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HomeMy WebLinkAbout221997 07/17/2013 4a o•__'!Me CITY OF CARMEL, INDIANA VENDOR: 367273 Page 1 of 1 ONE CIVIC SQUARE GLAZERS DISTRIBUTORS INDIANA CARMEL, INDIANA 46032 PO BOX 681008 CHECK AMOUNT: $33.50 INDIANAPOLIS IN 46268 CHECK NUMBER: 221997 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 8407789 33 . 50 FOOD & BEVERAGES GL AZER 'S DISTRIBUTORS INDIANA PHONE 317/876-0088 CUSTOMER ORIGINAL COPY PO BOX 681008 OR 800/366-5730 1 ) • INDIANAPOLIS, IN 46268 FAX 317/8?b-3638 0009008407789 3407789 BROOKSHIRE .'GOLF 'CLUB 7/02/13 ."12120 BROODSHIRE PKWY .PAGE 1 W49--09022 — CARMEL, IN 46032 7/01!1:3 17: SS: 20 ' OUST PHONE # 317 846-7431 07955 65— 30 RR29-03542 I NET DIJE 7/17/13 .. BOTTLEM R CE, NET aw x•R-S."•R"R"F,••si' ly " iiJ,_1 Fal •816 'A• -A• iF #•1b •.•t�••3!•3F•3i••3{-'it"3f•�• DOLLARS PAYABLE RC, INITIAL RC INITIAL 24/2 a.©hlL...LS._CN, c_'� 1 _ c 1' G ` U O . 5Q �'!� RC.:. INITIAL ' 2'4"/'2,SOME' "L a ':CN ' _ - •.Yr.i�r>•-rh~•:rim RC INITIAL l' - - #. a ## aISALE -B'.�ANGH SALES RE AP t .. . ir3 #�f RC to -,TAMMY ;HARMAN _. _3,3:_S) ---CE.NTR'":NC. BUS-I'; ESS �UNI'f � II- INITIAL ;��.}.' SALES RECA, ,:.BY,...OLASS. a� # : at 1C S.. i HL 1 s W i L 'M PF. r-IN ,1 LJ1114 -AL HLIL LU U RC . . '• ' INITIAL - - - — 33,'.5{?.' NC, INITIAL •. RC INITIAL •- RC INITIAL RC ,. • .INITIAL ,' ,. RC INITIAL RC IN RC ' INITIAL ,_ NET qRETURN 2 . .. 3 3. �'i0 •• ;�3. SO CODE: (RC) 01.TRUCK SHORT ON DELIVERY 04 BILLED RIGHT/FILLED WRONG 12 Du ICATE ORDER 17,MERCH.NOTAU7 ORIZED CUSTOMER SIGNATURE BELOW REPRESENTS AGREEMENT TO 02 BROKEN ON DEUVERV 06 CUSTOMER DIDN'T WANT/ORD 13 INC RRECT DISC,ouNT THE TERMS&CONDITIONS OF SALE LISTED ON THE REVERSE PAY THIS ROUTEy1• T— �.�L 03 STORE CLOSED ON ARRIVAL OB NO MONEY FOR COD 14.LA Jiflv��STOP1 SIDE OF THIS INVOICE. TY ..! STATE AND FEDERALTAXES AID AMOUNT This invoice is p a6lee- MARION,I C7ill�t L 1 C. . lE x p. 07./1 -'O 14 1 , (2 i EMPLOYEE SIGNtTURE DATE DELIVERED CUSTOMER NAME(PLEASE RINT) CUSTOMER SIGNATURE DATE RECEIVED FERNS AND CONDITIONS -, CLAIMS.. FOR _SH.ORTAGE- FOR DAMAGE--WILL NOT -BE HONORED UNLESS•--NOTED- WITH EM.P..LOYEE SIGNATURE' ON THE 'RECEIVING DOCUMENT AT TIME OF DELIVERY. MERCHANDISE AS ORDERED NOT RETURNABLE. THE PURCHASER REPRESENTS THAT HE HAS NO' UNPAID DEBTS MORE THAN THIRTY DAYS „ _OLD FROM .THEIR DATE_OF 'INVOICE, FOR ANY ALCOHOLIC. BEVERAGES.PURCHASED_.FROM-._ANY, LIQUOR OR - WINE WHOLESALER IN INDIANA. "BY EXECUTION OF THIS DELIVERY CERTIFICATE,,MERCHANT WARRANTS THAT -THEY HOLD. A VALID RETAIL MERCHANT CERTIFICATE ACCOUNT WITH'THE INDIANA DEPT. ,OF REVENUE. THIS PURCHASE IS FOR RESALE AND NOT SUBJECT TO INDIANA SALES TA_X_ ." THE-81GNED INVOICE REPRESENTS AGREEMENT TO THE TERMS AND CONDITIONS OF CREDIT ESTABLISHED BY GLAZER'S DISTRIBUTORS OF INDIANA. . -FAILURE TO REMIT PAYMENT WITHIN THESE TERMS WILL MAKE THE--ABOVE SIGNED SUBJECT TO A DELINOUENT RATING WITH GLAZER'S DISTRIBUTORS OF INDIANA. NON-PAYMENT OF OUTSTANDING DEBT`WILL BE SUBJECT TO 3RD PARTY COLLECTIONS, AND ABOVE•SIGNED WILL BE RESPONSIBLE FOR THE DEBT AND ALL COLLECTION FEES ASSIGNED BY GLAZER'S DISTRIBUTORS OF-,INDIANA. VOUCHER NO. WARRANT NO. ALLOWED 20 Glazer's Distributors Indiana IN SUM OF $ PO Box 681008 Indianapolis, IN 46268 $33.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 1207 I 8407789 I 42-390.40 j $33.50 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, July 03, 2013 Director, Broolcsl�e 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)) 07/02/13 I 8407789 I Red Bull I $33.50 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