HomeMy WebLinkAbout201114 09/12/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
I, CARMEL, INDIANA 46032 PO BOX 2856 CHECK AMOUNT: $453.00
oe p
KOKOMO IN 46904 -2856 CHECK NUMBER: 201114
CHECK DATE: 9112/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 453.00 FOOD BEVERAGES
M1ER'CA INVOICE
BEWRAGE CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
INC■ 12120 BROOKSH I RC PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 ICI�LT JJ`fiL nr '07 /t.ar 1i.
765- 459 -3117 Thursday Delivery
800 382 -0675
Fax: 765- 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/15/11 460066 Dustin Smith 1.3 B00 13
DEPOSI AMOUNT
BASE July 13, 2011
PROMO #0911A
Pump $40/$33 Refundable
109 5— Budweiser 24 Lse Can 16.80 54.00
209 15— Bud Lt 24 Lse Can 16.80 252.00
225 1"" Bud Lt 1/4 BBL 46.50 30.00 76.50
470 2 SFia Trap Ale 1/6 BBL 35.25 307100 130.50
Cases 20 1/4 Barrels 3
P ROD. CODE OTY. DESC RIPTI N PRICE AMOUNT 543.04
TOTAL SALE
10303 r EMPTY AB 1/6 30.00
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 r✓' A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
y 543.00
RETURNS TOTAL CREDITS:, O CREDITS
Cash EFT Escrow Check Number U�?�
ed By
Driver Receiv .c
r
VOUCHER NO. WARRANT NO.
Mid America Beverage Inc. ALLOWED 20
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
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 460066 42- 390.40 $453.00
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, September 15, 2011
Director, Broo Ire 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))
09/15/11 460066 Beer $453.0
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