235291 08/27/14 CITY OF CARMEL, INDIANA VENDOR: 359290
`�/' �� CHECK AMOUNT: $*******428.00*
� ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
_�, CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 236291
+.y`��TON,�� INDIANAPOLIS IN 46241 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 428.00 FOOD & BEVERAGES
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1
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Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612-1310
www.monarch-beverage.com
www.worldclassbeer.coni
Permit Numbers
W49-08938 * W49-87358 * IN-P-1983
- ---------------------------------------------------------------
INVOICE 3253007 CUSTOMER 89924 08/29/14 08:11AM
PAYMENT TERMS: COD
Sold By Neil Jacobs
Deliver To Delivered By Justin Dickason
Brookshire Golf Club
12120 Brookshire Pkwy.
Carmel, IN, 46032 License RR2903542
Permit Info: Beer #RR2903542 Expires on 10/13/14
Wine #RR2903542 Expires on 10/13/14
Liquor #RR2903542 Expires on 10/13/14
-- ----------------------------------------------------------------
Delivered Goods [MBC] Item Pack UNet Qty Amount
Blue Moon Belgian White 20757 QK 50:00 1 50.00
1/6 KEG
30.00DPST 30.00
Coors Light 24 Lse Can 20610 CB 18.60 10 186.00
Lite 1/4 KEG 10180 QK 52.00 1 52.00
30.00DPST 30.00
Lite 24 Lse Can 10110 CB 18.60 10 186.00
Samuel Adams Lager 1/6 KEG 24569 QK 61.00 1 61.00
30.00DPST 30.00
Total [MBC] 539.00 23 625.00
Total Delivered 539.00 23 625.00
2icked-up-IN90---------------------------------------------------
Misc $30 Empty Keg Return 31164 RE 0.00 -7 0.00
30.00DPST-210.00
Total Picked Up [MBC] 0.00 -7-210.00
Total Picked- Up 0.00 -7-210.00
-----------------------------------------------------------------
Received by: Total Less Deposits 535.00
Total Deposits Collected 90.00
Total Deposits Redeemed -210.00
$415.00 Total Tax 0.00
Invoice Total 415.00
Payment -415.00
Due 0.00
Your Total Line-Item Discount Savings 4.00
Payment breakdown
Check #6291 $415.00
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Delivery discrepancies on this order Item Pack Ordered Shipped
Samuel Adams Lager 1/6 KEG 24569 QK 2 1
Blue Moon Belgian White 1/6 KEG 20757 QK 2 1
- ----------------------------------------------------------------
Return discrepancies on this order
Misc $30 Empty Keg Return 31164 RE 0 -7
* Denotes product on back order
------------------------•------------------------------------------
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4
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF$
9347 E. Penleton Pike
Indianapolis, IN 46236-0000
$415.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE Amyl 1OU"I Board Members
1207 Credit remaining 42-390.40
I hereby certify that the attached invoice(s), or
1207 ck#236291 42-390.40 bill(s) is (are)true and correct and that the
1207 I 3253007 I 42-390.401 $415.00
materials or services itemized thereon for
which charge is made were ordered and
received except
1 �
f
Frid y, August 29, 2014
Director, Brookshir Golf Club
Title
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 note attached invoice(s)or bill(s))
I;redit remaining or
:;k#236291 $13.0
08/29/14 I 3253007 II Beer I $415.00
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
120
Clerk-Treasurer