HomeMy WebLinkAbout176082 08/18/2009 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: $308.85
INDIANAPOLIS IN 46241
CHECK NUMBER: 176082
CHECK DATE: 8/1812009
DEPAI TIk ACCOUNT PO NUMBER INVO NUMBE A DESCRIPTION
1207 4239040 308.85 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241-0000
(317)612
Account :89924 License R2903542 Time: 12:28
AZ GOLF MANAGEMENT CORP. Invoice 0124907 PD#
BROOKSHIRE GOLF CLUB Load 4040 Date: 08 -20-2009
12120 BROOKSHIRE PKWY Terms B.CODIW.CHARGE
CARMEL, IN 46032 -0000 Driver VB PHILLIPPO,C
(317)846 -7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 7 COORS LT 07199031600 16.05 0.00 0.00 112.35
24 LSE CAN
10110 10 LITE 03410057306 16.00 0.00 0.00 160.00
24 LSE CAN
Cases: 17 Beer$: 272.35 Content$: 272.35
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 38.2
t Total Sales 272.35
Total Credits 0.00
Total Tax 0.00
INVOICE TOTA 2. 3 5
Cus s Signature
Driver's S ignature
"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
PAYMENT NOT FINAL
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
3737 WkLOEAERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612
Account 89924 License R2903542 Time: 12:29
AZ GOLF MANAGEMENT CORP. Load 4040 4040445 Date: 08-20 -2009
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY Terms B.CODlW.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 114 BBL
24559 1 SAM ADAMS KEG 00000000000 55.50 0.00 30.00 85.50
LAGER 116 BBL
31164 -2 MISC DEP, 01003116400 0.00 0.00 30,00 60.00
$30 EMPTY KEG
Cases: 0 Beer$: 156.50 Content$: 95.50
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 2 Soda$: 0.00 Discount$: 0.00
Misc: 0 (-2) Misc$: 0.00
Gals: 12.9
Total Sales 156.50
Total Credits -60.00
Total Tax 0.00
INVOICE TOTAL 86.50
Ref Voided Invoice# 0124908
C_ust om_er'_ s .__._Signa..__t_ure r -e 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"""
7__
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
Purchase Order No.
Terms
Z /61AX I Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 3 c��
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
i VOUCHER NO. WARRANT NO.
ALLOWED 20
/Lln 3 v2_C' �EL)F- IN SUM OF
3757 LJ Z ,tv, F cc
ON ACCOUNT OF APPROPRIATION FOR
Lo �2 ro o
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I 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
U v 20 D
r
I Sjgnatur
JJ ritle
Cost distribution ledger classification if
claim paid motor vehicle highway fund