HomeMy WebLinkAbout199781 07/27/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
i ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $404.10
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 199781
CHECK DATE: 7/27/2011
DEPARTMENT ACC OUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 404.10 FOOD BEVERAGES
M CITY OF .CARMEL INVOICE
BEVERAGE dba BROOKSHIRE' GOLF CLUB
INC. 12120 BROOKSHIRE PARKWAY
CARMEL IN 46032
2755 Commerce'Dr.
P.O. Box 2856,' 07 1" K /1 2
�v. c�
Kokomo, IN 46904 -2856 00 29P35 4 2
765- 459 -3117 J Thursday Delivery
800- 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/28/11 455545 Dustin Smith 13 800 13
T 0 DESCRIPTION PRICE.. DEPOSIT AMOUNT
5jl= July y LV11H
PROMO #0711A
PUMP $40/$33 REFUNDABLE
1 109 7 Budweiser 24 Lse Can 16.80 117.60
209 10' Bud Lt 24 Lse Can 16.80 168.00
225 1 Bud Lt 1/4 BBL 46.50 30.00 76.50
909 4 Mich Ultra 24 Lse Can 18.00 72.00
Cases 21 1/4 Barrels 1
DESCRI TOTAL SALE 434.10
10303 EMPTY AB 1/6 30.00
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00
K 434.10
T OTAL RETURNS CRED Y
CREDITS r
Cash ❑EFT ❑Escrow Check Number U
Driver Received By
VOUCH NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
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 455545 I 42- 390.40 $404.10 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, July 28, 2011
Director, Brooks it 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 atta ched invoice(s) or bill(s))
07/28/11 455545 Beer $404.1
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