HomeMy WebLinkAbout200596 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $292.16
CARMEL, INDIANA 46032 PO BOX 660357
INDIANAPOLIS IN 46266 -6357 CHECK NUMBER: 200596
CHECK DATE: 8!1712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 867958 -1 292.16 FOOD BEVERAGES
REPUBLIC NATIONAL DISTRIBUTING COMPANY INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206 J� ORDER DESK (317) 636 -4880 1 -800 -772 -7347
OR N LIQU PERMIT IN WINE PERMI7 I j INDIANAPOLIS IANAPOLlS W49-09133 wag -1sa3s IW9 ILltl1 ADMINISTRATION (317) 636 -6092 1- 800 -562 -7359
CROWN POINT W49 -09133 W 49 -15036 EVANSVILLE (812) 867 -7441 1- 800-742-3910
SOUTH BEND W71 -87478 W71 -87479
DISTMBUTI fi COMPANY CROWN POINT
(2.1:9) 661 -9970 1- 800 552 -4085
CUST 00 i SOUTH BEND (574) 232 -3001 1- 800 552 -2571
LICENSE RR29° {}3542 1 FT. WAYNElCROWN POINT /SOUTH BEND
666 iii ®iiii {i 11 li CUSTOMER SERVICE 1- 877 552 -2571
CUST NAME;,'.";Y O F CA
PAGE: o o INVOICE NUMBER
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.CUST. D.B.A.BRO G %OLF
ADDRESS i'212 BROOKSi`IIR PKWY 7 i s r` 0io i`� i 1 867958-^..1
C„ 006
77 N ACCO ZDANCE W TH INDIANA lAW
G;RIiL ICI'.�J3 115;1 1 1 x,1.0 PLEASE
SPECIAL
INCLUDE INVOICE NUMBER PAYMENT SALESMAN'S i 3 5 i 1 1 5 1 1 i A X50. z' 1
INSTRUCTIONS ilsi i Si
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LOC
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3.63E 3 1L 6 GREY GOOSE VODKA 0 1 042013 1443 36. 84 .00 36.84 i iO. 52
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TINV ICE: B67958 -1 AMT 2'9r 16 wimE° 00 LIQUOR 233- y I
NON-AL.0 s I
F�ECEIVED BY.
CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUST BE MADE ON RECEIPT OF GOODS P.O. BOX 660357, INDIANAPOLIS, IN 46266 -0357
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 7995)
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 r
/i P. NOaTict�vt� 2'r K�r� job Q Purchase Order No.
Terms
JaOA S� �/u�� ((1<� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoices) or bill(s))
Total oi'
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
a
An,
ON ACCOUNT OF APPRQPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
v 20 l
Sign tur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund