172454 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
it ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $320.85
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 172454
CHECK DATE: 5/13/2009
ADEPARTMENT AC COUNT PO NU MBER IN VOICE NUMBE AMOUNT DESCRIPTION
-1207 4239040 320.85 FOOD BEVERAGES
MONARCH tit VERAGE CO. INC.
PERMII #W4908938- INP1983
,3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241.0000
(317)612 -1310
Account 89924 License R2903542 Time: 12:56
AZ GOLF MANAGEMENT CORP. Invoice 0517157 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 05- 14-2009
12120 BROOKSHIRE PKWY Terms B.000 /W.CHARGE
CARMEL, IN 46032.0000 Driver VB PHILLIPPO,C
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP *0UNT
20610 7 COORS LT 07199031600 16.05 0.00 0.00 112.35
24 LSE CAN
10110 7 LITE 03410057306 16.00 0.00 0.00 112.00
24 LSE CAN
Cases: 14 Beer$: 224.35 Content$: 224.35
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 31.5
Total Sales 224.35
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 224.35
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0517157 Cash /Check 224.35
0517158 Cash /Check 96.50
Total Cash /Check 320.85
PAYMENT TYPE AM
Check# 7 20.85
i os�u• za.0
l iv�: 051"!!56 50.50
Customer's Signature Driver's Signature
"Your siipiatuie is acceptance that a I I the piuduct I i s ted above was received
and delivered in good condition`
"Drivers cannut pickup product unless pruper pickup form has been cu'j.11ettd,
Nut Responsible fur shortage or breakaye after weiJhandise is delivered and
accepted
VALID
im 46 241-0000
(317)612-1310
Account 89924 License R2903542 Time: 12:57
AZ GOLF MANAGEMENT CORP. Invoice#: 0517158 PO#
BROOKSHIRE GOLF CLUB Load 4040 Date: 05- 14-2009
12120 BROOKSHIRE PKWY Terms B.CODlW.CHARGE
CARMEL, IN 46032 -0000 Driver UB PHILLIPPO,C
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
10180 1 LITE KEG 03410057154 41.00 0.00 30.00 71A.
LITE 1/4 BBL
24569 1 SAM ADAMS KEG 00000000000 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$: 96.50
Btls: 0 Wine$: 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
0517157 Cash/Check 224.35
0517158 Cash/Check 96.50
Total Cash/Check 320.85
PAYMENT TYPE AMOUNT
Check# 7 320.85
"1'I1 :9 224.55
rnv U5L9150 96.su
P
Customer's Signature Driver's Sig,,ture
"Your signature is acceptance that alllhe product listed above was received
and delivered in good condition'
"Drivers cannut pickup Product unless Piuper PickuP form has been rumpleted.`"
Nut Responsible for shurtaye ur breakaye after merchandise is del :e ml and
accepted
VALID
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
/1 Payee
('.1�{ D!�L' 0'P Purchase Order No.
0j1___WP 1e� D. Terms
rJ 1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 NO. WARRANT NO.
ALLOWED 20
►y A►2L' k ��f'r)
IN SUM OF
J
3a
ON ACCOUNT OF APPROPRIATION FOR
/7 G614"'
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
G 3 96 V6 3.20, 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
c S at
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund