HomeMy WebLinkAbout208573 05/08/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $538.60
G� CARMEL, INDIANA 46032 PO BOX 2856
KOKOMO IN 46904 -2856 CHECK NUMBER: 208573
CHECK DATE: 5/8/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 538.60 FOOD BEVERAGES
M INVOICE
CITY OF -GARMEL
B6Yi■7MGE
INC dba BROOKSHIRE GOLF CLUB
121.20 BROOKSHIRE- PARKWAY.
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 469042856
765- 459 -3117 RR2903542 EXP. 07/13/12
800 382 -0675
Fax: 765 457 -7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/10/12 482554 Dustin Smith 13 800 13
AMOUNT
PRICE DEPOSIT
QUANTITY DESCRIPTION
BASE October 3, 2011
PROMO #0512
Pump $40/$33 Refundable
109 3 Budweiser 24 Lse Can 17.30 51.90
209 5 Bud Lt 24 L se Can 17.30 86.50
408 2' Bud Lt Lime 2/12 Can 20.60 41.20
470. 2'� Shock. Top Ale 1/6 BBL 37.25 30.00 134.50
8308 5� Shock Top 2/12 can 23.30 116.50
901 2� Mich Ultra 19th Hole 26.50 53.00
1537 5 Stella -'2/10 Pack 14.9 oz 23.00 115.00
Cases 22 1/4 Barrels 2
TOTAL SALE 598.60
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.
9230 PUMP DEPOSIT 33.00
9270 IMPORT PUMP DEPOSIT 33.00 598.60
L C EDITS' 3 Y
CREDITS
7
El Cash El EFT ❑Escrow Check Number
Driv �T /�/l'
er V P Received By
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$568.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 482554 I 42- 390.40 I $568.60 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
y C
I which charge is made were ordered and
received except
Thursday, May 10, 2012
i
Director, Bro hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/10/12 482554 Beer $568.60
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