HomeMy WebLinkAbout169725 03/16/2009 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $554.00
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 169725
f. CHECK DATE: 3/16/2009
f 5,
DEPARTMENT ACCOUNT PO NUMBER I NVOI CE N UMBE R AMOUNT DESCRIPTION
1207 4239040 A 554.00 FOOD BEVERAGES
11111 AMERICA I NVOICE
B BROOKSH I RE' F I RST MORTGAGE
INC. d ba BROOK.SH I RE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904 -2856
765 459 3117 RR2903542 EXP. 07/1.3/09
800 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
0:W l /09 378274 DAVID HULSEY 13 800 13
S AMOUNT
C OD E.
A DESCRIPTION PRICE DEPO IT
BASE FEB 2, 2009A
PROMO #0309A
PUMP $40/$33 REFUNDABLE
209 11 BUD LT LSE CANS 15.75 173.25
225 1 BUD LT 1/4 BBL 41.50 30.00 71.50
318 5 MICH 18 PA.K CAN 14.50 72.50
408. 2 BUD. LIGHT LIME 2/12 CAN 19.50 39.00
518 1 MICH LT 18 PAK CAN 14.50 14.50
81.9 1 O'DOUL'S NA LSE 12.95 12,95
908 4"`� MICH ULTRA 2/12 CAN ,17.05 68.20
1409 1 ROLLING,ROCK LSE CAN 17.10 17.10
760 1 GOOSE 312 WHEAT 1/6 BBL 55.00 30.'00 85.00
Cases 25 1/4 Barrels 2
DES PRICE AMOUNT
TOTAL SALE 554.00
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00 K 9270 IMPORT PUMP DEPOSIT 33.00 554.00
O CREDITS
Cash El EFT ❑Escrow ❑Check Numbe u B ill
r 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
&L,0_'1 R Z 32E y �:49_ a :7�)G, Purchase Order No.
O R Terms
.2444, Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
&14&0 'C
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.
j ALLOWED 20
IN SUM OF
ON ACCOUNT OF �PPROPRIATION 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
S' nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund