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CITY OF CARMEL, INDIANA VENDOR: 361189
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SANKK AMOUNT: S......*394.08*
:. ?a CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 247801
CHICAGO IL 60674 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3316231210 394.08 FOOD & BEVERAGES
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COCA-COLA REFRESHMENTS
INVOICE
SHIP TO: REMIT TO:
BROOKSHIRE GULF 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# 3316231210
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOF05 SEQ- 00010 DATE : 0 l/22/ 1 5
DOC# 33162312103 PL- 101 TIME: 10:03:53 CHARGE NEI 15 PROX
SHELL BALANCE 889, 7BBi11
PALLET BALANC B 7/28/11
KATHY VASIL
SALES
DESCRIPTION ART# QIY PRICE ADA RATE NET EXIENUED
20OZ 24L PET CSD-MM-NT
20LSPTSPRPTY SPRITE 4320 1 36.00 3673 -10.80 25.20 25.20
20LSPETS CNTR CLASSIC 5788 1 36.00 3673 -10.60 25.20 25.20
20LSPETS CNTR DIET COKE 5789 2 36.00 3673 -10.80 25.20 50.40
SUBTOTAL 4 100.80
2002 POWERADE
20PTLWM POWERADE LL 5994 3 42.00 3672 -19.44 22.56 67.68
2oPTLWM POWERADE FPUNCH 5995 4 42.00 3672 -19.44 22.56 90.24
20PTLWM PADE ORANGE 6938 2 42.00 3672 -19.44 22.56 45.12
20PTLWM POW MOUNTAIN BLA 4035 4 42.00 3672 -19.44 22.56 90.24
SUBTOTAL 13 293.28
DEPOSITS ON SALES
DESCRIPTION ARI# QIY PRICE AUJ# RAFE NEI EXIENUEU
SHELLS 16/20 OZ 0606 4 0.00 <<IMPLIED» 0.00 °
SUBTOTAL 4 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 17 TOTAL PRODUCT 690.00
TOTAL ADJUSTMENTS -295.92
SUBTOTAL 394.08
0031201550 -------------------
AMOUNT
-----------------
AMOUNT DUE 394 . 08
THE UNDERSIGNED CONFIRMS AGREEMENI
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
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ROUTEPERSON CUSTOMER
t
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))
07/22/15 I 3316231210 I Soda I $394.08
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coca-Cola Refreshments
Indianapolis Sales Center IN SUM OF $
2329 Paysphere Circle
Chicago, IL 60674-2329
$394.08
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3316231210 I 42-390.40 I $394.08— 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, July 22, 2015
r
Director, BroAshirblyolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund