HomeMy WebLinkAbout199271 07/12/2011 a CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $488.50
3737 WALDEMERE AVE
'5. o INDIANAPOLIS IN 46241 CHECK NUMBER: 199271
CHECK DATE: 7/12/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 488.50 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account B9924 License R2903542 Time: 07:46
CITY OF CARMEL Invoice#: 0436204 PO#
BROOKS_HIRE GOLF CLUB Load 5040 Date: 07- 15.2011
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032-0000 Driver WY LONG,D
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 45.00 0.00 30.00 75.00
LITE 114 BBL
24559 1 SAM ADAMS KEG 00000000000 58.00 0,00 30.00 86.00
LAGER 116 BBL
31164 -3 MISC KEG DEPOS 01003116400 0.00 0.00 30.00 -90.00
$30 EMPTY KEG
Cases: 0 Beer$: 163.00 Content$: 103.00
BUS: 0 Wine$: 0.00 Deposit$: -30.00
Kegs: 2 Soda$: 0.00 Discount$: 0.00
Misc: 0 (-3) Misc$: 0.00
Gals: 12.9
Total Sales J 163.00
Total Credits -90.00
Total Tax 0.00
INVOICE TOTAL 73.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0436203 Charge 336.00
0435204 Charge 73.00
Total Charge 409.00
Inv/: 0436203 336.00
Inv/: 0436204 73.00
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 proper pickup form has been completed.
Not Responsible for shortaye or breakage after merchandise is delivered and
accepted`
VALID
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account B9924 License R2903542 Time: 07:46
CITY OF CARMEL Invoice#: 0436203 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 07- 15-2011
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032.0000 Driver WY LONG,D
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 10 COORS LIGHT 07199031600 16.80 0.00 0.00 168.00
24 LSE CAN
11059 0 LEINENKUGEL 03410072902 OUT
SHANDY 2112CAN
10110 10 LITE 03410057306' 16.80 0.00 0.00 168.00
24 LSE CAN
Cases: 20 Beer$: 336.00 Content$: 336.00
Btls: 0 Wine$: 0.00 Deposit$: 0,00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 45.0
Total Sales 336.00
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 336.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0436203 Charge 336.00
0436204 Charge 73.00
Total Charge 409.00
Inv 0436203 336.00
Inv1: 0436204 73.00
Customer's Signature Driver's Signature
"Your signature is acceptance that all the 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
VOUCHER NO. WARRANT NO.
Monarch Beverage Inc. ALLOWED 20
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# l Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1207 0436204 42 390.40 $73.00
materials or services itemized thereon for
1207 0436203 42 390.40 $336.00
which charge is made were ordered and
A received except
Friday, July 15, 2011
f L
Director, Brooks rokolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199E
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 Number (or note attached invoice(s) or bill(s))
07/15/11 0436204 Beer $73.0
07/15/11 0436203 Beer $336.0
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