210077 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1
ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $486.30
i CARMEL, INDIANA 46032 3737 WALDEMERE AVE
INDIANAPOLIS IN 46241 CHECK NUMBER: 210077
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 486.30 FOOD BEVERAGES
VV
s A
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 2535655 CUSTOMER 89924 06/22/12 08:44AI
PAYMENT TERMS: COD
Sold By Mike Knott:
Deliver To Delivered By Tim Schlege'
Brookshire Golf Club
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR290354
Permit Info: Beer #RR2903542 Expires on 07/13/1;
Wine #RR2903542 Expires on 07/13/1,
Liquor #RR2903542 Expires on 07/13/1
Delivered Goods [NIBC] Item Pack UNet Qty Amoun
Coors Light 24 Lse Can 20610 CB 17.30 9 155.7
Heineken 12 Can 30975 CB 27.00 3 81.0
Lite 2/9/16oz Alum 10117 CB 16.00 3 48.01
Lite 24 Lse Can 10110 CB 17.30 7 121.1
New Belg Fat Tire 2/12pk 40215 CB 27.50 5 137.51
12oz CAN
Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.0
30.00DPST 30.0
Total [MBC] 608.35 28 631.3
Total Delivered 608.35 28 631.3
-eitk2d-UQ-1m50
Lite 1/4 Bbl 10180 QK 45.00 -1 -45.0
30.00DPST -30.0
Misc $30 Empty Keg Return 31164 RE 0.00 -1 0.0
30.000PST -30.0
Samuel Adorns Lager 1/6 Bbl 24569 QK 58.00 -1 -58.0
30.00DPST -30.0
Total Picked Up [MBC] 103.00 -3 -193.0
Total Picked Up 103.00 -3 -193.0
Received by: Total Less Deposits 498.3
Total Deposits Collected 30.0
Total Deposits Redeemed -90.0
$438.30 Total Tax 0.0
Invoice Total 438.3
Payment -486.3
Credit -48.0
Your Total Line -Item Discount Savings 7.0
Payment breakdown
Check #210077 $486.30
Delivery discrepancies on this order Item Pack Ordered Shippe
Coors Light 2 /9pk 16oz Alum CAN 20627 CB 3
Return discrepancies on this o
Misc $30 Empty Keg Return 31164 RE 0
V AI
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))
06/22/12 2535655 Beer $438.30
C
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
$438.30
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1207 I 2535655 I 42- 390.40 f $438.30 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, June 22, 2012
Director, Bro shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund