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224620 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1 t` ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COICK AMOUNT: $40.35 CARMEL, INDIANA 46032 C/O PAM LISTER CHECK NUMBER: 224620 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 29 . 96 FOOD & BEVERAGES 1207 4239040 2913998 1 . 00 FOOD & BEVERAGES 1207 4239040 OMALIA 9 . 39 FOOD & BEVERAGES Monarch Beverage Company, Inc. World Class Beer, Inc. 9347 East Pendleton Pike Indianapolis, IN 46236 (317) 612-1310 www.monarch-beverage.com www.worldclassbeer.com Permit Numbers W49-08938 * W49-87358 * IN-P-1983 ---------------------------------------------------------------- VOICE 2913998 CUSTOMER 89924 09/13/13 11:52AM PAYMENT TERMS: COD Sold By John Burney liver To Delivered By Andy Ortwein ookshire Golf Club 120 Brookshire Pkwy rmel, IN, 46032 License RR2903542 rmit Info: Beer #RR2903542 Expires on 07/13/14 Wine #RR2903542 Expires on 07/13/14 Liquor #RR2903542 Expires on 07/13/14 i------------- -- ---------------------------------- -Y------- livered Goods MBC- Q Item Pack UNet t Amount ue Moon Belgian White 20757 QK 50.00 �1 50.00 6-KEG 30.00DPST 30.00 ors Banquet 24 Lse Can 20510 CB 17.80 S✓1 17.80 ors Light 2/9pk 16oz 20627 CB 15.90 ✓8 127.20 um CAN ors Light 6 Pk Can 20600 CB 17.80 /12 213.60 rona 2/12 Oz Cans 30770 CB 27.00 V 2 54.00 ineken 12 Can 30975 CB 27.00 ✓2 54.00 te 6 Pk Can 10100 CB 17.80 ✓6 106.80 muel Adonis Octoberfest 24593 QK 59.00 1 59.00 6 KEG 30.00DP$T 30.00 muel Adams Octoberfest 43263 CB 28.00 V 6 168.00 12 cans Total [MBC] 883.20 39 910.40 - Total Delivered 883.20 39 910.40 �k��_Lip_Ld�sl--------------------------------------------------- sc $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 ---------------------------------------------------------------- ceived by: Total Less Deposits 850.48 Total Deposits Collected 60.00 Total Deposits Redeemed -60.00 $850.40 Total Tax 0.00 Invoice Total 850.40 Payment--849,y 0644' , Due 1.00f Your Total Line-I em Discount S '-32.80 yment breakdown eck #224045 $849.40 T---------------------------------------------------------------- ivery discrepancies on this order Item Pack Ordered Shipped muel Adonis Octoberfest 1/6 KEG 24593 QK 2 1 ---------------------------------------------------------------- turn discrepancies on this order sc $30 Empty Keg Return 31164 RE 0 -2 * Denotes product on back order ---------------------------------------------------------------- VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $1.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 2913998 I 42-390.40 I $1.00 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, September 13, 2013 Director, Brookshir olf 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)) 09/13/13 2913998 Monarch Beer $1.00 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer C2 o 117 ii 1: 1261 WI ST. 11':1. IN 86033 51 7)341 372 12 1'R 0 V 'I F- C I-I E F'S I: p x*t A); ,CIO 11.n I- CUSTOMER NUM S 0000008370 SIC 1681 PIR 0 V 1 1'.1 rl 1:-: C I-I E 1: s F: .99—F -A); .00 :11.A L 2.50 i ASH 2.50 :HAN .00 TOTAL �UhBE:R ITEMS SiDu 9/17/13 8: i3 :111 0201. ."1 oo,,[; ]()I YOUR ,):: i(l:R V'S THERESA '2 ON )TILIP 10R1D[:'::j:'i1 TODAY *114 f W3 SFIV INGS **)L1Lj1****-M COLIF'Old I'll. J 3 ;];I/ING!q: .99 TOTFiL SAU[4 1:1 8%) 1; .99 *11"k 11'. A SIFIV:1INGS THANI,', )'1]J,J 1:0f;'! S)HOPPING 1.1 " Im 1,;1 Ll. CHECK LIS OU*f: ittp:/.vwoww omil-i.as.cum WitF t401-1` I'I;zIr!0h Fr;::-h Idea Card ou sav !(j 89 in 2012. lloo.. hitve ;aved 1:;:",4 T in 2013. Miw!Ji Fre<:;h DiEl-'l Card I For all offers. 1hon, i:ioij for t3-10PF-iw) Kirsh! —10 VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $2.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 1207 I O'Malia I 42-390.40 I $2.50 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, September 20, 2013 Director, Brooks e 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)) 09/17/13 O'Malia Food I $2.50 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 T V 1,lA C 1NDIAN11POLIS 1 N. 12:L.tilt SEP 14/13 00-7507 001 CINDY JAOO @ $125 R 24OZ llt$6.25 IMM.25 CROM1210Z BWO.R.7' *TTI. is B .4 59 CASH $10.0 ,-..HANGE 61.511 FOIR lz-:�H*ili�.i�-";--,.",��,�l-, AT ENT-EINIMANNS. I-RAKEFRY GUIET STRE'S. TO er Great food . Low prices . 1217 S. RRNGEL ME R0. 317--896-4818 YOUR-.CASHIER IJf-iS CHERRI BKRY COOKIES PC 2.99 F Sc KROGER SAVINGS 0.51 BKRY COOKIES PC 7.99 F Sc KROGER SAVINGS 1 .00 BKRY COOKIES PC .7.99 F Sc KROGER SAVINGS 1 .00, KROGER PLUS CUSTOMER x-——5393 TAX 0.00 ** * BALANCE 18.97 , 11 diS9 -, THE RD.' ro er Greaf food . Low prices . 1217 S. RANGEL[NE R0. 317--896-9818 YOUR CASHIER Wi1iS CHERRI BKRY COOKIES PC 2.99 F SC KROGER SAVINGS 0.51 BKRY COOKIES PC 7.99 F SC KROGER SAVINGS 1 .00 BKRY COOKIES PC 7.99 L SC KROGER SAVINGS 1 .00 KROGER PLUS CUSTOhF_R xxxxxx*5393 TAX 0.00 **** BALANCE 18.97 021 KROGER 11959 1217 S. RANGEL.TNE RD. CARMEL IN 96032 MASTERCARD Purrhase *x*xx*xxxxxc;670 TOTAL: 18.97 REF#: MAS1tRCARD 18.97 CHANGE 0.00 TOTAL NUMBER OF IIEMS SOLD = 3 xxxxxxxxxxx KROGFR `;AVIPIGS x*xxxxx*x*x KROGER SAVINGS $ 2.51 TOTAL_ SAVINGS (1 1 X) $ 2.51 xxxxxxxxx, KROGER SAVINGS xxx*xx*x*xx 09/13/13 08:17am 959 9 33 120 SEPTEMBER FOEL POINTS REDEEM l 0ol I S ;i1 SAVE .10 PER GAL_. ON ONE PLWi fin i UP TO 35 GAL, SAVE UP TU •I1 ;!ll. AT KROGER OR 10 PER GAL A' , ,}1 1, ON 1 FILL-UP. -------------. _.. ----- ---- -- FUEL. POINTS II-1h; ORDER = 19 FUEL POINTS THIS MONTH = 229 THIS MON HIS POINTS EXPI�*tL 10/31/13, VISIT W(JIa1.KR(JGEIt.I OM/I ll(=1. FOR DETAILS x*jF***xx3r**xx'xxxxx'x*'xx3f'xxxxx**xx****** You Seed $2 . 51 wifh our New Low Prices . BY USING YOUR KROGER PLUS CARD,YOUR ANNUAL SAVINGS TO DATE IS $205.91 THANK YOU FOR SHOPPING KROGER CUSTOMER SERVICE IS EVERYONE'S ,JOB. LET ME KNOW HOW WE ARE DOING. MILL WILLIAMS, MANAGER VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $27.46 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 Kroger 42-390.40 j $18.97 1 hereby certify that the attached invoice(s), or 1207 Entenmanns 42-390.40 $8.49 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, September 16, 2013 Director, Bro shire 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)) 09/13/13 Kroger Cookies $18.97 09/14/13 Entenmanns Bread $8.49 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer CI TALIA #206 4755 E , 126TH ST. CPRMEL, IN 46033 (317)844-4372 "188 BH DELI DRESSING 3.69 F 102 MLD PPR RING 2.85 F 102 MLD PPR RING 2.85 F ;f*;t TAX .00 BAL 9.39 CASH 10.00 CI If)kliE .61 TOTAL IJUr9i3i_R OF ITEMS SOLD = 3 9/22/13 8:5'3 AM 0206 03 0023 117 YOUR CASHIER WAS JACKSON THANK YOU FOR SHOPPING O ' M'ALIA CHECK US OUT : http://www.amallas.com VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF$ $9.39 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I O'Malia I 42-390.40 I $9.39 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 Monday, September 23, 2013 �y Director, Brook 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)) 09/22/13 O'Malia Food $9.39 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