164115 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $777.75
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 164115
CHECK DATE: 913012008
DEPARTMENT ACCOUN PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1150 4239040 777.75 FOOD BEVERAGES
I
29396k. Monarch Beverage Co., Inc.
3737 Waldemere Road Permit Nos:
Indianapolis, IN 46241 W49-08938 W49-87358
BROOKSHIRE GOLF -CIUB (317) 612-1310 IN-P-1983
A7 GOLF MANAGEMENT CORP. PAGE I
12120 BROOKSHIRE PKWY DUNS NO. 00-054-0534 DUE DATE 0/00/00
A l' rl E'. L. IN 46013-2 LOAD SALESMAN ACCOUNT NO.1 INVOICE DATE INVOICE NO.
Lo
1 2 9 t'-',- 3 5 AT 2 3!7 846-74:31 [4040 16 B9924 0/0'- .93962
SPECIAL INSTRUCT TERMS
2 B.COD/W, CHARGE
KEGS
DESCRIPTION LOC 'ASE wrLS CODE RICE AMOUNT
k,ULIK' ti L. I A 4 3 FI 1 2 5 C- 0 6 1 'U 1 i=! s JV6. su
LITE CAN AA070 2:5 10110 1 5 2 5 '3B 1. 2.5 7-
Maw
77
'71 7S BEER* .00 WINE$ .00 SODA$ .00 I'll I SC 777.7S
00 DEP$ 7*77. 75 CONTs 11 7 S GA L L-
LESS
TOTAL
HORSE TROUGH 3 11 E 10O.Co CREDITS
MPTY BARREL 31162 to. 00 DRF ",rus 702 10. GO PAY
GUNINESS GAS 3" !1- so. co CASH/ EC 777
PAY
CASH'
E
MTY KEG NEW 31164 30. 00 HAND PUMP 7: )OE 7 60. 00 E�K -177,
GUI NESS PUMP 7 0'.' 3 120.00
N13VEI-TY BOX 311 2 ::0. Q0
IVIP Y CASE a 1 �TT i. 20
F--TOTAL CREDIT
CUSTOMER'S
X SIGNATURE X
DR ER'SSIG ATURE Y'dUR SIGNATURE IN ACCEPTANC ALL
ABOVE ITEMS. PLEASE CHECK CA ULLY,
o
CUSTOMER COPY
t
Prescribed by state Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
r 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
1�OA/G?'► ��c� Purchase Order No.
IV
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i
;7 7
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
3"73 7
77 `7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
11 �5 ��i Z L/23 `lb 777 r5' 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund