HomeMy WebLinkAbout222752 08/06/2013 CITY OF CARMEL, INDIANA VENDOR: 359294 Page 1 of 1
ONE CIVIC SQUARE MID AMERICA BEVERAGE INC
CARMEL, INDIANA 46032 PO Box 2856 CHECK AMOUNT: $375.80
KOKOMO IN 46904-2856
CHECK NUMBER: 222752
CHECK DATE: 8/6/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 375 . 80 FOOD & BEVERAGES
�M
w��
iNvUecE
fIEWHAGE C T.TY OF C,ARMEL
d ba BRt bk<7 HIRE GOLF' CL-UB
■ 12120 BROC'KSH�RE PARKWAY
2755 Commerce Dr. CARMCL IN 46032
P.O. Box 2856 `.
Kokomo, IN 46904-2856
765-459-3117'' R'R2903 X47. `�X P . 7 i ,'13/14
800-382-0675
Fax: 765-457-7967
BEER W3409212
INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE
Gc,GB/13 531239. Dustin Smith 13 800 13
o°
BASE October 7 , 2012
PROMO #0e13
W T INE r W3428870
Mid America Beverage Tnc:
209 1-4 3ud Lt sip. Lse Can 1.7.eC 249:2
408 2 B Lt. Lime 2/12 Can 21 . 10 42.2
420 2 Lime A Rita. 8 oz 2/ 1.2 CN 21 . 1.0 42.2
443 2 Strawberita 8 oz 2/12 CN 21 . 10 4262:
Vases 20
•°° °° ° TOTAL SALE
375.1
10303 EMPTY AB 1/6 30.00 T
10304 EMPTY AB 1/2 30.00 H
10405 EMPTY AB 1/4 30.00 A
9230 PUMP DEPOSIT 33.00 N
9270 IMPORT PUMP DEPOSIT 33.00 K
3715
Y
0 CREDITS
❑ Cash ❑ EFT ❑ Escrow Check Numbers !�r U
Driver
� � /t Received By �.
VOUCHER NO. WARRANT NO.
Mid America Beverage Inc. ALLOWED 20
IN SUM OF $
P.O. Box 2856
Kokomo, IN 46904-2856
$375.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 531239 I 42-390.40 I $375.80 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 22, 2013
Director, Brookshir rGolf 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))
08/08/13 531239 Beer $375.80
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