199881 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