HomeMy WebLinkAbout173942 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $295.00
CARMEL, INDIANA 46032 PO Box 2856
KOKOMOIN 46904 -2856 CHECK NUMBER: 173942
CHECK DATE: 6/24/2009
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1207 4239040 295.00 FOOD BEVERAGES
MIRA IER,CA INVOICE
�EIYERA�'aE
BROOKSHIRE FIRST MORTGAGE
dba BROOKSHIRE GOLF CLUB
INC■ 12120 BROOKSHIRE PARKWAY
f 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856 HHz V U.Sb EXP 7 13 1 u
765 459 -3117
800 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
06/25/09 387273' David Hulsey 13 800 13
NTITY PRICE b AMOUNT
QUA DESCRIPTION
BASE FEB 2, 2009A
PROMO #609A
PUMP $40/$33 REFUNDABLE
209 9 Bud Lt 24 Lse Can 15.95 143.55
225 1"' Bud Lt 1/4 BBL 41.50 30.00 71.50
760 2 Goose Wheat 3'12 1/6 BBL 55.00 30.00 170.00
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Cases 9 1/4 Barrels 3
TOTAL SALE 385
10303 EMPTY AB 1/6 30.00 T 19
10304 EMPTY AB 112 30.00 H
10405 f EMPTY AB 1/4 30.00
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00 385.05
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CREDITS
El Cash El EFT Escrow C heck Number U
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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
Purchase Order No.
2a nyr zkc�_ Terms
1' o CO m ��g0� a���P Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
rn ALLOWED 20
1 w
/`o IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
1 �,26 7
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U7 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
S r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund