308368 02/22/17 ``%u!.F4g4�r CITY OF CARMEL, INDIANA VENDOR: 359290 •a r► r«
�5 I ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $ 347.30
s ,?� CARMEL, INDIANA 46032 9347 PENDLETON PIKE CHECK NUMBER: 308368
vM,___ a INDIANAPOLIS IN 46236 CHECK DATE: 02/22/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 347.30 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 359290
MONARCH BEVERAGE CO INC IN SUM OF$ CITY OF CARMEL
9347 PEN DLETON PIKE 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.
INDIANAPOLIS, IN 46236
Payee
$347.30
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
4239440 42-390.40 $31.50 1 hereby certify that the attached invoice(s),or 2/24/17 4239438 Beer $315.80
1207 101 1207 101
bill(s)is(are)true and correct and that the
4239438 42-390.40 $315.80 2/24/17 I 4239440 I Wine $31.50
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Monday, February 27,2017
W—V
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer