HomeMy WebLinkAbout212052 08/21/2012 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
e�tONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $509.40
o CARMEL, INDIANA 46032 PO Box 2856
<.oa KOKOMO IN 46904-2856 CHECK NUMBER: 212052
CHECK DATE: 8/21/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 509 . 40 FOOD & BEVERAGES
MI ERICA INVOICE
® CITY OF CARMEL
BEVERAGE dha BROOKSHIRE '80LE GLL1S" "
INCE 12120 BROOKSHIRE PARKWAY
CARMEL IN 46032
2755 Commerce Dr., r
P.O. Box 2856
�1,f Kokomo, IN 46904-2856�l t RR2 90 4 2 EXP. s . 13, 1a 2
765-459-3117
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOIC//E NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
08/23/12 ,492B83 Dustin Smith 13 800 13
•.
QUANTITY DESCRIPTION PRICE DEPOSIT, AMOUNT
BASE March 5, 2012
PROMO #0812
PUMP $40/$33 REFUNDABLE
109 4 �—'' Budweiser 24 Lse Can 17.20 68.80
209 8 Bud Lt 24 Lse Can 17.20 1_37.60
210 4 " Bud Lt 16 oz 4/6 Can 21 . 15 64.60
909 2 -- Mich Ultra 24 Lse Can 18.70 37.40
428 2 -- Lime A Rita 8 oz 2/12 CN .19.75 39.50
1537 4 Stella 2/10 Pack 14.9 oz 23.00 92.00
7025 2 Goose 312 2/12 Can 24.75 49. 50
Cases 26
0 on- 1 TOTAL SALE 509.40
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB.1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
509.40
U CREDITS
❑ Cash 11 EFT ❑ Escrow / f Check Number �
Driver /- Received B —
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$509.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 492883 I 42-390.40 I $509.40 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 23, 2012
/
Director, Brook Ke 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))
08/23/12 492883 Beer $509.40
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