209457 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
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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