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248211 08/1 2/1 5 , CITY OF CARMEL, INDIANA VENDOR: 359290 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $*******468.00* CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK NUMBER: 248211 INDIANAPOLIS IN 46241 CHECK DATE: 08/12/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 468.00 FOOD & BEVERAGES 90 Monarch Beverage Company, -Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 0317) 612-1310 www.inonarch-beverage.com www.worldclassbeer.com Permit Numbers W49-08938 * W49-87358 * IN-P-1983 --------------...-------------------------------------------------- INVOICE 952531 CUSTOMER B9924 08/14/15 08:34AM; PAYMENT TERMS: COD Sold By Rodrigo Gonzalei Deliver To Delivered By Andy Ortwein Brookshire Golf Club 12120 Brookshire Pkwy. Carmel, IN, 46032 License RR2903542 Permit Info: Beer #RR2903542 Expires on 10/13/15 Wine #RR2903542 Expires on 10/13/15 Liquor #RR2903542 Expires on 10/13/15 --e-l-iv--e-r-e-d--G-o-o-d-s--[-M-B-C]---=-------------I-t-em----Pa-c-k----U---t--Qt y---Amount- Coors Light 24 Lse Can 20610 CB 18.60 10 186.00 ' Lite 24 Lse Can 10110 CB 18.60 10 186.00 Samuel Adams Lager 1/6 KEG 24569 QK 65.00 1 65.00 30.00DPST 30.00 Total [MBC] 437.00 21 467.00 Total Delivered 437.00 21 467.00 ------------------------------------------------------------------ Received by: Total Less Deposits 437.00 Total Deposits Collected 30.00 Total Deposits Redeemed 0.00 $467.00 Total Tax 0.00 Invoice Total 467.00 Payment -467.00 Due 0.00 Payment breakdown Check #248211 $467.00 I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. VOUCHER NO. WARRANT NO. ALLOWED 20 Monarch Beverage Inc. IN SUM OF$ 9347 E. Penleton Pike Indianapolis, IN 46236-0000 $467.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 952531 42-390.40 $467.00 1 hereby certify that the attached invoice(s), or 1207 42-390.40 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 Monday,August 17, 2015 Director, Brooks olf 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)) 08/14/15 I 952531 I Beer I $467.00 08/14/15 I I $1.00 Credit remaining from CK 248211 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