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HomeMy WebLinkAbout209457 06/05/2012 F 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: $534.00 INDIANAPOLIS IN 46241 CHECK NUMBER: 209457 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 534.00 FOOD BEVERAGES O 7 m o �o 3 (D mm `V I N N N Cr Cn O N m P 6 m 03 Q 0 CL N Z D N O N o 3 0 m n C: -p D Cn fD 3 o Monarch Beverage Company, Inc. 0 World Class Beer, Inc. N (D m y 9347 East Pendleton Pike o lD c Indianapolis, IN 46236 cD (3 17) 612 -1310 c 3 D www.monarch- beverage.com N N n www.worldclassbeer.com CL Permit Numbers v O W49 -08938 s W49 -87358 s IN -P -1983 m c -0 C O Z 1 INVOICE 2520851 CUSTOMER 69924 06/ 8/12 03:21PM o °c PAYMENT TERMS: COD cD Sold By Mike Knotts v Deliver To Brookshire Golf Club Delivered By Tim Schlegel N a Q n Cr o D 12120 Brookshire Pkwy =r CD Carmel, IN, 46032 cD m D CD License RR2903542 a 0 o D 00 Permit Info: Beer #RR2903542 Expires on 07113112 O Wine #RR2903542 Expires on 07/13/12 0 0) CD C 3 m Liquor #RR2903542 Expires on 07/13/12 N N n =r m BC CD Delivered Goods M---- a) (D 0 Item Pack UNet Qty Amount O (D CD C Coors Light 24 Lse Can m 20610 CB 17.30 12 207,60 a c o n 00 Lite 2/9/16oz Alum 10117 CB 16.00 5 80. v m =3. m Lite 24 Lse Can 10110 CB 17.30 8 138.40 m Samuel Adams Lager 1/6 Bbl Z co C) 24569 QK 58,00 1 58.00 0 w <p 30.00DPST 30.00 N Total [MBC] 495.75 26 514.00 rn (D z n c Total Delivered 495.75 26 514.00 o ic eitk u tbaL1--------- 3 Q z D o Idisc $30 Empty Keg Return 31164 RE 0.00 -2 0.00 o m 30.00DPST -60.00 a to v Total Picked U Cn P [MBC] 0.00 -2 -60.00 Cn o N Total Picked Up 0.00 -2 -60.00 o Received by: Total Less Deposits 484.00 Total Deposits Collected 30.00 $454 Total Deposits Redeemed -60.00 3c Total Tax 0.00 Invoice Total 454.00 j�� Payment 534.00 Credit -80.00 Your Total Line -Item Discount Savings 11.75 Payment breakdown Check #209457 $534.00 s� z D elivery discrepancies on this order Item pack Ordered Shipped Coors Light 2 /9pk 16oz Alum CAN 20627 Cg w Return discrepancies on a this order Misc $30 Empty Keg Return A 9 31164 RE 0 -2 A 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)) 06/08/12 2520851 Beer $454.00 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 $454.00 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 $454.00 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 Monday, June 11, 2012 director, Brookshire olf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund