184854 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
{4�! ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $294.10
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 184854
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER A MOUNT DESCRIPTI
1207 4239040 294.10 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
p PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236.0000
(317)612 -1310
Account 89924 License R2903642 Time: 11:55
AZ GOLF MANAGEMENT CORP, Invoice#: 0401629 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 04- 29-2010
12120 BROOKSHIRE PKWY Terms B,COO /W.CHARGE
CARMEL, IN 46032 Driver VB PHILLIPPO,C
(317,)846 -7431 Salesman: 16 J CHAPMAN 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20600 7 COORS LIGHT 07199000008 15.65 0.00 0.00 109.55
6 PK CAN
10100 7 LITE 03410000354 15.65 0.00 0.00 109.55
6 PK CAN
Cases: 14 Beer$: 219.10 Content$: 219.10
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 31.5
Total Sales 219.10
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 219.10
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0401629 Cash /Check 219.10
0401630 Cash /Check 75.00
Total Cash /Check 294.10
PAYMENT TYPE AMOUNT
Check# 5 294.10
Inv l: 1 01629 219.10
Inv: 00p1630 '15.00
�ry v
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
"Drivers cannot pickup product unless proper pickup form has been completed.'"
Not Responsible for shortage or breakage after merchandise is delivered and
accepted'
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236 -0000
(317)612-1310
Account 89924 License R2903542 Time: 11:55
AZ GOLF MANAGEMENT CORP. Invoice#: 0401630 PD#
BROOKSHIRE GOLF CLUB Load 4040 Date: 04 -29 -2010
12120 BROOKSHIRE PKWY Terms B.0001W.CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317 )646-7431 Salesman: 16 J CHAPMAN 16
ITEM# OTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10175 1 LITE KEG 03410057152 75.00 0.00 30.00 105.00
1!2 BBL
31164 -1 MISC KEG DEPOS 01003116400 0.00 0.00 30.00 -30.00
$30 EMPTY KEG
Cases: 0 Beer$: 105.00 Content$: 75.00
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 1 Soda$: 0.00 Discount$: 0.00
Misc; 0 (-1) Misc$: 0.00
Gals: 15.5
Total Sales 105.00
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 75.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0401629 Cash/Check 219.10
0401630 Cash/Check 75.00
Total Cash/Check 294.10
PAYMENT TYPE AMOUNT
Check# 5 294.10
Inv:: 0401629 219.10
Inv: 0401630 75.00
Customer's Signature Driver's Signature
'Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
"Drivers cannot pickup product unless proper pickup form has been completed,..
Not Responsible for shortage or breakage after merchandise is delivered and
accepted
VALID
,VOUCHER NO. WARRANT NO.
ALLOWE D 20
'Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$294.10
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 0401630 42- 390.40 $75.00 1 hereby certify that the attached invoice(s), or
1207 0401629 42- 390.40 $219.10 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 29, 2010
Director, Brook re 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))
04/29/10 0401630 Beer $75.0
04/29/10 0401629 Beer $219.1
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