HomeMy WebLinkAbout208441 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY
CARMEL, INDIANA 46032 PO BOX 660357 CHECK AMOUNT: $190.89
INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 208441
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3068095 190.89 FOOD BEVERAGES
CUSTOMER COPY
s0 T Try OF CARMEL [PUBLIC NHIIUNHI PAGE: I CUSTOMER NO.- C USTOMER P.O. NUMBER INVOICE NUMBER
BROOKSHIRE GOLF CLUB
DISTRIBUTING CHMPHNY 11C 007916 306809-r-
12120 BROOKSHIRE PKWY 11 ORDER NO. PERMIT LICENSE NO. TYPE INVOICE DATE
P.O. BOX 1602 RR29-03542 4/19/1E
CARMEL IN 46032 INDIANAPOLIS r IN 46206 ROUTE STOP
EXPIRATION DAT TERMS
(317)-291-9042 (800)-772-7347 0610 0002
313 SPECIAL INSTRUCTIONS: DIV. NO. SALES NO.�DIV. NO. SALES NO. IV. NO. SALES NO. DIV. NO. SALES NO.
I 1150 lisi 1150 1 15
VEND
DELIVERY NOTES: OR ID NUMBER INVOICE TYPE DUE DATE
0
Ic IINVOICE S/ 4/1
ITEM NUMBER LINE LOC. DESCRIPTION SIZE PACK CASES BOTTLES LIST DISCOUNT UNIT COST NET BOTTLE NET PRICE
BULK LOC. UPC VINTAGE PRICE DEAL COST
128823 275j FINEST CALL BLOODY MARY Z IL 12 6 5,61 2.45 3.16 .00 18.96
7
Z
1346 7 0 48' B 0 50 Y
1,,28263 2160 FINEST CALL MARGARITA IL 12 2 5.61 .00 5.61 .00 11.22
4055 Y
042303 067E GREY GOOSE LE CITRON 1L 6 1 36.64 .00 36.84 .00 36.64
1401 Y
042013 159C GREY GOOSE VODKA 1L 6 3 36,134 .00 36.64 .00 110.52
1443 Y
270123 1663 FAYGO TONIC 1L 12 1 13.35 .00 13.35 00 13.35
1663 1.12 y
Ihm4MM! 1111161 RETURN CODES:
LIQUOR LITERS GALS. WINE LITERS I GALS. BEER LITERS I GALS. "d not order Damaged on Truck 1 12
1- Billed Wrong E-No Money
2-Pricing Error F-Office Cancel CASH AMOUNT
3-W of Business H-Defective
4-Duplicate ,-Shod on Truck 190. E39*
E LITERS Li 5 W WINE L 1T ERT /GALS. SPARKLING LITERS GA-L7— 6 -Won't scan or not authorized CHECK If
HIGH WIN GALS. A-Out of Stock
B-Picking Error
C-Too Early/Too Late
ACCEPTED
CHECK AMOUNT
RECEIVED BYX
1, as the licensee, agent of this licensee, or employee thereof of the business accept the merchandise
shown ce�n the invoice a that to the best of my knowledge there has been no change in DATE: TIME:
ownershi this business d cer ""hour notification to the State Alcohol Board and is the holder or an
effective permi"Icn'e' There will be a $50 service charge any dishonored check. RNDG is not
r for breakage, loss, or damage to merchandise after delivery or acceptance by
maws] zqsiejq'&� Common Carder. DRIVER SIGNATURE
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/19/12 3068095 Spirits $190.89
1 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
Republic National Distributing Company
IN SUM OF
P.O. Box 1602
Indianapolis, IN 46206
$190.89
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1207 I 3068095 I 42- 390.40 I $190.89 1 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
Thursday, April 19, 2012
j 1
Director, Bro hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund