186163 06/08/2010 1 3ITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
l CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $516.95
INDIANAPOLIS IN 46241
CHECK NUMBER: 186163
CHECK DATE: 618/2010
DEPARTMENT' ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 516.95 FOOD BEVERAGES
.1 MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
y 9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account B9924> License R2903542 Time: 09:30
AZ GOLF MANAGEMENT CORP. Invoice#: 0450971 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 06-10-2010
12120 BROOKSHIRE PKWY Terms B.000IW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846 -7431 Salesman: 16 J CHAPMAN 16
ITEM# OTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 12 COORS LIGHT 07199031600 16.35 0.00 0.00 196.20
24 LSE CAN
30771 0 CORONA LIGHT 08066095621 OUT
2012 CANS
30975 2 HEINEKEN 07289000020 27.00 0.00 0.00 54.00
12 CAN
10110 15 LITE 03410057306 16.35 0.00 0.00 245.25
24 LSE CAN
Cases: 29 Beer$: 495.45 Content$: 495.45
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 65.2
Total Sales 495.45
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 495.45
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0450971 Cash/Check 495.45
0450972 Cash/Check -4.50
Total Cash/Check 490.95
PAYMENT TYPE AMOUNT`
Check# 3 490 ;95
L1vY: 04509'11 495.
Inv 0450992 -4.50 45
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
Y MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236 -0000
(317)612-1310
Account 89924 License R2903542 Time: 09:30
AZ GOLF MANAGEMENT CORP. Invoice#: 0450972 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 06- 10-2010
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 55.50 0.00 30.00 85.50
LAGER 116 BBL
31164 -3 MISC KEG DEPOS 01003116400 0.00 0.00 30.00 -90.00
$30 EMPTY KEG
Cases: 0 Beer$: 85.50 Content$: 55.50
Btls: 0 Wine$: 0.00 Deposit$: -60.00
Kegs: 1 Soda$: 0,00 Discount$: 0.00
Misc: 0 (-3) Misc$: 0.00
Gals: 5.1
Total Sales 85.50
Total Credits -90.00
Total Tax 0.00
INVOICE TOTAL -4.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0450971 Cash/Check 495.45
0450972 Cash/Check -4.50
Total Cash/Check 490.95
PAYMENT TYPE AMOUNT
Check# 3 490.95
Inv:: 0450971 495.45
I- 0450972 -4.50
0�,
(P
Customer's Signature Driver's Signature
'Your signature is acceptance that alllhe 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.
ALLOWED 20
'Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$490.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 0450971 42- 390.40 $490.95 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, June 11, 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. 19f
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))
06/10/10 0450971 Beer $490.'.
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