HomeMy WebLinkAbout188152 07/22/2010 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: $182.45
KOKOMO IN 46904 -2855 CHECK NUMBER: 188152
CHECK DATE: 712212010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 182.45 FOOD BEVERAGES
,U[Q INVOICE
MEM
PRO 01 l PAR'K
2755 Commerce Dr.
P.O. Box 2856
Kokomo, IN 46904 -2856 Ew; r r�
765- 459 -3117
800 382 -0675 T 1 i r- s d -a
Fax: 765 -457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07 'i i0 4 2bQ1. Lu�ti,, Sri =:.h ?t i
WON', 4'�
s
a,_•
PUMP r�EFIJ,NJDASILE
4t 9 2 w– B;: d Lt I__ me 2/12 l.; a; 20 1_ 40. I
3 3 0r;
r ri g l. r`
re f
10303 ,�e TOTAL SALE
EMPTY AB 1/6 30.00 t'f` T
10304 EMPTY AB 1/2 30.00 R
10405 EMPTY AB 1/4 30.00 %',r',." A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
.`51 7
y
O CREDITS
Cash EFT ❑Escrow ❑Check Number U
Driver Received By
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NQ dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
800382�O75
~``�m�57'7E67 Thur�day D�livery
BEER W3409212
INVOICE DATE 11 VOICE NUMBER SALESMAN NUMBER CUSTOMER UMBER ROUTE
BASE, Apr-il 5, 2010A
PROMO 40610A
PUMP $401$33 REFUNDABLE
109 1 Budweiser 24 Lse Can 16`30
309 30 Bud Lt 24 L�e Can l63O 195.60 225 2 439 00
TOMER NUMBE�R
07
Bud Lt 1/4 BBL u1.'O� ��o-on
M N Q
C .231201'01"
z., MOUNT
GE
Z
OWN
EMPTY AB 1/6 CX:p
10303 30
10405 EMPTY AB 1/4
9230 N
PUMP DEPOSIT 33.00
IiL TT.
mo
I Cash Ll EFT Escrow ED Check Number
Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$282.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 419676 42- 390.40 ($85.00) 1 hereby certify that the attached invoice(s), or
1207 422601 42- 390.40 $367.30
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
Friday, July 30, 2010
Director, Brooks We 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 ($85.00)
07/29/10 422601 Beer $367.30
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