179919 11/30/2009 u. CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL,.JNDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $242.00
INDIANAPOLIS IN 46241
�o CHECK NUMBER: 179919
CHECK DATE: 11/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 242.00 FOOD BEVERAGES
234937.- `i
d Monarch Beverage Co., Inc.
9347 East Pendleton Pike Permit Nos:
Indianapolis, IN 46236 W49 -08938
BROOKSHIRE GOLF CLUB (317) 612 -1310 W49 -87358
e
AZ GOLF MANAGEMENT CORP. IN -P -1983
12120 BROOKSHIRE PKWY DUNS NO. 00-054-0534 DUE DATE 00/00
CARMEL IN 46032 LOAD SALESMAN ACCOUNT NO. INVOICE DATE INVOICE NO.
82903542 317 846 -7431 4001 16 IB9924 12/03!09 39937
5PECIAL INSTRUCTIONS
HAHGk
3E5GRIPTION OC A E fBTLS, CODE RICE;,'
L 1.
:AM ADAMS KEG_ LAGER 316 3B 3L
B 0
242.00 BEER$ .00 WINE$ .00 SODA$ .00 MISC$ 242.00
90.00 DEP$ 152.00 CONT$ 1S. OS GALL
OUNT D ESCRIPT6 LESS
TOTAL
ORSE TROUGH 3 i 2 100. 0 CREDITS
IPTY BARREL 31152 10.00 DRFT TUB 700Z 2 10. 0
UN I NESS GAS 3 i 1 so. 0 PAYMENT
CASH /CHECK
ITY KEG NEW 31164 30.00 AAND PUMP 7 0 7 60. 0
V
U I NESS PUMP 7)0'-':3 120. 0
OVELTY BOX 3 1 9 200. CO
IPTY CASES 31166 1.20
TOTAL CREDIT n
X ti, CUSTOMER'S
SIGNATURE
DRIVER'S SIGNATURE.` YOUR SIGNATURE IS ACCEPTANCE OF ALL
ABOVE ITEMS. PLEASE CHECK CAREFULLY.
CUSTOMER COPY
i
Prgscrted by Stara Board u 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.
ayee
2n1j)9(e tl
y�/�e9' Purchase Order No.
)'•�I 7 f ,Jj�c7 r' llF Terms
yl �pcJ 3�p Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
J
ON ACCOUNT OF.APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
X 07 0? 96 -eld 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 Q
tj
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund