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211153 07/25/2012 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: $290.00 INDIANAPOLIS IN 46241 CHECK NUMBER: 211153 CHECK DATE: 7/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 290 . 00 FOOD & BEVERAGES i Monarch Beverage Company, Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (317) 612-13 10 www.monarch-beverage.com www.worldclossbeer.com Permit Numbers W49-08938 * W'49-87358 * IN-P-1983 ------------------------------------------------------------------- INVOICE 2562142 CUSTOMER 89924 07127112 O9:234 PAYMENT TERMS: COD Sold By Marcella Moremor Deliver To Delivered By Tim Schlegel Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN, 46032 License RR29O3542 Permit Info: Beer #RR29O3542 Expires on 10/13/12 Wine #RR29O3542 Expires on 10/13/12 Liquor #RR29O3542 Expires on 10/13/1 2 ------------------------------------------------------------------- Delivered Goods [MBC] Item Pack UNet Qty Amount Coors Light 24 Lse Can 20610 CB 17.30 10 173.0@ Lite 24 Lse Can 10110 CB 17.30 10 173.0( Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.0( 3O.00DPST 30.0& Total [MBC] 404.00 21 434.0@ Total Delivered 404.00 21 434.0@ _eisk��_1!a_Ld6L1--------------------------------------------------- Misc $30 Empty Keg Return 31164 RE 0.00 -2 0.0E 3O.00DPST -60.0@ Total Picked Up [MBC] 0.00 -2 -60.0( Total Picked Up 0.00 -2 -60.0@ ------------------------------------------------------------------- Received by: Total Less Deposits 404.0& Total Deposits Collected 30.0( Total Deposits Redeemed -60.0( $374.00 Total Tax 0.0( Invoice Total 374.0( Payment -290.0( Due 84.0( Payment breakdown Check #211153 $290.00 ------------------------------------------------------------------ -----------------------------------------ejj--------------------- Return discrepancies on this order Item Pack Ordered Shipper Misc $30 Empty Keg Return 31164 RE 0 ----------------------------------------------------------------- I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. I Monarch Beverage Company, Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (317) 612-1310 www.rnonarch-beverage.corn www.woridclassbeer.com Permit Numbers W49-08938 * W49-87358 * IN-P-1983 ------------------------------------------------------------------- INVOICE 2562038 CUSTOMER B9924 07/20/12 10:34A1 PAYMENT TERMS: COD Sold By Marcella Moremar Deliver To Delivered By Tim Schlegel Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN, 46032 License RR2903544' Permit Info: Beer #RR2903542 Expires on 10/13/1 Wine #RR2903542 Expires on 10/13/1 Liquor #RR2903542 Expires on 10/13/1 ------------------------------------------------------------------- Delivered Goods [MBC] Item Pack UNet Qty Amoun- Coors Light 24 Lse Can 20610 CB 17.30 5 86.51 Heineken 12 Can 30975 CB 27.00 3 81.01 Lite 1/4 Bbl 10180 QK 45.00 1 45.01 30.00DPST 30.01 Lite 24 Lse Can 10110 CB 17.30 4 69.21 Samuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.01 30.00DPST 30.01 Total [MBC] 339.70 14 399.71 Total Delivered 339.70 14 399.71 ------------------------------------------------------------------- Received by: Total Less Deposits 339.71 Total Deposits Collected 60.01 Total Deposits Redeemed 0.01 $399.70 Total Tax 0.01 Invoice Total 399.71 Payment -395.71 Due 4.01 Payment breakdown Check #210960 $395.70 ----------------------------------------------------------------- Delivery discrepancies on this order Item Pack Ordered Shippe Leinenkugel Shandy 2/12con 11069 CB 2 ----------------------------------------------------------------- I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. . Y I.. Monarch Beverage Company, Inc. World Class Beet-, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (3 17) 612-1310 www.monorch-bever•age.com www.wor•ldclassbeer.com Permit Numbers W49-08938 * W49-87358 * IN-P-1983 ------------------------------------------------------------------- INVOICE 2549144 CUSTOMER B9924 07/13/12 11:38AM PAYMENT TERMS: COD Sold By Marcella Moreman