HomeMy WebLinkAbout202226 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
Fi CHECK AMOUNT: $168.00
CARMEL, INDIANA 46032 Po eox 2656
KOKOMO IN 46904 -2856 CHECK NUMBER: 202226
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 168.00 FOOD BEVERAGES
MI INVOICE
ERIC! C I TY of CARMEL BEVERAGE dba BROOKSH I'RE`GOLF C LL1B
1mc 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. I CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 S 2 E X F
1'�nG"7 �tioYt Lni i..-
765-459-3117
Thursday Delive
iver
800- 382 -0675 y Y
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
09/29/11 461646 Dustin Smith 13 800
PROD66T 4 PRICE DEPOSIT NT
BASE July 13, 2011
PROMO #0911 A
Pump $40/$33 Refundable
209 10 Bud Lt 24 Lse Can 16.80 168.00
Cases 10
IRWIN
TOTAL SALE 1613.00
10303 EMPTY AB 1/6 30.00
10304 EMPTY AB 112 30.00 H
10405 EMPTY AB 1/4 30.00 7A
9230 PUMP. DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
168.00
T RETURNS
0 CREDITS
l t'
❑Cash ❑EFT ❑Escrow Check Number
Driver /�J� Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
16
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 461646 42- 390.40 $168.00 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 29, 2011
Director, Brook re 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))
09/29/11 461646 Beer $168.0
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