243920 04/08/15 q`! • CITY OF CARMEL, INDIANA VENDOR: 361189
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SAtig§K AMOUNT: S•.'""'124.00•
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 243920
CHICAGO IL 60674 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3366194211 124.00 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# 3366194211
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOF02 SEQ- 00011 DATE :04/03/1 5
DOC# 33661942111 PL- 101 TIME: 12:31:16 CHARGE NET 15 PROX
SHELL BALMCE 658, 4/01/15
PALLET BALANC 0 4/01/15
KATHY
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
20OZ 24L PET CSD-MM-NT
20LSPTSPRPTY SPRITE 4320 1 36.00 3673 -10.80 25.20 25.20
20LSPSCTR ZERO COCA COLA 0377 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
20LSP FUZE ICDT SBRY ROT 7081 1 36.00 3673 -10.80 23.20. 23.20
0066 -2.00
SUBTOTAL 5 124.00
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16/20 OZ 0606 4 0.00 «IMPLIED» 0,00
SUBTOTAL 4 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 5 TOTAL PRODUCT 180.00
TOTAL ADJUSTMENTS -56.00
SUB-TOTAL 124.00
0031201550 -------------------
AMOUNT DUE 124 . 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
$124.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 3366194211 I 42-390.40 I $124.00 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
Monday, April 06, 2015
Director, Brookshire 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))
04/03/15 3366194211 Soda $124.00
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