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Home My WebLink About300781 07/20/16 y°r'WAb � CITY OF CARMEL, INDIANA VENDOR: 359290 ® ONE CIVIC SQUARE MO ARCH BEVERAGE CO INC CHECK AMOUNT: $*******536.00* 9;; j?�• CARMEL, INDIANA 46032 3737 WALDEMERE NDIA APOLIS IN 4szai CHECK NUMBER: 300781 CHECK DATE: 07/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 072016 536.00 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MONARCH BEVERAGE CO INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 3737 WALDEMERE AVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46241 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $536.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 3946709 42-390.40 $536.00 1 hereby certify that the attached invoice(s),or 7/22/16 3946709 Beer $536.00 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for whi h chane is made were ordered and received except Friday,July 22,2016 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer e � 4onarch Beverage Company, Inc. Vorld Class Beer, Inc. )347 East Pendleton Pike [ndianapolis, IN 46236 :317) 612-1310 vww.monarch-beverage.com nvw.worldclassbeer.com )ermit Numbers V49-08938 * W49-87358 * IN-P-1983 — ------------------------------------------------------ [NVOICE 3946709 CUSTOMER 89924 07/22/16 07:56AI PAYMENT TERMS: COD Sold By Rodrigo Gonzales )eliver To Delivered By Jeff Davi: 3rookshire Golf Club L2120 Brookshire Pkwy. :armel, IN, 46032 License RR290354: )ermit Info: Beer #RR2903542 Expires on 07/13/1' Wine #RR2903542 Expires on 07/13/1' Liquor #RR2903542 Expires on 07/13/1' Sun King Beer Liquor and On Premise #RR2903542 Expires on 07/13) )-----------elivered ---Goods----[MBC]--------------------Item----Pack-----UNet------- Qty Amou------- rr :oors Light 24 Lse Can 20610 CB 19.50 6 117.01 .ite 24 Lse Can 10110 CB 19.50 10 195.01 Sun King Osiris Pole Ale 88648 CB 47.00 1 47.01 5/4/16oz cans Sun King Sunlight 1/6 KEG 99643 QK 57.00 1 57.01 30.00DPST 30.01 Sun King Sunlight Cream 88646 CB 43.00 1 43.01 kle 6/4/16oz cans Sun King Wee Mac 6/4/16oz 88647 CB 47.00 1 47.01 :an$ Total [MBC] 506.00 20 536.01 Total Delivered 506.00 20 536.01 ------------------------------------------------------------- teceived by: Total Less Deposits 506..0101 Total Deposits Collected 30.01 Total Deposits Redeemed 0.01 $536.00 Total Tax 0.01 Invoice Total 536.01 Payment -536.01 Due 0.01 )ayment breakdown :heck #300781 $536.00 I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. Mqqq a_E9xM CITY OF CARMEL, INDIANA VENDOR: 3J52 4 CHECK AMOUNT: $*******297,60 e '1 ONE CIVIC SQUARE MERICA BEVERAGE INC CHECK NUMBER: 300780 CARMEL, INDIANA 46032 BOX 2856 KN 46904-2856 CHECK DATE: 07120/16 4 tON� DEPARTMENT ACCOUNT PO NUMBER INVOICE UMBER AMOUNT DESCRIPTION 1207 4239040 07201 297.60 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MID AMERICA BEVERAGE INC IN SUM OF$ CITY OF CARMEL PO BOX 2856 An invoice or bill to be properly itemized must show!kind of service,where performed,dates service KOKOMO, IN 46904-2856 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $297.60 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 656620 42-390.40 $297.60 1 hereby certify that the attached invoice(s),or 7/21/16 656620 Beer $297.60 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for whieh-charge-is-made-were-ordered-an received except Thursday,July 21,2016 Yd 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer d M1MERICA i INVOICE 16 BEVERAGE— TTY OF. CARMEL d,ba BROOKSHIRE GOLF` UB CL INCE ]2120 BROOKSH.IRE PARKWAY 2755 Commerce Dr. CARMEL IN- 46032 P.O. Box 2856 Kokomo, IN 46904-2856 KL a l EXF. 0 i t r 765-459-3117 800-382-0675 Fax: 765-45777967 BEER W3409212 INVOICE DATE INVOICE NUMBER SALESMAN NUMBER CUSTOMER NUMBER ROUTE 07/21/16 656620 Dustin Smithl 13 800 13 "RODUCT . • .. •• AMOUNT BASE September- 281, 2015 PROMO ##0716 Wine: W3428870 109 4 _ Bud. 24 Lse Can _. 18.60 -- 74.40 20.9 12 Bud ,Lt. 24 _ Lse. C.an 18.60 223.20, Cases lei PROD.CODE QTY. DESCRIPTION PRICE AMOUNT TOTAL SALE 297.60 10303 EMPTY AB 1/6 30.00 T 10304 EMPTY AB 1/2. . 30.00 H 10405 EMPTY AB. 1/4 30.00 A 10301 EMPTY CROWN 1/4 BBL 30.00 N 9230 PUMP DEPOSIT K 9270 IMPORT PUMP DEPOSIT 297.60 RETURNS TOTAL CREDITS 100- Y � CREDITS ��,7 U ? ❑ Cash ❑ EFT. El Esc „Check Number �Q7 Driver �� Received By