250175 10/07/15 ,Coq
`� `"f CITY OF CARMEL, INDIANA VENDOR: 361189
® it ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SRNKK AMOUNT: $......*763.44*
_� CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 250175
+,;,`TON LA` CHICAGO IL 60674 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3386190611 286.56 FOOD & BEVERAGES
1207 4239040 3386191308 476.88 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# 3386190611
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOFO8 SEQ- 00011 DATE : 09/23 I 15
DOC# 33861906114 PL- 101 TIME: 08:11:32 CHARGE NET 15 PROX
SHELL BALAIICE 710, 9/21/1S
PALLET BALAHC 8 921/15
KATHY
SALES
DESCRIPTION ART# UTY PRICE AUJ# RATE NET EXTENDED
20OZ 24L PET CSD-MM-NT
20LSPTSPRPTY SPRITE 4320 2 36.00 3673 -10.80 25.20 50.40
20LSPETS CNTR CLASSIC 5788 2 36.UO 3673 -10.80 25.20 50.40
20LSPETS CNTR DIET COKE 5789 2 36.00 3673 -10.80 25.20 50.40
SUBTOTAL 6 151.20
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 22.55
20PTLWM POW MOUNTAIN BLA 4035 1 42.00 3672 -19.44 22.56 22.56
20PET6PK 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
SUBTOTAL 6 135.36
DEPOSITS ON SALES
DESCRIPTION ART# QlY PRICE ADJ# RATE NET EXIENDED
SHELLS 16120 OZ 0606 6 0.00 <<IMPLIED» 0.00 1
SUBTOTAL 6 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 12 TOTAL PRODUCT 468.00
TOTAL ADJUSTMENTS -181.44
SUB-TOTAL 286.56
0031201550 -------------------
AMOUNT DUE 286 .56
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON - CUSTOMER
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))
09/23/15 3386190611 Soda $286.56
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
IN SUM OF $
Indianapolis Sales Center
2329 Paysphere Circle
Chicago, IL 60674-2329
$286.56
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept.l INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3386190611 I 42-390.40 I $286.56 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 23, 2015
Director, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
COCA-COLA REFRESHMENTS
INVOICE
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENIS
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# 3386191306
AR# 1866466
RTE- 375 DRIVER- 3314 LOAD- IOF05 SEQ- 00008 DATE : 09/30/15
DOC# 33861913086 PL- 101 TIME: 07:05:27 CHARGE NET 15 PROX
SHELL BALKE 718- 9/28/15
PALLET R"( 0 9/28/15
KATHY OE
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXIENDED
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 -1U.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 CHRY COKE 5790 1 36.00 3673 -10.80 25.20 25.20
20LSPETS FANTA ORANGE 5845 1 36.00 3673 -10.80 25.20 25,20
20LSPETS BARQS ROOIBEER 5858 1 36.00 3673 -10.80 25.20 25.20
SUBTOTAL 9 226.80
20OZ POWERADE
20PTLWM POWERADE LL 5994 1 42.00 3672 -19.44 22.56 22.56
2oPTLWM POWERADE FPUNCH 5995 1 42.00 3672 -19.44 22.56 22.56
20PTLWM POW MOUNTAIN BLA 4035 1 42.00 3672 -19.44 22.56 22.56
20PET8P PA ZERO FRT PNCH 1285 1 42.00 3672 -19.44 22.56 22.56
SUBTOTAL 4 90.24
CUPS/LIDS/SLEEVES '
CUPS/CS 24Z CCTM PAP1000 8316 212U.00 3787 -61.68 58.32 116.64
LDCS16DPE2 7165 1 70.00 3791 -26.80 43.20 43.20
SUBTOTAL 3 159.84
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16120 OZ 0606 9 0.00 «IMPLIED>> 0.00
SUBTOTAL 9 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 16 TOTAL PRODUCT 802.00
TOTAL ADJUSTMENTS -325.12
SUB-TOTAL 476.88
0031201550 -------------------
AMOUNT DUE 476 .88
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))
09/30/15 I 3386191308 I Soda I $476.88
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
IN SUM OF $
Indianapolis Sales Center
2329 Paysphere Circle
Chicago, IL 60674-2329
$476.88
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
120 i 3386191308 I 42-390.40 I $476.88 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
Thursday, October 01, 2015
Director, Brookshir off Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund