164658 10/16/2008 i
^c•, CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA ENTERPRISES BOTTLING CHECK AMOUNT: $588.95
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE
;yC CHICAGO IL 60674 CHECK NUMBER: 164658
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBE A MOUNT DESCRIPTION
1047 4239040 3356313403 588.95 FOOD BEVERAGES
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STATEMENT OF ACCOUNT
Refer to: 0095143665
i
CARMEL CLAY PARKS AND RECREATION 1
THE MONON CENTER
1411 E 116TH ST
CARMEL IN 46032
Customer Number Statement Date Page
II
1
i,
i
95143665 01 October 2008 1 of 1
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Invoice Invoice Date Due Date Purchase Item Amount
Number Order/ Type due
Reference
I
Store No. MONON CENTER Sold To 1632600
1195 CENTRAL PARK DR, CARMEL IN 46032
3351589801 08/08/2008 09/15/2008 INV •-$93 -99.
3356311304 08/29/2008 09/15/2008 INV 4- 2�
3356313403 09/26/2008 10/15/2008 INV 588.95
Sub Total 2,049.00
Past Due USD 1,460.05
Total Amount Due USD 2,049.00
Any questions or communications regarding this statement contact:
Tami Maifert
800.441 -3118 3604
A COCA COLA ENTERPRISES BOT I LER
I NVP (7-EN PAGE 2 OF 2
SHIP TO: REMIT TO:
MONUN CENIER RI-SIAIES LUI:A-COL.A BL, I;
INDIANAPOLIS SALES CEN'll.
1195 CENIHAI. PARK OR 2329 PAYSPHEHE CIRCLE
CARMEL IN 46032 CHICAGO, IL 60674-2329
317-243-3771
OU 1 [-E- 11 16326 0 1 NVO I CE-V '1 3403
AR# 1632600
RIE- 375 URIVER'- 3707 LUAU- 1SI-0 SEQ- 010000 IAA 126 08
110C# 3.563134031 PL- I( TIME: Ub: 11:48 Cl IARGE NEI 15 PROX
-HELL 86L&'ll"E 33. Nl?k
F.,LLET SADHC I 92H/08
APIIDY
NET PRUOUCT UTY 34 IUTtL PRODUCT 904.40
TOTAL ADJUSTMENTS -315.45
SUB -[OTAL 588.95
AW JUN 1 Dtji=- 588 96
Purchase
P.O. i d r IF
Q.L. 0 Ct 0q
bud at ff
DEN['
App i IHF" 1E.N.W5 `0
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ROUTEPERSON CUSTOMER
JL
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LAS-1- PAGE L OCT 0 2 2008
BY:
A COCA COLA ENTERPRISES BOTTLER
NVO 1 C:r_ PAGE 1 OF 2
SHIP TO: REM11 10:
MONON CENTER TRI- SIAILS COCA-COLA BUilLING
INDIANAPOLIS SALES CENTER
1195 CENTRAL PARK DH 2329 PAYSPHERE CIRCLE
CARMEI_ IN 46032 CHICAGO, IL 60674-2329
317-243-3771
OU 11_t -T 163264II 1 1 NVO I CL$t 335631314 lJ3
AR# 1632600
RTE 375 URIVI H 3707 LOAIJ- ISLO3 tiE0 D0OU3 DA T E.: 09 /26 /08
DOC# 33563134031 PL- 101 ]IMF: Ob:11:46 I;HARGE NET 15 PROX
S4ELL 4LAE 93 /H/
NLLET& A f YH s
MrU i4
r
SALES
DESCHIPIION ART# OIY PRICE AIJ# RAZE NEI EXIENUEU
1_IASAN 1 -24* P.C1 I f LL CASE
20PE1Z4L DASANI WATER SU63 15 26.60 0874 -12.10 14.50 217.50
SUBTOTAL. 15 217.50
20OZ PE I L`_7 C:SD W f I_A NO /1]EF''
2OLSPTSPRPTY SPRITE 4320 3 26.60 0874 -7.05 19.55 58.65
2uLSPETS CN1R CLASSIC 5788 6 26.60 0874 -7.05 19.55 117.30
20LSPFIS MR DIET COKE 5769 2 26.60 0874 -7.05 19.55 39.10
201_9ETS CWN CHRY COKE 5790 5 26.60 0874 -7.05 19.5, 97.75
20LSPEIS VAULT 0347 3 26.60 0874 -7.05 19.55 58.65
SUBTOTAL 19 371.45
Ot_POS 1 I S ON SALES
IJESCHIPIION ART# UP PRICE A1!# RAIE NIL EXIENULD
SHELLS 16/20 OZ 06116 19 0.00 W MPLIED>X O.00
SUBTOTAL 19 0.00 3
CONT I WED
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 Purchase Order No. 19075 P
Coca Cola
361189 Tri- States Coca -Cola Bottling Center Date Due
2329 Paysphere Circle
Chicago, IL 60674 -2329
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s))
588.95
9126108 3356313403 Bevera e Purchase
Total 588.95
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
I 361189 Tri- States Coca -Cola Bottling Center
2329 Paysphere Circle
Chicago, IL 60674 -2329 In Sum of
588.95
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 3356313403 4239040 588.95 1 hereby certify that the attached invoice(s), or
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
6 -Oct 2008
Signature
588.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund