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175255 07/28/2009 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: $352.50 INDIANAPOLIS IN 46241 CHECK NUMBER: 175255 CHECK DATE: 7/28/2009 DE PARTMENT ACCOU PO NUMBER INV N UMBER AMO UNT DE SCRIPTI O N 1207 4239040 352.50 FOOD BEVERAGES Monarch Beverage Co., Inc. 3737 Waldemere Road Permit Nos: Indianapolis, IN 46241 W49 -08938 ram BROOKSHIRE GOLF CLUB (317) 612 -1310 N49- 819838 AZ GOLF MANAGEMENT CORP. 12120 BROOKSHIRE PKWY DUNS NO.00- 054 -0534 0 0 CARMEL IN 46032 LOAD SALESMAN C NO. INVOICE DATE INVOICE NO. 2 317 846'- -7 31 4040 16 B99t4 7/30/09 .00777 SPECIAL INSTRUCTIONS TERMS B. COB /W. C ARG KEGS DESCRIPTION -OC :ASE= /BTLS CODE RICE AMOUNT COORS LT 24 LSE C A41201. 10 20 16.OS 160.50 L I._TE_ 24Ls ..r CgN _T__� A .._Q7t<< 1 2 1 �v_ C0 192.00 r_ OEM t�7D 22 CASE 0 KEG'S 0 13077 0 MISC 3S2. SO BEER$ .00 W .00 SODA$ .00 M 3G2.50 .00 DEP$ 3S2.50 CONT$ 49. SO GALL LESS TOTAL HORSE TROUGH 11.'2 100, O CREDITS 1 PTY BARREL 31 62 DRFT TUB OO• :f, 10. 0 PAYMENT lj© GUN I NESS GAS 31 101. 50. 0 CASH /CHECK MTY KEG NEW 3 1164 30.00 HAND PUMP 00 7 60.00 GUI NESS PUMP 700:33 120.00 NOVELTY BOX 311`Y9 200.00 MPTY CASES 11 6 1.20 TOTAL CREDIT G X CUSTOMER'S SIGNATURE DRIVER'S SIGNATURE YOUR §1 NATURE IS ACCEPTANCE OF ALL ABOVE ITEMS. PLEASE CHECK CAREFULLY. CUSTOMER COPY Prescribed by S,alol,wd of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 b�Gl`C ��U�rc�g Q Cc� n L Purchase Order No. Terms )JfL W) �b 27� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Icohol K L�r �s Z' z -scZ) Total 3 S Z 6 1 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 VOUr R NO. WARRANT NO. ALLOWED 20 Co IN SUM OF ON ACCOUNT OF APPROPRIATION FOR 6'0 l Club Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ZO i o 2 7 39ovc, 3sz. s d 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 p i natur Ile Cost distribution ledger classification if claim paid motor vehicle highway fund