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169859 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1 0 ONE CIVIC SQUARE COCA COLA ENTERPRISES BOTTLING CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE ECK AMOUNT: $1,217.90 CHICAGO IL 60674 CHECK NUMBER: 169859 CHECK DATE: 3/18/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB A MOUNT DESCRIPTION 1047 4239040 336313205 1,025.60 FOOD BEVERAGES 1047 4239040 3366313706 192.30 FOOD BEVERAGES (:R C- STATEMENT OF ACCOUNT Refer to: 0095143665 CARMEL CLAY PARKS AND RECREATION THE MONON CENTER 1411 E 116TH ST CARMEL IN 46032 Cust omer Date 95143665 1 04 March 2009 1 1 of 1 Invoice Invoice Date Due Date Purchase Item Amount Number Order/ Type due Reference Store No. MONON CENTER Sold To 1632600 1195 CENTRAL PARK DR CARMEL IN, 46032 3366313205 02/06/2009 03/15/2009 INV 1,012.10 3366313706 02/13/2009 03/15/2009 INV 192.30 3366314803 02/27/2009 03/15/2009 INV 452.20 Sub Total 1,656.60 Past Due USD 0.00 Total Amount Due USD 1,656.60 Any questions or communications regarding this statement contact: Bruce Lint I. A COCA`COLA ENTERPRISES BOTTLER INVOICE PAGE 1 OF 3 SHIP TO: REMIT TO: MONON CENTER TRI-STATES COCA-COLA BOTTLING CARMEL CLAY PARKS RECREATION INDIANAPOLIS SALES CENIER 1195 CENTRAL PARK DR 2329 PAYSPHERE CIRCLE CARMEL IN 45032 CHICAGO, IL 60674 -2329 317-243-3771 OUTLET 1632600 INVOICE# 3366313205 AR# 1632600 RTE- 375 DRIVER- 3707 LOAD- ZZ5B1 SEQ- 00004 DA1 E 02 06 09 DOC# 33663132059 PL- 101 TIME: 08:52:14 CHARGE NET 15 PROX. SHELL BALANCE 15 2/04/09 PALLET BALK 2- 244/09 MICHELLE /PU 2 EMPTY 02 SALES DESCRIPTION ART# QTY PRICE AUJ# RATE NET EXTENDED DASANI -24 BOTTLE CASE 20PET24L DASANI WATER 5063 10 34.00 3544 '18.75 15.25 152.50 SUBTOTAL 10 152.50 16OZ PET LS (NO /DEP) 450ML24L MM ORANGE JCE 4782 3 34.00 1325 -2.00 21,.85 65.55 R 3537 =10.15 450ML24L MM APPLE JCE 4780 2 34.00 1325 -2.00 21.85 43.70 3537 -10.15 SUBTOTAL 5 109.25 20OZ PET LS CSD W /TEA (NO /DEP), 20LSPETS CNTR CLASSIC 5786 2 34.00 3544 -13.55 20.45 40.90 20LSPSCTR ZERO COCA COLA 0377 2 34.00 3544 -13.55 20.45 40.90 20LSPETS CNTR DIET COKE 5789 2 34.00 3544 -13.55 20.45 40.90 20LSPETS CNTR CHRY COKE 5790 2 34.00 3544 -13.55 20.45 40.90 201-SPETS VAULT 0347 2 34.00 3544 -13.55 20.45 40.90 SUBTOTAL 10 204.50 20OZ LS GLACEAU 20PTLWM GLA VWTR MULTI-V 6465 4 34.00 3535 -6.80 27.20 108.80 20PTLWH GLA VWTR XXX 6526 4 34.00 3535 -6.80 27.20 108.80 SUBTOTAL 8 217.60 PST BIB-2.5G BIB/2.5 ZERO COCA COLA 7788 1 55.00 3548 -19.25 35.75 35.75 SUBTOTAL 1 35.75 5GL POSTMIX BIB/5.00 CLASSIC 7825 2105.00 3548 -39.00 66.00 132.00 BIB15.00 DIET COKE 7827 2105.00 3548 -39.00 66.00 132.UO CONTINUED A COCA COLA ENTERPRISES BOIILER INVOICE 'PAGE 2 OF 3 SHIP TO: REMIT TO: MONON CENTER TRI-STAIES COCA-COLA BOTTLING CARMEL CLAY PARKS RECREATION INDIANAPOLIS SALES CENTER 1195 CENTRAL PARK OR 2329 PAYSPHERE CIRCLE CARMEL IN 46032 CHICAGO, IL 60674-2329 317- 243 -3771 obTLET 1632600 INVOICE# 3366313205 AR# 1632600 RTE-• ,,375 DRIVER- 3707 LOAD- ZZ5B1 SEQ- 00004 DATE 02 1,06 1 09 DOC# 33663132059 PL- 101 TIME: 08:52:14 CHARGE NET 15 PROX SHELL BALANCE IS- 1/04/09 PALLET BALAMC 2- 2/0449 MICHELLE /PU 2 EMPTY CO2 SALES DESCRIPTION ART# QTY PRICE AUJ# RATE NET EXTENDED SUBTOTAL 4 264.00 CO2 (FULL) CO2 CYL 20LB FULL #1 8804 2 40.00 3289 -19.00 21.00 42.00 SUBTOTAL 2 42.00 DEPOSITS ONISALES DESCRIPTION ART# QTY PRICE AOJ# RATE NEI EXTENDED SHELLS 16120,OZ. 0606 10 0.00 IMPLIED>> 0.00 CO2 CYL 20LB #1 0804 2 75.00 <<IMPLIED>> 150.00 SUBTOTAL 12 150.00 DEPOSITS ON RE I URNS UESCHIPIIUN AHI# UIY PRICE ADJ# HAIE NET EXTENDED CO2 CYL 20LB #1 0604 2 75.00 <<REIUHNED:> 150.00 SUBTOTAL 2 -150.00 CONTINUED A COCA COLA ENIERPHISES DOIILER INVOICE PAGE 3 OF 3 SHIP TO: REMIT TO: MUNON CENIEH TRI-SIAIES CUCA-COLA 8UIILING CARMEL CLAY PARKS HECHEAIION INUTANAPOLIS SALta CENIEH 1195 CENTRAL PARK OR 2329 PAYSPHERE CIRCLE CARMEL IN 46032 CHICAGO, IL 60674 -2329 317-243 -3771 UU I I_L I 16;/1[/1 -I 1_I I NVO 11 :1 33f�ti3'13�115 AR# 1632600 MIL 375 URIVt_H- 3107 Lfu- ZZ DI SEQ- (10004 UA I I 1 -12 /06 /09 D01:# 33663132059 PI 101 TIME: 06:52:14 CHANGE NEI 15 PHOX SHELL BALnU IS- UO;49 PALLET BkAiii ZN4/6 MICHELLE /PU 2 EMPTY CO2 NET PRUUUCI UIY 40 TOTAL PHODUCI 1,61/.00 IOfAL ADJUSTMENTS -651.40 SUB-TOTAL 1,025.60 TOTAL DEPOSIT 150.00 TOTAL EMPTIES -150.00 0119683063001 AMOUNT DUE '1,025.60 IHE UNDERSIGNED CUNFIHMS AGHEEMENI TO THE TERMS AND CONDITIONS AND IS AUIHORIZED TO SIGN. v r ROUTEPERSON CUSTOMER LAST PAGE llpl K N tHPRISES HUTTLER INVOICE PAGE 1 OF 2 REMIT 10: ONON CENTER LHI-SIAIFS COCA -CULA BUIILING CARMEL CLAY PARKS fI HLCHEATION INUTANAPULIS SALES CENIEH 1195 CENTRAL PARK OR 2329 PAYSPHEHE CIRCLE CARMEL IN 46032 CHICAGO, IL 60674-2329 317-243 -3771 OU f LE T 1632600 1 NVO I CEP 33663 7 06 AR# 1632600 RTE 375 DRIVER 3707 LOAD ISI.03 SEW 00004 O A I E 02 1 3 09 DOC# 33663137066 PL- 101 TIME: 09:19:33 CHARGE NEI 15 PRUX SHELL BALANCE 25 2/1109 PALLET BALANC 2. 2111/09 MICHELLE SALES DESCRIPTIUN AHl# 01Y PRICE AUJ# RAIE NEI EXIENUEU DASANI -24 BOTTLE CASE 20PET24L DASANI WATER 5063 5 34.00 3544 -17.55 16.45 82.25 SUBTOTAL 5 82.25 16OZ PET LS (NO /DEP) 450ML24L MM CRANGRAPE 4785 1 34.00 3537 -12.15 21.85 21.85 SUBTOTAL 1 21.85 20OZ PET LS CSU W TEA NO /I)LP 20LSPTSPRPTY SPRITE 4320 2 34.00 3544 -11.95 22.05 44.10 20LSPETS VAULT 0347 2 34.UO 3544 -11.95 22.05 44.10 SUBTOTAL 4 88.20 DEPOSITS ON SALES OESCRIN ION ART# OIY PRICE AUA HATE NEI EXIENUED SHE,:LS 16120 OZ 0606 4 0.00 W MPLIED>> 0.00 SUBTOTAL 4 0.00 CONTINUED A COCA COLA ENTERPRISES BOTTLER 1 NVO ICE PAGE 2 OF 2 SHIP 10: REMIT TO: MONUN C1:N1ER IHI-SIAIES CUCA -CULA HUIIT-ING CARMEL CLAY PARKS H RI_CHEAIION INDIANAPOLIS SALES CENIEH 1195 CENTRAL PARK DH 7329 PAYSPHERE CIRCLE CARMEL IN 46032 CHICAGO, IL 60674 -2329 317-243 -3771 OU 1;1_E. I 167 _i2(i1_)o I NVO I CLiu 33663 13706 AR# 1632600 RTE 375 DRIVER- 3707 LUAIJ- ISL03 5EU- 0111104 UA I E 02 13 09 DOC433663137066 PL- 101 LIME: 09:14:33 CHARGE NEI 15 PROX SHELL BALANCE 2>- 2/11/09 PALLET BALRNC 2. 111/09 MICHELLE NET PRODUCI OTY 10 IUTAL PHUUUCT 340.00 TOTAL ADJUSTMENTS 147.70 SUB-TOTAL 192.30 0119683083001 AMOUNT DUE 192 -30 THE IINUERSIGNEO CUNFIHMS AGREEMENI TU THE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN. ROUTEPERSON 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. 19075 P 361189 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 2/6109 336313205 Concessions 1,025.60 2/13/09 3366313706 Concessions 192.30 Total 1,217.90 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Coca Cola Allowed 20 361189 Tri- States Coca -Cola Bottling Center 2329 Paysphere Circle Chicago, IL 60674 -2329 In Sum of 1,217.90 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 336313205 4239040 1,025.60 1 hereby certify that the attached invoice(s), or 1047 3366313706 4239040 192.30 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 12 -Mar 2009 I f Signature 1,217.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I