163685 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA ENTERPRISES BOTTLING CQ ECK AMOUNT: $1,903.75
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE Cfi
CHICAGO IL 60674 CHECK NUMBER: 163685
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMO DESCRIPTION
1047 4239040 3346319804 845.65 FOOD BEVERAGES
1047 4239040 3356310307 1,058.10 FOOD BEVERAGES
r
I
w r a d,
STATEMENT OF ACCOUNT
Refer to: 0095143665
CARMEL CLAY PARKS AND RECREATION
THE MONON CENTER
1411 E 116TH ST
CARMEL IN 46032
i
ber atement Date Page
95143665 02 September 2008 1 of 1
Invoice Invoice Date Due Date Purchase Item Amount
Number Order/ Type due
Reference
Store No. MONON CENTER Sold To 1632600
1195 CENTRAL PARK DR CARMEL IN 46032
3346319804 08/08/2008 09/15/2008 INV 845.65
3351589801 08/08/2008 09/15/2008 INV 192.90 i
3356310307 08/15/2008 09/15/2008 INV 1,058.10 I
3356311304 08/29/2008 09/15/2008 INV 1.267.15
Sub Total 3,363.80
Past Due USD 0.00
Total Amount Due USD 3,363.80
i
Any questions or communications regarding this statement contact:
Tami Maifert
800 441 -3118 3604
NET PRODUCT QTY 33 TOTAL PRODUCI 1,385.20
TOTAL ADJUSTMENTS -477.10
SUB-TOTAL 908.10
TOTAL DEPOSIT 150.00
AMOUNT DUE 1,056.10
oun
380
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slued IFVd
Co N r I i�l1 o
ED
AUG 2 8 2008
A COLA COLA ENTERPRIiES BUl1LER
I NVO I c I3Y:•
SHIP TO: REMIT T0:
MONON CENTER IRI-STAIES COCA -COLA BUTTLING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK OR 2329 PAYSPHERE CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674 -2329
317-243-3771
OU I LEl 1632600 INVOICE# 33563'103(17
ARA 1632600
RTE- 375 DRIVER- 3707 LOAD- ISLO2 SEO- 00004 D A 1 E 08 I 1 5 1 013
DOC# 33563103077 PL- 101 TIME U8:35:24 CHARGE NET 15 PRON
SHELL MLAE 81YR
PALLET BALK I d /lym
Y,BTE PU 2 EHP'TY Q2
Purchase `l
Description
P.O. 1 q o S (P`_e E
G.L.# �Al- L ig3ao4 6
Budget p
Line Descr Co n PAS 5' P� j C?lcl� �5
Purchas Date S
App Date v
F e"
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDIIIUNS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
s
ST PACE
A COCA COLA ENTERPRISES BOITLER
INVOICE PAGE 1 OF 3
SHIP TO:' REMIT TO:
MONON CENIEH IHI- STAIES COCA -UJLA BOTTLING
INDIANAPOLIS SALES CENIER
1195 CENIRAL PARK DR 2329 PAYSPHERE CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674 -2329
317- 243 -3771
C.oU'I 1_1= I 1632600 I NVO I CE# 33563 1 030 7
ARk\1632600
-RTE- 375 DRIVER- 3701 LUC- IS! 02 SEU 110004 OA 1 1= I:u3 15 106
DOC# 33563103077 PL- 101 TIME: 06:35:24 CHARGE NEi 15 PROX
SHELL EEALNICE Sb- 611310$
PALLET BALAW S ?1G0
KATE PU 2 EMPTY CO2
SALES
DESCRIPTION t I'? QIY PRICE Ali J1 RAIE NEI EXIENUED
OASAN 1 -24 Off 11_E CASE
20PET24L DASANI WATER 5063 6 26.60 0874 -12.40 14.20 65.20
SUBTOTAL 6 85.20
2002 IDII_ I' I_S CSC/ W EA NO /OEP
20LSPTSPRPTY SPRITE 4320 7 26.60 0874 7.60 18.60 37.60
2ut.SPETS CNTR CLASSIC 5788 5 26.60 0874 -7.80 18.80 94.00
2ULSPSCTR ZERO COCA COLA 0311 2 26.60 U874 -7.80 18.60 37.60
20LSPETS CNTR DIET COKE 5789 4 26.60 0874 -7.60 18.80 75.20
201-SPEIS VAULT 0347 2 26.60 0874 -7.80 18.80 37.60
SUBTOTAL 15 282.00
201 -JL Pl_ I_S POWEF ?AI'IE NO /i_)EP
20PTLWM POWERADE FPUNCH 5995 1 26.60 0874 -6.50 20.10 20.10
SUBTOTAL 1 20.10
PST BIB -2.SG
BIB /2.5 ZERO COCA COLA 7788 2 45.00 0879 -12.85 32.15 64.30
SUBTOTAL 2 64.30
5GL POSTM I X
81815.00 CLASSIC 7625 2 90.00 11879. -30.50 59.50 119.00
BIB15.00 DIET COKE 7877 4 90.00 0879 -30.50 59.50 236.00
BIB!5.UU SPRITE 7833 1 90.00 0679 -30.50 59.50 59.50
SUBTOTAL 7 416.50
CO2 (FULL)
CO2 CYL 20LB FULL al 8804 2 40.00A698 -20.00 20.00 40.U0
SUBTOTAL 2 40.00
CON 1 1 NUEO
A COCA COLA ENTERP ISES BOTILER
INVOICE PAGE 2 OF 3
SHIP 10: REMIT 10:
MONON CENIER IRI-SIAIES CUCA-COLA BUTTLING
INDIANAPOLIS SALES CENTER
1195 CENIRAL PARK OR 2329 PAYSPHERE CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674 -2329
317 -243.3771
OU I LE I 1632600 1 NVO I CEN 3:356 3 1 f.)3 (I
AR# 1632600
RTE- 375 ORIVER- 3707 LOAD- ISL07. SEQ- 00004 DA I E O13 15 06
DOC# 33563103077 PL- 101 LIME: 06:35:24 CHARGE NET 15 PROX
SHELL BALAIiCE BS- 6/13103
PALLET BALANC I. 3/13118
KATE PO Z EMPTY CO3
OEI'OS I I'S ON SALES
DESCRIPTION ANfp QTY PRICE ADJ# RAIE NEI E;'IENULD
SHELLS 16!20 OZ 0606 15 0.00 <<IMPLIED>> 0.00
CO2 CYL 20LB#1 0804 2 75.00 IMPLIED>> 150.00
SUBTOTAL 17 15C
.r1 ;s h,,
VW
'TOTAL ADJUSTMENTS -364.35 V'
Ott
US
a SUB-TOTAL 695.65
T OT AL
Mr
k
AMOUNT DUE
IS
pas
Vol
CWq
Budgd
a
3.
z s
t
-4. A COCA CO ENIERPHISES 131111 LEH 4
f
INDIANAPOLIS SALES CENIER
1195 ENWAL PARk DH 2329 PAYSPHERE CIRCLE
CARMEL IN 46U32 n a
CHIC 60614 2329
I
AR4 1632600
Fj 8
2
F
k
1 4
PALLET 'Ji(
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20
1 t' ro't xv 5
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ILL UNDEH61GNEII CONFIRMS AURI
10 ]HE HE
x�
4 TO SIGN i r
tN
Wl-
ROUIEPERSON
CUSTOMER
fit,•.- I 'f �i E
71 „�f' �T'' �r ��r� y �',ofs +c�
Y Y 4',. ,T ra"',c',y�" G.
A COCA COLA ENTERPRISES BOTTLER
I NVO ICE PAGE 1 OF 3
SHIP FO: REMIT 10:
MUNUN CENTER IHI-SIAIES CUCA -COLA BOTTLING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PAIIK OR 2329 PAYSPHEHE CIRCLE
CARMEL IN 46032 CHICAGO, IL 6U674 -2329
317.243-3771
1.111 11 -1- 1 16 yr :f;Ou I NVO 111E -ft 33463l`1tSCi <l
AR# 1532600
RiI` .illy JI ?IVLIi 3$''J ISI W SFQ 001)03 IJA fE (1143 /('16 06
DOC# +3463198045 PL- 101 1IME: Oh:55 :11 CH /JiGF NET 15 PROX
SHELL'enlAli4`< 76• nh•tSdd
PALLET [XL IlA G X68
CHARLES 2 C ?t Ra
SALES
UESJ;RIPIIUN ART# Q1Y PINA TJ# RAIL' NO LXIINUEU
ZOPET24L DASANI WAFER 5063 6 26.6U 0874 -12.411 14.20 65.20
SUBTOTAL 6 85.20
20CIZ PE I I_ S C51J W I EA NO /I tEP
20LSPTSPRPTY SPRITE 4320 4 25.60 0874 -7.80 18.80 75 ?0
2ULSPEIS CNIR CLASSIC 5788 5 26.60 0874 -7.8U 18.81) 94.00
201- SPSCIR ZLH6 COLA COLA 0377 2 26.60 0674 7.80 18.8U 37.60
20LSPETS CNIR DIET LUKE 5789 4 26.60 0874 -7.80' 16.80 75.20
20LSPEIS VAULT U347 2 26.60 0874 -7.80 18.80 3 /.61)
SUBIOTAL 17 .319.60
2002 PL= I 1-.S PIJWEF?AIJE NO /IJEP
20PTLA PNERAOL" FPUNCH 5995 1 26.60 0874 -6.50 20.10 2G.10
20PILWM POW MOUNTAIN NA 41135 1 26.60 0874 -6.50 20.10 20.10
SUBTOTAL 2 40.20
PST BIB -2. is
BIB /2.5 VAULT 4072 1 45.01E 0879 -12.85 32.15 32.15
SUBTOTAL 1 32.15
5GL POSTM I)(
818/5.00 CLASSIC 781'„ 2 90.00 0879 -30.50 59.50 119.00
BIB /5.00 SPRITE 7133 1 90.OU 0879 30.50 59.50 59.50
SUBTOTAL 3 178.50
C92 (FULL)
CO2 CYL 20LB FULL #1 8604 2 40.00 0698 -20.00 20.00 40.00
SUBTOTAL 40,00
CON 1 1 NUED
A COCA COLA ENTERPRISES HOTTLER
INVOICE PAGE 2 OF 3
SHIP TO: REMIT 10:
MONON CENTER 1111-STAIES COCA-COLA DOII'I.ING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK OR 2329 PAYSPHI :R1- CIRCLE
CARMEL IN 461;'2 CHICAGO, 11- 60674 -2329
317- 243 -3771
OU (LET "1632600 INVOICE{( 3:3 <i6'S 1`~15114
AR# 1632600
RTE- 375 DRIVER- 3889 LOAD- ISL02 S! -'Q- 1w0U3 A'1 06 106 1 045
DOC #.33463198045 PL- 101 TIME: 08:55:11 CHARGE NET 15 PROX
SHELL SAME 76- SroO@
PALLET BALAII( 1 8/&�iG6
CHARLES 2 (02 FN
DEPOS I I S ON SALI =S
DESCRIPTION ART# QTY PRICE A0,IP, HAIE NET EXIENIJED
SHELLS 16/20 OZ 0606 17 0.00 IMPLIEO>>
CO2 CYL 201-8 #1 0804 2 75.00 <<IMP1IED *0
SUBTOTAL 19
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 3346319804 Beverage Purchase 845.65
8/15/08 3356310307 Beverage Purchase 1,058.10
Total 1,903.75 i
r
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
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
1,903.75
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 3346319804 4239040 845.65 1 hereby certify that the attached invoice(s), or
1047 3356310307 4239040 1,058.10 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
—SE—Pi D,:�O
Signature
1,903.75 Accounts Payable Coord inator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund