HomeMy WebLinkAbout172447 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
0 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $176.15
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 172447
CHECK DATE: 5/13/2009
:1
/DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1207 4239040 176.15 FOOD BEVERAGES
MIMAMERICA INVOICE
B BROOKSHI FIF4ST M ORTGAGE
dba BROOKSHIRE GOLF CLUB
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
05/12/09 383442 David Hulsey 13 800 13
--o. AMO
BASE FEB 2, 2009A
PROMO #0509A
PUMP $40./$33 REFUNDABLE
209 7 BUD LT CAN 24 PK L.SE 15:95 111.65
225 1� BUD LT 1/4 BBL 42.50 30.00 72.50
760 1 GOOSE 312 WHEAT 1/ BBL 55.00 30.00 85.00
Cases 7 1/4 Barrels 2
-so TOTAL SALE 269.15
10303 EMPTY AB 1/6 30.00 70 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00
10310 EMPTY IMPORT 1/2.,, 30.00
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 3.3.00
269. i 5
®moo c y
CREDITS
Cash EFT Escrow ®Check Number U
Driver Received By _Ir l
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
B iry) Purchase Order No.
v• ����p Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Bet
Total 1� S
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
t� �/���►?�L/� I3f� IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
>1�0 9
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
.3 G 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
i nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund