HomeMy WebLinkAbout189141 08/26/2010 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: $354.30
KOKOMO IN 46904 -2856
CHECK NUMBER: 189141
CHECK DATE: 8/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 354.30 FOOD BEVERAGES
u° fifilWAMERICA f INVOICE
B GE BROOKSHIRE :FIRST,',MORTGAGE
dba,BROOKSHIRL GOLF CLUB
INC■ 12120 BROOKSHIRE-PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 U15 1,3/ 1
765- 459 -3117 Thursd Deliver
800 382 -0675 Y y
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
I
09/26/10 425620 Dustin Smith 13 800 13
'C ODE DESCRIPTION
BASE April 5, 2010A
PROMO #0810A
PUMP $40/$33 REFUNDABLE
1.09 6' Budweiser 24 L.se Can 16.40 98.40
209 6 Bud Lt 24 Lse Can 16.40 9B.40
225 1 rr Bud Lt 1/4 BBL, 42.50 .30.00 72.50
760 1 Goose Wheat 312 1/6 .BBL 55.00 30.00 85.00
Cases 12 1/4 Barrels 2
TOTAL SALE" 354.30
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00,*:_
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
.3a4.30
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CREDITS
C] Cash EFT Escrow Check Number U
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Driver Received By
\!OUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$354.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1207 425620 42- 390.40 $354.30 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, August 26, 2010
Director, Brook 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))
08/26/10 425620 Beer $354.30
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