HomeMy WebLinkAbout211562 08/07/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CARMEL, INDIANA 46032 PO BOX 2856
CHECK AMOUNT: $296.65
KOKOMO IN 46904-2856 CHECK NUMBER: 211562
CHECK DATE: 8/712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 296 . 65 FOOD & BEVERAGES
AMIWAMERICA INVOICE
BEVERAGE CITY OF CARMEL
dba BROOKSHIRE GOLF CLUB
1NC■ 12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 46904-2856 K1 V 5541 Xt'. 1V S/ L
765-459-3117x! '
800-382-0675 '
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/09/12 491465 Dustin Smith 13 800 13
bT
09
DESCRIPTION DEPOS T AMOUNT
BASE March 5, 2012
PROMO #0812
PUMP $40/$33 REFUNDABLE
209, 8 Bud Lt 24 Lse Can 17.30 138.40"
225 2 Bud Lt 1/4 BBL 45. 50 30.00 151 .00
470 1 Shock Top Ale 1/6 BBLI'1. 37.25 30.00 67.25
Cases 8 1/4 Barrels 3
.: ,
TOTAL SALE 356.65
10303 EMPTY AB 1/6 30.00 �Oc c� T
10304 EMPTY AB 1/2 30.00 H .
10405 EMPTY AB 1/4 30.00 3 A
9230 . PUMP DEPOSIT 3300 N
9270 . IMPORT PUMP'DEPOSIT 33.00
356.65
CREDITS
❑ Cash ❑ EFT ❑ Escrow ❑ Check Number U ® . a /
Driver V Received Byte. v
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$296.65
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 491465 I 42-390.40 I $296.65 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
Friday, August 10, 2012
Director, Brooks Ir 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))
08/09/12 491465 Beer $296.65
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