HomeMy WebLinkAbout191029 10/14/2010 „4 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
4 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $556.50
CARMEL, INDIANA 46032 PO BOX 2556
KOKOMO IN 46904 -2855 CHECK NUMBER: 191029
CHECK DATE: 10/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 556.50 FOOD BEVERAGES
MIWAMERICA INVOICE
B BRDOKSH I RE -FIR MORTGAGE
dba BROOKSHIRE GOLF CLUB
12120 8ROOKSHIRE PARKWAY.
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903542 EXP. 07 13 11
765- 459 -3117
800- 382 -0675 Thursday Delivery
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
1Q/21/10 430201 'Dustin, Smith 13 700 13
DESCRIPTI
BASE September 13, 2010A
PROMO #01010A
PUMP $40/$33 REFUNDABLE
109 6 Budweiser 24 Lse Can 16.80 100.70
209 10 Bud Lt 24 Lse Can 16.8Q 168.00
225 1 Bud Lt 1/4 BBL 46.50 .30.00. 76.50
408 2 Bud Lt Lime 2./12. Can 2 0.60 41.20
760 2 Goose Wheat•312 1/6 BBL 55.00 30.00 170.00
Cases 17 1/4 Barrels 3
PROD. CODE Qty. DESCRIPTION PRICE AMOUNT TOTAL SALE 5s6.5Q
10303 EMPTY AB 116 30.00
10304 EMPTY AB 1/2 30.00 J�$
10405 EMPTY AB 1/4 30.00
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT: 33.00
556.50
aft? y
0 CREDITS
k check Cash EFT Escrow Numbe U
Driver Received By
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))
10/21/10 430201 Beer $556.50
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
VOUCHER NO WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$556.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 430201 42- 390.40 $556.50 1 hereby certify that the attached invoice(s), or
bi11(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, October 21, 2010
L
Director, Brool shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund