HomeMy WebLinkAbout186589 06/15/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $200.55
PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 186589
CHECK DATE: 6/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 200.55 FOOD BEVERAGES
n�olm INVOICE
BEVERAGE BROOKSHIRE FIRST MORTGAGE
dba BROOKSHIRE GOLF CLUB
C, 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr.
CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765- 459 -3117 Thursday Deliver
800 -382 -0675 Y Y
Fax: 765 -457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/17/10 419172 Dustin Smith 13 800 13
••wr O N r o r •w
wr
BASE April 5, 2010A
PROMO #0610A
PUMP $40/$33 REFUNDABLE
.209 10 Bud L.t 24 Lse Can. 16.40 164.00
408 1 Bud Lt Lime 2/12 Can 20..15 20.15
909 1 Mich Ui.tr.a 24 Lse Can 16.40 16.40
Cases 12
••er wr w r e w
TOTAL SALE 200.
10303 EMPTY AB 1/6 30.00 T
10304 EM PTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N
92.30 PUMP DEPOSIT 33.00 K
9270 IMPORT PUMP DEPOSIT 33.00 200.55
M
CREDITS
Cash EFT El Escrow Check Number u
Driver Received By
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 419172 42- 390.40 $200.55 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, June 17, 2010
'g
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. 1995)
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))
06/17/10 419172 Beer $200.55
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