HomeMy WebLinkAbout212775 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 364765 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANA CHECK AMOUNT: $389.72
CARMEL, INDIANA 46032 PO BOX 278350
MIRAMAR FL 33027-8350 CHECK NUMBER: 212775
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1363264 389. 72 FOOD & BEVERAGES
SOUTHERN WINE &SPIRITS REMIT TO:
800 INDIANA SOUTHERN Parkway West Dr. SOUTHERN WINE &SPIRITS - INDIANA (IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11111111 Jill NUM ER 1363264
Suite D PO BOX 278350 ACCOUNT
Greenwood, IN. 46143-6100 MIRAMAR FL. 33027-8350 IIIIIIIIIIIIIIIIIIIIIIIIIII Jill Jill IIIIIIIIIIIIIIIIIIIIIIIIIIJill NUMBER 1653
Permits:W41-27133&W41-27134 99 1-800-276-5148
_- SCITY OF CARMEL S BROOKSHIRE GOLF CLUB ROUTE 112 STOP 24
012120 BROOKSHIRE PKWY H 12120 BROOKSHIRE PKWY IIIIIIIIIIII Jill IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Jill Jill
LCARMEL IN 46033 I CARMEL IN 46033
D P
'T T
0 PAGE 1 OF 1
2500 754
v 1 3 Exp: 10/13/2012 Night Bill
SALES PERSON PERMIT NUMBER DELIVERY INSTRUCTIONS P.O.# PHONE NUMBER INVOICE DATE
9
2 - - -7431 9/05/2012
995 03542 "' :
PRODUCT NET CASE NET BTL. UNIT DIV UNIT
LOC CASES BTLS SIZE DESCRIPTION PACK W-LOC. B-LOC. CODE PRICE PRICE PRICE CDE DISCOUNT NET AMOUNT
2 1.OL SEAGRAMS 7 CROWN 80 12 3001 193.56 17.63 17.63 001 35.26
2 1.OL CROWN ROYAL CANADIAN 80(NO BOX) 12 10947 362.52 31.71 31.71 001 63 .42
6 1.OL ABSOLUT VODKA 80 12 15402 324.00 28.50 28.50 002 171.00
PROMO# 310
2 1.OL CHIVAS REGAL SCO 12YR 80(NO YRC) 12 19075 427.68 37.14 37.14 002 74,28
1 1.OL ABSOLUT VODKA MANDRIN 80 12 47875 28.50 002 28.50
PROMO# 310
1 1.OL JOSE CUERVO TEQ ESP GOLD 80 12 168824 229.56 20.63 20.63 001 20.63
1 1.OL TANQUERAY GIN 94.6 12 278078 283 .56 25.13 25.13 001 25.13
UNIT DELIVERY CHARGE 1 126161 001
OT E: A $200 VIINIMUM ORDER IS R QUIRED
WW.SOU HERN NEONLINE COM
CA ES BOTTLES WINE GALLON CUSTOMER PAGE GROSS TOTAL TOTAL DISCOUNT PAY THIS AMOUNT
PAGE TOTAL ORDER TOTAL PAGE TOTAL ORDER TOTAL
LIQUOR GALLON 3.96
15 15 BEER GALLON BROOKSHIRE GOLF CLUB 1 18.22 28.50
CARTON DRIVER LOADED rHFiL AND CONDITIONS REGULATIONS.CUSTOMER SHALL JJOEUVERY NVOICE NO. CUSTOMER NO. NET AMOUNT DUE DATE ary ao anarge of szs.00 wdl be anargoa an me as urranna era bapnaea aneok
SIBLE FOR ALL SALES TAX DUE ON SALES OF GDODS.IN THE loose enamine gootls before signing All claims,including breakage or shortage,must
ACTION TO COLLECT INDEBTEDNESS CREATED BY THE SALES OF mode�OF GOOD upon rES W of aGOOD t.OUR RESPONSS POSSESSION FOR SAFE
)DITHER WINE&SPIRITS OF INDIANA SHALL BE ENTITLED TO REC "LIVERY OF GOODS CEASES WHEN GOODS ARE IN BUYER'S POSSESSION OR
OM THE CUSTOMER HEREIN THE PRINCIPAL AMOUNT OF THE BUYER'S AGENT SIGNS DELIVERY RECEIPT.S-acceptance of goods confll
OEBTHE CUSTOMER
ALL ACCRUED AND ACCRUING SERVICE CHARGES A graemant tM1al Ihis invoice is payable at the add....above end that the total invoice
PUT UP ATE OF THE SALE OF THESE GOODS ANY LAWSUIT INVOLVING 13 6 3 2 6 4 16 5 3 3 8 9.7 2 9 9 012 due and payable within fiRean11 R1 dvoicCHECK BY SPUTE BETWEEN THE COMPANY AND THE LICENSEE MAY BE FILED RECEIPT NO CLAIMS FOR SHORTAGES WILL BE ALLOWED UNLESS INSP T AND N AT TI E OF ELIVER et ih nl � h aagI9tb111 N COUNTY AT SOUTHERN WINE&SPIRITS'OPTI X v discount antl may result in loss of credM1 prrvilages.Reasonable casts end
nays'1-will be ndd,d.
ININV012 Customer Copy Print Name Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits -Indiana
IN SUM OF$
P.O. Box 278350
Miramar, FL 33027-8350
$389.72
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1363264 I 42-390.40 I $389.72 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
Wednesday, September 05, 2012
;40 /3 - -
Director, Brooksh a 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))
09/05/12 1363264 Wine and Spirits $389.72
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