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HomeMy WebLinkAbout190406 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360622 Page 1 of 1 ONE CIVIC SQUARE OLINGER DIST CO CHECK AMOUNT: $173.19 CARMEL, INDIANA 46032 PO BOX 681008 INDIANAPOLIS IN 46268 CHECK NUMBER: 190406 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 7480218 173.19 FOOD BEVERAGES I3ISTR113UTING. COMPANY IN CUSTOMER0 IGI NALG OLINGER PHONE` 317/876 0088 OEI 6 PO BOX 661009 OR 80,365, 573q dl ll I Titlil'T6111AI3flLT Thl, '4���. PA X,.317/g76-�3638 ®�Iy9DD7:4{8 ©�8 7480 INVOICE DA t' F BROOKSHIRE;:CALF. CLUB 12120 IiRD0I3SHIRE PKWY PAGE 1 W49 0962 W4.9 CARMEL, IN 46032 4Y 0/ 10 17. GUST PHONE 317 546 =743 07955".. 70- 27' RA29. -03542 NET DVE,'` 1 31Ob 1 Q' ITEM NO. POT SIZE NITS DESCRIPTION VIN LIST PRICE DISCOUNT NET PRICE TAGE 'IF F7 INITIAL 9 IL GREY GU x ..t�•..,:�r 2_ „n_.rc�. .._r„ rr'`, .3�.�.. "r�,'E_ 3. x. s._,�- i�,_�= �`..:e. ,::,�a°�,# r r VO DKA 000804B 01 3 03 36. 03 72 06 '"361,03 '..r fir",''°.r ^t RC ItVITIAL 1 c P I t 00'5 ti 11022Y 3 750ML '12 PATRON •S TEQUIt; A S 0072 173300002' 39. 42 5 71 33. 71 101 13 33. 7.1'' W. A Y a IALrt 12PWSiA P•Kt v 120$3 71 919;4. RC: INIT .x 5906017 .1._ 750ML 6 PATRON X O GAPE 00721733000031- N/G ...n,....s.- INITIA L ^t °a. u. ��1'��a .s�. a m.�.:. ,a ,,.~•f ,,.�:d.. r r� t?.3<: r• r c ,x, .�A: •ir•. x n -.r a z. �."'°a���. i, t1R- T.NVOICE. HISTQRX,. ANd.A :R °ClN INEak :,,q Y.t:I;IR R 'p. HfIW It�l 1 L e s a�.; x SALES' H' ,13 ANC S�4LES R RC, INITIAL w. S 5 SALESI"IANfFaiME AMOUN, BRANC I 28 TAI'It"IY ..HAA., hITR` ESS ulJlll 1 k„ INITIAL HARMAN rs GE f has# r. SALEStiEC.A $Y- CLASS.' ,e, #a�.a� 4# tt 5 _S Sp CIA SP LTIES T 77: RG_ y _t�rr!` NE COOLERS BEER NON ALCOHOL LOW: PR:U .F RC 9 INITIAL. 173 IML -Fr RC rte. o s a RC.. INITIAL ra <,w .ks =t..r fig; �R a IN 1:32 173. 1.4 173..1 Q GALLONAGE O1. TRUCK SHORT ON. DELIVERY 04. BILLED RIGHT /EILLEO WRONG 12: DUPLICATE.ORI)ER t�.. MERCii. Nor auTrloarzeo CUSTOMER SIGNATURE RETURN BELOW REPRESENTS AGREEMENT TO CODE: RC 02. BROKEN ON DELIVERY 08. CUSTOMER DIDN'T WANUORDER 13: kNCORRECT DISCOUNT [N IT TS_ 'T a3. SroRE cLOSeo oN aRRIVAL os. No MONEV FoR coo n. ATE TIME STOP; T DE TE MS &CONDITIONS OF.SALE LISTED ON THE REVERSE PA O HIS R OUTE T-- 1 STATE ANDfEDERAL TAXES'PA1D SI E O,_ THIS IN4010E:; LINT AM This invoice ispayahietn MAR I C]N,. Lie E x p 0.7J 13J2C? 1 1 vl OLINGER E i PLOYE SIGNATURE DATE DELIVERED CUSTOMER NAME (PLEASE PRINT) CUST ER SIGNATURE, DATE RECEIVED LFsl rig- .t.. J w ar >t'. s TERMS AND CONDI 1 'CLAIMS-FOR SHORTAGE'OR DAMAGE•'WILL NOT -BE HONORED UNLESS NOTED WITH 150NGE ,EMPLOYEE SIGNATU,RE',ON THE'= lRECEIVI•NG DOCMENT `AT TIME "OF _DELIVERY.. MERCHANDISE '`AS ORDERED NOT RETURNABLE. THE. PURCHASER REPRESENTS THAT HE °HAS NO UNPAID DEBTS: -MORE THAN THIRTY DAYS OLD_.FRGM. THEIR, DATE OF INVOICE, .FOR ANY ALCOHOLIC BEVERAGES PURCHASED FROM-ANY-LIQUOR OR W!7 E WHOLESALER IN INDIANA. '"BY EXECUTION OF THIS DELIVERY GE MERGHANT'WARRANTS THAT THEY HOLD A VALID ,RETAIL M;ERCHANT.CERT4FICATE:;ACGOUNT WITH TH_E4INDIANA DEPT.F REVENUE `THIS`' PURCHASE IS -FOR RESALE AND NOT SUBJECT TO INDIANA SALES TAX." THE SIGNED INVOICE REPRESENTS AGREEMENT TO THE TERMS AND CONDITIONS "OF CREDIT ESTABLISHED BY OLING'ER DISTRIBUTING COMPANY. FAILURE: TO REMIT PAYMENT WITHIN THESE TERMS WILL MAKE' THE ABOVE SIGNED SUBJECT TO A DELINQUENT 'RATING WITH OLINGER ,°DISTRIBUTIN:G'GOMPANY'i ;NON= PAYMENT: OFr' OiUTS TANDING ;DE13T_r1NlLL,BE;SUSJECT TO "3RD'PARTY- COLLECTIONS;: ANID' "ABOV.E: SIGN'ED'- WIL.L :RESPONSI.BLE FOR THE DEBT'AND :'ALL:'CO,LLEC_ TION EEES:ASSLGNED' BY'IO.LIN::GERIDISTRIB.UTING COMPANYY. ti VOU NO. WARRANT NO. ALLOWED 20 Olinger Distributing Company IN SUM OF P.O. Box 681008 Indianapolis, IN 46268 $173.19 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 7480218 42- 390.40 $173.19 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 Wednesday, September 22, 2010 Director, BrookshirUkolf 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 N umber (or note attached invoice(s) or bill(s)) 09/21/10 7480218 Alcohol $173.19 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