HomeMy WebLinkAbout158745 04/23/2008 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $279.00
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 158745
l� CHECK DATE: 4/23/2008
NV ICE EPARTMENT ACCOUNT PO NUMBER 1 NUMBER AMOUNT DESCRIPTION O U
905 4239040 279.00 FOOD BEVERAGES
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M IWAMERICA INVOICE
i l't' 1` BROOKS,H I RE; F LR�'T ..MORTGAGE
dba BROOKSHIRE GOLF CLUB
12120 PARKWAY
2755 Commerce Dr. CARMEL I N 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2903542 EXP. 07/13/08
765- 459 -3117
800- 382 -0675
Fax: 765 457 -796.7
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
04/23/08 349216 DAVID HULSEY 13 800 13
PRICE DEPOSIT AMOUNT
QUANTITY DESCRIPTION
BASE APRIL 1, 20086
PROMO Apr #0408A
PUMP $40%$33 REFUNDABL -E
109 6 BUD' LSE CANS 15.50 93.00
209 12-- BUD LT LSE CANS 15.50 186.00
7
Cases 18
TOTAL SALE 279.00
10303 EMPTY AB i6. 30.00 T
10304 EMPTY AB 1/2 30.00•
10405 EMPTY AB 1/4 30.00 A
10310. EMPTY IMPORT 1/2 30.00,
9230. PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00
279.00
D CREDITS
Cash EFT Escrow Check Number U 1
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Driver /��i Received BY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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.
i Paye
xcs c Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
L3 �a 3 4-1
Total 2 O3
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.
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Clerk- Treasurer
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