244681 4 /29/2015 Q
CITY OF CARMEL, INDIANA VENDOR: 361189
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SRk1EGK AMOUNT: $''"'"'480.96'
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 244681
CHICAGO IL 60674 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3366195505 480.96 FOOD & BEVERAGES
COCA-COLA REFRESHMENTS"'' R
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# 3366195505
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOF07 SEQ- 00005 DATE :04/22/1 5
DOC# 33661955055 PL- 101 TIME: 09:01:44 CHARGE NET 15 PROX
SHELL OBLKE 662- 4/20/16
PALLET BBLRNC 8 4/20/16
KATHY
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
20OZ 24L PET CSD-MM-NT
20LSPETS CNTR CLASSIC 5788 2 36.00 3673 -10.80 25.20 50.40
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 DT COKE 5928 2 36.00 3673 -10.80 25.20 50.40
SUBTOTAL - 7- 176.40
20OZ POWERADE
20PTLWM POWERADE FPUNCH 5995 2 42.00 3672 -19.44 22.56 45.12
20PTLWM POW MOUNTAIN BLA 4035 3 42.00 3672 -19.44 22.56 67.68
20PET8PK PA GRAPE 2089 1 42.00 3672 -19.44 22.56 22.56
20PET8PK PA ORANGE 2090 1 42.00 3672 -19.44 22.56 22.56
20PET8PK PA LEMON LIME 2161 2.42.00 3672 -19.44 22.56 45.12
SUBTOTAL 9 203.04
CUPS/LIDS/SLEEVES
CUPS/CS 24Z CCTM PAP1000 8316 1120.00 3787 -61.68 58.32 58.32
LOCS16DPE2 7165 1 70,00 3791 -26.80 43.20 43.20
SUBTOTAL 2 101.52
DEPOSITS ON SALES
DESCRIPTION ART:/ QTY PRICE ADJM RATE NET EXTENDED
SHELLS 16120 OZ 0606 7 0.00 <<IMPLIED» 0.00
SUBTOTAL 7 0.00
- - - - - - - - - - - - - - --- -
NET PRODUCT QTY 18 TOTAL PRODUCT 820.00
TOTAL ADJUSTMENTS -339.04
SUB-TOTAL 480.96
0031201550 -------------------
AMOUNT DUE 480.96
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
$480.96
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1207 I 3366195505 I 42-390.40 I $480.96 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, April 22, 2015
Director, Broo 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))
04/22/15 3366195505 Soda $480.96
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