HomeMy WebLinkAbout176572 08/25/2009 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: $224.00
i INDIANAPOLIS IN 46241
CHECK NUMBER: 176572
CHECK DATE: 8/25/2009
DEPAR A CCOUNT PO NUMBER INVO NUMBER AM OUNT DE SCRIPTION
1207 4239040 224.00 FOOD BEVERAGES
i'
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612 -1310
Account 89924 License R2903542 Time: 12:03
AZ GOLF MANAGEMENT CORP. Invoice#: 0133160 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 08- 27-2009
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846 -7431 Salesman: 16 T. WEBSTER 16
ITEM OTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 7 COORS LIGHT 07199031600 16.05 0.00 0.00 112.35
24 LSE CAN
10110 7 LITE 03410057306 16.00 0.00 0,00 112.00
24 LSE CAN
Cases: 14 Beer$: 224.35 Content$: 224.35
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Mlsc: 0 Misc$: 0.00
Gals: 31.5
Total Sales 224.35
Total Credits 0.00 /l0
Total Tax 0.00
INVOICE TOTAL 224.35
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0133160 Cash/Check 224.35 �S
Total Cash/Check 224.35
PAYMENT TYPE AMOUNT
Check# 5 224.35
Im1: 0133160 224..35
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 or 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
,1�2D,y a )my Purchase Order No.
32-57 'nm_ 626 r T(J� Terms
/�J�::7 �1���/ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total CQ
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
ON A COUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
390 -5O 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 G
S'gnatur
Cost distribution ledger classification if le
claim paid motor vehicle highway fund