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Home My WebLink About199881 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1 ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK AMOUNT: $1,345.33 !r CHICAGO IL 60674 CHECK NUMBER: 199881 CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 3336316509 1,345.33 FOOD BEVERAGES COCA -COLA REFRESHMENTS INVOICE PAGE 1 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GOLF CLUB COCA -COLA REFRESHMENTS CITY OF CARREL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARREL IN 460333314 CHICAGO, IL 60674-2329 317.243-3771 OUTLET 1866466 INVOICE# 3336316509 AR# 1865466 RTE- 375 DRIVER- 3707 LOAD- ISL18 SEQ- 00009 DATE 0 7 2 7 1 l DOC# 33363165094 PL- 101 TIME: 09:44:01 CHARGE NET 15 PROX SHELL BALANCE 339- 725/11 PALLET BALANC B 7/25/11 DEBBIE SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED DASANI -24 BOTTLE CASE 20PET24L DASANI WATER 5063 15 34.00 9015 -15.84 18.16 272.40 SUBTOTAL 15 272.40 20OZ 24L PET CSD -MM -NT 20LSPETS CNTR CLASSIC- 5788 2 34.00 9015 -10.64 23.36 46.72 20LSPETS CNTR DIET COKE 5789 2 34.00 9015 -10.64 23.36 46.72 20LSPETS MELLO YELLO 5855 2 34.00 9015 -10.64 23.36 46.72 SUBTOTAL 6 140.16 20OZ POWERADE 20PTLWM POWERADE LL 5994 5 34.00 9016 -9.33 24.57 123.35 20PTLWM POWERADE FPUNCH 5995 5 34.00 9016 -9.33 24.67 123.35 20PTLWM PADE ORANGE 6938 5 34.00 9016 -9.33 24.67 123.35 20PTLWM POW MOUNTAIN BLA 4035 7 34.00 9016 -9.33 24.67 172.69 SUBTOTAL 22 542.74 2.5G BIB BIB12.5 MMAID LHT LMNADE 4751 1 55.00 9015 -14.05 40.95 40.95 BIB12.5 BARQS ROOTBEER 8206 1 55.00 9015 14.05 40.95 40.95 SUBTOTAL 2 81.90 5.OG BIB BIB /5.00 CLASSIC 7825 1105.00 9015 -32.76 72.24 72.24 BIB /5.00 DIET COKE 7827 1105.00 9015 -32.76 72.24 72.24 SUBTOTAL 2 144.48 CUPS AND LIDS (TUBES /CASES) CPCS24ZBPE 7161 2120.00 3586 -57.70 62.30 124.60 LDCS16DPE2 7165 1 70.00 3587 -30.75 39.25 39.25 SUBTOTAL 3 163.85 CONTINUED COCA-COLA REFRESHMENTS INVOICE PAGE 2 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS CITY OF CARREL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARREL IN 460333314 CHICAGO, IL 60674-2329 317 243.3771 OUTLET 1866466 INVOICE# 3336316509 AR# 1866466 RTE- 375 DRIVER- 3707 LOAD- ISL18 SEQ- 00009 DATE 0 7 2 7 1 l DOC# 33363155094 PL- 101 TIME: 09:44:01 CHARGE NET 15 PROX SHELL BALANCE 339 725/11 PALLET BALK D NMI DEBBIE SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED DEPOSITS ON SALES DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED SHELLS 16120 OZ 0606 6 0.00 «IMPLIED» 0.00 SUBTOTAL 6 0.00 NET PRODUCT QTY 50 TOTAL PRODUCT 2,092.00 TOTAL ADJUSTMENTS -746.47 SUB -TOTAL 1,345.53 0031201550 AMOUNT DUE 1,345.53 CONTINUED I1 COCA-COLA REFRESHMENTS INVOICE PAGE 3 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GOLF CLUB COCA -COLA REFRESHMENTS CITY OF CARREL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARREL IN 460333314 CHICAGO, IL 60674-2329 317-243-3771 OUTLET 1866466 INVOICE# 3336316509 AR# 1866466 RTE- 375 DRIVER- 3707 LOAD- ISL18 SEQ 00009 DATE 0 7 12 7 1 1 DOC# 33363165094 PL- 101 TIME: 09:44:01 CHARGE NET 15 PROX SHELL BALANCE 339- 72Si11 PALLET BALANC B 726/11 DEBBIE THE UNDERSIGNED CONFIRMS AGREEMENT TO THE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN. ROUTEPERSON CUSTOMER LAST PAGE VOUCHER NO. WARRANT NO. ALLOWED 20 Coca -Cola Refreshments Indianapolis Sales Center IN SUM OF 2329 Paysphere Circle Chicago, IL 60674 -2329 $1,345-53 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 3336316509 42- 390.40 $1,345.53 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 Wednesday, July 27, 2011 Director, Brook re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 199` ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07/27/11 3336316509 Pop $1,345.5 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