HomeMy WebLinkAbout188686 08/17/2010 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: $150.45
KOKOMO IN 46904 -2856
CHECK NUMBER: 188686
CHECK DATE: 8/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 150.45 FOOD BEVERAGES
MISAMERICA INVOICE
B BROOKSH I RE. F I RST, .MORTGAGE
dba BROOKSHIRE GOLF CLUB
I NCâ– J i 12120 BROOKSH I RE PARKWAY
CARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856
Kokomo, IN 46904 -2856 RH 2 L 103 42 E X H 0 1
765- 459 -3117
800 382 -0675 Thursday Delivery
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/19/10 424946 Dustin Smith 13 800 13
BASE April 5, 2010A
PROMO #0810A
PUMP $40/$33 REFUNDABLE
109 2 Budweiser 24 Lse Can 16.40 32.80
225 1 Bud Lt 1/4 BBL 42.50 30.00 72.50
408 1 Bud Lt Lime 2/12 Can 20.15 20.15
760 1 Goose Wheat 312 1/6 BBL '55.00 30.00 85.00
Cases 3 1/4 Barrels 2
TOTAL SALE 210.45
10303 EMPTY AB 1/6 30.00
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
210.45
70 i V
CREDITS
Cash EFT Escrow Check Number
Driver Received By
VOU NO, WARRANT NO.
ALLOWED 20
Nhid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$150.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 424946 42- 390.40 $150.45 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 20, 2010
Director, Br00 shire Goff 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))
08/19/10 424946 Beer $150.45
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