197019 05/04/2011 =4• CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
4 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL INDIANA 46032 3737 wALDEMERE AVE CHECK AMOUNT: $200.70
INDIANAPOLIS IN 46241
CHECK NUMBER: 197019
CHECK DATE: 5/412011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPT T
1207 4239040 200.70 FOOD BEVERAGES
Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49 -08938
(317) 612 -1310 W49 -87358
IN -P -1983
_';,p'•:' DUNS NO 00-054-0534
LOAD SALESMAN ACCOUNT NO. INVOICE DATE INVOICE NO.
T 3 -v f
jd
K7
rA
.--•d k•i. i. -f .mi i 1 Z t .i,{ �Li
.I
o .�`rr: u -a �i��kr� „��ird��- ...a7`r °�'.:�fk�ntx •�•'��'1�
LESS ME
I IN i En rr CRED
PAYMENT
k TOTAL CREDIT c�
CUSTOMER'S x
SIGNATURE
DRIVER'S SIG TUR )OUR SIGNATURE IS 4 HCK ANCE OF ALL
e o o a! s s ABOVE ITEMS. PLEAS CAREFULLY.
a o o a CUSTOMPR (°m• ov
Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49-08938
-1310
(317) 612 W49 -87358
IN-P-1983
rf l
DUNS NO. 00-054-0534
M
ID:4P 114711 LO 1A D SALESMAN ACCOUNT NO. INVOICE DATE r INV
O.
r ZTT
"7
2
p
&V
77
'A
TRIM W",
2 Ir
W� W
A
b
A -7 Cr7 M T
P
LESS
DESCRIPTION
TOTAL
C a
f A
TOTAL
CUSTOMER'S
X SIGNATURE x
DRIVER'S SI TURE YOUR SIGNA WU ACCEPTANCE OF ALL
T 41 ABOVE ITEMS I c 1 111K CAREFULLY.
CUSTOMER COPY
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938- INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612 -1310
Account B9924 License R2903642 Time: 12:32
AZ GOLF MANAGEMENT CORP. Invoice#: 0319369 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 04- 15-2011
12120 BROOKSHIRE PKWY Terms CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# CITY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 10 COORS LIGHT 07199031600 16.80 0.00 0.00 168.00
24 LSE CAN
30975 2 HEINEKEN 07289000020 27.00 0.00 0.00 54.00
12 CAN
10110 10 LITE 03410057306 16.80 0.00 0.00 168.00
24 LSE CAN
Cases: 22 Beer$: 390.00 Content$: 390.00
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 49.5
Total Sales 390.00
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 380.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0319369 'Charge 390.00
0319370 Charge 146.00
Total Charge 536.00
Inv 1: 0319369 39 U. OU
Inv Y: 0319370 14c.00
Vaal)
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.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 89924 License/: R2903542 Time; 12:33
AZ GOLF MANAGEMENT CORP. Invoice#: 0319370 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 04-15 -2011
X12120 BROOKSHIRE PKWY Terms CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
24569 2 SAM ADAMS KEG 00000000000 58.00 0.00 30.00 176.00
LAGER 116 BBL
31164 -1 MISC KEG OEPOS 01003116400 0.00 0,00 30.00 -30.00
$30 EMPTY KEG
Cases: 0 Beer$: 176.00 Y Content$: 116.00
Btls: 0 Wine$: 0.00 Deposit$: 30.00
Kegs: 2 Soda$: 0.00 Discount$: 0.00
Misc: 0 (-1) Misc$: 0.00
Gals: 10.3
.Total Sales 176.00
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 146.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0319369 Charge 390.00
0319370 Charge 146.00
Total Charge 536.00
Invl: 03193fi9 390.00
[nv Y: 03193'!L 146.00
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
*Ti ivers cannot pickup product unless proper pickup form has been completed.
Not Responsible fur shortage or breakage after merchandise is delivered and
accepted'
VALID
n
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938- INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 69924 License R2903542 Time: 12:46
AZ GOLF MANAGEMENT CORP. Invoice#: 0136462 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 11 -12 -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
31164 -2 MISC KEG DEPOS 01003116400 0.00 0.00 30,00 -60.00
$30 EMPTY KEG
10180 -2 LITE KEG 03410057154 45.00 0.00 30.00 -150.00
LITE 1/4 BBL
Reason: 30 OUT OF DATE
10180 -1 LITE KEG 03410057154 45.00 0.00 30.00 -75.00
LITE 114 BBL
Reason: 19 ACCT. CLOSING
Cases: 0 Beer$: -225.00 Content$: -135.00
Btls: 0 Wine$: 0.00 Deposit$: -150.00
Kegs: 0 -3) Soda$: 0.00 Discount$: 0.00
Misc: 0 -2) Misc$: 0.00
Gals: 0,0 -23.3)
OUT OF CODE INV. #111328
LITE KEG LITE 114 BBL
002 CASES OF ITEM# 10180 75.00
EXTENDED AMOUNT: 150.00
ACCT. CLOSING INV1111328
LITE KEG LITE 114 BBL
001 CASE OF ITEM# 10180 75.00
EXTENDED AMOUNT: 75.00
Total Sales 0.00
Total Credits -285.00
Total Tax 0.00
INVOICE TOTAL 285.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0136461 Charge 1020.60
0136462 Charge 285.00
Total Charge 1305.60
m��: oi�eaet -iozo. eo
i�r aseaez -2e z.00
Customer's Signature Driver's Signature
"Yuur signature is acceptance that allthe pruduct listed above was received
and delivered in good condition"
"Drivers cannul pickup pruduct unless pruper pickup furio has been completed.
"Nut Respunsible fur shurtaye ur breakaye after wercha d ise is delivered and
accepted
VALID
MONARCH BEVERAGE CO. .'I-NC'.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 45236 -0000
(317)612-1310
Account B9924 License R2903542 Time: 11:17
AZ GOLF MANAGEMENT CORP. Invoice#: 0301775 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 04 -01 -2011
12120 BROOKSHIRE PKWY Terms CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846.7431 Salesman: 16 JOE CLAWSON 16
ITEM CITY DESCRIPTION U.P.C. PRICE DISC �DEP AMOUNT
10180 1 LITE KEG 03410057154 45.00 0.00 30.00 75.00
LITE 114 BBL
24569 1 SAM ADAMS KEG 00000000000 58.00 0.00 30.00 88.00
LAGER 116 BBL
Cases: 0 Beer$: 163.00 Content$: 103.00
Btls: 0 Wine$: 0.00 Deposit$: 60.00
Kegs: 2 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 12.9
DRIVER, PLEASE CHARGE THE INVOICES
THEY HAVE A LARGE END OF SEASON
CREDIT TO TAKE. 3130111 AMG
Total Sales 163.00
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 163.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0301774 Charge 268.80
0301775 Charge 163.00
Total Charge 431.80
Inv A: 03017]:1 2n B.BU
Inv 1: 0301]]5 1i 3.00
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
"Drivers cannot pickup product unless proper pickup form has been completed.
Not Responsible for shortage or breakage after merchandise is delivered and
accepted'
VALID
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236.0000
(317)612-1310
Account B9924 License R2903542 Time: 11:16
AZ GOLF MANAGEMENT CORP. Invoice 0301774 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 04 -01 -2011
12120 BROOKSHIRE PKWY Terms CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 15 JOE CLAWSON 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 8 COORS LIGHT 07199031600 16.80 0.00 0.00 134.40
24 LSE CAN
10110 8 LITE 03410057306 16.80 0.00 0.00 134.40
24 LSE CAN
Cases: 16 Beer$~ 268.80 Content$: 268.80
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 36.0
PLEASE CHARGE THE INVOICES, THEY
HAVE A LARGE CREDIT TO TAKE
3/30111 AMG
Total Sales 268.80
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 268.80
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0301774 Charge 268.80
0301775 Charge 163.00
Total Charge 431.80
mori11a -166".
mv.: o�nn�s le3.00 1..1
i
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:
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account B9924 License R2903542 Time: 12:45
AZ GOLF MANAGEMENT CORo. Invoice#: 0136461 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 11-12 -2010
12120 BROOKSHIRE PKWY Terms B.COD /W.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
10110 -21 LITE 03410057306 16.80 0.00 0.00 -352.80
24 LSE CAN
Reason: 19 ACCT. CLOSING
10117 -6 LITE 03410057023 18.10 0.00 0.00 -108.60
2 /9 /16OZ ALUM
Reason: 19 ACCT. CLOSING
11069 -2 LEINENKUGEL 0341007290[ 26.50 0.00 0.00 -53.1.10
SHANDY 2 /12CA"
Reason: 30 OUT OF DATE
20610 -21 COORS LIGHT 07199031600 16.80 0.00 0.00 352.80
24 LSE CAN
Reason: 19 ACCT.. CLOSING;
20627 -4 COORS LIGHT 07199030104 18.10 0. .0.00 -72.40
2 /9 /160Z ALUM
Reason: 19 ACCT. CLOSING
30975 -3 HEINEKEN' 07289000020 27.00 0.00 0.00 -81.00
12 CAN
Reason: 19 ACCT. CLOSING
Cases- 0(.-57) a Beer$: -1020.60 Content$: -1020.60
Btls: '0:- 'Wine$: 0.00 Deposit$': 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 0.0 128.3)
++4 +1 +111++++ #++1+++1++
****PICK UP THE FOLLOWING ITEMS
Ii +4+++++ +11+1+++++ +++1++1+
ACCT. CLOSING INV.#111327
LITE 24 LSE CAN
021 CASES OF ITEM 10110 16.80
EXTENDED AMOUNT: 352.80
ACCT. CLOSING INV.#111327
LITE 2 /9 /16OZ ALUM
006 CASES OF ITEM 10117 18.10
EXTENDED AMOUNT: 108.60
OUT OF CODE INV.#552378
LEINENKUGEL SHANDY 2 /12CAn
002 CASES OF ITEM# 11069 26.50
EXTENDED AMOUNT: 53.00
ACCT. CLOSING INV.#111327
COORS LIGHT 24 LSE CAN
021 CASES OF ITEM 20610 16.80
EXTENDED AMOUNT: 352.80
ACCT. CLOSING INV.#111327
COORS LIGHT 219/1602 ALUM
f
I
-I
1 1 :17 15 Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49-08938
(317) 612-1310 W49-87358
F ("I L. (J 1:3 IN-P-1983
AZ (.3 1 F M A N Pi E M IH: NT CO IR P
DUNS NO. 00-054-0534
J. IR E 1 K W Y D E /00
.12:1.20 BIROOMSI D (.11*.. 0/00
C A IR M 1::* 1 1'.N 460'33x"' LOAD SALESMAN JA CCOUNT NO. INVOICE DATE INVOICE NO.
