HomeMy WebLinkAbout223171 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 364942 Page 1 of 1
ONE CIVIC SQUARE REPUBLIC NATIONAL DIST COMPANY
CARMEL, INDIANA 46032 PO BOX 1602 CHECK AMOUNT: $245.55
INDIANAPOLIS IN 46206 CHECK NUMBER: 223171
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1410260 245 . 55 FOOD & BEVERAGES
------ - moo F311121 --- -- q CUSTOMER COPY �.L�
GOLF C1 CiB. D®� 37 CZAR CUSTOMER NO. I CUSTOMER P.O.NUMBER INVOICE NUMBER
€`( OF ,ARMEL �/ INVOICE 7916 1410260
c. HDSIHDOU11wo COMPHY IN
t2!120 BROOKSH IRE PKWY ORDER NO. PERMIT/LICENSE NO. TYPE INVOICE DATE
700 fit. Morris Street R2 ALL 06/08/13
r A{• PIEL IN 46032 INDIANAPOLIS, IN 46225-1447 ROUTE I STOP EXPIRATION DAT TERMS
(317)-°291-9042 -t317i--636-4980 608 009 07113/x.4 NET DAYS
�3TA i E PERMIT U49--09133 SHIPMENT NO. DIV.NO.SALES NO.DIV.N0.SALES NO. IV.N0.SALES N0. DIV.NO.SALES NO.
�pECIAL INSTRUCTIONS:
17631 1;3213 12313 13213 12213
DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE
/ Invoice 08/23/13
PRINTED 2013 08 07 19, 14:51 "
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- ITEM NUMBER LINE LOC. DESCRIPTION, SIZE _ CASES BOTTLES LIST DISCOUNT NET BOTTLE
' BULK LOC. UPC VINTAGE –PACK— PRICE DEAL# UNIT COST COST NET PRICE
X40043 RN52 GREY GOOSE VODKA 1. i1L 6 3 37. 67 37. 67 37. 67 113. 01
r*413 8003 JACK DANIELS BLK 1, 0L' 12 2 31. 0 31. 50 31. 50 6.3. 00
._.082-184,0 0 12
a
97083 RP03 MAKERS MARK 90 1. 0L 12 2 34. 77 34. 77 34. 77 69A4
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''y'"•. GALLONAGE,-
RETURN CODES:
LIQUOR LITERS/GALS. WINE U ERIS/GALS. BEER LITERS/GALS. O-Did not order D-Damaged on Truck
gilled Wrong E-No Money
•-'"'�'"''"'mot 7, CASH AMOUNT
2-Pricing Error � F-0f#ce Cancel n
3-0 ut of Business H-Defective C i`�•
r '" 4-Duplicate J-Short on Truck 2�S -a5 (
6-Won't scan or not authorized t
�u'" .•: r„ H G IN LITERS ALS. L W WIN LITERS/GALS. SPARKLING LITERS 11AU, A-Out of Stock CHECK# -
B-Picking Error .. '
C-Too Eady/roo Late
ACCEPTED Y ` 'v >• f CHECK AMOUNT
RECEIVED BY„ -iZ PAGE 1
I,as the licensee,agent of this licensee,or employee thereof of.�ba"� siness accept the merchandise
shown on the invoice and certify that to the best of my knciT%Mdg'e 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
L:l�•5 l':l`1..�11�1'/R`J U'11:.CJU L:L'S 'effective permit/license.There will be a$50 service charge for any dishonored check.RNDC is not
responsible for breakage, loss, or damage to merchandise after delivery or acceptance by
D- Common Carder. DRIVER 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))
08/08/13 1410260 Liquor $245.55
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
Republic National Distributing Company
IN SUM OF $
P.O. Box 1602
Indianapolis, IN 46206
$245.55
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 1410260 I 42-390.40 I $245.55 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, August 08, 2013
Director, Brookshir Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund