HomeMy WebLinkAbout219493 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 364765 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANA CHECK AMOUNT: $261.91
PO BOX 278350
CARMEL, INDIANA 46032
MIRAMAR FL 33027-8350 CHECK NUMBER: 219493
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1466244 261 . 91 FOOD & BEVERAGES
i
SOUTHERN WINE &SPIRITS REMIT OF INDIANA INVOICE SOUTHERN WINE &SPIRITS -INDIANA I IIIIII VIII VIII VIII VIII VIII VIII IIII IIII I IIIIIIII III 11111 1111 IN NUMBER 1466244
800 Commerce Parkway West Dr. PO BOX 864860
Suite D CCOUNT
Greenwood, IN.46143-6100 ORLANDO, 27 6-5148 32886-4860 IIIIIIIIIIIilllllllllllllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIII NUMBER 1653
Permits:W41-27133&W41-27134 99 1-800 27
SCITY OF CARMEL S BROOKSHIRE GOLF CLUB ROUTE 112 STOP 17
012120 BROOKSHIRE PKWY H 12120 BROOKSHIRE PKWY IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllll
LCARMEL�IN 46033 1 CARMEL IN 46033
D P
T T
O 0 PAGE 1 OF 1
2500 754
1 3 Exp: 7/13/2013 Night Bill
SALES PERSON PERMIT NUMBER DELIVERY INSTRUCTIONS P.O.# PHONE NUMBER INVOICE DATE
- 317-846-7431 4/17/2013
2 0 2
5
9 3 4
9 5
9
PRODUCT NET CASE NET BTL. UNIT DIV UNIT
LOC CASES BTLS SIZE DESCRIPTION PACK W-LOC. B-LOC. CODE PRICE PRICE PRICE COE DISCOUNT NET AMOUNT
4 1.OL CROWN ROYAL CANADIAN 80(NO BOX) 12 10947 362.52 31.71 31.71 001 126.84
1 1.OL J WALKER BLACK 80 YRC 12 22726 441.00 38.25 38.25 001 38.25
2 1.0L BAILEYS IRISH CREAM 34 (OL) 12 193505 310.56 27.38 27.38 001 54.76
2 1.OL CAPT MORGAN RUM SPICED 70 12 317436 234 .36 21.03 21.03 001 42.06
UNIT DELIVERY CHARGE 1 126161 001
Da e 7 )3 Ir it.
Amount 3-SSI D $ a l 41
Account # $
A ount # $
A unt #' $
E E OW TH DISTRIB TOR FOR UTTER
OM WI ERY TREASURY WINE E TATES.
TOT BTL : 9 YT D OTAL DISC UNT:
CA ES BOTTLES WINE GALLON CUSTOMER PAGE GROSS TOTAL TOTAL DISCOUNT PAY THIS AMOUNT
PAGE TOTAL ORDER TOTAL PAGE TOTAL ORDER TOTAL
..................................................
LIQUOR GALLON 2.38
B 61.9
BROOKSHIRE 2 1
OKS
9 BEER GALLON HIRE GOLF CLUB 1
TERM AND CONDITIONS:THIS SALE SHALL BE MADE IN ACCORDANCE W DUE DATE ce cM1erge of$30 00 will be charged on the occurrence of a bounced check.
CARTON DRIVER LOADED TH ALL APPLICABLE LAWS AND REGULATIONS.CUSTOMER SHALL BE R INVOICE NO. CUSTOMER NO. NET AMOUNT ee.n'exemnie gppae bemre aigmng.Ail claims,mcludmg brenkage or enpnege,mpa
aS2QNSI BLE FOR ALL SALES TAX DUE ON SALES OF GOODS.IN THE EVENT made immediately upon receipt of shipment.OUR RESPONSIBILITY FOR SAFE
F ACTION TO COLLECT INDEBTEDNESS CREATED BY THE SALES OF ELIVERY OF GOODS CEASES WHEN GOODS ARE IN BUYER'S POSSESSION OR
ODDS,5 OUTMEPN WINE It SPIRITS OF INDIANA SHALL BE ENTITLED TO UVER'S AGENT SIGNS DELIVERY RECEIPT.S-b ecceptenee of good.
—
ECOVER F ROM THE CUSTOMER HEREIN THE PRINCIPAL AMOUNT OF THE I �graemant tool tole mvmce 1e payable el the etltlreea above end I1n1 the 1-1 i-I—
DEBTEDNESS,ALL ACCRUED AND ACCRUING SERVICE CHARGES AS OF T 1466244 1653 2 61.-91 5/0 1/2 013 e'd entl poyeble wnhm Nlteen115)Jaye of the invmce date of invowe inclptletl.
ATE OF THE SALE OF THESE GOODS.ANY LAWSUIT INVOLVING ANY D 1 not then fully pma,fti end oil prior mvmcee will,ne permdted by law,besr interest
PUT UP CHECK BY SPUTE BETWEEN THE COMPANY AND THE LICENSEE MAY BE FILED IN J DELIVERY ECEIPT:NO CLAIAAN$.FOR SHORTAGES WILL BE ALLOWED UNLESS INSPECTED AND OTED AT TIME OF DG ERV mrnwce charges 1—dote of purchase et 1.5%per memo end will revolt in lave of
HNSON OR MARION COUNTY AT SOUTHERN WINE&SPIRITS'OPTION. X I�n .^ /1 /// tr ear
((rK" 1` J (DES WI X y 1 eye'faesn—be—.1,,t lose of cretlit Anvil,—Raaaoneble caste and
ININVO12 Customer Copy Print Name Signature
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))
04/17/13 1466244 Wine&Spirits $261.91
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits -Indiana
IN SUM OF $
P.O. Box 864860
Orlando, FL 32886-4860
$261.91
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1466244 I 42-390.40 I $261.91 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, April 18, 2013
Director, BrookshA Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund