HomeMy WebLinkAbout210072 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $289.50
CARMEL, INDIANA 46032 PO BOX 2856
KOKOMOIN 46904 -2856 CHECK NUMBER: 210072
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 289.50 FOOD BEVERAGES
MIW MERICA INVOICE
B CITY OF ,,CARMEL
,NC■ dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
;r 2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856
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
06/21/12 486548 Dustin Smith 13 800 13
�4obucf QUANTITY
BASE March 5, 2012
PROMO 0612
PUMP 40/$33 REFUNDABLE
209 6____ Bud Lt 2ZF Lse Can 17.30 103:80-
210 3'_ Bud Lt 16 oz 4/6 Can 21.15 63.45
470 1"� Shock Top Ale 1/6 BBL 37.25 30.00 67.25
1537 5 Stella 2/10 Pack 14.9 oz 23.00 115.00
Cases 14 1/4 Barrels 1
PROD. CODE QTY. DESCRIPTION -PRICE AMOUNT TOTAL SALE 349
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 �G' A
10310 EMPTY IMPORT 1/2 30.00 N
9230 PUMP DEPOSIT 33.00 K
9270 IMPORT PUMP DEPOSIT 33.00 349.50
CREDITS
Cash El d[Ej1E w �Y1 Check Number
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))
06/21/12 456548 Beer $289.50
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
$289.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 I 456548 42- 390.40 I $289.50 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, June 21, 2012
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund