173952 06/24/2009 f 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: $481.00
INDIANAPOLIS IN 46241
CHECK NUMBER: 173952
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 481.00 FOOD BEVERAGES
r�
MONARCH BEVERAGE CO. INC.
PERMIT stW'491mim INP1983
3737 Q.01-ML ROAD
INDIANAPOLIS, IN 46241 0000
(317)612-1310
Acc8unt 89924 License R2903542 Time: 11:32
AZ GOLF MANAGEMENT CORP. Invoiced: 0563777 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 06- 25.2009
BROOKSHIRE PKWY Terms B.COD /W,CHARGE
CARMEL, IN 46032-0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 T. WEBSTER 16
11EM# WTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 10 COORS LT 07199031600 16.05 0.00 0.00 160.50
24 LSE CAN
10110 14 LITE 03410057306 16.00 0.00 0.00 224.00
24 LSE CAN
Cases: 24 Beer$: 384.50 Content$: 384.50
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 54.0
Total Sales 384.50
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 384.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0563777 Cash /Check 384.50
0563778 Cash /Check 96.50
Total Cash /Check 481.00
PAYMENT TYPE AMOUNT
Check# 5 481.00
r,�r osetl��r 3tl4.5G
Customer's Signature Driver's Signature
`Yuur signature is acceptance that a I I the product listed above was received
and delivered in good condition"
"Drivers cannut pickup product unless proper pickup Lunn has been completed.
Not Responsible fur shortage ur breakage at ter merchandise is dellvot,.d and
accepted
VALID
MONARCH BE: AGE CO. INC.
PERM II a13rs
3731 A 'HE ROAD
INDIANAPU:.,a, IN 46241 -0000
(317)617-1310
Account 89924 I ..ense R2903542 Time: 11:33
AZ GOLF MANAGEMENT CORP. Invoice✓✓: 0563778 PO#
BR(�OKSHIRE GOLF CLUB Load 4040 Date: 06-25-2009
li:IRr220 BROOKSHIRE PKWY lerms B.CODlW.CHARGE
CARMEL, IN 46032 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 T. WEBSTER 16
IfEM# UTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 41.00 0.00 30.00 71.00
LITE 114 BBL
24569 1 SAM ADAMS KEG U0O00000000 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$: 96.50
Btis: 0 Wine$: 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 96.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0563777 Cash/Check 384.50
0563778 Cash/Check 96.50
Total Cash/Check 481.00
PAYMENT TYPE AMOUNT
Check# 5 481.00
IrrvM: OSU 3 "1'i'1 fb V. '.0
I I n v1: u563�'ib v6. :U
Customer's Signature Driver's Signature
"Your signature is acceptance that alIthe piuducl listed abuve was Ieceived
and delivered in good condil un"
"Drivers cannul pickup pruducl unless pruper pickup furm has been .�upleled.
"Not Respunsible fur shurlaye or breakage after merchandise is delivered and
accepted`""
VALID
uj
Prescribed by State 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
Purchase Order No.
323 1 IG�7� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
dQo _T7 ZS
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
VOUCHER,110. WARRANT NO.
ALLOWED 20
IN SUM OF
.3 23 7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
jV0 .Jd' .5Z 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
�1 20 d
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund