164200 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA ENTERPRISES BOTTLING CHECK AMOUNT: $1,460.05
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 164200
IIOM GO
CHECK DATE: 9/3012008
DEPA RTMENT ACCOU P O NU INV NUM AMOUN D ESCRIP TI ON
1047 4239040 3351589801 192.90 FOOD BEVERAGES
a 1047 4239040 3356311304 1,267.15 FOOD BEVERAGES
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A COCA COLA ENTERPRISES BOTTLER
I NVO I CE PAGE 1 OF 1
SHIP TO: REMIT TO:
MONON CENTER TRI- STATES COCA -COLA BOTTLING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK OR 2329 PAYSPHERE CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674 -2329
317- 243
OUTLET 16326 INVOI 3351589801
AR# 1632600
RTE- 375 DRIVER- 3884 LOAD- SESNN SEQ 00001 DATE Q8 O8 f 08
DOC# 33515898014 PL- 101 TIME: 13:46:44 CHARGE NET 15 PROX
SHELL BALANCE 781 8/07
PALLET BALK 1- 8/07/08
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
PST B,IaB -2.5G
BIB/2.5 MMAID LEMONADE 8037 6 45.00 0879 -12.85 32.15 192.90
:SUBTOTAL 6 192.90
NET PRODUCT QTY 6 TOTAL PRODUCT 270.00
TOTAL ADJUSTMENTS -77.10
SUB-TOTAL 192.90
AMOUNT DUE 192.90
i C~ FIVFD
THE UNDERSIGNED CONFIRMS AGREEMENT S E P 2 5 2008
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN. r-=y
Purchase ry t,
Description l c® oyi -Cc,
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ROUTEPERSON CUSTOMER Pum- a Date
App Date
LAST PAGE
A COCA COLA ENTERPRISES BOTTLER
NVO ICE PAGE 2 OF 2
SHIP TO: REMIT TO:
MONON CENTER TRI- STATES COCA-COLA BOTTLING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK IN CHICAGO VSPHER
60674�2329
CARMEL
317
OUTLET 1632600 I NVOICE# 3356311304
AR# 1632600
RTE 375 DRIVER 37 07 101�TIMEL0307:45:58OCHARGE4 D NETTS PRO 29 OS
DOC# 33563113043 PL
SHELL WIJCE 62 $/27/08
PPLLET BRL811C 1. 8/27/08
WE
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16120 OZ 0606 31 o oo I MPL I ED>> o 000
SUBTOTAL 31
NET PRODUCT QTY 56 TOTAL PRODUCT 1,925.20
TOTAL ADJUSTMENTS -658.05
SUB-TOTAL 1,267.15
AMOUNT DUE 1,267.15
1 SEP 2 5 2008
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS I`''
AUTHORIZED TO SIGN.
Pumhm
P -a o_
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era se
ROUTEPERSON CUSTOMER cw Q
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LAST PAGE
I,.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Coca Cola Purchase Order No.
361189 Tri- States Coca -Cola Bottling Center
2329 Paysphere Circle Date Due
Chicago, IL 60674 -2329
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/8/08 3351589801 Beverage Purchase 192.90
8/29/08 3356311304 Beverage Purchase 1,267.15
Total 1,460.05
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Coca Cola Allowed 20
361189 Tri- States Coca -Cola Bottling Center
2329 Paysphere Circle
Chicago, IL 60674 -2329 In Sum of
1,460.05
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 3351589801 4239040 192.90 1 hereby certify that the attached invoice(s), or
1047 3356311304 4239040 1,267.15 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
25 -Sep 2008
Signature
1,460.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund