HomeMy WebLinkAbout203812 11/21/2011 A CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
e pp, ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS
j CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK AMOUNT: $612.56
CHICAGO IL 60674
CHECK NUMBER: 203812
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3346311620 612.56 FOOD BEVERAGES
(Page 1 of 2)
COCA -COLA REFRESHMENTS
I NVO ICE PAGE 1 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA -COLA REFRESHMENTS
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674-2329
317 243-3771
OUTLET 1866466 INVOICE# 3346311620
AR# 1866466
RTE- 375 DRIVER- 3707 LOAD- ISL18 SEQ- 00020 DATE 10/05/11
DOC# 33463116203 PL- 101 TIME: 11:10:31 CHARGE NET 15 PROX
SHELL BALANCE 369- 101KI11
PALLET BALANC 8 16/03i11
DEBBIE
SALES
DESCRIPTION ART# QTY PRIG ADJ# RATE NET EXTENDED
DASANI -24 BOTTLE CASE
20PET24L DASANI WATER 5063 10 34.00 9015 -15.84 18.16 181.60
SUBTOTAL 10 181.60
2002 24L PET CSD�MM-*-NT
20LSPSPRTY DT SPRITE ZRO 4806 2 34.00 9015 -10.64 23.36 46.72
20LSPETS CNTR CLASSIC 5788 4 34.00 9015 -10.64 23.36 93.44
20LSPETS CNTR DIET COKE 5789 4 34 .00 9015 10.64 23.36 93.44
SUBTOTAL 10 233.60
2002 POWERADE
20PTLWM POWERADE LL 5994 2 34.00 9016 -9.33 24.67 49.34
20PTLWN POWERADE FPUNCH 5995 2 34.00 9016 -9.33 24.67 49.34
20PTLWM PARE ORANGE 6938 2 34.00 9016 -9.33 24.67 49.34
20PTLWM POW MOUNTAIN BLA 4035 2 34.00 9016 -9.33 24.67 49.34
SUBTOTAL 8 197.36
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16120 OZ 0606 10 0. <<IMPLIED>> 0.00
SUBTOTAL 10 0.00
CONTINUED
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NVO ICE PAGE 2 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA -COLA REFRESHMENTS
CITY OF CARMEL INDIANAPOLIS SALES (ENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674 -2329
317 243 -3771
OUTLET 1866466 I NVO I CE# 3346311620
AR# 1866466
RTE- 375 DRIVER- 3707 LOAD- ISL18 SEQ 00020 ®ATE 1 0 05 1 1
MC# 33463116203 PL- 101 TIE: 11:10:31 CHARGE NET 15 PROX
SHELL BALANCE 369# 1011
PALLET BALANC 0 1011
DEBBIE
NET PRODUCT QTY 28 TOTAL PRODUCT 952.00
TOTAL ADJUSTMENTS 339.44
SUB -TOTAL 612.56
0031201550
AMOUNT DUE 612.56
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
LAST PAGE
t
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))
10/05/11 3346311620 Pop $612.5
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coca -Cola Refreshments
Indianapolis Sales Center IN SUM OF
2329 Paysphere Circle
Chicago, IL 60674 -2329
$612.56
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 3346311620 42- 390.40 $612.56 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
Tuesday, November 15, 2011
Director, Brooks Vre Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund