HomeMy WebLinkAbout170997 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
q 0 CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 170997
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239099 474928 50.00 OTHER MISCELLANOUS
I
474928 Monarch Beverage Co., Inc.
3737 Waldemere Road Permit Nos:
Indianapolis, IN 46241 W49 -08938
(317) 612 -1310 W49 -87358
BROOKSHIRE GOLF CLUB IN -P -1983
AZ GOLF MANAGEMENT CORP_ 1
DUNS NO. 00- 054 -0534
12120 BROOKSHIRE PKWY
LOAD SALESMAN ACCOUNT NO. 1N O1C DAT IN O.
CARMEL IN 46032
A Q d d Q q
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KEGS
T r PTPTT0N T.Or CASE /BTT- (70T)p PRTrP AmnTTNT
DRFT -__CO _2._.REGULA.TOR._ XXXX _1 902.78 50--00 _50. -00
DRAFT.__...SERVI- CES.TI.CK.E.T. #1.45990
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_AP_R 920
BY;
LL
8 0�
0 CAST 0 TKFOS n ROTT 1 MTS(7 0
.00 BEER$ .00 WINE$ .00 SODA$ 50.00 MISC$ 50.00
on nPP9 ro on rn fi r.
LESS
TOTAL
CREDITS
HORSE TROUGH 31182 100.)0 0
MPTY BARREL 31.'62 10 00 DRFT TUB 700 .2 10. )0 PAYMENT
GUNINESS GAS 31181 50. )0 CASH /CHECK
MTY KEG NEW J3164 30 00 HAND PUMP 700 60. 0 0
GUINESS PUMF 700 3 120. 0
NOVELTY BOX 11 9 200. 0 MPTY CASES 1 20
TOTAL CREDIT /��C� 46G�
X CUSTOMER'S X
SIGNATURE
DRIVER'S SIGNATURE YOUR SIGNATURE IS ACCEPTANCE OF ALL
1` 6�R .pRIV E RS CANNOT PICK a ABOVE ITEMS. PLEASE CHECK CAREFULLY.
CUSTOMER COPY
IS
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.
Payee
2�•4 /�1��� Pca' Purchase Order No.
373 7 Gt 46 E Er2F Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 CD
Total ST
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
CD 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
J18 r lan%
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund