HomeMy WebLinkAbout259509 06/14/16 �4nq_
,'� `''F CITY OF CARMEL, INDIANA VENDOR: 361189
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® al ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SANJUK AMOUNT: $'"'•"395.52`
s., _�; CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 259509
9•��roN cod CHICAGO IL 60674 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3356313504 395.52 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
COCA COLA REFRESHMENTS INDPLS SALES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
2329 PAYSPHERE CIRCLE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be property itemized must show:kind of service,where performed,dates service
CHICAGO, IL 60674 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$395.52 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT'# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3356313504 42-390.40 $395.52 1 hereby certify that the attached invoice(s),or 5/25/16 3356313504 Soda $395.52
1207 101 1207 101
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, May 26,2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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# 3356313504
AR# 1866466
RTE- 376 DRIVER- 3707 LOAD- IOF04 SEQ- 00004 DATE: 05 125 1 1 6
DOC#33563135046 PL- 101 TIME: 09:22:23 CHARGE NET 15 PROX
SHELL BRLANa 753- 523/16
BALLET SALK 0 523/16
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
2OOZ 24L PET CSD-MM-NT
20LSPSPRTY DT SPRITE ZRO 4606 1 36.00 3678 -9.84 26.16 26.16
20LSPTSPRPTY SPRITE 4320 1 36.00 3678 -9,84 26,16 26.16
20LSPSCTR ZERO COCA COLA 0377 2 36.00 3678 -9.84 26.16 52.32
20LSPETS CNTR DIET COKE 5789 2 36.00 3678 -9.84 26.16 52.32
20LSPETS FANTA ORANGE 5845 1 36.00 3678 -9.84- 26.16 26.16
20LSPETS BARQS ROOTBEER 5858 1 36.00 3678 -9.84 26.16 26.16
SUBTOTAL 8 209.28
20OZ POWERADE
20PTLWM POWERADE LL 5994 2 42.00 3704 -18.72 23.28 46.56
20PTLWM POWERADE FPUNCH 5995 2 42.00 3704 -18.72 23.28 46.56
20PTLWM PARE ORANGE 6938 1 42,00 3704 -18,72 23.28 23,28
20PLWM PA GRAPE 8042 1 42.00 3704 -18.72 23.28 23.28
20PTLWM POW MOUNTAIN BLA 4035 2 42.00 3704 -18.72 23.28 46.56
SUBTOTAL 8 186.24
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16/20 OZ 0606 8 0.00 «IMPLIED» 0.00
SUBTOTAL 8 0.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 16 TOTAL PRODUCT 624.00
TOTAL ADJUSTMENTS -228,48
SUB-TOTAL 395.52
0031201550 -------------------
AMOUNT DUE 395.52
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
AOUiEPERSQN CUSTOMER