HomeMy WebLinkAbout162192 07/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
o ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 3737 wALDEMERE AVE CHECK AMOUNT: $454.45
INDIANAPOLIS IN 46241
CHECK NUMBER: 162192
CHECK DATE: 7/3012008
DEPARTMENT ACCOU PO NUMBER IN NUMBER AMOUNT DESCRIPTION
905 4239040 454.45 FOOD.& BEVERAGES
U� ��m. Inc.
��O796
3737WaldomereRoad Permit Nos:
Indianapolis, IN 46241 VV49'08838 VV49'87358
(317)81�'131O |N'P'1983
8ROOKSHIRE GOLF' CLUB
`AZ G�OLF MANAGEMENT CORP. PAGE 1
1,2120 8ROOKSHIRE PKWY DUNS NO. 00054*534 DUE DATE 0/00/00
�m�r/�� m �o
R2903542 3 -q-46-743! �404C 3992 7/3i/08 �30796
SPECIAL
2 CO[)/W.CHARgE
DESCRIPTION I-CIC C 'B"I" L S CODE PRICE AMOUNT
AMSTEL 1= PK CAN B11360S 30964 26,00 130. 00
MORS LT ��M 20610 1— 45 32i
LESS
TOTAL
7 !INES'S GAS, 31 it- 1 50. 00 NNN
31164 30.00 HAND PUMP 7 )O� -7 60.CO
GUINESS PUMP 7 )0` 120. 00
NOVELTY BOX 3-111 200. 00
�MPTY CASES ]11. 6 1 2 C; TOTAL CREDIL
SIGNATURE Y OU14 SIGNATURE IS ACCEPTANCE OF ALL
DRIVER'S/SIGNATURE ABOVE ITEMS. PLEASE CHECK CAREFULLY.
CUSTOMER COPY
'7% Monarch Beverage Co., Inc.
P 3737 Waldemere Road Permit Nos:
Indianapolis, IN 46241 W49 -08938 W49 -87358
BROOK SHIRE GOLF CLUB (317) 612 -1310 IN -P -1983
Az GbLF 1 CORP. PAGE 1
I3t' OOKSHIRE PKWY DUNS NO. 00-054-0534 DUE DATE 0 /00 /00
C I N 46 032 LOAD SALESMAN ACCOUNT NO. INVOICE DATE INVOICE NO.•
82903542 317 846-7431 4040 16 B9924 7/31/08 G.'30796 y.
SEC IAL INSTRUCT:C`"aNS TERMS
KEGS
jJ wCRIPTION OCu .ASE /BTLS CODE RICE AMOUNt'
r�M_S a EL. 12 Pt{ CAN 3;,1` _4 QU 'L ll S. U
WORS'L' 2 4 LSE CAN Alhl2QI 2 1 20610 IS. 5 324.45
i�
0
26 t Ask 0 K EUb J.�E;
.454. B ER* .00 WINE$ .00 8fi1DA$ .00 111 SC$ 454.45
.00 DEP$ 4S4. 45 CIJ1V7� S;;t. 50 GALL
D ESCRIPTION LESS
;TOTAL
t-IJtSE TR�4 }G`t 31 1 E; C?c• �'0 CREDITS
4,
S BARREL 31162 °1r�: 00 DRFT 'TUB 7LA023 10. O PAYMENT:• c,
Z N SS 'GAS
3 11 0 1 SO. 0 0 CASH /CHECK
till Y KEG NEW 31 164 30 HAND PUMfi. 700'27 60. 00
OU NESS -P.UMP 7C3OM3 120.00
NOVELTY BOX ,311 :9 200. 00
4TY r.ASE'S 14 s: 6 1 *2C1
TOTALFCREDIT. n
X CUSTOMER'S i G t y g
X
SIGNATURE
DRIVER'S SIGNATURE YOUR.SIGNATURE IS ACCEPTANCE OF ALL
ABOVE ITEMS. PLEASE CHECK CAREFULLY.
DRIVERS CANNO PRODUCT UNLESS PICK UP IS PRINTED
NOTE: NOT RESPONSIBLE FOR SHORTAGES OR BREAKAGE AFTER MERCHANDISE
IS DELIVERED. PLEASE REMIT'THIS COPY WITH PAYMENT
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
y A 49 1 eof 0 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7ALA98- .2 1 4, lge5; 4--
Total
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Y� 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
20
AV re
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund