HomeMy WebLinkAbout198338 06/15/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
0 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CARMEL, INDIANA 46032 PO Box 2856
CHECK AMOUNT: $302.30
KOKOMO IN 46904 -2856
CHECK NUMBER: 198338
CHECK DATE: 6/15/2011
DEPA RTMENT ACCOUNT PO NUMBER INVOICE N AMOUN DE SCRIPT ION
1207 4239040 302.30 FOOD BEVERAGES
MIMAMERICA BROOKSH I RE F I:RST MORTGAGE I NVOICE
BEVERAGE d ba BROOKSH I RE GOLF CLUB
INC. 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856 n
Kokomo, IN 46904 -2856 R 3 5 EXP.
765- 459 -31117 Thursday Delivery
800 382 -0675
Fax: 765 457 -7967 p u 5 empties
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06 /16/11 451438 Dustin Smith 13 800 13
AMOUNT
BASE March 28, 2011A
PROMO #0611A
Pump $40/$33 Refundable
109 3 Budweiser 24 Lse Can 16.80 50.40
209 7" Bud Lt 24 Lse Can 16.80 117.60
225 2" Bud Lt 1/4 BBL 45.50 30.00 151.00
408 3 Bud Lt Lime 2/12 Can 20.60 61.80
760 1-- Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
50
Cases 1, 1/4 Barrels 3
TOTAL SALE 465.80
10303 OC 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
465.80
RETURN5 TOTAL
�J CREDITS /_�o
Cash EFT Escrow Check Number
i
Driver Received By
MI ERICA INVOICE
BEVERAGE BROOKSHIRE FIRST MORTGAGE
I N C dba BROOKSHIRE GOLF CLUB
N 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765 459 -0675 Thursday Delivery
l i v e r
800 382 -0675 Y
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/26/11 449761 Dustin Smith 13 800 13
APPROVED BY STATE BOARD OF ACCOUNTS FORTHE CITY;.OF CARMEL 2002
CHECK NO
PAYABLE AT r
;CITY OF.CARMEL, INDIANA FIFTH THIRD BANK 7, 1.859 19751.3
ONE`CIVICSQUARE z 1 •i e INDIANAPOLIS, INDIANA
CARMEL 1NDIANA'46032; r' GENERAL'ACCOUNT DATE r `6/25/201
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;i x JHIS WARRANT IS VOID TW0 T t
Ss� t v DECEMBER 31 OF THE YEAR OF ISSUE
t ''r f s 't a r a�1r+n* ��rg>ro�c
a f
TO z r Fn xs,
_.The CLERK T
"MID AMERICA BEVERAGE ING 4 3
,t r� n PO B 28 t ny rd x tr RE U
ASRER
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'N o..i t °V:
MPD AMER IC
YOU
Cases 36
TOTAL SALE 647.10
)303 EMPTY AB 1/6 30.00 T
1304 EMPTY AB 1/2 30.00 H
405 EMPTY AB 1/4 30.00 A
230 PUMP DEPOSIT 33.00 N
270 IMPORT PUMP DEPOSIT 33.00 K 647.10
0 CREDITS
•ash EFT Escrow Check Number U o
Received By
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 not attach invoice(s or bill(s))
05/26/11 449781 Beer ($13.5
06/16/11 451438 Beer $315.8
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
VOUCHER NO. WARRANT NO
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
go
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 ($13.50) bill(s) is (are) true and correct and that the
1207 451438 42- 390.40 $315.80
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 16, 2011
Director, Broo ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund