HomeMy WebLinkAbout196660 04/19/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $289.45
CARMEL, INDIANA 46032 PO sox 2856
4 ory KOKOMO IN 46904 -2856 CHECK NUMBER: 196660
CHECK DATE: 4/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 289.45 FOOD BEVERAGES
MIDANIERICA I NVOICE
B E VE RAGE BROOKSHIRE•FIRST MORTGAGE
dba "BROOKSHIRE GOLF CLUB
INCs 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL I1\1 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 11f 03
765- 459 -3117
800 382 0675 Thursday Delivery
Fax: 765 457 7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/21/11 446407 Dustin Smith 13 800
PRODUCT DEPOSIT
C I QUANTITY DESCRIPTION PRICE
BASE March, 2011A
PROMO #0311A
PUMP $40/$33 REFUNDABLE
109 2 Budweiser 24 Lse Can 16.80 33.60
209 10 Bud Lt 24 Lse Can 16.80 168.00
e18 1 O'Doul's NA 2/12 Can 15.85 15.65
909 4 Mich Ultra 24 Lse Can 18.00 72.00
1
Cases 17
DESCRIPTION PRICE AMOUNT 289.45
TOTAL SALE
10303 EMPTY AB 1/6 30.00
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
289.45
N A R +.6
D• G% if
CREDITS
Cash EFT Escrow Check Number U
Dnver/ Received By
VOUCHER NO. WARRANT N
Mid America Beverage Inc. ALLOWED 20
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$2 89.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 446407 42- 390.40 $289.45 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, April 22, 2011
Director, BroolAAire 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. 199E
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))
04/21/11 446407 Beer $289.4
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
1 20
Clerk- Treasurer