HomeMy WebLinkAbout202408 10/05/2011 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
(e CHECK AMOUNT: $74.50
CARMEL, INDIANA 46032 Pa eox lass
KOKOMOIN 46904 -2856 CHECK NUMBER: 202408
CHECK DATE: 1015/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 74.50 FOOD BEVERAGES
MI ERICA INVOICE
p ....CITY OF CARMEL
®EWRAGE dba BROOKSHIRE GOLF:CLUB
INC. 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 rim f —V 0 ri v i i L i i
765 459 3117 Thursday Delivery
800- 382 -0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
10/04/11 462162 Dustin Smith 13 B oca 13
P ROD UCT
DESCRIPTIO 61HPOSIT AMO
BASE October 3, 2011.
PROMO #1011A
PUMP $40/$33 REFUNDABLE
470 2 Shock Top Ale 1/6 BBL 37.25 30.00 134.50
f 1
t
1/4 Barrels 2.
TOTAL SALE 134.50
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00
134.50
T CRE y
L`{1 CREDITS.'
Cash EFT Escrow Check Number
Drive_ Receiver! By
VOUCHER 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 462162 42- 390.40 $74.50 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
Tuesday, October 04, 2011
1
Director, Brookshire Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board or Accounts City Form No. 201 (Rev. 199E
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))
10/04/11 462162 Beer $74.5
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