244827 05/05/2015 CITY OF CARMEL, INDIANA VENDOR: 359290
® ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $'''""'436.20`
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 244827
INDIANAPOLIS IN 46241 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 436.20 FOOD & BEVERAGES
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612-1310
www.monar•ch-beverage.com
www.worldclassbeer.com
Permit Numbers
W49-08938 * W49-87358 * IN-P-1983
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INVOICE 3475939 CUSTOMER 89924 05/08/15 07:51AM
PAYMENT TERMS: COD
Sold By Allison Flynn
Deliver To Delivered By;Andy Ortwein
Brookshire Golf Club
'1Z120 Brookshire Pkwy.
Carmel, IN, 46032 License RR2903542
Permit Info: Beer #RR2903542 Expires on 07/13/15
Wine #RR2903542 Expires on 07/13/15
Liquor #RR2903542 Expires on 07/13/15
------------._...------------------------------------------ - --------
Delivered Goods 14BC Q
Item Pack UNet tyAmount
Blue Moon 2/12 Cans 20735 CB 29.40 2 58.80
Coors Light 24 Lse Can 20610 CB 18.60 5 93.00
Corona 2/12 Oz Cans 30770 CB 28.10 2 56.20
Heineken 12 Can 30975 CB 28.00 1 28.00
Lite 1/4 KEG 10180 QK 52.00 1 52.00
30.00DPST 30.00
Lite 24 Lse Can 10110 CB 18.60 8 148.80
Samuel Adams Lager 12pk 25502 CB 29.40 1 29.40
cans
Total [MBC] 466.20 20 496.20
Total Delivered 466.20 20 496.20
Pisls€ _!u_LN1�G1---------------------------------------------------
Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.00
30.00DPST -60.00
(Reason: Empty Keg Return
Total Picked Up [MBC] 0.00 -2 -60.00
Total Picked Up 0.00 -2 -60.00
-----------------------------------------------------------------
Received by: Total Less Deposits 466.20
Total Deposits Collected 30.00
Total Deposits Redeemed -60.00
$436.20 Total Tax 0.00
Invoice Total 436.20
Payment -436.20
Due 0.00
Payment breakdown
Check #244827 $436.20
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Return discrepancies on this order Item Pack Ordered Shipped
Misc $30 Empty Keg Return 31164 RE 0 -2
i
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
L----..
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF$
9347 E. Penleton Pike
Indianapolis, IN 46236-0000
$436.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE E
AMOUNT Board Members
1207 I 3475939 I 42-390.40 I $436.20 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, May 08, 2015
r' �--
Director, BrookshireZolf 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))
05/08/15 3475939 Beer $436.20
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