184862 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 360973 Page 1 of 1
ONE CIVIC SQUARE NATIONAL WINE SPIRITS CHECK AMOUNT: $349.15
s1�,ro CARMEL, INDIANA 46032 P 0 BOX 660357
yi o o INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 184862
CHECK DATE: 4/27/2010
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 257298 -0 240.84 FOOD BEVERAGES
1207 4239040 267933 -0 108.31 FOOD BEVERAGES
NATIONAL WINE SPIRITS CORPORATION INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206 ORDER DESK (317) 636 -4880 1 -800- 772 -7347
IN LIQUOR PERMIT IN WINE PERMIT ADMINISTRATION (317 636 -6092 1- 800 -562 -7359
INDIANAPOLIS W49-09133 W49.15036
CROWN POINT W49 -09133 W49 -15036 EVANSVILLE (812) 867 -7441 1- 800 742 -3910
SOUTH BEND W71 -67478 W71 -87479 NATIONAL
3542 !l!! iiii CROWN POINT (219) 661 -9970 1 -800- 552 -4085
a y+r fc SOUTH BEND (219) 232-3001 1-800-552
LICE {x€}7916
LICE RR29- 0 f�,) ti
GUST. NAME C LTY OF CARMEL
PAGE: INVOICE NUMBER
CUST. D.B.A BRC OKSHIRE GOLF CLUB 1 ADDRESS 1212'0 BROOKSHIRE PKWY 777 0235 5 7 1C? 267933 -0
0 011 IN ACCORDANCE WITH INDIANA LAW
CARMEL IN 46032' 1554 1556 1554
TO ASSURE PROPER CREDIT PLEASE SALESMAN'S 1 556 .1556 1 554 11
SPECIAL INCLUDE INVOICE NUMBER WITH PAYMENT
INSTRUCTIONS 1 556 1556 1 S56
DESCRIPTION AMOUNT
INDICATES TOTAL
244E 1 IL 1 ABSQLUT VODKA 90 PR 2 19303 678 27. 2 00 27.26 27. 2!6
Y
080 1L 1"" CHIVAS; REGAL. BAR 02 45033 559 36.1 A .00 36.i4 36.14
Y
036A 2 1L 12 DAILY'S BLOODY MARY THK' SPI 2 1490834074 4.7 00 4.78 9.56
Y
2S8r I 1L 12 GILBEYS GIN (RD) D2 1114934164 11.61 .00 11.61 11.61
Y
109E J 175L 6 SEAGRAM 7 CROWN 1 B1012 439 23.7 .00 23.74 23.74
Y
I
r O TA 108.3i*
Or 5 o/ I
FULL CASES: O 007 916 CITY OF CARREL DUE: 05 -07 -10
INVOI CE; 267933 -0 AMT 1OB.3 WINE .00 LIQUOR 98.75
NON -ALC 9.56
RECEIVED DY "J CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUST BE MADE ON RECEIPT OF GOODS P.O. BOX 660357. INDIANAPOLIS, IN 46266 -0357
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Aj SE 005 tMORK A-1 V- Aptly Wlhs it .11 i
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VOUCHER NO. WARRANT NO.
ALLOWED 20
National Wine Spirits Corp.
IN SUM OF
P.O. Box 1602
Indianapolis, IN 46206
$108.31
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 267933 -0 42- 390.40 $108.31 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
Thursday, April 22, 2010
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev_ 199!
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))
04122/10 267933 -0 Alcohol $108.2
1 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
NATIONAL WINE SPIRITS (CORPORATION INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS INDIANA 46206 ORDER DESK (317) 636 -4880 1- 800 772 -7347
I
IN LIQUOR PERMIT IN WINE PERMIT ADMINISTRATION (317) 636 -6092 1 -800- 562 -7359
INDIANAPOLIS VV49 -09133 W49 -15036
CROWN POINT W49.09133 W49.15038 EVANSVILLE (812) 867 -7441 1 -800- 742 -3910
SOUTH BEND W71 -87478 W71 -87479
tt 111I i1ii111 CROWN POINT (219) 661 -9970 1 -800 -552 -4085
�0791
CUST SOUTH BEND (219) 232-3001 1-800-552-2571
RR29 03542 t�y� 'nf�. �q�yy�
LICENSE I I w4 4,ti.) [Vii
CUST. NAME' TTY OF CARNE
INVOICE NUMBER
CUST. D.B.A BROOKSHIRE GOLF CLUB
PAGE: 1
ADDRESS 121E0 BROOKSHIRE FIB WY 14 10 0235 4 29 10 257298 -0
o0aG IN ACCORDANCE WITH INDIANA LAW
CARMEL IN 46032 15 155 1554
TO ASSURE PROPER CREDIT PLEASE SALESMAN 1556 1 5S6 1554 I I
SPECIAL INCLUDE INVOICE NUMBER WITH PAYMENT
INSTRUCTIONS 1556 1556 1556
D ESCRIPTI O N
A MOUNT
T O T A L
244 1 L 12 ABSOLUT VODKA 80 PIR 2 )1'730:33678 E7,26 .00 27. 27 2d
y
2101 1 7SOM 12 BAILEYS IRISH CREAM 1 )07104143:5 20.31 .00 20.31 20.31
^fir.
09SE E 1L 12 BELLOWS BOURBONS 2 1 13 #3 ISc? 10.66 '00 10.66: 21.32
Y
177" 7SOM 12 CAPTAIN MORGANN PRIV STOCK 1 0812741235 22.02 C O 22.02 22.02
Y
005B 1 IL 12 CROWN ROYAL BAR BOTTLE D 1 08 1 ..S 1 680 31.51 .00 31.51 31.51
1 Y
1 i 1 7 50M 12 EASLE Y R E G GAE BLUSH D4 1.228741661 7. .00 7.83 7-83
y
147E 750M 12 GLEN+NL I VET SCOTCH D2 176014 665 33.91 .00 33.91 33.91"
Y
240E iL.. i2 ..ilM BEAM 2 011 S23 4$0 18. i .00 18.13 18
Y
r
23SA 750M 12 MAL IBU RUM D2 0683241419 15.21 .00 15,21 15.21
Y
30sx I 17SLI 6 SEAGRAM' VODKA D 2 0941021226, 22. .00 2E.92 22.92
Y
Ua i 1 I 7SOM i 21 STOL I VAN I L (VANILLA) VODKA 2 19884 ONE 20.4 .00 20.42 20.42
I
Y
O'TA X40. 84*
Bom
E
M
0/ 5 0f 6 0 1.
FULL CASES: O ��07916' CITY OF C�aF.N11 =1 DI.IE: 04 --10
I PNVO I C E 25'7298 -G AMT 40 P-4 WINE 7, L.. I OUDIR 233.
NON° -AL..0 .00
RECEIVED BY A' CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES M T BE MADE ON RECEIPT OF GOODS P O ROX FRf1357_ INDIANAPOLIS_ IN 46266 -0357
r l
i c
1 •1
VOUCHER NO. WARRANT NO.
National Wine Spirits Corp. ALLOWED 20
IN SUM OF
P.O.. Box 1602
Indianapolis, IN 46206
$240.84
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 257298 -0 42- 390.40 $240.84 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
Wednesday, April 14, 2010
Director, BrookshiV Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev. 1W
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))
04/29/10 257298 -0 Liquor $240.8
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