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189142 08/26/2010 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $584.30 i• CARMEL, INDIANA 46032 3737 WALDEMERE AVE INDIANAPOLIS IN 46241 CHECK NUMBER: 189142 CHECK DATE: 8/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 584.30 FOOD BEVERAGES �l Monarch Beverage Co., Inc. 9347 East Pendleton Pike Permit Nos: T P Indianapolis, IN 46236 W49 08938 6 12-1310 V/49 -87358 IN DUNS NO, 00-054-0534 LOAD SALESMAN ACCOUNT NO. INV DATE INVOICE NO- "71 7 TALI' ARGEs 77 LESS TOTAL CREDIT PAYMENT CASWCHECK L'S TOTAL CREDIT ER'S SrGNATURF, CUSTOMER'S SIGNATURE x YOUR I 11; 1 RE IS ACCEPTANCE OF ALL ABOVE ITEttlS. I iPLEASE CHECK CAREFULL ra-os"� Monarch Beverage Co., Inc. 9347 East Pendleton Pike Permit Nos: Indianapolis, IN 46236 W49 -08938 (317) 612 -1310 W49 -87358 B IN -P -1983 DUNS NO. 00-054 -0534 ecf i LOAD SALESMAN ACCOUNT NO. INVOICE DATE 7 m ENVOICE Np. i •.s- k i"•? tr�`#as` "j •q"r�kL ,a �x�rr r' A p a o a o n LESS TOTAL CREDITS PAYMENT �j Q ov TOTAL CREDIT X SIGNATURE CUSTOMER'S DRIVER'S X SIGNATURE YOUA SIGNATURE IS ACCEPTANCE OF ALL ABOVE ITE PLEASE CHECK pCAREFULLY. VOUCHER NO. WARRANT NO. ALLOWED 20 Monarch Beverage Inc. IN SUM OF 9347 E. Penleton Pike Indianapolis, IN 46236 -0000 $614.30 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 543737 42- 390.40 $156.50 1 hereby certify that the attached invoice(s), or 1207 543736 42- 390.40 $457.80 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 Monday, August 30, 2010 Director, Brook hire 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)) 08/27/10 543737 Beer $156.50 08/27/10 543736 Beer $457.80 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