HomeMy WebLinkAbout192906 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY
CARMEL, INDIANA 46032 PO BOX 660357 CHECK AMOUNT: $163.40
INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 192906
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 567560 -8 163.40 FOOD BEVERAGES
REPUBLIC NATIONAL'DISTRIBUTING COMPANY INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206
f.; ORDER DESK (317) 636 -4880 1- 800 772 -7347
INDIANAPOLIS W49 -09133 W4915036 N 1 tl U NAT I lY ADMINISTRATION (317) 636 -6092 1 -800 -562 -7359
W49 LIOUOR PERMIT IN WINE PERMIT 11UU 09133 W49 -15036 Y 1L 9 WW RR Ilfl III VV9 EVANSVILLE (812) 867 -7441 1' 800
IN
CROWN POINT 742 -3910
SOUTH BEND W71 -87478 W71 -87479 .�j. p n
DIS IRUTIN� ��oI�tl�f�NY CROWN POINT (219) 661 -9970 1- 800552-4085
CUST 007916 SOUTH BEND (574) 232 -3001 1-800-55 2 -2571
LICENSE R R 29 03542
FT. WAYNE /CROWN POINT/SOUTH BEND
CUSTOMER SERVICE 1- 877 552 2571
CUST. NAME C I TY OF CARmEL
OUST: D.B.A. 1BROOKSHIRE GOLF INVOICE DATE CLUB PAGE: i Irtvotce.NUnnBER
ADDRESS 12120 BROOKSHIRE:PKWY 12 9 1A 0243 i2 24 1.0 567560 °fB
0013
IN ACCORDANCE WITH INDIANA LAW
CARMEL: IN 46032 i 150 11-9 1 w i 150
TO ASSURE PROPER CREDIT PLEASE SALESMAN'S 1 15 1 1 1 51 A 1 50 i, V
SPECIAL INCLUDE INVOICE NUMBER WITH PAYMENT
INSTRUCTIONS i i 5 i 11' 1 1 i
DISC .!QUANTITY SIZE m BPC D ESCRI PTIOW VINTAGE SILS iiEM IWARE119UNI UNIT PRIC E';
159 1' 1L 1z IiAr�AFti)i SU#'ER101 01 !B25i 1' 144 16. O 16,3 1B.�3S�',::;
036A 2 IL 12 DAI L,Y' S' BLOODY MARY THK SP I 02 149453 1.10 4 7 d 4 7 9. 56
Y
`007I3 1L 12 JACK DANIELS `BLACK ,LABEL" 01 208573 .1 °42 30_,5 .0 0 30. 5 30 ;,5�t
2. 97q 4 1.5L 6 VENDANGE C HARCJC3NItitAY O B 05 162592 142 1 I.3 1.9 9.3 37 48
189 597 2.00
.300p 4 1 5L 6 VENDANGE MERLCIT (?5 US 162'.12 .145 1x1...33 1 96 9. -37:.48
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2.00
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FULL CASES 0 007916 CITY. OF C"AR MEL DUE 12- N
r
INVOICE: 56 7560 -5 AMT 163.40
WINE 1`04. 96 L. I Q.UOR.:, 48-813
NON. 'ALC 9-
RECEIVED BY
:CUSTOMER'S iNVOIGE PLEASE REMIT PAYMENTS TO:,•
ALL CLAIMS FOR DAMAGES MUST BE MADE ON RECEIPT OF GOODS P.O. BOX 660357, INDIANAPOLIS, IN 46266 -0357
VOUCHER NO. WARRANT NO.
ALLOWED 20
Republic National Distributing Company
IN SUM OF
P.O. Box 1602
Indianapolis, IN 46206
$163.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 567560 -8 42- 390.40 $163.40 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
Friday, December 10, 2010
Director, Brookshire olf 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))
12/09110 567560 -8 Wine $163.40
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