HomeMy WebLinkAbout220323 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY CHECK AMOUNT: $353.10
CARMEL, INDIANA 46032 PO Box 1602
INDIANAPOLIS IN 46206 CHECK NUMBER: 220323
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1339618 353 . 10 FOOD & BEVERAGES
Solo TO II d��II�I� �� � it �� ��� �� - fl[PUBLIC N �OMPANY COPY
�. BROOKSHIRE GOLF CLUB �� „., 34 NHU CUSTOMER N0. CUSTOMER P.O.NUMBER INVOICE NUMBER
Y DISTRIBUTING CUMPRNY LAC
CITY OF CARMEL t' INVOICE 7916 1339618
Q 12120 BROOKSHIRE PKWY ORDER NO. PERMIT/LICENSE NO. TYPE INVOICE DATE
1A 700 W. Morris Street R ALL 05/16/13
CARMEL IN 46032 INDIANAPOLIS, IN 46225-1447 ROUTE I STOP 1EXPIRATIONDAT TERMS
(317)-291-9042 (317)-636-4880 609 010 07/13/14 NET 15 DAYS
113 STATE PERMIT W49'-09133 SHIPMENT NO. DIV.NO.SALES N0. IV:NO.SALES NO. IV.NO.SALES NO DIV.NO.SALES NO.
SPECIAL INSTRUCTIONS:
14851 13213 12213 13213 12213
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE
1c REF # In 05/31/13
## PRINTED 2013 05 15 #* 19: 10: 12
ITEM NUMBER LINE LOC. DESCRIPTION SIZE CASES BOTTLES LIST DISCOUNT NET BOTTLE
BULK LOCL' PACK- UNIT COST NET PRICE
1. " ., UPC .'i,`,.'„• VINTAGE' ;;;. M::, PRICE DEAL'k COST
12382 RK02 1800 REPOSADO 1. 0L 6 2 27. 32 27. 32 27. 32 54. 64
1 6PK . . 81:1538f1 (t245
340953.- RT52 DEWARS WHT LBL 1. 0L 12 1 32. 00 32. 00 32. 00 32. 00
2 080480234312 _ Q
340043 RN52 GREY GOOSE VODKA 1. OL 6. 1 36. 83
36. 83 36. 83 5335. 83
z 2 6FK 08(1t?280Qi7 _ -- -- i����-- - - - 4
5413 RD03 JACK DANIELS BLK 1. OL 12 4 3 31. 50 31. 50, 31. 50 94. 50
4 082184090442'. 105416
340343 RN53 JAGERMEISTER 1. 0L 12 1 25. 83 25. 83 25. 83 25. 83
' 830896+501 '0 .., -4
J
d
4020 RC32 JIM BEAM 80 1. 0L 12 2 19. 88 19. 88 19. 88 39. 76
_ 6 BAR 7 0 i7 860 1219✓ "--- 0
,.,
® 97083 RP03 MAKERS MARK 90 I AL 12 2 34. 77 34. 77 34. 77 69. S4
0.
T
To' hel . R DC.be more--enaicvn- Mali{' �0ra ndi/d oIea'se I� eIn-tru co sot' `anti a dour deliveries.
- -
i
• e RETURN CODES:
LIQUOR LITERS/GALS. WINE LITERS!GALS. BEER LITERS/GALS. O-Did not order D-Damaged on Truck
1-Billed Wrong E-No Money •�;
2-Pdcing Error F-Office Cancel 12 CASH AMOUNT
3-Out of Business H-Defective ,
3. 1 4-Duplicate J-Short on Truck 353. 0
6-Won't scan or not authorized CHECK p
HIGH WINE LITERS!GAL LOW WI LITER / AL. PARKLING LITERS/ ALS. A-0ut of Stock ,
B-Picking Enor -
CrT6o Ea tyffoo Late
ACCEPTED CHECK AMOUNT
y
RECEIVED BY^ PAGE 1
' I,as the licensee,agent of this licensee,o mployee thereof of the business accept the merchandise
shown on the invoice and centy that to a best of my knowledge there has been no change in DATE,"•',';.,:- TIME:
ownership of this business without notification to the State Alcohol Board and is the holder of an ..
' t .''effective pennitnicense.There will be a$50 service charge for any dishonored check.RNDC is not
• w m responsible'to breakage, loss, or damage to merchandise after delivery or acceptance by -��DRIVER SIGNATURE
Common Carrier. 4a:
' � � � .,,.
_ � � � � t
-�
,.
.. ,.. ..
. � � t'.
_ _ _ _ _ ` zV.Y.
� _ ' � _ � ..
1 ..
_ � ,
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 1339618 Wine and Spirits $353.10
I 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
Republic National Distributing Company
IN SUM OF $
P.O. Box 1602
Indianapolis, IN 46206
$353.10
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1339618 I 42-390.40 I $353.10 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, Brooks Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund