236601 09/03/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 359290
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $***""1,024.00"
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 236601
INDIANAPOLIS IN 46241 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1,024.00 FOOD & BEVERAGES
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612-1310
www.monorch-beverage.com
www.worldclassbeer.com
Permit Numbers
W49-08938 * W49-87358 * IN-P-1983
------------------------------------------------------------------
INVOICE 3253090 CUSTOMER 69924 09/05/14 09:41AM
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 2 100.00
1/6 KEG
30.00DPST 60.00
Coors Light 24 Lse Can 20610 CB 18.60 20 372.00
Lite 1/4 KEG 10180 QK 52.00 1 52.00
30.00DPST 30.00
Lite 24 Lse Can 10110 CB 18.60 20 372.00
New Belg Fat Tire 2/12pk 40215 CB 28.50 2 57.00
12oz CAN
Samuel Adams Lager 1/6 KEG 24569 QK 61.00 2 122.00
30.00DPST 60.00
Total [MBC] 1083.00 47 1225.00
Total Delivered 1083.00 47 1225.00
-2i.cked-UP-300---------------------------------------------------
Misc $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
-------------------------------------- ------------------------
Receivedby: Total Less Deposits 1075.00
Total Deposits Collected 150.00
Total Deposits Redeemed -30.00
$1 ,195.00 Total Tax 0.00
Invoice Total 1195.00
Payment -1024.00
Due 171.00
Your Total Line-Item Discount Savings 8.00
Payment breakdown
Check #236601 $1,024.00
------------------------------------------------------------------
------------------------------------------------------------------
Return discrepancies on this order Item Pack Ordered Shipped
Misc $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
$1,024.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 CK 235675 42-390.40 ($70.00) 1 hereby certify that the attached invoice(s), or
1207 CK 236215 42-390.40 ($88.00) bill(s) is (are) true and correct and that the
1207 I CK 236.291 I 42-390.40 I ($13.00)
materials or services itemized thereon for
1207 I 3253090 I 42-390.40 I $1,195.00 which charge is made were ordered and
received except
Friday, S tember 05, 2014
Director, Brookshi If 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))
08/15/14 CK 235675 Beer Credit CK 235675 ($70.00)
08/19/14 CK 236215 Beer Credit CK 236215 ($88.00)
08/27/14 I CK 236291 I Beer Credit CK 236291 I ($13.00)
09/05/14 I 3253090 I Beer I $1,195.00
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