HomeMy WebLinkAbout197513 05/25/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
(i CARMEL, INDIANA 46032 CHECK AMOUNT: $660.60
PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 197513
CHECK DATE: 5/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 660.60 FOOD BEVERAGES
MIIIIIERICA INVOICE
BEVERAGE B FIRST MORTGAGE
dba BROOKSHIRE GOLF CLUB
INC, 12120 BROOKSHIRE PARKWAY
2755 Commerce'Dr.+ CARMEL I!V 46032
P.O. Box 2856"
Kokomo, IN 46904-2856 R29 3=542 07/13
765- 459 -3117 Thursday Delivery
800 -382 -0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN, NUMBER CUSTOMER NUMBER ROUTE
05/26/11 449781 Dustin Smith 13 800 13
BASEMarch 28, 2011A
PROMO #0511A
Pump $40/$33 Refundable
109 5-' Budweiser 24 Lse Can 16.70 83.50
209 l0___" Bud Lt 24 Lse Can 16.70 167.00
210 10' Bud Lt 16 oz 4/6 Can 18.95 189.50
408 6'' Bud Lt Lime 2/12 Can 19.60 117.60
909 5 Bich Ultra 24 Lse Can 17.90 89.50
r�
Cases 36
TOTAL SALE 647.10
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'
647.10
R ETU R NS
0 CREDITS
Cash EFT Escrow p Check Number U
Driver Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
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 449781 42- 390.40 $660.60
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
Tuesday, May 31, 20111
Director, Brooks ire 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 invoi or bill(s))
05/26/11 449781 Beer $660.6
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