201011 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 364765 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN WINE SPIRITS- INDIANA CHECK AMOUNT: $182.60
CARMEL, INDIANA 46032 PO BOX 278350
MIRAMAR FL 33027 -8350
CHECK NUMBER: 201011
CHECK DATE: 8/30/2011
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1183595 182.60 FOOD BEVERAGES
SOUTHERN WINE SPIRITS REMIT TO: I I I I i
11 OF INDIANA I IIIIII IIII VIII VIII VIII I III III II I IIII I I NUMB e
800 Commerce Parkway West Dr. SOUTHERN WINE SPIRITS INDIANA NUM 1183595
PO BOX 278350
Suite D; ccou"r
Greenwood, IN. 46143-6100 MIRAMAR FL. 33027 -8350 i I I i
I IIIIII IIIIIIIIII IIII VIII IIII IIII I IIIIII VIII (IIII IIIIIIIII NUMBER 1653
Permits: W41 -27133 W41 -27134 99 1 800 -276 -5148
SCITY OF CARMEL S BROOKSHIRE GOLF CLUB f i ROUTE 116 STOP 14
012120 BROOKSHIRE PKWY H 12120 BROOKSHIRE PKWY I IIIIII VIII III I II II� I III I II II I� IIII I�II� 1111111 III IN
LCARMEL IN 46033 CARMEL IN 46033
I
D P
T T
O 0 PAGE 1 OF 1
2500 751
1 3 Exp: 7/13/2012 Night Bill
SALES PERSON PERMIT NUMBER DELIVERY INSTRUCTIONS P.O.# PHONE NUMBER INVOICE DATE
995 29 -03542 8 5, R ;IBC 317 -846 -7431 8/25/2011
PRODUCT NET CASE NET BTL. UNIT DIV UNIT NET AMOUNT
LOC CASES BITES SIZE DESCRIPTION PACK W -LOC. B -LOG CODE PRICE PRICE PRICE CDE DISCOUNT
1 1.OL CROWN ROYAL CANADIAN 80 YRC 12 7601 360.12 31.51 31.51 001 31.51
1 1.0L J WALKER BLACK 80 YRC 12 22726 430 -7B 37.40 37 -40 001 37.40
1 1.OL MALIBU RUM COCONUT 42 12 33451 190.00 17.33 17.33 002 17.33
1 1.OL KAHLUA 40 12 93165 288.46 25.54 25.54 002 25.54
1 1.OL JOSE CUERVO TEQ ESP GOLD 80(OL) 12 140508 219.44 19.79 19.79 001 19.79
I 1 1.OL BAILEYS IRISH CREAM 34 12 193505 300.60 26.55 26.55 001 26.55
1 1.OL TANQUERAY GIN 94.6 12 278078 275.78 24.48 24.46 001 24.48
UNIT DELIVERY CHARGE 1 126161 001
f�
OT A $IOO INIMUM O DER IS R QUIRED
SOU HERNW NEONLINE COM
CA ES BOTTLES WINE GALLON CUSTOMER PAGE GROSS TOTAL TOTAL DISCOUNT PAY THIS AMOUNT
PAGE TOTAL ORDER TOTAL PAGE TOTAL ORDER TOTAL
LIQUOR GALLON 1.85 drs:
7 7 BEER GALLON BROOKSHIRE GOLF CLUB 1 82.60 :.....:I.
CARTON DRIVER LOADED TH ALL APPLI CABLE LAWS T HIS ALE CLSttJMER ACC BER INVOICE NO. CUSTOMER NO. NET AMOUNT DUE DATE RR ea an H,9,, ,b,l,, wRlbach All 6, n,nR aeRmr. RfRbRnneed URaL. I f $2500
SIBLE FOP ALL SALES T DUE ON SALES OF GOODS. IN THE EVENT D o! s
lae,e esamine Baoda balvre signing. All lil y, incur tling OUR RESP ONSIBILI or 'FOR SAFE
moat
ACTION TO COLLECT INDEBTEDNESS CREATED BY THE SALES OF GOODS S LIVER immediately CEASES W HEN GOOD S ARE IN BUYER'S POSSESSION OR
t. ONSIBITY FOR AF
VTHERN WINE SPIRITS 9F INDIANA SHALL BE ENTITLED TO RECOVER F UYER'S AGENT SIGNS DELIVERY RE El". Suvb ecc,p
SLIVERY DE GOODS CEASE W GOODS
THE CU NE S HEREIN THE PNIN SHALL BE E NT OF THE C teec, It gold, All 11
n -1 greemmt roar voice is in Payable m the eddI.. above end IM1at the total invRica
DEBTEDNESS. ALL ACCRUED AND ACCRUING SERVICE CHARGES PS OFT 118 3 5 16 53 I B 6 Q 9 B i2 01 a dos end payable wi,hin illlaenll5l days o! the invoice tlpta of invoice Included.
FETEI ATE CF THE SALE OF THESE GOO ANY LAWSUIT INVOLVING ANY 0 not then Nllly p :id, Ibis end ell p,i., in veieR, will, as pe rmi,tad by I, beer interest
DS.
PUT UP CHECK BY SPUTE BETWEEN THE COMPANY AND THE LICENSEE MAY EE FILED IN J DELIVERY RECEIPT:NO CLAIMS FOR SHORTAGES WILL RE ALLOWED UNLESS I) NOTED AT �,I/ PINE DP OELIV V aafviee cheryea Irom dale of purcneze et 1.5% pa month R d will teavM in loos al
DN OR MARION COUNTY AT SOUTHERN WINE SPIRITS' OPTION. my dieceunt and may result in lass of credit privileges. Rees ble coals and
V a'faea will be added.
1NINVOIC Customer Copy Print NO- Signature U
VOUCHER NO. WARR NO.
ALLOWED 20
Southern Wine Spirits Indiana
IN SUM OF
P.O. Box 278350
Miramar, FL 33027 -8350
$182.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 1183595 42- 390.40 $182.60 1 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
Thursday, August 25, 2011
a /V6_7
Director, BrookAid 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))
08/25/11 1183595 Wine and Spirits $182.6
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