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HomeMy WebLinkAbout211603 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1 `• ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CARMEL, INDIANA 46032 Po eox zess CHECK AMOUNT: $358.04 o»� KOKOMO IN 46904-2856 CHECK NUMBER: 211603 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 358 . 04 FOOD & BEVERAGES MIAMERICA 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 —nL 0.3 42 EX P. iO,'1. i 12 765-459-3117 800-382-0675 Fax: 765-457-7967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 08/16/12 492125 Dustin Smith 13 800 13 •Q BASE March 5, 2012 PROMO #k0812 PUMP $40/$33 REFUNDABLE 109 4 / Budweiser 24 Lse Can 17.30 69.20 209 6 Bud Lt 24 Lse Can 17.30 103.60 408 2 '' Bud Lt Lime 2/12 Can 20,60 41 .20 470 1 .-� chock Top Ale 1/6 BBL 37.25 30.00 67.25 909 2 Mich Ultra 24 Lse Can 18.80 37.60 1537 3 Stella 2/10 Pack 14.9 oz 23.00 69.00 4:- Y Cases 17 1/4 Barrels 1 •� • • • TOTAL SALE 388.05 10303 EMPTY AB 1/6 30.00 �f,�Q(,/ 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 ' / �j ® CREDITS --�� ❑ Cash ❑ EFT ❑ Escrow Check Number /�f�>�/ e r Driver i��// � Received By J _ _ .. _ _ �i .` � � `� VOUCHER NO. WARRANT NO. ALLOWED 20 Mid America Beverage Inc. IN SUM OF $ P.O. Box 2856 Kokomo, IN 46904-2856 $358.05 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 492125 I 42-390.40 I $358.05 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, August 16, 2012 /i 4� Director, Brookshir 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)) 08/16/12 492125 Beer $358.05 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