HomeMy WebLinkAbout197018 05/04/2011 ^e. CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $201.60
CARMEN, INDIANA 46032 PO Box 2356
KOKOMO IN 46904 -2856 CHECK NUMBER: 197018
CHECK DATE: 5/4/2011
DEPA RTMEN T ACCOUNT PO N UMBER INVOIC NUMBER AMOUNT DESCRIPTION
1207 4239040 201.60 FOOD BEVERAGES
MIMERICA INVOICE
B BROOKSH I RE F i RST. MORTGAGE
I�C■ g BROOKSH IRE GOLF CL.LJB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL I N 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765- 459 -3117 RR2903542 EXP. 07/13/11
800 382 0675 Thursday Delivery
Fax: 765 457 7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER r ROUTE
05/05/11 447666 Dustin Smith 13 800
BASEMarch 26, 2011A
PROMO #0511A
Pump $40/$33 Refundable
209 12 Bud Lt 24 Lse Can 16. BO 201.60
Cases 12
PROD CODE QTY DESCRIPTION PRICE AM
TOTAL SALE 201
10303 EMPTY AB 1/6 30.00 T
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
201.60
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O CREDITS
Y check Cash ❑EFT ❑Escrow Number U
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Driver v Received'By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
.o; (oC�
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 447666 42- 390.40 $201.60 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
Monday, May 09, 2011
Director, Br okshire 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))
05/05/11 447666 Beer $201.6
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