HomeMy WebLinkAbout169726 03/16/2009 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $978.00
CARMEL INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 169726
CHECK DATE: 3/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 978.00 FOOD BEVERAGES
I
MONARCH BEVERAGE CO. INC.
A PERMIT #W4908938
3737 WALDEMERE ROAD
INDIANAPOLIS, IN 46241 -0000
(317)612-1310
Account 89924 ti License R2903542 Time: 11:08
AZ GOLF MANAGEMENT CORP. Invoiced: 0453757 PO#
BROOKSHIRE GOLF CLUB Load 2040 Date: 03 -17 -2009
12120 BROOKSHIRE PKWY Terms B.CODlW.CHARGE
CARMEL, IN 46032-0000 Driver WY LONG,D
(317)846-7431 Salesman: 16 T. WEBSTER 16
ITEM# QTY DESCRIPTION U.P.C. PRICE DISC OEP AMOUNT
10180 2 LITE KEG 03410057154 41.00 0.00 30.00 142.00
LITE 114 BBL
24569 1 SAM ADAMS KEG 00000000000 55.50 0.00 30.00 85.50
LAGER 116 BBL
Cases: 0 Beer$: 227.50 Content$: 137.50
Btls': 0 Wine$: 0.00 Deposit$: 90.00
Kegs: 3 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 20.6
Total Sales 227.50
total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 227.50
PAYMENT
INVOICE# PAYMENT lYF't: AMOUNT
0453756 Cash/Check 750.50
0453757 Cash/Check 227.50
Total Cash/Check 978.00
PAYMENT TYPE AMOUNT
Check# 9726 978.00
Inv1: 0453756 M. Invl: 046360 2[7.50
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
"Drivers cannot pickup product unless pruper pickup form has been cumpleted.
Not Respunsible fur shortage or breakage alter irerchandise is delivered and
accepted
VALID q
MONARCH BEVERAGE CO. INC.
PERMIT #W4908938-INP1983
3737 WALOEMERE ROAD
INDIANAPOLIS, IN 46241-0000
(317)612 -1310
Account :'89924 11 License R2903542 Time: 11:08
AZ GOLF MANAGEMENT•CORP. Invoice#: 0453756 PO#
BROOKSHIRE GOLF CLUB Load 2040 Date: 03-17 -2009
12120 BROOKSHIRE PKWY Terms B.CODlW.CHARGE
CARMEL, IN 46032 -0000 Driver WY LONG,O
(317)846 -7431 Salesman: 16 T. WEBSTER 16
ITEM#. OlY DESCRIPTION U.P.C. PRICE DISC DEP AMOUNT
20610 10 COORS LT 07199031600 16.05 0.00 0.00 160.50
24 LSE CAN
10210 10 GENUINE DRAFT 03410017306 16.00 0.00 0.00 160.00
24 LSE CAN
30975 10 HEINEKEN 07289000020 27.00 0.00 0.00 270.00
12 CAN
10110 10 LITE 03410057306 16.00 0.00 0.00 160.00
24 LSE CAN
Cases: 40 Beer$ 750.50 Content$: 750.50
Btls: 0 Wine$: 0.00 Deposit$: 0.00
Kegs: 0 Soda$: 0.00 Discount$: 0.00
Misc: 0 Misc$: 0.00
Gals: 90.0
Total Sales 750.50
Total Credits 0.00
Total Tax 0.00
INVOICE TOTAL 750.50
PAYMENT
INVOICE# PAYMENT TYPE AMOUNT
0453756 Cash/Check 750.50
0453757 Cash/Check 227.50
Total Cash/Check 978.00
PAYMENT TYPE AMOUNT
Check# 9726 978.00
i,�r. oass�n zzzso
Customer's Signature Driver's Signature
"Your signature is acceptance that allthe product listed above was received
and delivered in good condition"
"Drivers cannot pickup product unless pruper pickup form has been completed...
Nut Responsible for shortage or breakage after merchandise is delivered and
accepted
VALID
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
�i�.U/�eC'lJf9�r Purchase Order No.
-3 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
V24
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
IN SUM OF
J
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
4 202 jg6 .•V6 �Gv 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
i
Si ,V7
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund