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HomeMy WebLinkAbout225951 11/05/2013 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: $255.82 INDIANAPOLIS IN 46206 CHECK NUMBER: 225951 IIpN Gp CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 1476396 255 . 82 FOOD & BEVERAGES HHHUMIN UN,N %- re. . (� COMPANY COPY IU H111U lu I�W N M rTjQlKSHIRE GbLF CLUB a \ �O 32 l CUSTOMER N0. CUSTOMER P.O.NUMBER INVOICE NUMBER Y OF CARMEL �r. � fl INVOICE 7916 1476396 4 :BROOKSHIRE PKWY w UTINO CUMPH � I N ORDER NO. I PERMIT/LICENSE N0. TYPE INVOICE DATE 740 W. Morris Street RR29-03542 OLL 10/24/13 CARMEL IN 46032 INDIANAPOLIS, IN 46225-1447 ROUTE . STOP EXPIRATION DAT TERMS (317)-291-9042 (317)°636-4880 610 004 07/13/14 NET IS DAYS SPECIAL INSTRUCTIONS: STATE PERMIT 6J49- 09133 SHIPMENT N0. DIV.N0.SALES NO.DIV.N0.SALES N0. IV.N0.SALES N0. DIV.N0.SALES N0. 20171 13213 12213 132ta 12213 ;• DELIVERY NOTES: VENDOR ID NUMBER INVOICE TYPE DUE DATE _ Invoice I1/08/13 �t PRINTED 2013 10 23 19:59:00 ITEM NUMBER LINE LOC. DESCRIPTION SIZE CASES BOTTLES LIST DISCOUNT NET BOTTLE rPACK, kt sas t PRICE UNIT COST COST NET PRICE r.. UPCa. �.,r�=- . . °VINTAGE/ ... e.. .. ZDEALe# 73433 RA02 BACARDI, SUPERIOR 1. OL. 12 V 19. 21 19. 21 19. 21 19. 21 eA �p ,141)44144 Kritle R u 11. VE e 37. 67 37. 76? a 3. ..... rPK 7,, §: .r as hV .x UHUK UHR a a a VL aG e 3 . .a .7 111. tau iszl. Ou '. s'3'.-ce`„,ef:; ,t, , ..T"d'• .'� Ci.►{.: a�'"'3��['t`{ al' b m.`s4 t.,,2 y ". .'� „t��ia.,,:;.�i t a. �2 .�sr4. ,�`,..t,td: i KIVr JH U L th n 110 I t K p p8 y! V a� 83 3 .a. 76.5 _- 3ar396 ;41�a0 ''°. M " `t Y t V;3 ! _ a r 4f 4 't •'� �' °! 'f' ^P�17K.: '=•` ,'::3" f r"T"'"q ,bar. " "'"'m4 T`:,.4 F ,'s".'e� ! xr^ ; °° ::3.N'-T,7 as�.�., .��..��i'�'' .� ��., � .'�;R., .�..� �°ate NET, - .-To , e-lP�� £}+� E7t �m ecty� r�anat 1 r s(it� tk arse R ip by c rn l our de iveries. g}�{ 'f i«5.. y 77,77-77 7— —7, A r-= -° a g r - 6 � � RETURN t order DES: Damaged on Truck LIQUOR LITERS/GALS. WINE LITERS!•GALS. ,BEER LITERS/GALS. gilled Wrong E-No Money - S 5 2-Pricing Error - F-Office Cancel CASH AMOUNT z 1. 3-Oui of Business' -I-Defective © � •2SS. 82 ' g 4-Duplicate J-Shod on Truck 6-Won't scan or not auilnazed HIGH WINE LITERS/GALS. LOW_WINE /GALS. SPARKLING LITERS/GALS. A-Out of Stock _ CHECK p " - B-Piclung Error C-Too Early/Too(ate ' ACCEPTED x .r:"'s" CHECK AMOUNT RECEIVED BY �� : �, PAGE 1 I,as the licensee,agent of this licensee,or employee thereof of the business accept the merchandise shown on the invoice and certify that to the best of my knowledge them has been no change in DATE: TIME: ownership of this business without notificationito the State Alcohol Board and is.the holder of an IL'll°JCJU lll[ l3 UlJ effective permit4icense.There will be a$50 service charge for any dishonored check.RNDC is not • res onsible for breakage, loss, or damage to merchandise after delivery or acceptance by D' •0 , � 0 0 D p DRIVER SIGNATURE _- _. . ... :... __�. Common Carrier. VOUCHER NO. WARRANT NO. ALLOWED 20 Republic National Distributing Company IN SUM OF $ P.O. Box 1602 Indianapolis, IN 46206 $255.82 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 1476396 I 42-390.40 I $255.82 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, October 24, 2013 Director, Brookshire Wolf 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)) 10/24/13 1476396 Wine and spirits $255.82 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