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HomeMy WebLinkAbout175254 07/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $203.75 CARMEL, INDIANA 46032 Po eox zass ch KOKOMO IN 46904 -2856 CHECK NUMBER: 175254 CHECK DATE: 7/28/2009 DEPARl'At-NT �t ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION 1207 4239040 203.75 FOOD BEVERAGES MIDAMERICA I NVOICE B BROOKSHIRE FIRST MORTGAGE 1N d,ba BROOKSH I RE GOLF CLUB 12120 BROOK'SHIRE PARKWAY 2755 Commerce Dr, CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904-2856 765 459 3117 RR2903542 EXP 07/13/10 800 382 -0675 Fax: 765 457 -7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 07/30/09 390537 David Hulsey 13 800 13 .PRODUCT QUANTITY' DESCRIPTION P�ICE DEPOSIT AMOUNT- BASE FEB 2, 2009A PROMO #709A PUMP $40/$33 REFUNDABLE 109 3 Budweiser 24 Lse Can 15.95 47.85 209 12 Bud Lt 24 Lse Can 15.95 191.40 225 1 Bud Lt 1/4 BBL 41.50 30.00 71.50 760 2 tGoose Wheat 312 1/6 BBL 55.00 30.00 170.00 J 17 Sa o Cases 15 1/4 Barrels 3 TOTAL SALE 480.75 10303 J EMPTY AB 1/6 30.00 3W,6ZI T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 10310 EMPTY IMPORT 1/2 30.00 IN 9230 PUMP DEPOSIT 33.00 9270 IMPORT PUMP DEPOSIT 33.00 480.75 y O CREDITS �&/20 Cash E FT El Escrow �9 Check Number ��5n 7" t Driver 4� Received By ,Ml -!,MEHlCA INVOICE BRAG BROOKSH I RE F I RS:T MOR;T�GAGE 'NCdba�a13RO0KSNI'RE�,GOLhF YCLUBa 2 12120 BROOKSHIRVE PARKWAY- Y 2755 Commerce Dr.I CARMEL I N.: 46032 P.O. Box 2856 Kokomo, .IN 46904 -2856 765- 459 -3117 800- 382 -0675 Fax: 765 457 -7967 BEER W3409212 "INVOICE DATE ;u I INVOICEINUMBER`� 5 iSALESMAN NUMBE 't 7 CUSTOMER NUMBER ROUTE X.t r' e` 4i f' >t r '0- 7/x231Q,9 =3.89877 1 =aD,avid .Hu rsA �w. Y. K `P� UCT I l���:m CODE QUANTITY DESCRIPTION PRICE DEPOSIT AMOUNT Sw x APPROVED'BY THE;STATE'BOAftpxOF ACCOUNTS FOR'THE ClVAQF, t err C.HEC.KN 1 C EL f�l 1 749 DIAN� III 1111 a'r• u. °«t: �I I 1 I u� .3, eWARRANT ,IS =V010TWO'`2�Y.EARSAFTER o I mx I I II�," s" a_ THIS )4 ct�» Viz.:. a, rr;,`? w` m;. C^ ,w F Y'�: a Y.ria. PF3�, i ..Sg�` d� .�-.z` an: Fm+s„. S: r X-_ DECEMBER 31 OF YEAR O�afSSUE� n MI[1AMERICA BVEGHNC —_,i 4CLERK TREASURER KK Y RIB X2856t x� j< ,.j '1' I sa` I I 11 d:M. l III T f. C �r .f.. I ,x- n: �d 4rv....: p`zn .,a%. 9.3. r x Y x a.. "i?'�i_ Ili IIII �Y'" ]III?SO2211 1':07',9085941: 7 WE a ,1 29Z 6 5 z 7 O o :k A �R� :A'0WES 7 Le i f 7 1/2 Barrels 2. TOTAL SALE 10303 j' EMPTY AB 1/6 30.00 T 10304 EMPTY'AB 30:00" H 10405 r EMPTY AB 1/4 30.00 3 ®CA! D A 40310 EMPTY: IMPORT 112 30.00 N 9230 PUMP DEPOSIT 33.00 K Ej`9270` IMPORT PUMP DEPOSIT 3100 CREDITS RETURNS i Y CREDITS,:,-- Cash EFT Escrow C heck Number 13 Driver Received By Prescribed by State BUard of Acc hunts 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 n Purchase Order No. 7S5 Coin n-N Terms P.o.F36� �8s� fSo Ko n o 4 Jn -yiv goy_ _g_s c, Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) _?13o)t:-j 3 9cS3 c C, bP� 4vc ba r 03 7S Total X03._75 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 VCHER NO. WARRANT NO. ALLOWED 20 mP,r, C 9- ey6L'c e- IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or w0 J9oS3 390Yo Poi. 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 -JJ I� 3C7 20 ©g ianat r Cost distribution ledger classification if Ti le claim paid motor vehicle highway fund