HomeMy WebLinkAbout197362 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
0 ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $314.19
CARMEL, INDIANA 46032 PO BOX 660357
INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 197362
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 751762 -6 314.19 FOOD BEVERAGES
REPUBLIC NATIONAL DISTRIBUTING COMPANY
INDIANAPOLIS
P.O. BOX 1602. INDIANAPOLIS, INDIANA 46206 R E 11 1 11 A TIO
IN LIQUOR PERMIT IN WINE PERMIT ORDER DESK (317) 636 -4880 1 -800- 772 -7347
NDIANAPOLIS VV49 -09133 W49 -15036 ADMINISTRATION (317) 636 -6092 1- 800 562 -7359
GROWN POINT W49 -09133 W49 -15036 pq,,�I��^^ EVANSVILLE (812) 867 -7441 1- 800 742 -3910
SOUTH BEND W71 -87478 W 71 -87479 ®I S T R I B U T I I'll G COMP CROWN POINT (219) 661 -9970 1- 800 552-4085
CUST 0079 t;y SOUTH BEND (574) 232 -3001 1-800-552-2571
LICENSE I31429 3542 FT: WAYNE /CROWN POINT /SOUTH BEND;
CUSTOMER SERVICE 1- 877 -552 -2571
GUST. NAMEC i T 1" OF ['C e o B INVOICE NUMBER
.Cl1ST. D.B.ABROOKSHIRE GOLF `4#._UB PAGE I
ADDRESS 1212th BR13OK8$"iTRE rlKW Y 0235 5 2O 11 7 51762 ---6
^q
00 1 :.3 IN ACCORDANCD WITH INDIANA LAW
CARPEL imp trr 115o 1151 1150
SPECIAL.. NOCLUDERINVOICE CRtDIT PLEASE.
PAYMENT: SALESMAN'S 1 1 .S 1 1 r te O
INSTRUCTIONS
I f
e
W.
l s !3 2 1L I c' D A I LY t S W -00D E ARY 2 49073 63O 4.78 .00 4.78 9. 56
Y
oee0 e iL i2 DEWARS WHI LABEL 1 78203 228 3p- 00 00 3e. tau 6.00
v
0137B 2 1L.. 6 OBEY GOOSE LE CITRON 1 42303 306 36.03 .00 36.O3% 72.06
Y
16 3 1L 6 GREY '17*00..-E VODKA A 1 042013 443 36,03 00 36.03 1019.09
Y
171B 1 IL 12 `UlAKERS DD t 900 2 J. 04413 367S 33-;. 78 .00, 33.7'8 33.78
Y
4145 f IL 1 FAYGO CL U2 SODA 09 270113 4145 13.35 00 13. 35 13.35
13- 35 Y
4078 1 1L. I F€ Y O TONIC 09 2 70123 4 078 13.35 .00 13.35 13. 35
13.35 Y
I:� /1.�� Iqs r .Lag r_�" r &�'e �:a�-.. ':',i T+"t'_
OTAl 314:19*
1L
0' 1
FULL CASES: R C1T OF' CAWIELL DUE: 05 -20 -11
S INVO C E: 751'762. AMT :314. 19 WINE 00 LJ GU0R 277.93
NON -ALC `1t 36.26
RECEIVED BY
Y CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUST BEM DE 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-+S-&2- G( 3
Indianapolis, IN 4620&(�(- 0
$3 14.1 9
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1207 751762 -6 42- 390.40 $314.19
bills} is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except.
Monday, May 09, 2011
Director, Bro kshire 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. 199`
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))
05/20/11 751762 -6 wine and spirots $3141
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