HomeMy WebLinkAbout176857 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $66.30
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
o� INDIANAPOLIS IN 46241 CHECK NUMBER: 176857
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1207 4239040 66.30 FOOD BEVERAGES
r�
MONARCH BEVERAGE CO. INC.
°s PERMIT #W4908936-INP1983
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241-0000
(317)612-1310
Account 89924 License R2903542 Time: 10:58
AZ GOLF MANAGEMENT CORP. Invoice 0141667 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 09 -03 -2009
12120.BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITE0x OTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 6 COORS LIGHT 07199031600 16.05 0.00 0.00 96.30
24 LSE CAN
31164 -1 MISC DEP. 01003116400 0.00 0.00 30.00 -30.00
$30 EMPTY KEG
Cases: 6 Beer$: 96.30 Content$: 96.30
Btls: 0 Wine$: 0.00 Deposit$: -30.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 -1) Misc$: 0.00
Gals: 13.5
Total Sales 96.30
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 66.30
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0141667 Cash/Check 66.30
Total Cash/Check 66.30
PAYMENT TYPE AMOUNT
Check# 3 66.30
1-0: 0141667 66.30
Customer's Signature Driver's Signature
'Your signature is acceptance that a I I the pruduct listed above was received
and delivered in good condition"
Driven cannot pickup pruduct unless pruper pickup form has been completed...
Not Responsible for shurtage ur breakage after merchandise is delivered and
accepted
VALID
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
b Purchase Order No.
6M e& Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
91S 0 1 1& &"Z
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
?VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1,2 4 1, 9o- 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
4 20 0
Signat r
/Vl S U
'Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund