HomeMy WebLinkAbout200222 08/10/2011 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: $349.10
KOKOMOIN 46904 -2856
CHECK NUMBER: 200222
CHECK DATE: 8/10/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 349.10 FOOD BEVERAGES
MI CITY OF CARMEL. INVOICE
BE RAGE dba BROOKSHIRE GOLF CLUB
INC 12120 BROOKSHIRE PARKWAY
MOM 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856 t�ra�an rs ava n7 /17/1'7
Kokomo, IN 46904 -2856
765 -459 -3117 Thursday Del ivery
800 -382 -0675
fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
OB /11/11 456887 Dustin Smith, 13 B00 13
PROD
•i
BASE ,July, 2011A
PROMO #0911A
Pump $40/$33 Refundable
225 1 Bud Lt 1/4 BBL. 45.50 30.00 75.50
401 7 Bud Lt Cooler 24 Pk 15.50 106.50
40B 4• Bud Lt Lime 2/12 Can 20.60 82.40
470 2 Shock Top Ale 1/6 BBL 35.25 30.00 130.501
Z�2 V
�1
OO-
Cases 11 1/4 Barrels 3
-•D CODE OTY. D e 396.90
TOTAL SALE
10303 EMPTY AB 1/6 30.00 40 Vim T
10304 EMPTY AB 1/2 30.00 A
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
39 6.90
RETURNS TOTA
CREDITS,��J
Cash EFT Escrow Check Number IU
Driver- it
Received By V
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
X56, sad
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 456887 42 390.40 $336.90
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
✓Y which charge is made were ordered and
r received except
Friday, August 12, 2011
Director, Brookshir 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))
t
08/11/11 456887 Beer $336.9
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