235675 08/12/14 �•Coq
CITY OF CARMEL, INDIANA VENDOR: 359290
ii ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $*******714.70*
x ?a CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 235675
�'��PON`�°' INDIANAPOLIS IN 46241 CHECK DATE: 08/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 714.70 FOOD & BEVERAGES
oj
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
Monarch Beverage Company, Inc.
Norld Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
X317) 612-1310
wm.monarch-beverage.com
aww.worldclassbeer.com
permit Numbers
N49-08938 • W49-87358 • IN-P-1983
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INVOICE 3211792 CUSTOMER 89924 08/15/14 05:18AM
PAYMENT TERMS: Wine Charge
Sold By Neil Jacobs
Deliver 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
---- ---------------------------------------------------------------
Delivered Goods [Wine] Item Pack UNet Qty Amount
3arefoot Chard 187x24 131000 CW 31.50 1 31.50
Total [Wine] 31.50 1 31.50
Total Delivered 31.50 1 31.50
---- --------------------------------------------------------------
Received by: Total Less Deposits 31.50
Total Deposits Collected 0.00
Total Deposits Redeemed 0.00
$31 .50 -Total Tax 0.00-
Invoice Total 31.50
Payment -31.50
Due 0.00
Dayment breakdown
Check #235675 $31.50
0z
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
Monarch Beverage Company, Inc.
Norld Class Beer, Inc.
3347 East Pendleton Pike
Indianapolis, IN 46236
;317) 612-1310
aww.monarch-beverage.com
wm.worldclassbeer.com
3ermit Numbers
N49-08938 * W49-87358 * IN-P-1983
r--=------------------------------------------------------------
INVOICE 3211791 CUSTOMER 89924 08/15/14 O5:18AM
PAYMENT TERMS: COD
Sold By Neil Jacobs
)eliver To Delivered By Andy Ortwein
Brookshire Golf Club
12120 Brookshire Pkwy.
Carmel, IN, 46032 License RR29O3542
3ermit Info: Beer #RR29O3542 Expires on 10/13/14
Wine #RR29O3542 Expires on 10/13/14
Liquor #RR29O3542 Expires on 10/13/14
--------------------------------------------- -------------- oun-
�elivered Goods [MBC] Item Pack UN Qty Amount
Coors Light 24 Lse Can 20610 CS 18.60 12 223.20
Corona 2/12 Oz Cans 30770 CS 28.00 2 56.00
Lite 24 Lse Can 10110 CB 18.60 10 186.00
Vew Belg Fat Tire 2/12pk 40215 CB 28.50 2 57.00
12oz CAN
Samuel Adams Lager 1/6 KEG 24569 QK 61.00 1 61.00
3O.00DPST 30.00
Total [MBC] 584.20 27 613.20
Total Delivered 584.20 27 613.20
-------------------------------------------------------------------
Received by: Total Less Deposits 583.20
Total Deposits Collected 30.00
Total Deposits Redeemed 0.00
$613.20 Total Tax 0.00
Invoice Total 613.20
Payment -613.20
Due 0.00
Your Total Line-Item Discount Savings 1.00
Dayment breakdown
Check #235675 $613.20
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Jelivery discrepancies on this order Item Pack Ordered Shipped
Blue Moon Belgian White 1/6 KEG 20757 QK 2 0
* Denotes product on back order
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF $
9347 E. Penleton Pike
Indianapolis, IN 46236-0000
$644.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1207 42-390.40 1 hereby certify that the attached invoice(s), or
1207 3211791 42-390.40 $613.20 bill(s) is (are) true and correct and that the
1207 I 3211792 I 42-390.401 $31.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, August 18, 2014
Director, BrookslIfe Golf Club
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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 to attached.invoice(s)or bill(s))
$70.00 Cre it Remaining on Check#235675
08/15/14 I 3211791 I Beer I $613.20
08/15/14 I 3211792 I Beer I $31.50
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
120
Clerk-Treasurer