207325 03/21/2012 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
,a CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $741.75
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INDIANAPOLIS IN 46241 CHECK NUMBER: 207325
CHECK DATE: 3/21/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 741.75 FOOD BEVERAGES
i
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612 -1310
www.monarch- beverage.com
www.worldclassbeer•.cnm
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W49 -'-1 ;3932 W4y- 873)8 ]N -P -1983
INVOICE 2450188 CUSTOMER RLr924 03/21/12 02:19Ph
PAYMENT TCRMS: -OD
Sold By Mike Knotts
Deliver To Delivered By Tim Schlegel
Brookshire Golf Club
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR2903542
Permit Info: Beer #RR2 ,)03542 Expires on 07/13/12
Wine #RR2503542 Expires on 07/13/12
Liquor #RR2903542 Expires on 07/13/12
Delivered Goods [MBC] I'i n r c:;
ck UNet Qty Amount
Coors Light 2 /9pk 16oz 20627 CB 18.35 5 91.75
Alum CAN
Coors Light 24 Lse Can 20610 CB 17.30 15 259.5E
Lite 24 Lse Can 10110 CB 17.30 15 259.5E
Lite Lite 1/4 Bbl 10180 QK 45.00 1 45.02
30.00DPST 30.0E
Samuel Adams Lager 1/6 Bbl 1 4569• QK y 58.00 2 116.0E
30.00DPST 60.0E
i
Total Lt-IBC] 776.25 38 861.75
Total Delivered 776.25 38 861.75
eiskrd -un-LU50
Misc $30 Empty Keg Return 31164 RE 0.00 =4 O.Oe
30.00DPST 120.0E
Total Picked Up [MBC] 0.00 -4 120.0E
Total Picked Up 0.00 -4 120.00
Received by: Total Less Deposits 771.75
Total Deposits Collected 90.00
Total Deposits Redeemed 120.00
$741.75 Total Tax 0.00
Invoice Total 741.75
Payment 741.75
Due 0.00
Your Total Line -Item Discount Savings 4.50
Payment breakdown
Check #207325 $741.75
Return discrepancies on this order• Item Pack Ordered Shipped
Misc $30 Empty Keg Return 31164 RE 0 -4
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
Date 3L A Z snit.
Account 39 c> y D 5
Account
Account
Account
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$741.75
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 2450188 I 42- 390.40 I $741.75 1 hereby certify that the attached invoice(s), or
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
Friday, March 23, 2012
Director, Bro shire 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. 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/21/12 2450188 Beer $741.75
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