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Home My WebLink About300053 07/12/16 CITY OF CARMEL, INDIANA VENDOR: 361189 ® 1 ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS sAdWK AMOUNT: $*******503.28* CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 300053 MUTON�, CHICAGO IL 60674 CHECK DATE: 07/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 3336489205 596.40 FOOD & BEVERAGES 1207 4239040 3336489206 -93.12 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) COCA COLA REFRESHMENTS INDPLS SALES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 2329 PAYSPHERE CIRCLE IN SUM of$ CITY OF CARMEL An invoice or bill to be properly 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. $503.28 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 3336489205 42-390.40 $596.40 1 hereby certify that the attached invoice(s),or 6/30/16 3336489206 Soda ($93.12) 1207 101 1207 101 3336489206 42-390.40 ($93.12) bill(s)is(are)true and correct and that the 6/30/16 3336489205 Soda $596.40 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday,June 30,2016 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 20 Cost 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# 3336489206 AR# 1866466 RTE- 376 DRIVER- 3506 LOAD- ISL01 SEQ- 00006 DATE : 06 13 O 11 6 DOC# 33364892068 PL- 101 TIME: 07:53:05 CHARGE NET 15 PROM RETURNS DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED 20OZ POWERADE 20PTLWM PADE ORANGE 6938 4 42.00 3704 -18.72 23.28 -93.12 SUBTOTAL 4 -93.12 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NET PRODUCT QTY -4 TOTAL PRODUCT -168.00 TOTAL ADJUSTMENTS 74.88 SUB-TOTAL -93.12 0031201550 ------------------- AMOUNT DUE -93 . 12 THE UNDERSIGNED CONFIRMS AGREEMENT TO THE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN, ROUTEPERSON CUSTOMER -� COCA-COLA REFRESHMENTS INVOICE HIP T0: REMIT T0: SHIP HIRE GOLF CLUB COCA-COLA REFRESHMENTS CITY OF CARMEL I ND I ANAPOL I S SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674-2329 OUTLET 1866466 INVOICE# 3336489205 AR# 1856466 DOC#33364892050 PL 35o6 101DTIME:ISL07:51:53QCHARGES DATENET 5 PROX6 Z 3 O/1 6 SHELL BALANCE 773- S/H/16 PALLET BALK 0 648i16 SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED 20OZ 24L PET CSD-MM-NT 20LSPETS CNTR CLASSIC 5788 2 36.00 3678 -9.84 26.16 52.32 20LSPETS CNTR CHRY COKE 5790 2 36.00 3678 -9.84 26.16 52.32 20LSPETS PIBB XTRA 5871 1 36.00 3678 -9.84 26.16 13026.16 SUBTOTAL 5 20OZ POWERADE 20PTLWM POWERADE LL 5994 3 42.00 3704 -18.72 23.28 69.84 20PTLWM POWERADE FPUNCH 5995 3 42.00 3704 -18.72 23.28 69,84 20PTLWM PARE ORANGE 6938 4 42.00 3704 -18.72 23.28 93.12 20PTLWM POW MOUNTAIN BLA 4035 4 42.00 3704 -18.72 23,28 93.12 20PET8PK PA GRAPE 2089 2 42.00 3704 -18.72 23.28 46.56 20PETBPK PA ZERO GRAPE 7619 2 42.00 3704 18,72 23.28 46.56 20PET8PK PA ZERO MXO BRY 7634 2 42.00 3704 18.72 23.28 46.56 SUBTOTAL 20 465.60 DEPOSITS ON SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED SHELLS 16120 OZ 0606 5 0,00 «IMPLIED» 0.00 SUBTOTAL 5 0.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NET PRODUCT QTY 25 TOTAL PRODUCT 1,020.00 TOTAL ADJUSTMENTS -423.60 SUB-TOTAL 596.40 0031201550 ------------------- AMOUNT DUE 596 .40 THE UNDERSIGNED CONFIRMS AGREEMENT TO THE TERMS AND CONDITIONS AND IS AUTHOR I ZED TO SIGN, r ROUTEPERSON CUSTOMER - :