175031 07/22/2009 F CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
0 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $325.40
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 175031
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1207 4239040 325.40 FOOD BEVERAGES
MO ARCH BEVERAGE CO --[kC
PERMIT #W4908938-INP1983f
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241'0000
(317)612-1310
Account 89924 License R2903542 Time: 10:50
AZ GOLF MANAGEMENT CORP. nvoice 0594728 PO#
BROOKSHIRE GOLF CLUB /Terms oad 4040 Date: 07 -23 -2009
12120 BROOKSHIRE PKWY B.CODIW.CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846 -1431 Salesman: 16 T. WEBSTER 16
ITEM# OfY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 41.00 0.00 30.00 71.00
LITE 114 BBL
31164 -2 MISC DEP. 01003116400 0.00 0.00 30.00 -60.00
$30 EMPTY KEG
Cases: 0 Beer$: 71.00 Content$: 41.00
Btls: 0 Wine$: 0.00 Deposit$: -30.00
Kegs: 1 Soda$: 0.00 Discount$: 0.00
Misc: 0 -2) Misc$: 0.00
Gals: 7.7
Total Sales 71.00
Total Credits -60.00
Total Tax 0.00
INVOICE TOTAL 11.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0594727 Cash /Check 314.40
0594728 Cash /Check 11.00
Total Cash/Check 325.40
PAYMENT TYPE AMOUNT
Check# 4 325.40
InvY: 11.`;99'1 G'/ 319. 9u
Inv Y: os99'rza u.00
Customer's Signature Driver's Signature
'Yuur signature is acceptance that alllhe product listed above was received
and delivered in good condition"
"Drivers cannot pickup pi uducl unless proper pickup furor has been completed.
Not Responsible for shortage or breakaye after merchandise is delivered and
accepted
VALID
/MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612-1310
Account 89924 License R2903542 Time: 10:50
AZ GOLF MANAGEMENT CORP. Invoice 0594727 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 07-23 -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 8 COORS LT 07199031600 16.05 0.00 0.00 128.40
24 LSE CAN
10110 10 LITE 03410057306 16.00 0.00 0.00 160.00
24 LSE CAN
31906 1 PARROT BAY 08200074118 26.00 0.00 0.00 26.00
MDJITO NR 6
Cases: 19 Beer$: 314.40 Content$: 314.40
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 42.6
Total Sales 314.40
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 314.40
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0594727 Cash/Check 314.40
0594728 Cash/Check 11.00
Total Cash/Check 325.40
PAYMENT TYPE AMOUNT
Check# 4 325.40
.Inv 059492] 114. 40
.lnv 0594925 11.00_
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe pruducl listed above was received
and delivered in good condition"
"Drivels'cannut pickup pt uducl unless pluper pickup furm has been cuirpleled.
Not Respunsible fur shurtage ur breakage after merchandise is delivered and
accepted'
VALID
N
Prescribe&, y St•je Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
�C'Vwaa_ Cio •--De-- Purchase Order No.
WC (Z 1 6 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 40
05N-'1
Total
.40
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
VOUCHER NO. WARRANT NO.
Co ALLOWED 20
IN SUM OF
«V"b Lis
3a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16 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
L) 20 07
$�gnatu e
U
Cost distribution ledger classification if title
claim paid motor vehicle highway fund