157593 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 360973 Page 1 of 1
ONE CIVIC SQUARE NATIONAL WINE SPIRITS
s CHECK AMOUNT: $117.64
CARMEL, INDIANA 46032 P o eox 2146
INDPLS IN 46206 CHECK NUMBER: 157593
CHECK DATE: 3/19/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4239040 189717 -2 117.64 FOOD BEVERAGES
1
t
`f
NATIONAL.VINE SPIRITS CORPORATION
PO-BOX 1602 0 INDIANAPOLIS, INDIANA 46206 INDIANAPOLIS
IN•CIQUOR PERMIT •',iN•WINE PERMIT•. 3 72-
1 0 562 7
INDIANAPOLIS W49.09133 W49.16038 F31.7) 6
'CROWN POINT W48 09133 W49•15036 ANSVILL
ORDER DESK 36 =4880 1,80 347
ADMINISTRATION 63E -6092 1"80 359
SOUTH, BEND” W7187a78 9 W71 -87x7
EV
E "(812 867 -7441 1- 800,742 3810
FORT WAYNE "(260 )'484 -2654 1"80
800 -552 0$78
LICENSE RR 'CROWN o SODU B N {574 232-3001 1- 800-5522571.
COST: NAME L R 1pK5HZRE z F-1 F+'``.,T t'7C7h"tTGAGE L.LC D UQ D r �UQCI�U IID INVOICE,NUMBER
CUST. D.B.A. BROOKSHIR'E GOLF CLUB
:Y
PAG
:ADDRESS :.l"'� 1"�'c C)';'IC� RQG KS}IIRE: RMCWY.'.. 'of3 oases:. :3 26 :.08 1St'i 71 „-c^�
0 IN ACCORDANCE WITH INDIANA LAW
CARMEL IN 46032 1554. 15 ASS4
SPEGIAL i °C UDE INVOICE CE MBER PAYMENT SALESMAN 1556 1 556 1554 11
INSTRUCTIONS 1556 1,556 1556 /YT�YYry1?
mKVT- 'r:a`_'' I :UJ1U IrLIIL.J.7 D 0 U:L�O p•rt!T.wdl.+Ca�a crtY.V1
ULWL17R1 uAL:U.Z:w1SJ uWf:.L7
1 1'2 AIi50LUT' VC3I?IKA ISO `PR 0 1 c? 303 36 78 x5:.9.5
Y
O x813
1',11- 12 MAL I BU RUM 368323i5il 15.68 .00 IS. 68 IS', 68
017 1 IL 12 CROWN ROYAL: BAR BOTTLE 1 D810513680 30.21. 00 30.81 30.21
'1 1L 2 CARTAIN MORGAN.,.SPICEA RtJh1 1 810731454,,' ]£�;.�r0',,,:” .UO „-1S ,90 18.'90
009I
r 22A 2 1L 12 CRUZAI�I ESTATE LIGHT RUM 88203111;37 13.'51 .00
13.51 27.02
Y
!DEL: BETWEIE,N '9 ANE)
`C.USTOMER•S, IN D STR I C' 7 '.M R ION ..CO NTY, HID
U'I? ADWxS ...THEIR, aALESh'IA
4
IF THEY' WILL, DELIVER Y '008 °EL C.T' ON DA .M RCH '11T d08 EFORE "fa :'OOP
n
OTA -.i 17. 64#
LL
p:
FULL 'CASES 00716 LiRDO1�C�H CRE, I^'IRST r �IL7R LGAGE 'LLC I�UE 03 �6�08
.AJNAL
I•WYOICE�:'18' 717Me AMT 11�. b4 WINE 00 L IC�UCJR 9 17: 4
I NON -AL.0 00
RECEIVED BY
CUSTOMER'S INVOICE PLEASE REMIT PAYMENTS TO:
ALL CLAIMS FOR DAMAGES MUS BE MADE ON RECEIPT OF GOODS P.O. BOX 2146, INDIANAPOLIS, IN 46206
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total 7
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
1/761
ON ACCOUNT OF APPROPRIATION FOR
gos ,t3G C
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
O5 I 7 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
3 7 20 09
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund