HomeMy WebLinkAbout203081 10/25/2011 CITY OF CARMEL, INDIANA VENDOR. 359294 Page 1 of 1
Q� ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $154.80
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 203081
CHECK DATE: 10/2512011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 154.80 FOOD BEVERAGES
MIMNIMERICA INVOICE
BEVERAGE CITY OP CA RMEL
INC d ba BROOKSH I Rt `GOLF 'CL.i:.�B
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL N 46032
P.O. Box 2856
Kokomo, IN 46904 2856 RR2903542 EXP. 07/13/
765 459 3117
800 382 0675 Thursday Del ivery
Fax: 765
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
10/27/11 464054 Dustin Smith 13 800 13
0 UANTITY DESCRIPT ION PRICE'. DEPOSIT ..AMOUNT
•D
BASE October 3, 2011
PROMO #1011A
PUMP $40/$33 REFUNDABLE
109 3 24 Lse Can 17.30 51.90
225 1 Bud Lt 1/4 BBL 46.50 30.00 76.50
909 3 Erich Ultra 24 Lse Can 18.80 56.40
I ,l
Cases 6 1/4 Barrels 1
PROD, CODE. OTY. DESCRIPTION PRICE
TOTAL SALE 184
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
9270 IMPORT PUMP DEPOSIT 33.00
1134.80
I
mM` 6 CREDITS
❑Cash ❑EFT ❑Escrow Check Number
Driver Received B
r y
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
y 20
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 464054 42- 390.40 $154.80 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
Friday, October 28, 2011
Director, Broo dire 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))
10/27/11 464054 Beer $154.8
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