HomeMy WebLinkAbout186939 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
j_ ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $1,326.30
�t ,o CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 186939
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1,326.30 FOOD BEVERAGES
1,
&1W%ME INVOICE
BEWRAGE BROOKSHIRE FIRST MORTGAGE
I C dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL I N 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903542 EXP. 07/13/10
765- 459 -3117
800- 382 -0675 Thursday Delivery
Fax: 765 -457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/24/10 419676 Dustin Smith 13 800 13
BASE April 5 2010A
PROMO #0610A
PUMP $40/$33 REFUNDABLE
109 12 Budweiser 24 Lse Can 16.30 195.60
209 30 Bud Lt 24 Lse Can 16.30_ 489.00
225 2 Bud Lt- 1/4 8EIL 41.50 30.00 143.00
406 6 Bud Lt Lime 2/12 Can 20.15. 120.90
909 6 Mich-Ultra 24 Lse Can, 16.30 97.80
760 3 Goose Wheat 312 1/6 .BBL 55600 30.00 255.00
V
Cases'54 1/4 Barrels 5
TOTAL SALE 1,301.30
10303 EMPTY AB 1/6 30.00. T
10304 EMPTY AB 1/2 30.00 36 H
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00
9230 PUMP DEPOSIT 33.00 K
9270 IMPORT PUMP DEPOSIT 33.00
�Q 1,301.30
CREDITS
Cash EFT Escrow Check Number U
4 30
Driver Received By
V OUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.01. Box 2856
Kokomo, IN 46904 -2856
$1,241.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 419676 42- 390.40 $1,241.30 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, June 24, 2010
Director, BroA ire 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))
06/24/10 419676 Beer $1,241.30
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