HomeMy WebLinkAbout198887 07/05/2011 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: $298.50
KOKOMO IN 46904 -2856
CHECK NUMBER: 198887
CHECK DATE: 71512011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 298.50 FOOD BEVERAGES
MI (ERICA CITY OF CARMEL I NVOICE
B M IMGE F dba BROO KSH'I'RE GDLF C LUB
INCE 12120 BROOKSHIRE PARKWA
f' CARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856 R990 XP 07/13/11-
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
07/07/11 453738 Dustin Smith 13 800 13
A PR ICE
C OD E'
Hl mal, ZVIIH
PROMO #0711.0
PUMP $40/$33 REFUNDABLE
109 5 Budweiser 24 Lse Can 15.80 84.00
209 5 Bud Lt 24 Lse Can 15.80 84.00
470 2 Top Ale 1/6 BBL 35.25 30.00 130.5
a
Cases 10 1/4 Barrels 2
DESCRIPTION PRICE 298.50
10303 EMPTY AB 1/6 30.00 R TOTAL SALE
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00 298.50
qe Q REDITS
El Cash ❑EFT ❑Escrow Check Number
Driver Z4� Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
�9 P, 5
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 453738 42- 390.40 $298.50 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, July 12, 2011
1X7
Director, Brookshire 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 attach invoice(s) or bill(s))
07/07/11 453738 Beer $298.5
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