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HomeMy WebLinkAbout208180 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1 ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $522.00 CARMEL, INDIANA 46032 PO BOX 2856 KOKOMO IN 46904 -2856 CHECK NUMBER: 208180 CHECK DATE: 4/24/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 522.00 FOOD BEVERAGES M ERICA INVOICE B t CITY OF CARMEL_ i dba BROOKSHIRE GOLF CLUB IIV C■ 12120 BROOKSHIRE PARKWAY b 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 x Kokomo, IN 46904 -2856 R29(0,554.2 EAP. 07/ 765- 459 -3117 800- 382 -0675 Fax: 765 457 -7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER -ROUTE 04/26/12 481143 Dustin Smith 13 800 13 BASE October 3, 2011 PROMO #0412 PUMP $40/$33 REFUNDABLE 109 8 Budweiser 24'Lse Can 17.20 137.60 209 8 Bud Lt 24 Lse Can 17.20 137.60 408 5 Bud Lt Lime 2/12 Can 20.60 103.00 8308 1 Shock Top 2/12 can 22.75 22.75 901 1 Mich Ultra 19th Hale '26.25 26.25 909 5 Mich Ultra 24 Lse Can 18.70 93.50 1537 1 Stella 2/10 Pack 14.9 oz 23.00 23.00 1 Goose Wheat 312 2/12 Can 27.00 27.00 AK h 70 g7 Cases 30 TOTAL SALE 570.70 10303 EMPTY AB 1/6 30.00 :�eKl T 10304 EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 A 9230 PUMP DEPOSIT 33.00 9270 IMPORT PUMP DEPOSIT 33.00 K 570.70 V CREDITS -217 ❑Cash ❑EFT El Escrow ©Check Number XO Driver Received By MIDAMERICA INVOICE BEVERAG CITY OF CARMEL dba BROOKSHIRE GOLF CLUB INC 12120 BROOKSHIRE PARKWAY 2755 Commerce Dr. CARMEL IN 46032 P.O. Box 2856 Kokomo, IN 46904 2856 RR2903542 EXP. 07/13/12 765- 459 -3117' 800- 382 -0675 Fax: 765 457 -7967 BEER W3409212 4�a INVOICE:DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE APPROVED BY THE STATE BOARD OF ACCOUNTS FORtrTHE-CIN OF 2002 CHECK NO 4 PAYABLE AT r. r t �.�1J' x z yr t L s�3t i CITY OFCARMEL,INDIANA FiFTHTHIRbBANiC 7 749 9 ifr 207324 INO{ANAPOLIS INDIANA." t ONE�CIVIC `SQUARE F DATE 3/21/2012= C'ARMEL INDIANAx46032 GENERAL ACCOUNT xF- AMOUNT �r om VV au g t,t .fit 3', x ui� 4 r 3" a'� kh r" zRA'i �T'.'"�,� s' :r" 468 20 '2 0 3 a t r +SFOUR SIX ElgifF CT —r' x},p s ,z ss a.;a, fi s" G r "'?!t s. a `T^' THIS IS TWO (2) YEARS AETER J,, DECEMBER THE YEAR OF ISSUE arc To MID 4MERICA�BEUERAGE INC paThe PO BOX 2856 3 5 {a; CLERK TREASURER 3 ..n 5,`" 5. e` s 4. ;'a p. t i x r 4 N r ;E 9t,�x 3 R.. 2�.. rKt ns r t. fir` nr. t n ►I' 2D 7 3 241I' im 749018 5941: 9991119 34 2 ?'I' R Frw cc I NVO- MID YOU O Cases 26 1/4 Barrels 1 TOTAL SALE 528. 10303 EMPTY AB 1/6 30.00 T `10304: :EMPTY AB 1/2 30.00 H 10405 EMPTY AB 1/4 30.00 30�Q0 9230. PUMP DEPOSIT 33.00 N C/ 9270 IMPORT PUMP DEPOSIT 33.00 v y J 0 CREDITS Cash EFT Escrow Check Number i 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. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/22/12 477795 Beer ($1'.70) 04/26/12 481143 Beer $540.70 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 Mid America Beverage Inc. IN SUM OF P.O. Box 2856 Kokomo, IN 46904 -2856 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 477795 42 390.40 (�f1 1 hereby certify that the attached invoice(s), or 1207 481143 42- 390.40 $540.70 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 Monday, April 30, 2012 4o Director, Bro kshire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund