HomeMy WebLinkAbout220001 05/15/2013 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC CHECK AMOUNT: $479.40
CARMEL, INDIANA 46032 PO Box 2856
KOKOMO IN 46904-2856 CHECK NUMBER: 220001
CHECK DATE: 5/1512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 479 .40 FOOD & BEVERAGES
MI ERICA INVOICE
BEVERAGE CITY -OF CYARMEL' s
INC' dba BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PARKWAY
2755 Commerce Dr. CARMEL IN 46032
P.O. Box 2856
Kokomo, IN 146904-2856
765-459-31f17' RR2903542 EXP. 07/13/13
800-382-i6675
Fax: 7&457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
05116/13 521077 Dustin Smith 13 800 I 13
•.
BASE October 7 2012
PROMO #0513A
Wine: W342887
Pump $40/$33 Refundable
109 2 ,--'" Budweiser 24 Lae Can 17. 50 35.00
209 1.5 --- Bud Lt 24 Lse Can 17. 50 262. 50
408 4 B Lt Lime 2/12 Can 21 . 10 84.40
1537 2 '— Stella 2/10 Pack 14.9 oz 24.00 48.00
7025 2 .--- Goose 312 2/12 Can 24.75 49. 50
Cases 25
- m7 10303 EMPTY AB 1/6' 30.00 T TOTAL SALE 479.40
10304 EMPTY AB 112 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
. 479.401
0 CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Number '`' 'v �/ U
Driver � Received By
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))
05/16/13 521077 Beer $479.40
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid America Beverage Inc.
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$479.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1207 I 521077 I 42-390.40 I $479.40 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, May 16, 2013
Director, Bro shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund