HomeMy WebLinkAbout197494 05/19/2011 a CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $420.90
CARMEL, INDIANA 46032 PO Box 2856
KOKOMO IN 46904 -28% CHECK NUMBER: 197494
CHECK DATE: 5/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 420.90 FOOD BEVERAGES
�S�s.
M BROOKSHIRE FIRST MORTGAGE INVOICE
BEVERAGE d ba BR6O' KSH I R� GOLF CLUB
INC 12120 BROOKS'H I RE PARKWAY
GARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856R9 ri �iL1^ 07/1
Kokomo, IN 46904 -2856
765 459 3117 Thursday Delivery
800 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/19/11 449127 Dustin Smith 13 BOO 13
PR6DUUj QUANTITY 'PRICE
DESCRIPTION AMOUNT%,
•Q
BASEMarch 28, 1UllH
PROMO #0511A
Pump $40/$33 Refundable
109 12 Budweiser 24 Lse Can 16.70 200.40
209 6- Bud Lt 24 Lse Can 16.70 100.20
909 7 Mich Ultra 24 Lse Can 17.90 125.30
760 1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
,.,Z i +1 ors•- i
Cases 25 1/4 Barrels 1
TOTAL SALE 510.90
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 33.00 510.90
R ETURNS v
O CREDITS
Cash EFT Escrow Check Number
ZU
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 449127 42- 390.40 $420.90 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, May 20, 2011
Director, Brootbire 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. 1991
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))
05/19/11 449127 Beer $420.9
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