249213 09/09/15 Coq.
CITY OF CARMEL, INDIANA VENDOR: 361189
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SAk1KK AMOUNT: $""'"""'684.56'
f. i4 CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 249213
CHICAGO IL 60674 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3376196605 281.28 FOOD & BEVERAGES
1207 4239040 3376197105 403.28 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# 3376197105
AR# 1866466
RTE- 375 DRIVER- 3334 LOAD- IOF04 SEO- 00005 DATE : 09 102 I 1 5
DOC# 33761971051 PL- 101 TIME: 08:14:28 CHARGE NET 15 PROX
SHELL BALANCE 706 8/31/15
PALLET BALAHC 0 8/31/15
KATHY
SALES
DESCRIPTION ART# OTY PRICE ADJ# RATE NEI EXIENDED
20OZ 24L PET CSD-MM-NT
20LSPTSPRPTY SPRITE 4320 1 36.00 3673 -10.80 25.20 25.20
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
SUBTOTAL 4 100.80
20OZ POWERADE
20PTLWM POWERADE LL 5994 2 42.00 3672 -19.44 22.56 45.12
20PTLWM POWERADE FPUNCH 5995 1 42.00 3672 -19.44 22.56 22.56
20PTLWM PADE ORANGE 6938 2 42.00 3672 -19.44 22.56 45.12
20PLWM PA GRAPE 8042 1 42.00 3672 -19.44 22.56 22.56
20PTLWM POW MOUNTAIN BLA 4035 3 42.00 3672 -19.44 22.56 67.68
20PET8PK PA ZERO MXD BRY 7634, 2 42.00 3672 -19,44 20.56 41.12
0081 -2.00
SUBTOTAL 11 244.16
CUPS/LIDS/SLEEVES
CUPS/CS 24Z CCTM PAP1000 8316 1120.00 3787 -61.68 58.J2 58.32
SUBTOTAL 1 58.32
DEPOSITS ON SALES
DESCRIPTION ART# OTY PRICE AOJ# RATE NEI EXIENDED
SHELLS 16/20 OZ 0606 4 0.00 «IMPLIED» 0.00
SUBTOTAL 4 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 16 TOTAL PRODUCT 726.00
TOTAL ADJUSTMENTS -322.72
SUB-TOTAL 403.28
0031201550 ---------------
AMOUNT DUE 403 .28
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
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))
09/02/15 I 3376197105 I Soda I $403.28
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
$403.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 3376197105 I 42-390.40 I $403.28 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 02, 2015
Director, Brooks w Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
COCA-MLA REFRESH!'cNTS
\,%'r"•'�i• INVOICE_
SHIP T0: REMIT 1'0:
',;BROOKSHIRE GOLF CLUB
COCA-COLA REFRESHMENTS
,$,CITY::OF, CARMEL INDIANAPOLIS SALES CENTER
,12,120:BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
''rICARMEL'. IN 460333314 CHICAGO, IL 60674-2329
It 317-243-3771
,r•1:
OU I LEX *I r1866466 I NVO I CEN 33 76196605
AR# 1866466,,'2.`, 'i
RIE- 375 URIVER {3314 LOAD- IOF24 SEQ- 00005 DA-I-E : 08/26/ 15
DOC# 33761966051,'P,L- 101 MIME: 08:20:10 CHARGE NET 15 PROX
SHELL BALrVCE 762`•BMJ!IS):I
PALLET BALM( 6'4,8 2i,tS1.F
KATHY
1 r,:
SALES
DESCRIFI,I0141i;• ART# UIV PRICE ADJ# RATE NEI EXPENDED
20OZ24L_;PET CSD-•-MM-�-N-1-
20LSPETS CNTR CLASSIC 5788 2 36.011 3613 -10.80 25.20 50.40
20LSPETS CNTR DIET"COKE 5789 2 36.00 3613 -10.80 25.20 50.40
SUBTDTAUt :'(,. 4 100.80
20OZ I?OWERADE
20PTLWM POWERADE Lt, 5994 2 42.110 3672 -19.44 22.56 45.12
20PTLWM POWFRADF.F'?UNCH 5995 2 42..00 36'12 -19.44 22.56, 45.12
2OPTLA PADS`,Of14NGE 6938 1 42.00 3672 -19.44 22.56 22.56
20PTLWM PWMOUNIWIN BLA 4035 2 42.OU 3672 -19.44 22.56 45.12
20PET8PK PA ZCHII MXD BRY 7634 1 42.00 3672 -19.44 22.56 22.56
SUBTOTAL\. j",. 8 180.48
DESCRINI ION DEAR##
ITS
PRICE AAUA A AES NET EXTENDED I
SHELLS 16120 OZ 0606 4 0.00 «IMPLIED» 0.00
SUBTOTAL 4 0.00
A•�„ ,,1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODU0,QTV _'Ir 12 TOTAL PRODUCT 480.00
TOTAL ADJUSTMENTS -198.72
;1.'; SUB-TOTAL 281.28
{ 1
�••:,. 0031201550 -------------------
AMOUNT DUE 281 .28
]HE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
f ?i AUTHORIZED TO SIGN.
,21 `f�th
ROUTEPERSdN (;'rT Ir',.; CUSTOMER J
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))
08/26/15 3376196605 Soda $281.28
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
$281.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3376196605 I 42-390.40 I $281.28 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, August 26, 2015
Director, Brookshire If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund