243689 03/31/15 0J�% "��p CITY OF CARMEL, INDIANA VENDOR: 361189
jg ® ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SAt1E§K AMOUNT: $•""`•252.00'
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 243689
'+;,iroN CHICAGO IL 60674 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3366193109 252.00 FOOD & BEVERAGES
COCA-COLA REFRESHMENTS
INVOICE
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674-2329
317-243-3771
OUTLET 1866466 INVOICE# 3366193109
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOF05 SEQ- 00008 DATE: 03 125 I 15
DOC#33661931098 PL- 101 TIME: 09:07:15 CHARGE NET 15 PROX
SHELL,BRAKE 648- 3/23/15
PALLET BALAHC 0 3/23/15
KATHY
SALES
DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED
20OZ 24L PET CSD-MM-NT
20LSPSPRTY DT SPRITE ZRO 4806 1 36.00 3673 -10.80 25.20 25.20
20LSPETS CNTR CLASSIC 5788 4 36.00 3673 -10.80 25.20 100.80
20LSPSCTR ZERO COCA COLA 0377 1 36.00 3673 -10.80 25.20 25.20
20LSPETS CNTR DIET COKE 5789 2 36.00 3673 -10.80 25.20 50.40
20LSPETS-CNTR CF OT COKE 5928 1 36.00 3673 -10.80 25.20 25.20
20LSPETS CNTR-CHRY COKE 5790 1 36.00 3673 -10.80 25.20 25.20
SUBTOTAL 10 252.00
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED
SHELLS 16120 OZ 0606 10 0.00 <<IMPLIED>> 0.00
SUBTOTAL 10 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 10 TOTAL PRODUCT 360.00
TOTAL ADJUSTMENTS -108.00
SUB-TOTAL 252.00
0031201550 -------------------
AMOUNT DUE 252-00
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coca-Cola Refreshments
Indianapolis Sales Center IN SUM OF$
2329 Paysphere Circle
Chicago, IL 60674-2329
$252.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 3366193109 I 42-390.40 I $252.00 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
Wednesday, March 25, 2015
Director, Brookshire eVbIf Club
I�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund I
I '
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
03/25/15 I 3366193109 I Soda I $252.00
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