311460 5/23/2017 Q
CITY OF CARMEL, INDIANA VENDOR: 359290 CHECK AMOUNT: S*""****496.15*
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 DIANA DLE NN PIKE CHECK NUMBER: 311460
NCHECK DATE: 05/23/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 496.15 FOOD & BEVERAGES
0 oz CD K $ «
G m 3 0 v k C ?
2 D g
\ #
/ q ¥ # 0 7 ¢ / ® m
O
W m
j 00 E 7 < O
\ \ z k q o
k
[ g - \ k G)
C' > $ % m m
0 0
?
Cil
O
z
CD. k \ � \
E
/ C z
2
§ 2 Q
4 > -n .
CD \ 0 0 |
E t §
E a ¥
/
i a - r-
< & CD
k k
% i $ ƒ F 7 0 m
C $ ] k ƒ i 4
\ k W k c �
E 2 7 , K
/ + - » /
a E § ,
0 § 0 J
� 2 � _ / i
\ 0/ F
E f \ § R
Z a g |
m - « _ - «
%« § § q R < _
/Cr \ ) o.
\ CD
\G 7 \ \
� - ) / (
, < 0 \
§ \ § k Q \ \
Em w 0q ƒ C o
# g Z 2
77 = { ]
kZ CD
"
§ 7 \ cL
3
a{ \ \
\\ a o
$/f E ) K c) >
g = E
CD \ \
= 5 o \
n ( j E CD c \ \
E \ y 2 \ ] ƒ E $ C
_ C _ -DC)
7CD CD / CDd § \ } ] /
CD E E 2
k ] ]
# / 6 f
°
OR
{ \ \
Ee K k &o \
0
\ § §
m & ¥ �
i
i
Mortar ch Beverage Company, Inc.
9347 Pendleton Pike
Indianapolis, IN 46236
(31e) 612-1310
jwww.monarch-beverage-com
Permit Numbers
W49 00938 # W49-87358 * IN-P 1983
'All of aur current pricing is aveilrble from your
sales representative. You may also 51(1r) IIPto view ail. of
}our pricing online at hitp:i/monarcu beverage-cumhrto uer
i
1------ _._. .. -.. _
iINVOICE 4358791 CUSTOMER 89924 05/26/17 10=55RM
PAYMENI TERMS: COD
Sold By Mike Terkhorn
Deliver To Delivered By Andy Ortwein
Brookshire Golf Club
12120 Hr ookshir'e Pkwy.
Carmel, IN, 46032 lice+nse kR290354c.
,Permit Info Beer #RR2903542 Experes on 07/13/17
1 Wine #RR2903542 Ixpire:, on 07/13/17
Liquor #RR2903542 Ixpiree on 07/13/17
-- - - - --
;Delivered Goods TMBC] Item Pack UNet Qty Amount
F
Coors Light 24 Lee Can 20610 CB 19.00 4 79.20
Heineken 12 Can 309'75 CH 29.00 2 58.00
;Lite 1/4 KEG 10160 UK 59.00 1 59.00
30.00 U1".iI 30.00
x ]0110 CH 19.H0 4 79.20
z Lite 24 l_se Can
Yuenyling Traditional 28011 QK 59.00 1 59.001
Lager 1/4 KEG
30.00DPST 30.00
Yuengling Traditional 28003 CO 19.75 5 98.75
I Lager 24 Lee CAN
Total IMlW1 433.15 17 493.15
Total Delivered 43':1.IS 17 493.15
e:cf:ed_llr i MBr'�_
jMisc $30 Fmpty Keg Return 31164 RE 0.00 -2 0.00
30.00DPST -60.00
It
!Reason: Flnptg Keg Return
Total. Picked Up IMHC1 0.00 2 -60.00
i
Total Picked llp 0.0k9 2 60-00
F
e
i
Total Less Deposits 433.15
lReceived by:
Total Deposits Collected 60.00
Total De:posrtj Redeemed -60.00 I.
Total tax 0.00 E
Y,
3
$433. 15 IrIVUil:f: 10tul 433.15 t
� I'uywent 4.13-tv
Due 0.00 g
i
Payment breakdown
Chock #311460 5433.15
i -------------
----------
-------------- -- - - -
Return di crepancies on this order Item tack Or Shipped
2 }
Misc $30 Fmpty rn Keg Retu31164 RF 0 r
�Customer�
s
r
'i
i
I AFFIRM THAT, BY LAW, I AM RUIHORI/IO 10 PURCIIASF
AND RECEIVE THF Al_COHOI IC ITEMS ON III[5 1NVOICF
-
�
3JIOANI SIHL NO SW31I ;TI lOHOJItI 3H1. 3,)I lj3,H
t i-`.i91lAfld 01 (1 1/1 HOI I I flu WH I `MH I AH `1HHI WNIJ.SH
3 rawo}so'7
�� 00'f;9� 09biif;# �i"Iar1J
umoprlpa.Iq 1 uawfie,l
00.6 s6uineg luno)si(T 10,31 l OUT 1 Te}o1 -JnoA
00.0 ar70
00'69- }ucluMed
00.69 Ie}01 aoTonul
00 '69$
09.0 xe} 1e1o1
00.0 Paniaopail 1T;oda0 To1ol
j 00.0 P,4110TT03 s}Tsoda(1 TeloL
0fn E9 sP,odo(1 ssa-I Te1o1 Kq paniaoa;q
00-E9 Z 00-zG 1441001 100 Ielol
a�
�i
00'69 Z 00'2?- Iarr1M) 1e1ol
3�
00.69 Z 0S-iF MJ 000TET b7x48113d PJe4J }oo}a.1ee
}unoruH 1) 10Nll )1�pll 10011 IauiMl spoon pa-4aniTarl
GI/EI/G0 iro se.Jldxl etSE08eMHjf ionbrl
GT/EI/LO uo eaidxa j10SE06<?21?I# aucM
3i GT/Ei/L0 uo sa.JTdx3 7bSE06e8H# _iae1T :ofu1 }Tw.�ad;,
I
EVSC062NN asuaoTI 2E09b 'NI 'TawueO
-Fim-ld 9.-mp31oo.-IH oeje,T s
grrl0 Slog 0.1TysM00 IH
uiam}.10 Kpuy fit{ Pa too 11a0 01 ..JaA!IaO'
u.iog>7-ro 1 ani W liq p I og
ar, 1-1,) ar i M :SW?1.11. LN1WAVd
1 WHSS:01 GT/92/S0 ve66H i13WOlsno 06GHSE4 30I0(1NI
3j suaT_Telo.i/woo-abe.laneq.uoJeuo10/i:d11y }e auTTuo 6uT31.Ad Ano
So TTe main o} do-u6Ts osTe Kew nod, -anT}e}U9s8.JdG saTes
moK 010.1} eTge11"Ine ST 61,11oT..id 11,10A.I1"Io uno ,lo TTdk
UMI-d NI r HSEGH-60 # HE(3H0-6bM
s.JagmnN T T III JRA
woo-a6e_ianaq-_y:),Ieuoul-mmm
`I 0161 e19 (AIC)
%290 NI `sTTodeua[PuI
ajTd uolalpuad 40F.6
-out 'Kuedw00 06e.,18n08 yo.iPrroW
'I
,M"�, S �k
~
00' 0$
:anp Te101
SI-96b'6 :sa6.leyo 1e}ol ';
� SI'96b$ 09bTiE# >loara0
;i EES$ :I6L.HSEb •Iap 10
00-E9$ :96LB5Eb .10P.10
s_iap.10 Pa Jan!100
1.107,/9e/SO uo pa-cant lap dols
b<�aFl an T'1 1 1 on a.JTras>joo_ia Jo} deoa_A do 1 s aup