HomeMy WebLinkAbout199270 07/12/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CARMEL, INDIANA 46032 PO BOX 2856
CHECK AMOUNT: $89.25
KOKOMO IN 46904 -2856
CHECK NUMBER: 199270
CHECK DATE: 7112/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 89.25 FOOD BEVERAGES
MIWAMERICA INVOICE
BEVERAGE' CITY OF. CARMEL
dba BROOKSHIRE GOLF CLUB
'NC■ i 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 RR2103 55 2 EXP.
765- 459 -3111' Thursday Delivery
800 382 -0675
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/14/11 454196 Dustin Smith 13 BOa 13
'C OD E
PRODUCT a
BASE March, 2011A
PROMO #0711A
PUMP $40/$33 REFUNDABLE
204 5 Bud Lt 24 Lse Can. 16.60 84.00
470 1 Shock Top Ale 1/6 BBL 35,25 30.00 65.25
i
I t
Cases 5 1/4 Barrels 1
TOTAL SALE 149.25
10303 r EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 I EMPTY AB 1/4 30.00,00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
149.25
CREDITS
vl
Cash ❑EFT Escrow Check Number U X5
Driver_' Received By
VOUCHER NO. WARRANT NO.
Mid America Beverage Inc. ALLOWED 20
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
7-
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1207 454196 42- 390.40 $89.25
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, July 15, 2011
Director, Brook hire 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))
07/14/11 454196 Beer $89.2
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