HomeMy WebLinkAbout173459 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
F ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $717.65
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241
CHECK NUMBER: 173459
CHECK DATE: 6/10/2009
DEPA RTMEN T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 717.65 FOOD BEVERAGES
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938- INP1983
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612 -1310
Account B9924 License R2903542 Time: 13:17
AZ GOLF MANAGEMENT CORP. Invoice 0547228 PO#
BROOKSHIRE GOLF CLUB Load 4001 Date: 06- 11-2009
12120 BROOKSHIRE PKWY Terms B.CODlW.CHARGE
CARMEL, IN 46032 -0000 Driver XM HARTLEY,M
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 2 LITE KEG 03410057154 41.00 0,00 30.00 142.00
LITE 1l4 BBL
24569 2 SAM ADAMS KEG 00000000000 55.50 0.00 30.00 171,00
LAGER 116 BBL
Cases: 0 —W Beer$: J 313.00 Content$ 193.00
Btls: 0 Wine$: 0.00 Deposit$: 120.00
Kegs: 4 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 25.8
Total Sales 313.00
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 313.00
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0547228 Charge 313.00
Total Charge 313.00
Total Cash and Check 0.00
Total 313.00
PAYMENT TYPE AMOUNT
Cash 0.00
Total Checks 0.00
Total Collected 0.00
1-0: 0547228 318.0u
Customer's Signature Driver's Signature
"Your signature is acceptance that alllhe product listed above was received
and delivered in good condition"
"Drivers cannul pickup product unless pruper pickup form has been completed.`"
Not Responsible for shortage ur breakage after merchandise is delivered and
accepted
VALID
547905 Monarch Beverage Co., Inc.
3737 Waldemere Road Permit Nos: 't
Indianapolis, IN 46241 W49 -08938
BROOKSHIRE GOLD; C°LUD (317) 612 -1310 W49 -87358
IN -P -1983
AZ GOLD` !`?ANAGEI EP,11T CORP. 000�c�noaa�r�v y
1 2120 BROOKSHIRE PK DUNS NO. 00-054-0534 DUE DATE 0100100
C ARMEL IN 46032 LOAD SALESMAN ACCOUNT NO. INVOICE DATE INVOICE NO.
R x'03542 31 7 X346 -74 ,1 4041. 16 B :?Y24 6/11 r 0�: 547 ?05
SPECIAL_ 1NE3TRUCTIONS TERMS
2 B. COD/W. CHARGE
K E G
D ESCRIPTION LOC, CASE .1'BTL;f CODE PRICE AMOUNT M
COORS LT 24 LSE CAN SIA 720 13: 20610 16. 0 5 206.65
-.aT 24 LSI ktm ii TO: 16 tO11 16..00 256.00
PEW lam
e
2`•s' C ASE 0 KE 0 :BO' T 0 i"I
4.64.65 BEER$ .00 WINE$ 00 SODAS .00 MISC$ 464.65
00 DEP$ 464.6S CONT$ 6 S. 25 CALL
e oo e o o a o al[�j LESS
TOTAL `D 00
1-40R SE T ROUG4•-I 31 10 1. 00 CREDITS f�
7 f iPTY BARREL 3 1 1. 62' i 0 OG DR F T UB '0022 10. 00 Y
GUN I NESS GAS 31181 50. 00 C /CHECK
?9 Y KEG NEW 31I 30 OO HAND PUMP -1 0027 60. 00
GUINE SS PUMP !3:3 120. GO
NOVELTY BOX :3117 200.00 maw
:'MP T Y CASES 311 6 1 20
TOTAL CREDIT ��u�di BGIG�
CUSTOMER'S X
SIGNATURE
IV SIG ATURE YOUR SIGNATURE IS ACCEPTANCE OF ALL
o- e• o o e o o o
TEMS. PLEASE CHECK CAREFULLY.
o a •o o• o• o- o
CUSTOMER COPY
Prescribed by State Mird 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
Z/�/ k� eCN 66-0-i LZ4 C,-� 7i�) C? Purchase Order No.
3 "IU C�� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a
Total 2 "T
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 ACCOUNT OF APPROPRIATION FOR
42n'?
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Y O 4/0 W1, 4 bill(s) is (are) true and correct and that the
�o oZ2 3 9U materials or services itemized thereon for
which charge is made were ordered and
received except
20
Igi 'e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund