235236 07/22/14 CITY OF CARMEL, INDIANA VENDOR: 359290
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $*******600.00*
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 235236
INDIANAPOLIS IN 46241 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 600.00 FOOD & BEVERAGES
i
Monarch Beverage Company, Inc.
Morld Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
X317) 612-1310
mww.monarch-beverage.com
Nww.worldclassbeer.com
Dermit Numbers
N49-08938 * W49-87358 * IN-P-1983
- ---------------------------------------------------------------
INVOICE 3182953 CUSTOMER B9924 07/25/14 04:34AM
PAY14ENT TERMS: COD
Sold By Neil Jacobs
�)eliver To Delivered By Andy Ortwein
3rookshire Golf Club
!12120 Brookshire Pkwy
Carmel, IN, 46032 License RR2903542
Dermit Info: Beer #RR2903542 Expires on 10/13/14
Wine #RR2903542 Expires on 10/13/14
Liquor #RR2903542 Expires on 10/13/14
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)elivered Goods [MBC] Item Pack UNet Qty Amount
Slue Moon Belgian White 20757 QK 53.00 1 53.00
1/6 KEG
30.00DPST 30.00
Coors Banquet 24 Lse Can 20510 CB 18.60 2 37.20
Coors Light 24 Lse Can 20610 CB 18.60 8 148.80
Corona 2/12 Oz Cans 30770 CB 28.00 2 56.00
Lite 24 Lse Can 10110 CB 18.60 10 186.00
Samuel Adonis Lager 1/6 KEG 24569 QK 62.00 1 62.00
30.00DPST 30.00
Samuel Adonis Summer 12pk 44125 CB 28.50 2 57.00
cans
Total [MBC] 600.00 26 660.00'
Total Delivered 600.00 26 660.00
-?iska�_1!u_LM�sl---------------------------------------------------
Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.00
30.00DPST -60.00
Total Picked Up [MBC] 0.00 -2 -60.00
Total Picked Up 0.00 -2 -60.00
---- --------------------------------------------------------------
Received by: Total Less Deposits 600.00
Total Deposits Collected 60.00
Total Deposits Redeemed -60.00
$600,00 Total Tax 0.00
Invoice Total 600.00
Payment -600.00
Due 0.00
Dayment breakdown
Check #235236 $600.00
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Return discrepancies on this order Item Pack Ordered Shipped
Misc $30 Empty Keg Return 31164 RE 0 -2
* Denotes product on back order
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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
$600.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLEAMOUNT Board Members
1207 I 3182953 I 42-390.40 I $600.00 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
Friday, July 25, 2014
Director, Brookshir olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed b State Board of Accounts Ci Form No.201 Rev.1995
Y City ( )
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))
07/25/14 3182953 Beer $600.00
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