HomeMy WebLinkAbout174429 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $147.35
CARMEL, INDIANA 46032 PO BOX 2856
•c,. KOKOMO IN 46904 -2856 CHECK NUMBER: 174429
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 147.35 FOOD BEVERAGES
f MW AMERICA INVOICE
B BROOKSH I RE FIRST MORTGAGE%;
IN �a dba BROOKSHIRE GOLF CLUB
V'_ 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765 459 3117 RR2903542 EXP. 07/13/09
800- 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
07/08/09 388585 David Hulsey 13 aOQ' 13
DESCRIPTION PRICE DEPOSIT AMO
•D
QUANTITY
BASE FEB 2, 2009A
PROMO #709A
PUMP $40/$33 REFUNDABLE
109 5 Budweiser 24 Lse Can 15.95 79.75
209 8 Bud Lt 24 Lse Can 15.95 127.60
1
I 7
Cases 13
TOTAL SALE 207.35
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP. DEPOSIT 33.00 207.35
CREDITS 670
Cash EFT Escrow Check Number U
Driver /0�'l� 4'.. Received By
ERICA INVOICE
B BROO -841 E FIRST MORTGAGE
d,ba BROOKSH I RE GOLF CLU$'° Y
I 121'20 B000K8.HfIREw PARKWAY
2755 Commerce Dr.
P.O. Box 2856
CARMEL I N 460'32
Kokomo, IN 46904 -2856
765 459 3117 RR2903542 EXP 07/13/09
800 382 -0675
Fax: 765 457 -7967 P u 3 m t s
BEER W3409212
INYOICE�DATE s INVOICE U BER SALESMAN NUMBER CUSTOMER�NUMBER ROUTE
c'�`
0 7 %42/ x 58 387844 t David 'Hulsey 1 80 13
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*gPPROVED BY THE ATE B ARD OF A, C N ,S R H CI a „O o s
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CARMEL INDI DA�1-
ANA 46032. GENERAL ACCOUNT E
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THIS WARRANT P VOID TWO (2} YEARS AFTER
x D BER 31 OF THE ISSUt €s%
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u■ X74 �46 1I' 1 074 w 908594 1: 9 l
F 99"'934 27
MID AMERICA 01,VEq 06
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Cases,.14. 1 Barrels 3
TOTAL SALE 464.80.
10303 s� EMPTY AB 1/6 30.00 T
10304 J EMPTY AB'1 %2 30.00 H
10405 EMPTY AB 1/4 30.00 A
1,0310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00
9220 IMPORT PUMP DEPOSIT, 33.00 K 464 .80
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O CREDITS
Cash EFT Escrow Check Number z V
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Driver Received By
Prescribed by State Board of 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
.1116 Purchase Order No.
S IP Terms
I W L 1 00 4 S_tP Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total NT
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.
I 21�i C C.L, WED 20
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
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
20
14,
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund