159832 05/28/2008 CITY OF CARMEN, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA ENTERPRISES BOTTLING Cp
g 0 CFlECK AMOUNT: $611.80
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE
CHICAGO IL 60674 CHECK NUMBER: 159832
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 3346311001 266.00 FOOD BEVERAGES
1047 4239040 3346311512 345.80 FOOD BEVERAGES
i
I
4 INVOICE PAGE I OF 2
'HIP TO:
REMIT TO:
MUNQN'CENIER WI-SIAIFS CUCA-CULA BUIlLING
INDIANAPOLIS SALES `CENTER
1195 CFNIPAL PARK OR 2329 PAYSPHERF CIRCLE
CARMEL IN 46032 CHICAGO, 11- 60674-2329
317-243-3771
Ou 1 1 NVO I CL--ts 33.1631 1612
AR# 1632600
R 373 DRIVE[?- 3664 LOAM- S1101 SEQ- 00011 UA I E 0/4
ODC# 33463115122 PL- 1111 11 ME: 12:33:25 CHARGE NEI 15 PROX
SHELL Pkwj 16•
r '6L
LET 6RAIC Ct 4/03/6e
IiIEHhEi
SALES
ut Fl"H I P I i UN ANI QIY PRICE AUJ# RAIF NL i UIENL)w
2(juZ v I 1-S S I W /'I F- A NO 111 --P
20LSPISPRIlTY SPRITE 4320 2 26.60 26.611 53.20
201-SPETS CNIR CLASSIC 5788 4 26.60 26.60 106.40
?.[)LSPS"*IR ZEBU COCA COLA 0317 3 26.60 26.60 79.60
20LSPEIS VAULT 0347 4 26.60 26.60 106.40
SUBTOTAL 13 345.80
DEPOS I 'I S ON 'SALES
MSCHIPI ION AR I# Q I Y PH I CE AUJ# H A I I NLI FXIENDFO
SHELLS 16120 OZ 0606 13 0.00 ((IMP!-IFD>> 0.00
SUBTOTAL 13 0.00
CON I I NOED
A COCA COLA ENIERPRISES B011LER
I NVO ICE PAGE 2 OF 2
SHIP ro• REMIT TO:
I IRI -S STATES CULA
MUNIJIN CFNIFH -CULA 00 11 L I NU
INnIANAPULIS SALES CENTER
1195 U-NIRAL PARK UP 2329 PAYSPHI CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674-2.329
317-243
'I I NVID 10- Ff l3zl1i'3 I 121
AR# lli32600
HIF.- 3 3 3669 LOAD- 51101 ISEQ- 0001 1 0 tie
11 1 LIZ
1 1 .111r# lit:6111:022 PL- 101 IIME: 12:33:25 CHARGE NF 1. It Ilquyl
;S•
FfiLLEI k41-( 6
'11ML
NE I PRIJULIC I' Q I Y 13 10W PRONCI 346.80
101AL ADJUSI'MEWS 0.00
SUB TOTAL 345.80
AMOUN )UF 45 e5o
L i
I HE UNUEHSIGNFIJ CON -11IMS 1AG
I U I HE TERMS AND CUNI,'I I I UNS ANO i S
AUIHIJ,.IZEU 10 SIGN.
ROUTEPERSON WSIOMER
LAS I' PAGE
"dam
A COCA COLA ENTERPRISES 801ILER
I NVO I 1 PAGE I OF 2
SHIP 10: REMIT 10:
MONUN CENTER IRI-SIIAILS 'L'tJt'A-1'01,A BIJI[LiNG
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK DR 2329 PAY,;PHI_ NE U X LE
CARMEL
L IN 46032 CHICAGO, IL 60674-73211
317-243-3771
OLYI 16326 0 0 1NV0 11,Etr 33463
AR# 1632600
RTE- 373 DRIVER- 3107 LOAD- S1101 SEQ- woul O-el 10.1 1 iO8
IJOC# 33463110016 PL- 101 TIME: 07,23:43 CHARGE NF. 1 15 ofliX
.xa E1 to 4.
IIDEI-OEL TO 115' HkTRA, Fr'Y V [VEST 8LY1
I It-- Sll?: P I ION till I uiy [IR ICE td)i# HALE Nt-. I EXENUE13
2 Z- I I 1_: L:SI_) W I I L_ A NIJ (-Jl:- P
20I_SPISPRPIY SPRIIE 4320 1 26,60 25.68 ?G 60
?f)I.SPETS CNIR CLASSIC 5786 2 26.60 26.60 ,3.20
201,SPS[:[R ZERO L'(](,A COLA 0377 1 26,60 26.60 26.60
201-SPEIS CNIR Ufl COKE 5789 3 26.Go 26.0 79.80
20 6�1',I J S CNIR CHRY li7 1 '26
"'r, E ?6.130 2.6.
7 1 0LSPETS VAULT 03 2 26.60 25.60 53 20
SUBTOTAL 10 266 00
DI-JDCIS I I'S CIN �ADI—.";
U L S L H I P I I O N mi st u I v PR 1 i.r ;d)jp R4 1 i: NI: I E X I I
SHELLS 16120 OZ 0606 IL) 11 (10 <<IMPLIFIV) 0.60
SUOTOIAL 10 1i ul
7
Cf. I NILA-13
A COCA COLA ENIERPRISFS HOII'LEH
I NVO I l PAGE 2 OF 2
SHIP 10: REMIT TO:
MONON CEN I EH I I? I -SI A I ES ("LIC A CUL A 401 f L I NG
INDIANAPOLIS SALES CENIER
1195 CENTRAL PARK DR 2329 PAYSPHERE Cifllf
CARMIEL IN 46032 CHICAGO, IL 6%74-2329
317-243-3711
I I
I 6_32-1611-10 I N V 0 1 C
AR# 1632600
RIE- 373 DRIVER- 3707 LOAD- S1101 SEU- 000ti1 1 Al E j 0 6
-1111D 33463l1IIU16 PL- 101 TIME: W.23:43 CHARGE NrI 15 PIWX
SMELL R8 .lff 33 4/0% W
MiCiviL OIL TO 1135 cufTPAL w t�* i E'A.j
NET PRU, Q[V 10 IUIAL PRODUCI 266. 00
TOTAL ADJUSTMENIS 0.00
SUB -TOTAL 266.00
AMOtJN L)Ut
00
e,
lu Ck:
0—
IHE UNHILRSIUNE0 CONFIRMS WILL
10 THE TERMS AND CONDITIONS ns
IS
AUIHORIZED TO SIGN.
ROWEPERSON CUSTOMER
LAST PAGE
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.
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
4/11/08 3346311512 Bevera e Purchase 345.80
4/4/08 3346311001 Beverage Purchase 266.00
Total 611.80
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
Vo %icher No. Warrant No.
V -end or t v (41197
Coca Cola Allowed 20
Tri- States Coca -Cola Bottling Center
2329 Paysphere Circle
Chicago, IL 60674 -2329 In Sum of
611.80
ON ACCOUNT OF APPR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 3346311512 4239040 345.80 1 hereby certify that the attached invoice(s), or
1047 3346311001 4239040 266.00 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
23 -Ma 20
g$ 611.80 Bu Mana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund