HomeMy WebLinkAbout209258 05/22/2012 a CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CHECK AMOUNT: $538.90
CARMEL, INDIANA 46032 Po aox lass
KOKOMO IN 46904 -2856 CHECK NUMBER: 209258
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 538.90 FOOD BEVERAGES
M INVOICE
BEVERAGE 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
765 459 3117 RR2903542 EXP. 07113/ 1.'_
i
800 382 -0675
Fax:, 765- 457 7967
4
't
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05/24/12 483883 Dustin Smith 13 800. 13
PRICE' DEPOSIT AMOUNT
60DE QUANTITY DESCRIPTION
BASE October 3, 2011
PROMO #0512
Pump $40/$33 Refundable
109 7' Budweiser 24 Lse Can 17.20 1201.40
209 15 Bud Lt 24 Lse Can 17.20 258. 0,0
225 1'"" Bud Lt 1/4 BBL 46.50 30°00 76.50
1537. 4 Stella 2/10 Pack 14.9 oz 23.00 92.00
t
Cases 26 1/4 Barrels 1
TOTAL SALE 546
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 j�� C70 A
10310 EMPTY IMPORT 1/2 30.00
9230 PUMP DEPOSIT 33.00 K
9270. IMPORT PUMP DEPOSIT 33.00 546.9( v
CREDITS
Cash EFT Escrow u Check Numbe U
Driver Received By
v
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF
P.O. Box 2856
Kokomo, IN 46904 -2856
$516.90
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1207 I 483883 I 42- 390.40 I $516.90 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, May 24, 2012
Director, Brooks ire 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))
05/24/12 I 483883 I Beer I $516.90
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
1 20
Clerk- Treasurer