188208 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
c „1f ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $363.95
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
.r6x INDIANAPOLIS IN 46241 CHECK NUMBER: 188208
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 363.95 FOOD BEVERAGES
J /MONARCH BEVERAGE CO.. INC
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 89924 License R2903542 Time: 07:02
AZ GOLF MANAGEMENT CORP. Invoice#: 0518652 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 08-06 -2010
12120 BROOKSHIRE PKWY Terms, B.CODIW.CHARGE
CARMEL, IN 46032-0000 Driver WY LONG,D
(317)846.7431 Salesman: 16 J CHAPMAN 16
ITEM# QTY DESCRIPTION U.P.C., PRICE DISC DEP AMOUNT
20735 1 BLUE MOON 07199009506 26.50 0.00 0.00 26.50
2112 CANS
20610 10 COORS'LIGHT 07199031600 F 16.35 0.00 0.00 163.50
24 LSE CAN
11069 1 LEINENKUGEL 03410072902 26.50 0.00 0.00 26.50
SHANDY 2112CAN
10110 7 LITE 03410057306 16.35 0.00 0.00 114.45
24 LSE CAN
10117 2 LITE 03410057023 18.75 0.00 0.00 37.50
21911602 ALUM
Cases: 21 Beer$: '368.45 Content$: 368.45 Y
Btls: ,0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 47.3
Total Sales 368.45
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 368.45
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0518652 Cash /Check 368.45
0518653 Cash /Check -4.50
Total Cash /Check 363.95
PAYMENT TYPE AMOUNT -v
Check# 1 363.95
Inv DSL0652 3GD.45
Inv DSI 4653 -4. 5D
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
MONARCH BEVERAGE CO. INC 3
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236 -0000
(317)612-1310
Account 89924 License R2903542 Time: 07:03
AZ GOLF MANAGEMENT CORP. Invoice#: 0518653 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 08-06-2010
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032-0000 Driver WY LONG,O
(317)846 -7431 Salesman: 16 J CHAPMAN 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
24569 1 SAM ADAMS KEG `V 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
$30 EMPTY KEG
Cases: 0 y` Beer$: 85.50 Content$` 55.50
Btls: 0 Wine$: 0.00 Deposit$: -60.00
Kegs: 1 Soda$: 0.00 Discount$: 0.00
Misc: 0 (-3) Mlsc$: 0.00
Gals: 5.2
Total Sales 85.50
Total Credits -90.00
Total Tax 0.00
INVOICE TOTAL -4.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0518652 Cash/Check 368.45
0518653 Cash/Check -4.50
Total Cash/Check 363.95
PAYMENT TYPE AMOUNT
Check# 1 363,95
Inv 0518652 368.65
!nv/: 0510653 -9.50
Customer's Signature Driver's Signature
"Your signature is acceptance that a I I 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347.E. Penleton Pike
Indianapolis, IN 46236 -0000
$363.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 0518652 42- 390.40 $368.45 I hereby certify that the attached invoice(s), or
1207 0518653 42- 390.40 ($4.50) 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, August 06, 2010
Director, Brookshi 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. 1995)
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))
08/06/10 0518652 Beer $368.45
08/06/10 0518653 Beer Credit ($4.50)
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