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Home My WebLink About223091 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 359290 Page 1 of 1 ONE CIVIC SQUARE MONARCH BEVERAGE CO INC CHECK AMOUNT: $522.00 CARMEL, INDIANA 46032 3737 WALDEMERE AVE INDIANAPOLIS IN 46241 CHECK NUMBER: 223091 CHECK DATE: 8/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 522 . 00 FOOD & BEVERAGES Monarch Beverage Company, Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (3 17) 612-1310 www.monarch-beverage.com www.worldclassbeer.com Permit Numbers W49-08938 * W'49-87358 * IN-P-1983 ----------------------------------------------------------------- INVOICE 2888199 CUSTOMER B9924 08/16/13 10:55A14 PAYMENT TERMS: COD Sold By John Burney Deliver To Delivered By Route 5040 Brookshire Golf Club 12120 Brookshire Pkwy Carmel, IN, 46032 License RR2903542 Permit Info: Beer #RR2903542 Expires on 07/13/14 Wine #RR2903542 Expires on 07/13/14 Liquor #RR2903542 Expires on 07/13/14 - - --- -- ------------------------------------ -------- —De-li--'L ---d--Goo- ds MBC- Item Pack UNet Qty Coors Light 6 Pk Can 20600 CB 17.80 10 178.00 Lite 6 Pk Can 10100 CB 17.80 10 178.00 New Belg Fat Tire 2/12pk 40215 CB 27.50 4 110.00 12oz CAN Samuel Adams Octoberfest 43263 CB 28.00 2 56.00 2/12 cans Total [MBC] 522.00 26 522.00 Total Delivered 522.00 26 522.00 2i1;k?d-U1 2-[dQQ------------------------------------------------------ (disc $30 Empty Keg Return 31164 RE 0.00 -2 0.00 30.00DPST -60.00 Total Picked Up [MBC] 0.00 -2 -60.00 Total Picked Up 0.00 -2 -60.00 ------------------------------------------------------------------ REVIEW INVOICE Total Less Deposits 522.00 Total Deposits Collected 0.00 Total Deposits Redeemed -60.00 $462.00 Total Tax 0.00 Invoice Total 462.00 ------------------------------------------------------------------ Delivery discrepancies on this order Item Pack Ordered Shipped Redd's Apple Ale 12pk can 11039 CB 5 0 ------------------------------------------------------------------ Return discrepancies on this.order Misc $30 Empty Keg Return 31164 RE 0 -2 * Denotes product on back order ------------------------------------- ��1 j Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF $ CITY OF CARMEL i 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 Board Members Date Number (or note attached invoice(s) or bill(s)) hereby certify that the attached invoice(s), or 08/16/13 2888199 Beer $462.00 bill(s) is (are) true and correct and that the 08/23/13 2901714 Beer $633.60 materials or services itemized thereon for which charge is made were ordered and received except Friday, August 23, 2013 Director, B okshire Golf Club Title I I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance I with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. Monarch Beverage Inc. 9347 E. Penleton Pike Indianapolis, IN 46236-0000 $1,095.60 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT r � 1207 2888199 42-390.40 $462.00 1207 2901714 42-390.40 $633.60 Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Monarch Beverage Inc. IN SUM OF $ 9347 E. Penleton Pike Indianapolis, IN 46236-0000 $1,095.60 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 2888199 42-390.40 $462.00 1 hereby certify that the attached invoice(s), or 1207 2901714 42-390.40 $633.60 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 23, 2013 i Director, B okshire 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)) 08/16/13 2888199 Beer $462.00 08/23/13 2901714 Beer $633.60 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