HomeMy WebLinkAbout199782 07/27/2011 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $532.70
a INDIANAPOLIS IN 46241 CHECK NUMBER: 199782
CHECK DATE: 7127/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM D
1207 4239040 532.70 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 89924 License R2903542 Time; 07:36
CITY OF CARMEL Invoice#: 0454479 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 07 -29 -2011
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 12 COORS LIGHT 07199031600 16.80 0.00 0.00 201.60
24 LSE CAN
11069 0 LEINENKUGEL 03410072902 OUT
SHANDY 2I12CAN
10110 12 LITE 03410057306 16.80 0.00 0.00 201.60
24 LSE CAN
Cases: 24 Beer$ 403.20 M Content$ 403,20
Btls: 0 Wine$: 0.00 Deposit$; 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 54.0
Total Sales 403.20
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 403.20
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0454479 Cash/Check 403.20
0454480 Cash/Check 103.00
Total Cash/Check 506.20
PAYMENTTYPE AMOUNT
Check# 2 506.20
In11: 0454479 X 403. 20
1""j 0454480 103.00
Customer's Signature Driver's Signature
'Your signature is acceptance that allthe product listed above was received
and delivered in good condition` o
"Drivers cannot pickup product unless proper pickup form has been completed.
"'Nut Responsible for shortage or breakage after merchandise is delivered and
accepted'
VALID
LY
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236-0000
(317)612-1310
Account 89924 License R2903542 Time: 07 :36
CITY OF CARMEL Invoiced: 0454480 PO#
BROOKSHIRE GOLF CLUB Load 5040 Date: 07-29.2011
12120 BROOKSHIRE PKWY Terms B.COD /W.CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 JOE CLAWSON 16
ITEM# QTY DESCRIPTION u U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 45.00 0.00 30.00 75.00
LITE 1/4 BBL
24569 1 SAM ADAMS KEG 00000000000 58.00 0.00 30.00 88.00
LAGER 116 BBL
31164 -2 MISC KEG DEPOS 01003116400 0.00 0.00 30.00 -60.00
$30 EMPTY KEG
Cases: 0 Beer$ 163.00 Content$: 103.00 y`
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 2 Soda$: 0.00 Discount$: 0.00
Misc: 0 -2) Misc$: 0.00
Gals: 12,9
Total Sales 153.00
Total Credits -60.00
Total Tax 0.00
INVOICE TOTAL 103.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0454479 Cash /Check 403.20
0454480 Cash /Check 103.00
Total Cash/Check 506.20
PAYMENT TYPE AMOUNT
Check# 2 506.20
mgr. a4s44�s 4o3.zo
Inv: 0454480 103. VO
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe 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 ur breakage after merchandise is delivered and
accepted
VALID
WPM
sus
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1207 0454479 42 390.40 $403.20
materials or services itemized thereon for
1207 0454480 42 390.40 $103.00
which charge is made were ordered and
received except
�U
Monday, August 01, 2011
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199°
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))
07/29/11 0454479 Beer $403.2
07/29/11 0454480 Beer $103.0
1 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