HomeMy WebLinkAbout190381 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
11 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $472.50
CARMEL, INDIANA 46032 PO BOX 2856
•i�oa'i�. KOKOMO IN 46904 -2856 CHECK NUMBER: 190381
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 472.50 FOOD BEVERAGES
Mm AMERICA INVOICE
B BROOKSHIRE FIRST MORTGAGE)
INC dba BRGOKSHIRE GDLF'
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 4 6032
P.O. Box 2856
Kokomo, IN 46904 -2856 S 07/1
765 459 0675 Thursd Deliver
800- 382 -0675 Y Y
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/30./10 428746 Dustin Smith 13 800 13
BASE September 13, 2010E
PROMO #0910A
PUMP $40/$33 REFUNDABLE
109 10 Budweiser 24 Lye Can 16.70 167.00
209 15 Bud Lt 24 Lse Can 16.70 250.50
760 1 Geese Wheat 312 1/6 BBL 55.00 30.00 B5.00
I
Cases 25 1/4 Barrels 1
10303 EMPTY AB 1/6 30.00 TOTAL SALE 502.50
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00 N
502.50
O CREDITS lft00
L1 Cash EFT El Escrow I VJ Check Number ?g
Driver Received B
6
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$472.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 428746 42- 390.40 $472.50 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, September 30, 2010
Q 4"
Director, Brooks 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))
09/30/10 428746 Beer $472.50
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