415961 42- 390.40 ($30.00) 1 hereby certify that the attached invoice(s), or
1207 416516 42- 390.40 $157.30 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
Monday, May 24, 2010
lT
Director, BrocAke 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))
05/13/10 415961 Beer ($30.0
05/20/10 416516 Beer $157.2
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