308507 02/28/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 361189ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS SAkIKK AMOUNT: S*******377.92*
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK NUMBER: 308507
CHICAGO IL 60674 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3351515113 377.92 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 361189 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
$
COCA COLA REFRESHMENTS INDPLS SALES IN SUM OF CITY OF CARMEL
2329 PAYSP H ERE CIRCLE 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.
CHICAGO, IL 60674
Payee
$377.92
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
3351515113 42-390.40 $377.92 1 hereby certify that the attached invoice(s),or 2/16/17 3351515113 Soda $377.92
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
Tuesday, February 21,2017
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
I NVO ICE PAGE 1 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL 1N 460333314 CHICAGO, IL 60674-2329
317-243-3771
OUTLET 1866466 INVOICE# 3351615113
AR# 1866466
RTE- 376 DRIVER- 3518 LOAD- ISLO1 SEQ- 00013 DATE : 02 1 1 6 / 1 7
DOC# 33515151133 PL- 101 TIME: 12:20:46 CHARGE NET 15 PROX
SHELL BALANCE 797, 2/15/17
PALLET BALANC 0 2/15/17
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
20OZ 24L PET CSD-}Ik+lM-*-NT
20LSPTSPRPTY SPRITE 4320 1 42.00 3924 -15.44 26.56 26.56
20LSPETS CNTR CLASSIC 5788 1 42.00 3924 -15.44 26.56 26.56
20LSPSCTR ZERO COCA COLA 0377 1 42.00 3924 -15.44 26.56 26.56
20LSPETS CNTR DIET COKE 5789 2 42.00 3924 -15.44 26.56 53.12
20LSPETS CNTR CHRY COKE 5790 1 42.00 3924 -15.44 26.56 26.56
20LSPETS PIBB XTRA 5871 1 42,00 3924 -15.44 26.56 26.56
SUBTOTAL 7 185.92
2002 POWERADE
20PTLWM POWERADE LL 5994 2 48,00 3985 -24.00 24.00 48.00
20PTLWM POWERADE PUNCH 5995 1 48.00 3985 -24.00 24.00 24.00
20PTLWM PADE ORANGE 6938 1 48.00 3985 -24.00 24.00 24.00
20PLWM PA GRAPE 8042 1 48.00 3985 -24.00 24.00 24.00
20PTLWM POW MOUNTAIN BLA 4035 2 48.00 3985 -24.00 24.00 48.00
20PET8PK PA ZERO MXD BRY 7634 1 48.00 3985 -24.00 24.00 24.00
SUBTOTAL 8 192.00
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16120 OZ 0606 7 0.00 <<IMPLIED>> 0.00
SUBTOTAL 7 0.00
CONTINUED
INVOICE PAGE 2 OF 2
OUTLET 1866466 INVOICE# 3351515113
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 15 TOTAL PRODUCT 678.00
TOTAL ADJUSTMENTS -300.08
SUB-TOTAL 377.92
0031201550 -------------------
AMOUNT DUE 377 . 92
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
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