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Home My WebLink About189907 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1 S ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CARMEL, INDIANA 46032 PO Box 2856 CHECK AMOUNT: $92.85 KOKOMO IN 46904 -2856 CHECK NUMBER: 189907 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 92.85 FOOD BEVERAGES M IIERECA INVOICE 130MRAGE b©UBROOKSHIRES MORTGAGE, COLFF d CLUB INC, 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904 -2856 2` Qt 42 t A Ir 0//1,5/11 765- 459 -3117 800 382 0675 Thursday Delivery Fax: 765 457 7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 09/16/10 427512 Dustin Smith 13 800 13 PROD DESCRIPTION BASE September 13, 2010B PROMO #0910A PUMP $40/$33 REFUNDABLE 209 5..-- Bud Lt 24 Lse Can 16.80 84.00 817 1 O'Dou1's NA 4/6 Can 13.85 13,85 760 1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.0.0 Cases 6 1/4 Barrels 1 TOTAL SALE 182.85 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 (:;�20j60 A 9230 PUMP DEPOSIT 33.00 III 9270 IMPORT PUMP DEPOSIT 33.00 K 182.85 010, CIO v 0 CREDITS El Cash EFT Escrow Check Number U Driver Received By VOUCHER NO. WARRANT NO. ALLOWED 20 Mid America Beverage Inc. IN SUM OF P.O. Box 2856 Kokomo, IN 46904 -2856 $92.85 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 427512 42- 390.40 $92.85 I 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, September 16, 2010 r Director, Broo 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)) 09/16110 427512 Beer $92.85 I 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