209730 06/12/2012 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC
CARMEL, INDIANA 46032 3737 WALDEMERE AVE CHECK AMOUNT: $276.80
INDIANAPOLIS IN 46241 CHECK NUMBER: 209730
CHECK DATE: 6/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 276.80 FOOD BEVERAGES
Monarch Beverage Company, Inc.
World Class Beer, Inc. Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236 ke
(317) 612 -1310 6
www.monarch- beverage.com
www.worldclassbeer.com 3m
Permit Numbers n
W49 -08938 W49 -87358 IN -P -1983
P -1983
INVOICE 2520945 CUSTOMER B9924 06/15/12
PAYMENT TERMS: COD 06/08/12 03:21PM
',old By Mike Knott
Deliver To Delivered By Alex Merkt Sold By Mike Knotts
Brookshire Golf Club ivered By Tire Schlegel
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR290354
License RR2903542
t Permit Info: Beer #RR2903542 Expires on 07/13/1
7 Wine #RR2903542 txpires on 07/13/12 Expires on 07/13/12
Liquor #RR2903542 t: xpires on 07/13/12 Expires on 07/13/12
2 Expires on 07/13/12
Delivered Goods [MBC] Item Pack UNet Qty Amour
ack UNet Qty Amount
Coors Light 2 /9pk 16oz 20627 CB 16.00 5 80.E
Alum CAN B 17.30 12 207.60
Coors Light 24 Lse Can 20610 CB 17.30 10 173.0 16.00 5 80.00
Lite 24 Lse Can 10110 CB 17.30 6 103.83 17.30 8 138.40
K 58.00 1 58.00
Total [MBC] 368.55 21 356.E 30.00DPST 30.00
495.75 26 514.00
Total Delivered 368.55 21 356.E
495.75 26 514.00
Received by: Total Les. Deposits 356.E
,Total Deposits Collected 0.C__-___--__-__---_-
Total Deposits Redeemed 0.Q
$356.80 Total Tax 0.G 0.00 -2 0.00
30.000PST -60.00
Invoice Total 356.8
Payment -276.8 0.00 -2 -60.00
Due 80.Q
Your Total Line -Item Discount Savings 11.7
0.00 -2 -60.00
Payment breakdown
Check #9730 $276.80
less Deposits 484.00
Its Collected 30.00
pits Redeemed -60.00
Total Tax 0.00
invoice Total 454.00
Payment 534.00
avin _1.
:ount Savings 11.75
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
Pack Ordered Shipped
CB 5 0
Misc $30 Empty Keg Return 31164 RE 0 -2
I AFFIRI4 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))
06/08/12 2520851 Beer ($80.00)
06/15/12 2520945 Beer $356.80
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. W NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$276.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 I 2520851 I 42- 390.40 I ($80.00) 1 hereby certify that the attached invoice(s), or
1207 I 2520945 I 42- 390.40 I $356.80 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, June 15, 2012
Director, BrooksWirl Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
o
==Now
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612 -1310
www.monarch- beverage.com
www.worldclassbeer.com
Permit Numbers
W49 -08938 W49 -87358 IN -P -1983
INVOICE 2520851 CUSTOMER 89924 06/08/12 03:21PM
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 #RR2903542 Expires on 07/13/12
Wine #RR2903542 Expires on 07/13/12
Liquor #RR2903542 Expires on 07/13/12
Delivered Goods [MBC] Item Pack UNet Qty Amount
Coors Light 24 Lse Can 20610 CB 17.30 12 207.60
Lite 2/9/16oz Alum 10117 CB 16.00 5 80.00
Lite 24 Lse Can 10110 CB 17.30 8 138.40
Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.00
30.00DPST 30.00
Total [MBC] 495.75 26 514.00
Total Delivered 495.75 26 514.00
eiCh" 12
Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.00
30.00DPST -60.00
Total Picked Up [MBC] 0.00 -2 -60.00
Total Picked Up 0.00 -2 -60.00
Received by: Total Less Deposits 484.00
Total Deposits Collected 30.00
Total Deposits Redeemed -60.00
$454.00 Total Tax 0.00
Invoice Total 454.00
Payment 534.00
Crept_ _•2.�2
Your Total Line -Item Discount Savings 11.75
Payment breakdown
Check #209457 $534.00
Delivery discrepancies on this order Item Pack Ordered Shipped
Coors Light 2 /9pk 16oz Alum CAN 20627 CB 5 0
Return discrepancies on this order
Misc $30 Empty Keg Return 31164 RE 0 -2
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.