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HomeMy WebLinkAbout300943 07/25/16 1 p�C4H�l j; iCITY OF CARMEL, INDIANA VENDOR: 361189 , ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SRNNK AMOUNT: $....."*839.52" s _�; CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 300943 ��TON�„� CHICAGO IL 60674 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 3301507117 545.76 FOOD & BEVERAGES 1207 4239040 3331519404 293.76 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) COCA COLA REFRESHMENTS INDPLS SALES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 2329 PAYSPHERE CIRCLE IN SUM OF$ 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. $545.76 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 3301507117 42-390.40 $545.76 1 hereby certify that the attached invoice(s),or 7/14/16 3301507117 Soda $545.76 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday,July 15,2016 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. D COCA COLA REFRESHMENTS INDPLS SALES ALLOWE20 ACCOUNTS YABLEVOUCTTITIPT 2329 PAYSPHERE CIRCLE IN SUM OF$ 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. $293.76 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 3331519404 42-390.40 $293.76 1 hereby certify that the attached invoice(s),or 7/21/16 3331519404 Soda $293.76 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 Friday,July 22,2016 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 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# 3331519404 AR# 1866466 RTE- 376 DRIVER- 3506 LOAD- ISLO1 SEQ- 00004 DATE : 0 7/2 1 /1 6 DOC# 33315194044 PL- 101 TIME: 07:53:06 CHARGE NET 15 PRO% SHELL BALANCE 785- 7/19/16 PALLET BALANC B 7/19/16 SALES DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED 20OZ 24L PET CSD-MM-NT 20LSPTSPRPTY SPRITE 4320 1 36.00 3678 -9.84 26.16 26.16 20LSPETS CNTR CLASSIC 5788 1 36,00 3678 -9.84 26.16 26,16 20LSPETS CNTR DIET COKE 5789 2 36.00 3678 -9.84 26.16 52.32 20LSPETS CNTR CHRY COKE 5790 1 36,00 3678 -9.84 26.16 26,16 SUBTOTAL 5 130.80 ,2OOZ POWERADE ;20PTLWM POWERAOE LL 5994 3 42.00 3704 -18.72 23.28 69.84 '20PTLWM POWERADE FPUNCH 5995 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 20PET8PK PA ZERO MND BRY 7634 1 42.00 3704 -18.72 23.28 23.28 SUBTOTAL 7 162.96 DEP-OS ITS. ON, SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED SHELLS 16/20 OZ 0606 5 0.00 «IMPLIED» 0.00 SUBTOTAL 5 0,00 '- - - - - - - - - - - - - - - • - - - - - - - - - - - - - - - - - - - - - - NET PRODUCT QTY 12 TOTAL PRODUCT 474.00 TOTAL ADJUSTMENTS -180.24 SUB-TOTAL 293.76 0031201550 ------------------- AMOUNT DUE 293 . 76 THE UNDERSIGNED CONFIRMS AGREEMENT TO THE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN. l ROUTEPERSON CUSTOMER