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HomeMy WebLinkAbout208551 05/02/2012 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1 0 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $173.00 CARMEL INDIANAPOLIS IN 46241 CHECK NUMBER: 208551 CHECK DATE: 5/212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 173.00 FOOD BEVERAGES Monarch Beverage Company, Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (317) 612 -1310 www.monorch- beverage.com www.worldclassbeer.com Permit Numbers W49 -08938 W49 -87358 IN -P -1983 INVOICE 2483769 CUSTOMER 89924 05/04/12 O7:27AM PAYMENT TERMS: COD Sold By Mike Knotts Deliver To Delivered By Tim Schlegel Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN, 46032 License RR2903542 Permit Info: Beer #RR29O3542 Expires on 07/13/12 Wine #RR2903542 Expires on 07/13/12 Liquor #RR29O3542 Expires on 07/13/12 Delivered Goods [MBC] Item Pack UNet Qty Amount Lite 24 Lse Can 10110 CB 17.30 10 173.00 Total [MBC] 173.00 10 173.00 Total Delivered 173.00 10 173.00 Received by: Total Less Deposits 173.00 Total Deposits Collected 0.00 Total Deposits Redeemed 0.00 $173.00 Total Tax 0.00 Invoice Total 173.00 Payment 173.00 Due 0.00 Payment breakdown Check #208551 $173.00 Delivery discrepancies on this order Item Pack Ordered Shipped New Belg Fat Tire 2/12pk 12oz CAN 40215 CB 5 0 I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/04/12 2483769 Beer $173.00 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 Monarch Beverage Inc. IN SUM OF 9347 E. Penleton Pike Indianapolis, IN 46236 -0000 $173.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 2483769 I 42- 390.40 I $173.00 1 hereby certify that the attached invoice(s), or 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 Friday, May 04, 2012 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund