210229 07/02/2012 „y o, 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: $442.60
INDIANAPOLIS IN 46241
CHECK NUMBER: 210229
CHECK DATE: 712/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 442.60 FOOD BEVERAGES
Lei a
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(3 17) 612 -1310
www.monarch- beverage.coni
www.worldclassbeer.com
Permit Numbers
W49 -08938 W49 -87358 IN -P -1983
INVOICE 2549022 CUSTOMER 89924 07/06/12 01:46Pk
PAYMENT TERMS: COD
Sold By Marcella Moremar
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 5 86.5E
Leinenkugel Shandy 2 /12con 11069 CB 28.00 3 84.0E
Lite 1/4 Bbl 10180 QK 45.00 1 45.0E
30.00DPST 30.0E
Lite 2/9/16oz Alum 10117 CB 16.00 3 48.0E
Lite 24 Lse Can 10110 CB 17.30 7 121.12
Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.0E
30.00DPST 30.0E
Total [MBC] 449.65 20 502.6E
Total Delivered 449.65 20 502.6E
-eiskfd-U12-jU0C1
Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.0E
30.00DPST -60.02
Total Picked Up [MBC] 0.00 -2 -60.02
Total Picked Up 0.00 -2 -60.02
Received by: Total Less Deposits 442.6E
Total Deposits Collected 60.0E
Total Deposits Redeemed -60.02
$442.60 Total Tax 0.02
Invoice Total 442.62
Payment 442.62
Due 0.02
Your Total Line -Item Discount Savings 7.05
Payment breakdown
Check #210229 $442.60
Return discrepancies on this order Item Pack Ordered Shippec
Misc $30 Empty Keg Return 31164 RE 0 -2
/V
I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE
AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Monarch Beverage Inc.
IN SUM OF
9347 E. Penleton Pike
Indianapolis, IN 46236 -0000
$442.60
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1207 I 2549022 I 42- 390.40 I $442.60 I 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, July 09, 2012
Director, Brooks [We Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/06/12 I 2549022 Beer $442.60
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