246253 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 361189
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SAkI99K AMOUNT: S""`""551.28'
?� CARMEL, INDIANA 46032 2329 CHICAGO ILP ERE CIRCLE CHECK NUMBER: 246253
M,roN�; CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 33GG199810 551.28 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# 3366199810
AR# 1866466'
HTE- 375 DRIVER- 3314 LOAD- IOF08 SEQ- 00010 DATE : 06/1.0/15
DOC# 33661998105 PL- 101 TIME: 09:48:46 CHARGE NET 15 PROX
SHELL BALANCE 679- Bi08i15
PALLET BALANC B 6iBBil5
KATHY
SALES
DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED
20OZ 24L PET CSD-MM-NT
20LSPTSPRPTY SPRITE 4320 1 36.00 3673 -10.80 25.20 25.20
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 1 36.00 3673 -10.80 25.20 25.20 _
20LSPETS CNTR CF OT COKE 5928 1 36.00 3673 -10.80 25.20 25.20
20ISPETS CNTR CHRY COKE 5790 1 36.00-3673 -10,80 25.20 25.20
20LSPETS FANT'A ORANGE 5845 1 36.00 3673 -10,80 25.20 25.20
SUBTOTAL 8 201.60
20OZ POWERADE
20PTLWM POWERAOE LL 5994 1 42.00 3672 -19.44 22.56 22.56
20PTLWM POWERADE PUNCH 5995 3 42.00 3672 -19.44 22.56 67.68
20PTLWM PADE ORANGE 6938 1 42,00 3672 -19.44 22.56 22,56
20PTLWM POW MOUNTAIN BLA 4035 5 42.00 3672 -19.44 22.56 112.80
20PET8PK PA ZERO MXD BRY 7634 1 42.00 3672 -19.44 22.56 22.56
SUBTOTAL 11 248.16
CUPS/LIDS/SLEEVES
CUPS/CS 24Z CCTM PAP1000 8316 1120.00 3787 -61.68 58.32 58.32
LDCS16OPE2 7165 1 70.00 3791 -26,80 43.20 43.20
SUBTOTAL 2 101.52
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED
SHELLS 16120 OZ 0606 8 0,00 <<IMPLIED» 0.00
SUBTOTAL 8 0,00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 21 TOTAL PRODUCT 940.00
TOTAL ADJUSTMENTS -388.72
SUB-TOTAL 551.28
0031201550 -------------------
AMOUNT DUE 551 .28
THE UNDERSIGNED CONF-IRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
Arz
- ---- _ ---
-
i ROUTEPERSON - CUSTOMER
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coca-Cola Refreshments
Indianapolis Sales Center IN SUM OF$
2329 Paysphere Circle
Chicago, IL 60674-2329
$551.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3366199810 I 42-390.40 I $551.28 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, June 10, 2015
Director, Brocksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/10/15 3366199810 Soda $551.28
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