Deliver, To Delivered By Tim Schlegel Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN, 46032 License RR29O3542 Permit Info: Beer, #RR29O3542 Expires on 07/13/12 Wine #RR29O3542 Expires on 07/13/12 Liquor #RR29O3S42 Expires on 07/13/12 •------------------------------------------------------------------ Delivered Goods [MBC] Item Pack UNet Qty Amount Coors Light 2/9pk 16oz 20627 CB 16.00 S 80.00 Alum CAN Coors Light 24 Lse Can 20610 CB 17.30 S 86.50 Lite 24 Lse Can 10110 CB 17.30 10 173.00 Total [I-IBC] 351.25 20 339.50 Total Delivered 351.25 20 339.5E eisk��_!p_tu$�1---------------------------------------------------- Misc $30 Empty Keg Return 31164 RE 0.00 -1 0.00 3O.00DPST -30.00 Total Picked Up [MBC] 0.00 -1 -30.00 Total Picked Up 0.00 -1 -30.0, -------------------------------------------------------------------- Received by,: Total Less Deposits 339.50 Total Deposits Collected 0.00 Total Deposits Redeemed -30.00 $309.50 Total Tax 0.00 Invoice Total 309.50 Payment -367.50 Credit -58.00 Your Total Line-Item Discount Savings 11.75 Payment breakdown Check #210628 $367.50 ---------------------------------------------------------------------- Delivery discrepancies on this order Item Pack Ordered Shipped Samuel Adams Lager 1/6 Bbl 24569 QK 1 0 ------------------------------------------------------------------ Return discrepancies on this order Misc $30 Empty Keg Return 31164 RE 0 -1 ------------------------------------------------------------------ I AFFIRM THAT, BY LAW, I AM AUTHORIZED TO PURCHASE AND RECEIVE THE ALCOHOLIC ITEMS ON THIS INVOICE. 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 --------------------------------------------------------------- WOICE 2535726 CUSTOMER 89924 06/29/12 O7:21AM PAYMENT TERMS: COD Sold By Mike Knotts eliver To Delivered By Corey Elliott rookshire Golf Club 2120 Brookshire Pkwy armrel, IN, 46032 License RR29O3542 emit Info: Beer #RR29O3542 Expires on 07/13/12 Wine #RR29O3542 Expires on 07/13/12 Liquor #RR29O3542 Expires on 07/13/12 --------------- -- --------------------------------- ------- elivered Goods MBC- Item Pack UNet Q t Amount oors Light 2/9pk 16oz 20627 CB 16.00 2 32.00 x lum CAN ite 1/4 Bbl 10180 QK 45.00 2 90.00 3O.0ODPST 60.00 ew Belg Fat Tire 2/12pk 40215 CB 27.50 2 55.00 2oz CAN cmuael Adams Lager 1/6 Bbl 24569 QK 58.00 2 116.00 3O.00DPST 60.00 Total [MBC] 297.70 8 413.00 Total Delivered 297.70 8 413.00 irked-dP-1050------------------------------------------------------ d i isc $30 Empty Keg Return 31164 RE 0.00 -2 0.00 /1 3O.00DPST -60.00 Total Picked Up [MBC] 0.00 -2 -60.00 Total Picked Up 0.00 -2 -60.00 --------------------------------------------------------------- eceived by: Total Less Deposits 293.00 Total Deposits Collected 120.00 Total Deposits Redeemed -60.00 $353.00 Total Tax 0.00 Invoice Total 353.Oe Payment -335.0¢ Due 18.Oe Your Total Line-Item Discount Savings 4.7e ayment breakdown heck #210204 $335.00 ------------------------------------------------------------------ ---------------------------------------------------------------- eturn discrepancies on this order IC. Pack Ordered S h i p p e c lisc $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. VOUCHER NO. WARRANT NO. ALLOWED 20 Monarch Beverage Inc. IN SUM OF $ 9347 E. Penleton Pike Indianapolis, IN 46236-0000 $1,053.20 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#1 Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 2535726 42-390.40 ($30.00) 1 hereby certify that the attached invoice(s), or 1207 2549144 42-390.40 $309.50 bill(s) is (are)true and correct and that the 1207 2562038 42-390.40 $399.70 materials or services itemized thereon for 1207 2562142 42-390.40 $374.00 which charge is made were ordered and received except Tuesday, July 31, 2012 4Z� Director, Brooks i 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)) 06/29/12 2535726 Beer ($30.00) 07/13/12 2549144 Beer $309.50 07/20112 2562038 Beer $399.70 07/27/12 2562142 Beer $374.00 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