HomeMy WebLinkAbout197495 05/19/2011 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CHECK AMOUNT: $262.80
3737 WALDEMERE AVE
INDIANAPOLIS IN 46241
CARMEL, INDIANA 46032 CHECK NUMBER: 197495
CHECK DATE: 5/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 262.80 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 89924 License R2903542 Time: 16:04
AZ GOLF MANAGEMENT CORP. Invoice#: 0941371 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 05-20.2011
12170 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CAMEL, IN 46032-0000 Driver WY LONG,D
(317)846- ?431 Salesman: 16 JOE CLAWSON 16
HEM QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 5 COORS LIGHT 07199031600 16.80 0.00 0.00 100.80
24 LSE CAN
30975 4 HEINEKEN 07289000020 27.00 0.00 0.00 108.00
12 CAN
10110 5 LITE 03410057306 16.80 0.00 0.00 84.00
24 LSE CAN
97000 -1 MISC PALM ITEM 09700000000 30.00 0.00 0.00 -30.00
PU BEER
Reason: 05 PRICING ERROR
Cases: 15 Beer$: 292.80 Content$: 262.80
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 -1) Misc$: -30.00
Gals: 33.8
Total Sales 292.80
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 262.80
Ref Voided Invoice# 0353909
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0941371 Cash/Check 262.80
Total Cash/Check 252.80
PAYMENT TYPE AMOUNT
Check# 10 262.80
Inv#: 0941311 262.80
61 5
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
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VOUCHER NO. WARRANT NO,
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
o?b jld
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1207 0941371 42- 390.40 $262.80
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 23, 2011
Director, Brook ire 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. 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 N umber (or note attach i nvoice (s) or bill(s))
05/20/11 0941371 Beer $262.8
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
2a
Clerk- Treasurer