212053 08/21/2012 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: $672.60
INDIANAPOLIS IN 46241 CHECK NUMBER: 212053
CHECK DATE: 8/21/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 672 . 60 FOOD & BEVERAGES
Monarch Beverage Company, Inc.
World Class Beer, Inc.
9347 East Pendleton Pike
Indianapolis, IN 46236
(317) 612-1310
www.monorch-beverage.com
www.worldclassbeer.com
Permit Numbers
W49-08938 * W49-87358 * IN-13-1983
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INVOICE 2586738 CUST014ER 89924 08/24/12 01:39PP
PAYMENT TERNS: COD
Sold By Marcella Moremar
Deliver To Delivered By Alex Merkel
Brookshire Golf Club
12120 Brookshire Pkwy
Carmel, IN, 46032 License RR2903542
Permit Info: Beer #RR2903542 Expires on 10/13/12
Wine #RR2903542 Expires on 10/13/12
Liquor #RR2903542 Expires on 10/13/12
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Delivered Goods [MBC] Item Pack UNet Qty Amouni
Coors Light 2/9pk 16oz 20627 CB 18.35 4 73.4E
Alum CAN
Coors Light 24 Lse Can 20610 CB 17.30 9 155.7@
Heineken 12 Can 30975 CB 27.00 3 81.0E
Lite 1/4 Bbl 10180 QK 45.00 1 45.0E
30.00DPST 30.0E
Lite 24 Lse Can 10110 CB 17.30 10 173.0E
New Belg Fat Tire 2/12pk 40215 CB 27.50 3 82.5E
12oz CAN
Sanuel Adams Lager 1/6 Bbl 24569 QK 58.00 1 58.0E
30.00DPST 30.0E
Total [MBC] 668.60 31 728.6E
Total Delivered 668.60 31 728.6E
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Received by: Total Less Deposits 668.6E
Total Deposits Collected 60.02
Total Deposits Redeemed 0.02
$728.60 Total Tax 0.20
Invoice Total 728.60
Payment -672.60
Due 56.00
Payment breakdown
Check #1234 $672.60
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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
$1,244.80
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 2586623 42-390.40 $516.20 1 hereby certify that the attached invoice(s), or
1207 2586738 42-390.40 $728.60 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, August 24, 2012
Director, Brook ire 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))
08/17/12 2586623 Beer $516.20
08/24/12 2586738 Beer $728.60
I 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