HomeMy WebLinkAbout200261 08/16/2011 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: $129.85
KOKOMO IN 46904 -2856
CHECK NUMBER: 200261
CHECK DATE: 8/1612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 129.85 FOOD BEVEPAGES
MIERICA CITY OF CARMEL I NVOICE
BEVERAGE dba BROOKSHIRE GOLF CLUB
INC, 12120 BROOKSHIRE PARKWAY
CARMEL IN 46032
2755 Commerce Dr.
P.O. Box 2856
Kokomo, IN 46904 -2856
29 zcni rwn 9:7
765- 459 -3117 Thursday Del ivery
800- 382 -0675
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/18/11 r' 457519 Dustin Smith 13 800 13
qUANTITY. DESCRIPTION IE DEPOSIT AMOUNT'
CODE
BASE July, 2011A
PROMO #0811A
Pump $40/`33 Refundable
209 6- Bud Lt 24 Lse Can 16.80 100.80
470 1 Shock Top Ale 1/6 BBL 35.25 34.00 65.25
909 2 Mich Ultra 24 Lse Can 18.00 36.00
e
f
Cases 8 1/4 Barrels 1
TOTAL SALE 202.05
10303 EMPTY AB 116 30.00�,�[ T
10304 EMPTY AB 112 30.00; H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
202.05
RETURNS TOTAL CREDITS 110
CREDITS
�J
Cash ❑EFT ❑Escrow Check Number O D
1
Driver, Received B
ERICA CITY OF CARMEL INVOICE
RAGE dba BROOKSHIRE GOLF CLUB
IC 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
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
4.5/,8.87 Dustin Smith 13 800 13
r
70 s w AP OV£D_ 6Y THE STATE BOARD pF ACCOUNTS FOR THE CIT OF CAf?M£L w
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b CHECK NO
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ARMEL, INDIANq FTHTtiIRaBANK� 85
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NE CIVIC SQUA ',RE INDIANAPOLIS INDIANA 2�0�222
ih i CARMEL INDIANA 46032
GENERAL ACCOUNT E
'3 8110!2011
e 3k 'f -�r i �E k, f
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4 FAY *,'JC}, S f ,N S
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Stn;; t fH0.EE EOIIRt NINE. CTS= 7 ar r
t i� tN7 to r e vx r r }THIS WARRANT IS VO1D TWO 2 YEARS AFTER
I x DECEM6ER 31 OF THEWEAR�OF 4SSUE
r MID A'MEk, C INC
D TREAS
r IERK URER k
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5 M f a F �t
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II °200222111 11:07440859411:
r �J
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3 315 i,
;9 3 4`) i U
IN
�2 2s�:
D A131A OWES
Cases 11 1/4 P M E O W E3
TOTAL ;SALE 396.90
10303 Z EMPTY AB 1/6 30.00 Qom T
EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 H
9270 IMPORT PUMP DEPOSIT 33.00
396.90
fl CREDITS,
Cash EFT Escrow Check Number
1
Driver Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
gag IPZ�5r
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 457519 42 390.40 $129.85 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
Thursday, August 18, 2011
Director, Brooks 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))
08/18111 457519 Beer $129.8
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