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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