R2903542 317 846 7 4 13.1 7 0 131 1. 1 1.2/ 1.0 3 7 5 7,*'.5
2
I< E 1 3
1: T 1 1 1: IR *I' I' ('-'i M 0 Ll N
1' 1: 1, 1R.*I.' P T1 0 IN 1 0 1 0 1) 1:4% .1
24569 8 5 85, 50---
I .jl:l rill 1 1 ()W.'I. 'I.'TEM'S
28 I
AM ADA S 1<1-**(3 1 (.1 G I
SM
1 F I F"' 14
6 o S E b) 1 2 6 9 (9 5 C) I
I
J. 2 D
moo
0 K E. 0 13 0 TT 0 WE 1 3
100 13 1':: 1 R 00 w1NIE't .00 E, 0 1'.) A (35, 50-M]-`3('.,$ Rr()
'J
00 1) 1.:: F (3F5. C 0 N T$ A L. I
LUM
LESS/
A
:::I.:1. f 3 2. :1.00. )0 CREDITS
M PTY 13 A IR IR F.: L. :16 2 :1.0.00 DIRF T(.JI3 7M'.'.�2 :1.0. 0 PAYMENT
(.3 U N 1.N AS 3 :1. :1. 3 :1. 1 0 CASH/CHECK
MT Y K E'( Nl::.'W 3.1 '1 e.) 4 :3() I 1 1-1 N I') P (J il P 70 0'2"7' 60, )0
P(.)Mfl 70023 :1.20.. )0
N(.*)Vl.'.**L..*Y'Y BOX 311'. 7 9 200. X
M 1 T Y C A S 11F6 1. 20 1
TOTAL CREDIT
CUSTOMER'S
X SIGNATURE x
DRIVT,S'SIG ATURE YOUR SIGNATURE IS ACCEPTANCE OF ALL
OUR CANNOT PRODUCT ON INVOICE.
ABOVE ITEMS. PLEASE CHECK CAREFULLY.
LIRIVEh VI&K UP UNLESS PICK UP IS PRINTED
NOTE: NOY RESPONSIBLE FOR SHORTAGES OR BREAKAGE AFTER MERCHANDISE CUSTOMER COPY
L u IS DELIVERED..
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
LOAD I SALESMAN ACCOUNT NO. w INVOICE DATE INVOICE NO.
-s rt n a r mot
1 W L. '-".i' .1 1.-• Z 1 L 1 L..' .i-.,' L..: r Z f f
7.
w.
L L.. U L 1 L S 4... 1 1,.• 4.. i': J'J. i— L. L•L f V t. 1'.J..
Wit... S. I- d
-r:
s-F 3
3 t 4 0 6
B B !e e e-
LESS
TOTAL
C ITS
PC
CA SW H(C EC
6t'
TOTAL CREDIT t u
�c l ClGG
f _1
CUSTOMER'S
X x
SIGNATURE
DRIVER'S Si E YgUR SIG IS CEPTANCE OF ALL
BOV MS. LEASE CHECK CAREFULLY.
CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1207 111327-- 42- 390.40 ($30.00) 1 hereby certify that the attached invoice(s), or
1207 137575 42- 390.40 ($85.50)
bill(s) is (are) true and correct and that the
1207 0136462 42- 390.40 ($285.0o)
materials or services itemized thereon for
1207 0136461 a 42- 390.40 ($1,020.60)
1207 0301775 42- 390.40 $163.00 which charge is made were ordered and
1207 0301774 42- 390.40 $268.80 received except
pt7 0.5 /9.170 4
b ago, ob
Tuesday, April 05, 2011
Director, Brooks lr olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199
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 111327 Beer ($30.0
11/12110 137575 Beer ($85.5
11112/10 0136462 Beer ($285.0
11/12/10 0136461 Beer ($1,020.6
04/01111 0301775 Beer $163.0
04/01/11 0301774 Beer $268.8
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