185617 05/25/2010 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CHECK AMOUNT: $385.20
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 185617
CHECK DATE: 5/25/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 385.20 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938- INP1963
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612.1310
Account 89924` License R2903542 Time: 12:32
AZ GOLF MANAGEMENT CORP. Invoice 0435122 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date; 05- 27-2010
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman; 16 J CHAPMAN 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
24569 1 SAM ADAMS KEG 00000000000 ;I 55,50 0.00 30.00 85,50
LAGER 116 BBL
31164 -2 MISC KEG DEPOS 01003116400 '0.00 0.00 30.00 -60.00
$30 EMPTY KEG
Cases; 0 Beer$: 65.50 Content$: 55.50
Btls; 0 Wine$: 0.00 Deposit$; -30.00
Kegs: 1 Soda$; 0.00 Discount$: 0.00
Misc: 0 -2) Misc$: 0.00
Gals: 5.1
Total Sales 85.50
Total Credits -60.00
Total Tax 0.00
INVOICE TOTAL 25.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0435121 Cash/Check P 359.70
0435122 Cash/Check 25.50
Total Cash/Check 385,20
PAYMENT TYPE AMOUNT
Check# 2 385.20
aa35... T'0
in. M11. u. so
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.
"Mot Responsible for shortage or breakage after merchandise is delivered and
accepted`
VALID
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938- INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236.0000
(317)612-1310
Account 89924 License R2903542 Time: 12:32
AZ GOLF MANAGEMENT-CORP. Invoice#: 0435121 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 05 -27 -2010
12120 BROOKSHIRE.PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 J CHAPMAN 16
ITEM OTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 10 COORS LIGHT 07199031600 16.35 0.00- 0.00 163.50
24 LSE CAN
10110 12 LITE 03410057306 16.35 0.00 0.00 196.20
24 LSE CAN
Cases: 22 Beer$: 359.70 Content$: 359.70
Btls: 0 Wine$: 0,00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 49.5
Total Sales 359.70
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 359.70
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0435121 Cash/Check 359.70
0435122 Cash/Check 25.50
Total Cash/Check 385.20
PAYMENT TYPE AMOUNT
Check# 2 385.20
mgr. o4asrzi 359.70
Inv 043512[ ?5..
Customer's Signature Dr.iver's Signature
'Your signature is acceptance that all the 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
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$385.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 0435122 42- 390.40 $385.20 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
Friday, May 28, 2010
Director, Bro &shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
05/27/10 0435122 Beer $385.2
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