HomeMy WebLinkAbout178293 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $41.00
CARMEL INDIANA 46032 3737 WALDEMERE AVE
y4ior7 INDIANAPOLIS IN 46241 CHECK NUMBER: 178293
CHECK DATE: 10114/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 41.00 FOOD BEVERAGES
a
MONARCH BEVERAGE CO. INC.
r PERMIT #W4908938-INP1983
9347 E PENDLETON PIKE
INDIANAPOLIS, IN 46236 0000
(317)612-1310
Account B9924 License R2903542 Time: 10:29
AZ GOLF MANAGEMENT CORP. Invoice 0187172 POa
BROOKSHIRE GOLF CLUB Load 4009 Date: 10 -15 -2009
12120 BROOKSHIRE PKWY Terms B.COD /W.CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846 -7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 41.00 0.00 30.00 71.00
LITE 1/4 BBL
31164 -1 MISC DEP. 01003116400 0.00 0.00 30.00 -30.00
$30 EMPTY KEG
Cases: 0 Beer$: 71.00 Content$: 41.00
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 1 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 7.7
Total Sales 71.00
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 41.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0187172 Cash /Check 41.00
Total Cash /Check 41.00
PAYMENT TYPE AMOUNT
CheckN 3 41.00
1-0: 0187172 41.00
Customer' 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
Prescrib( i by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
I 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
M j k) i2 C tELY? Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�U
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
24/c�A�hl� IN SUM OF
006 0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
a 39U OD 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 d
d
Si ature
v
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund