HomeMy WebLinkAbout173147 06/02/2009 0 W CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
'AA RMaELC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $274.50
INDIANA 46032 3737 WALDEMERE AVE
<.y,. oN ,�o INDIANAPOLIS IN 46241 CHECK NUMBER: 173147
CHECK DATE: 6/2/2009
DEPARTM ACCOUNT PO NUM BER IN VOIC E NUMBE AMO DESCR IPTION
1207 4239040 274.50 FOOD BEVERAGES
f'
ICH BEVERAGE CO. INC.
PERMIT #W4908938-INP1963
I` 3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612-1310
Account 89924 License R2903542 Time; 12:21
AZ GOLF MANAGEMENT CORP. Invoice 0540154 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 06-04 -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# CITY DESCRIPTIUN U.P.C. PRICE DISC DEP AMOUNT
20610 10 C0 LT 07199031600 16.05 0.00 0.00 160.50
LSE CAN
10110 9 Lllt 03410057306 16.00 0.00 0.00 144.00
24 LSE CAN
31164 -1 MISC DEP. 01003116400 0.00 0.00 30.00 -30.00
$30 EMPTY KEG
Cases: 19 Beer$: 304.50 Content$: 304.50
Btls: 0 Wine$: 0.00 Deposit$: -30.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc; 0 -1) Misc$: 0.00
Gals: 42.7
Total Sales 304.50
Total Credits -30.00
Total Tax 0.00
INVOICE TOTAL 274.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0540154 Cash/Check 274.50
Total Cash/Check 274.50
PAYMENT TYPE AMOUNT
Check# 5 274.50
I nvC 0540154
Customer's Signature Driver's Signature
"Your siglrature is acceptance that allthe product listed above was received
and delivered in good condition"
"'Drivers cannot pickup product unless proper pickup form has been cumpleled.
Nut Responsible fur shortage or breakage after merchandise is delivered and
accepted
VALID
Prescribed b� stAte'Boa�rd 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.
P e
Purchase Order No.
Terms
44p4 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 1
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.
64 ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
GDW
Gt
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3qo —qo c�q4.3� 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
Signatu
l Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund