HomeMy WebLinkAbout176571 08/25/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $198.55
CARMEL, INDIANA 46032 PO Box 2856
KOKOMOIN 46904 -2856
CHECK NUMBER: 176571
CHECK DATE: 8/25/2009
DEPARTMEN ACCOUNT P O NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1207 4239040 198.55 FOOD BEVERAGES
��MWJIMERICA
INVOICE
B BROOKSH I RE F I :RST MORTGAGE'
dha BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 2856 RR2903542 EXP. 07/13/10
765- 459 -3117
800 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/26/09 393058 Salesman 13 800 13
LIANTITY DESCRIPTION PRICE DEPOSIT
BASE FEB 2, 2009A
PROMO #e09A
PUMP $40/$33 REFUNDABLE
109 2' Budweiser 24 Lse Can 15.95 31.90
209 7" Bud Lt 24 Lse Can 15.95 111.65
760 .1 Goose Wheat 312 1/6 BBL 55.00 30.00 85.00
f,
Cases 9 1/4 Barrels 1
TOTAL SALE 228.55
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY. IMPORT 1/2' 30.00
9230 PUMRDEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 228.55
RETURN& TOTAL CREDITS
0 CREDITS
Cash ❑EFT ❑Escrow Check Number�
Driver Received By �f i
Pr6 §crib d by State Board od,(Accounts City Form No. 201 (Rev. 1995)
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
A 'l s Purchase Order No.
Qs �C/��� S� Terms
3 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a .sig
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
/5P s
ON ACCOUNT OF j APPROPRIATION FOR
Ca
Board Members
PO4t or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
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
G 20 G
SignJQ
P&Lt e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund