238566 10/28/14 ♦����''p�'o
J/ � CITY OF CARMEL, INDIANA VENDOR: 359290
j; a. ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $*******222.40*
49� �� CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 238566
yiTON�` INDIANAPOLIS IN 46241 CHECK DATE: 10/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 222.40 FOOD & BEVERAGES
FLAX
Monarch Beverage Company, Inc.
Norld Class Beer, Inc.
3347 East Pendleton Pike
Indianapolis, IN 46236
,317) 612-1310
wm.monarch-beverage.com
wm.worldclassbeer.com
Dermit Numbers
N49-08938 * W49-87358 * IN-P-1983
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INVOICE 3308632 CUSTOMER 89924 10/31/14 10:27AM
PAYMENT TERMS: COD
Sold By Neil Jacobs
Deliver To Delivered By Andy Ortwein
Brookshire Golf Club
12120 Brookshire Pkwy.
Carmel, IN, 46032 License RR2903542
Dermit Info: Beer #RR2903542 Expires oh-07/13%15
Wine #RR2903542 Expires on 07/13/15
Liquor #RR2903542 Expires on 07/13/15
----------- ------------------------------------------------------
Delivered Goods [MBC] Item Pack UNet Qty Amount
Coors Light 24 Lse Can 20610 CB 18.60 8 148.80
Lite 1/4 KEG 10180 QK 52.00 1 52.00
30.00DPST 30.00
Lite 24 Lse Can 10110 CB 18.60 6 111.60
Total [MBC] 312.40 15 342.40
Total Delivered 312.40 15 342.40
-?iske�_!!a_Ld6�l---------------------------------------------------
Misc $30 Empty Keg Return 31164 RE 0.00 -4 0.00
30.00 DP ST-120.00
Total Picked Up [MBC] 0.00 -4-120.00
Total Picked Up 0.00 -4-120.00
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Received by: Total Less Deposits 312.40
Total Deposits Collected 30.00
Total Deposits Redeemed -120.00
$222.40 Total Tax 0.00
Invoice Total 222.40
Payment -222.40
Due 0.00
3ayment breakdown
Check #238566 $222.40
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Return discrepancies on this order Item Pack Ordered Shipped
Misc $30 Empty Keg Return 31164 RE 0 -4
* 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
$222.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 3308632 I 42-390.40 I $222.40 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
i
Wednesday, November 05, 2014
4111
Director, Brookshi Golf Club
i Title
,I
Cost distribution ledger classification if l
i
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))
10/31/14 3308632 Beer $222.40
I
it
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