232692 05/20/14 ��p"• CITY OF CARMEL, INDIANA VENDOR: 359290
® ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $*******297.30*
d. � CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 232692
9M«UN�.` INDIANAPOLIS IN 46241 CHECK DATE: 05/20/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 297.30 FOOD & BEVERAGES
!=Mum
Honarch Beverage Company, Inc.
Norld Class Beer, Inc.
3347 East Pendleton Pike
Indianapolis, IN 46236
;317) 612-1310
aww.monarch-beverage.com
uww.worldclassbeer.com
Dermit Numbers
N49-08938 * W49-87358 * IN-P-1983
'------------------------------------------------------------------
INVOICE 3150093 CUSTOMER B9924 05/23/14 04:29AM
PAYMENT TERMS: COD
Sold By John Burney
)eliver To Delivered By Andy Ortwein
3rookshire Golf Club
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR2903542
Dermit Info: Beer #RR2903542 Expires on 07/13/14
Wine #RR2903542 Expires on 07/13/14
Liquor #RR2903542 Expires on 07/13/14
---J---elivered-------Goo---ds------[MBC]-------------------Item-----Pa-c-k----U---
Net---Qt-y---Amount-
Coors
Ammounoont-
Coors Light 24 Lse Can 20610 CB 18.60 8 148.80
Lite 24 Lse Can 10110 CB 18.60 5 93.00
Samuel Adams Lager 12pk 25502 CB 28.50 3 85.50
cans
Total [MBC] 327.30 16 327.30
Total Delivered 327.30 16 327.30
---------------------------------------------------
Nisc $30 Empty Keg Return 31164 RE 0.00 -1 0.00
30.00DPST -30.00
Total Picked Up [MBC] 0.00 -1 -30.00
Total Picked Up 0.00 -1 -30.00
--------------------------------------- ------------------------
Received by:
TotalLess Deposits 327.30
Total Deposits Collected 0.00
Total Deposits Redeemed -30.00
$297.30 Total Tax 0.00
Invoice Total 297.30
Payment -297.30
Due 0.00
Dayment breakdown
Check #232692 $297.30
------------------------------------------------------------------
------------------------------------------------------------------
Return discrepancies on this order Item Pack Ordered Shipped
Nisc $30 Empty Keg Return 31164 RE 0 -1
* Denotes product on back order
------------------------------------------------------------------
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF$
9347 E. Penleton Pike
Indianapolis, IN 46236-0000
$297.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1207 I 3150093 I 42-390.40 I $297.30 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, May 29, 2014
/C� dl"
W
Director, Brd- shire 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
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
05/23/14 3150093 Beer $297.30
I hereby certify that the attached invoice(s), or bili(s), is(are);true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer