191030 10/14/2010 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
`4' 0 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $913.40
INDIANAPOLIS IN 46241
CHECK NUMBER: 191030
CHECK DATE: 10/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 913.40 FOOD BEVERAGES
Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49-08938
(317) 612-1310 W49-87358
IN-P-1983
DUNS NO. 00-054-0534 M. 1�
L'um
LOAD I SALESMAN ACCOUNT NO. INVOICE DATE INVOICE NO.
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0 M a. I Lei LESS
TOTAL
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A CBEQITS
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i� YMEN
/CHEC
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PAYMEN
7 CASH/CHEC
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744sd
TOTAL CREDIT
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CUSTOMER'S
X SIGNATURE X-
DRIVER'S S SInE YOUR SIG is OF ALL BOV MS V K CAREFULLY.
OUR DRIVEk CANNOT PICK UP PRODUCT UNLESS PICK UP IS PRINTED ON INVOICE. Nzz;.;-
NOTE: NOT RESPONSIBLE FOR SHORTAGES OR BREAKAGE AFTER MERCHANDISE CUSTOMER COPY
k" IS DELIVERED.
Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49-08938
in i U LJ K (317) 612-1310 W49-87358
IN-P-1983
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DUNS NO. 00-054-0534
U
A M T -I SALESMAN ACCOUNT NO.� INVOICE DATE INVOICE NO.
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PESCRIPTION CODE OTY. PRICE AMOUNTI DESCRIPTION LESS
TOTAL
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CREDITS
01
PAYMENT
�F' I i`i= Z k Z CASH/CHECK in ••awn 6 !D %3
A 3� i U i
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T
CREDITS
0
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E
SS
TOTAL
D'TS
TOTAL CREDIT
00, Ab--
CUSTOMER'S
X\ SIGNATURE e;?2
DRIVISkAqG �hTURE Y%A SIGd IS ACCEPTANCE OF ALL
OUR DR�4e.AS CANNOT PICK UP PRODUCT UNLESS PICK IS PRINTED ON INVOICE. AIVE ITEMS. PLEASE CHECK CAREFULLY.
NOTE: NOT RESPONSIBLE FOR SHORTAGES OR BREAKAGE AFTER MERCHANDISE CUSTOMER COPY
IS DELIVERED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$883.40
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 111328 42- 390.40 $261.00 1 hereby certify that the attached invoice(s), or
1207 111327 42- 390.40 $622.40 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, October 25, 2010
n
Director, BrookAk 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))
10/22/10 111328 Beer $261.00
10/22/10 111327 Beer $622.40
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