HomeMy WebLinkAbout188207 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
EL, INDIANA 46032 PO BOX 2856
CHECK AMOUNT: $204.30
CARM
KOKOMOIN 46904 -2856
CHECK NUMBER: 188207
CHECK DATE: 813/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 204.30 FOOD BEVERAGES
MIDAMERICA INVOICE
BIMIMGE BROOKSH I RE F IRST MORTGAGE,
dba 3ROOKSHIRE GOLF 0 C 0 a'
INC. 12120 BROOKS'HIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR 290 .7542 EX P. L
765 459 3117 Thursday Delivery
800 382 -0675
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
OIB /05/10 423496 Dustin Smith 13 BOO 13
r.
BASE April. 5, 2010A
PROMO ##0810A
PUMP $40/$33 REFUNDABLE
109 5 Budweiser 24 Lse Can 16.30 61.50
209 6 Bud Lt 24 Lase Can 16.30 97.80
760 1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
i
Cases 11 1/4 Barrels 1
CODE OTY. DESCRIPTION" SALE 264.30
10303 EMPTY AB 1/6 30.00 fc✓��
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00 7A
9230 PUMP DEPOSIT 33.00 III
9270 IMPORT PUMP DEPOSIT 33.00
264.30
CREDITS
If
Cash EFT Escrow Check Number U
r
Driver Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
h lid P,.merica Beverage Inc.
IN SUM OF
P.0, Box 2856
Kokomo, IN 46904 -2856
$204.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 423496 42- 390.40 $204.30 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
Friday, August 06, 2010
f
Director, Brooksh3r 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))
08/05/10 423496 Beer $204.30
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