190396 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 360973 Page 1 of 1
0 ONE CIVIC SQUARE NATIONAL WINE SPIRITS CHECK AMOUNT: $201.11
CARMEL, INDIANA 46032 P 0 BOX 660357
INDIANAPOLIS IN 46266 -0357 CHECK NUMBER: 190396
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CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1207 4239040 456696 -4 103.70 FOOD BEVERAGES
1207 4239040 458741 -6 97.41 FOOD BEVERAGES
NATIONAL WINE SPIRITS CORPORATION INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206 AF! ORDER DESK (317) 636 -4880 1- 800 772 -7347
IN LIQUOR PERMIT IN WINE PERMIT
INDIANAPOLIS was -os133 w4s -15036 ADMINISTRATION (317) 636 -6092 1- 800 562 -7359
CROWN POINT W49 -09133 W49 -15036 L d EVANSVILLE
(812) 867-7441 1-800-742-3910
SOUTH BEND W71 -87478 W71-87479
CROWN POINT (219) 661 -9970 1- 800 552 4085
CUST 00791 c i W� y� /yy�y�, tiara SOUTH BEND (219) 232 -3001 1- 800 552 -2571
LICENSE# RR -03542 l i W��/V��s
CUST. NAME C I TY OF CARMEL =ACC O RDANCEWITH INVOICE NUMBER
CUST. D.B.A BROOKSHIRE GOLF CLUB PAGE: 1 ADDRESS i2i2J Iis'€SCKanInS PKWY 9 1rJ U;�3 45bb9b -4
hA L z ry 0009 n
CARMEL IN 46032 1150 1 1150
SPECIAL PROPER
CREDIT PLEASE
PAYMENT SALESMAN'S 1151 1 1 51 1150 11
INSTRUCTIONS 1 151 1 151 1 151
AMOUNT
llllffa!�Illl DESCRIPTION
ED mm INDICATES TOTAL
279+ 750] IE CAMPANILE SS FINOT GRIGIO 2009 7 3274 393 8.00 00 8.00 21.00
Y
145 647 S D AILY'S ORIGINAL BLOODY MARY 2 490721i85 E3. S7 .00 8.57 8.57
Y
007t C IL 1* 2 JACK DANIELS BLACK LABEL i OSS73 428 30.5 .00 30 SO 61.00
Y
C152C 1 IL 12 MARTINI ROSSI DR VERMOUTH D7 2255233437 10.1 .00 10.13 10.13
Y
We prouOly announce the merge of VWS Corp RN )C to fo ns RNDC IN
i I I I
I
OT 1 0 3.7 0*
75C)IJ &t4Z 3L
Oi 3 ref 1 01 3
FULL CASES: C., 00 f 5 V16 CITY OF C AR MEL. DUE: 10- 06 -10 t
INVOICE: 456666 -4 -r s WINE 34.13 L I GUOR 61-00
NON -RLC 8.57
RECEIVED BY CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FORD T BE MADE ON RECEIPT OF GOODS P_0 ROY SAWAR7 INDIANAP01 IR IN AA9AA nR57
VOUCHER NO. WARRANT NO.
ALLOWED 20
National Wine Spirits Corp.
IN SUM OF
P.O. Box 1t-m 65te)�3 7
Indianapolis, IN 4206 q�c
$103.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 456696 -4 42- 390.40 $103.70 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
Wednesday, September 22, 2010
Director, Brooksh1k 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))
09121/10 456696 -4 Alcohol $103.70
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
NATIONAL WINE SPIRITS CORPORATION INDIANAPOLIS
P.O. BOX 1602 INDIANAPOLIS, INDIANA 46206 L ORDER DESK (317) 636 -4880 1- 800 772 -7347
IN LIQUOR PERMIT IN WINE PERMIT ADMINISTRATION (317) 636 -6092 1- 800 562 -7359'
INDIANAPOLIS W49 -09133 W49 -15036
CROWN POINT W49 -09133 W49 -15036 EVANSVILLE (812) 867 -7441 1- 800 742 -3910
SOUTH BEND W71 -67478 W71 -67479 C a ern CROWN POINT (219).661 -9970 1- 800 552 -4085
CUST 00791 6 11111111111 SOUTH BEND (219) 232 -3001 1- 800 552 -2571
LICENSE 1313 1313 Ji u4 cmpmt
v�
CUST. NAME C I T'Y OF CARMEL ACCORD ANCEWITH INVOICE NUMBER
CUST. D.B.A
DROOKSHIRE GOLF -CLUB PAGE: 1
ADDRESS 12120 BROOKSH I RE PKI< Y 9 22 10 023 458741-6
t}0! 1
CARMEL IN 46 032 i i 5 J 1151 115th
SPECIAL IN NUMBER PAYMENT SALESMAN'S 1151 1151 115G 11
INSTRU 1151 1 151 1 151
AMOUNT DESCRIPTION INDICATES TOTAL
163C 1 1L 6 GREY GOOSE VODKA Di 42013 443 36.0 00 36.03 36.03
Y
301k 2 750 12 VENDANGE CABERNET SAUVIGNON 2007 D5 62724 123 6.23 .00 6.23 12.46
Y
289b 4 750M 12 VENDANGE CHARDONNAY 200£3 DS L625941850 6.2 .40 6 23 24.92
Y
Ease 4 750 12 VE:NDANGE WHITE ZINFANDEL 2008 5 62604 926 6.00 .00 6.00 24.00
Y
We Q'!'L'14.lIV announce the merger of MWS Corp RN )C to form RNDC IN
i 1 I I
I
OTA 97.41*
0/ 1 O/ 10
FULL CASES: O 007gr16 CITY OF CARPEL. DUE: 10- 07--10
INVOICE: 458741 -6 AMT 97.41 WINE 61. L I GUOR 36.03
I NON ALC .00
RECEIVED BY V CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUST BE MADE ON RECEIPT OF GOODS P.O- ROX 660357_ INnIANAPOLIS. IN 46266 -0357
VOUCHER NO. WARRANT NO.
ALLOWED 20
National Wine S rits Corp.
IN SUM OF
P. E). Box o3-��
Indianapolis, IN 46206 L
$97.41
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept, INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 458741 42 390.40 $97.41 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
Thursday, September 23, 2010
Director, Brookshik 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 i
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))
09/22/10 458741 -6 Alcohol $97.41
I 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