HomeMy WebLinkAbout158544 04/15/2008 I I
CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
s•. ��o 6032 3737 WALDEMERE AVE CHECK AMOUNT: $185.40
CARMEL INDIANA 4
i`�• INDIANAPOLIS IN 46241
CHECK NUMBER: 158544
CHECK DATE: 4115/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
905 4239040 0101966 185.40 FOOD BEVERAGES
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MONARCH EEVERAGE CO. INC.
PERMIT #W4908938- INP1983
3737 WAI,DEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612 -1310
Account B9924 License R2903542 Time: 11:37
AZ GOLF MANAGEMENI CORP. Invoice#: 0101966 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 03 -27 -2008
12120 BROOKSHIRE PKWY Terms B.CODlW.CHARGE
CARMEL, IN 46032 -0000 Driver WY LONG,D
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITEM# QIY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20600 3 COORS LT 07199000008 15.45 0.00 0.00 46.35
6 PK CAN
10200 3 GENUINE DRAFT 03410000554 15.45 0.00 0.00 46.35
6 PK CAN
10100 3 LITE 03410000354 15.45 0.00 0.00 46.35
6 PK CAN
20510 3 ORIG. COORS 07199011600 15.45 0.00 0.00 46.35
24 LSE CAN
Cases: 12 Beer$: 185.40 Content$: 185.40
BUS: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 27.0
JEFF 3126
Total Sales 185.40
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 185.40
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0101966 Charge 185.40
Total Charge 185.40
Total Cash and Check 0.00
Total 185.40
PAYMENT TYPE AMOUNT
Cash 0,00
Total Checks 0.00
Total Collected 0.00
trmr o[o[9ee [as. au
Customer's Signature Driver's Signature
"Your signature is acceptance that alllhe product listed above was received
and delivered in good condition"
Drivers cannot pickup product unless pruper pickup form has been completed.
Not Responsible fur shorlaye or breakaye after merchandise is delivered and
accepted
VAL10
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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
1� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0/0/ 96 o
Total Va
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
VOUCH F NO. WARRANT NO.
3�a9v
ALLOWED 20
IN SUM OF
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
3 �OS 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
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7 20,03
�i natur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund