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HomeMy WebLinkAbout178803 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 360622 Page 1 of 1 ONE CIVIC SQUARE OLINGER DIST CO CARMEL, INDIANA 46032 PO Box 151 CHECK AMOUNT: $167.74 INDIANAPOLIS IN 46206 CHECK NUMBER: 178803 CHECK DATE: 10/28/2009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION _1207 4239040 7133007 130.98 FOOD BEVERAGES 1207 4239040 7137693 36.76 FOOD BEVERAGES i H I M �USTOMER ORIGINAL COPY a Cu I. ER DISTR11j"i rING COMPANY' PHONE '317/87.6 0088 F't BO' X.681008 OR ®at? /,346 5 I �7D I ANAf't L I S; I N 4626a ,FAX 317/ 87b— .36318 [10 3900713769 3 71376 3 j 5'i BROOKS! I:RE.. QOLF CLUB 12120 BF2oobSM=IRE. PKWY PAGE 1 PO RT 71 W49 -09022 W4? -15038 CARMEL_ .N 46332 C 4! "��r' 17: SCE: 37' CU.S7 P3-3O IE 317 8tl fa -743 37955; 68- 4 €2Fi`2` --4 3542 NET Dk�E 1'i e Q4 "0? pej SPI RC INITIAL a �3•`= 93714 2 iL 12 BACARDI GOLD 0008048002530 1 18 38 36 76 1 8:38 RC INITIAL 6, a. 499361 IL IL 12 BAC'ARDI SUPERIOR 000804800 N/C RC INITIAL '`a s'7 r Rc. INITIAL s�a#s�L 73?,1z1C# A1$ SALESMAN NAM INITIAL 3 5.FF' Y Ai`RDUN T II �t F+86 A'. 1'9 N:c 'kt _s 1;, V !'T INI�Ia ss =s Y'##, ;#c' #€arE =2k3f 3� #4L?f Rc L #?i »ILES RC+ Y, F SFIRI, S SP ECIALTIE W:I# 5 GCIOLERS BEER NON �ALCOHQL LOW FRQ F" INITIAL 36.S RCS r INITIAL L n 3 77 INITIAL RC INITIAL >-RC:,: ':INITIAL r wm r tom, r r s 1 >a a ,:a`:., r .,i. y 3 "T""' y a'- RC E ..INITIAL �*�,e;.! �,rx_�' »w_ s ;�.a r��?.r__�° RC INITIAL a..a RC INITIAL a b•. y WRE TURN 3;• 79 36. 76 36. 76 MEN= 04, TflUCK SHORT ON DELIVERY 04. BILLED RIGHTIFILLED WRONG 12. DUPLICATE ORDER 17. MERCH. NOT AUTHORIZED NO CLAIMS FOR BREAKAGE OR SHORTAGE WILL 7 ODE: RC 02 6 BROKEN ON DELVERY 06. CUSTOMER DIDN'T WANT /ORDER 13. INCORRECT DISCOUNT 44. INCORRECT VIN G ALLOWED WITHOUT DRIVER'S'SIGNATURE AT TIME OF DELIVERY" PAY THIS 03. STORE CLOSED ON ARRIVAL 08. NO MONEY FOR COD 14. LgTE(RME STOP AMOUNT 'ROUTE t I 1 5 STATE AND FEDERAL TAXES RAID This invoice is payable in rl ION L i C Exp. Q 7 13 aO l o 4 DR 1VERrS1 GNATURE DATE DELIVERED C'&6TOMER NAME (PLEASE PRINT).' CUSTOMER SIGNATURE DATE RECEIVED.' TERMS AND CO NDITIONS CLAIMS FOR SHORTAGE OR DAMAGE WILL NOT BE HONORED UNLESS NOTED-ON THE RECEIVING DOCUMENT AT TIME OF DELIVERY. MERCHANDISE AS ORDERED NOT RETURNABLE. THE PURCHASER REPRESENTS THAT, HE HAS NO UNPAID DEBTS MORE THAN THIRTY DAYS OLD FROM THEIR DATE OF INVOICE, FOR ANY ALCOHOLIC BEVERAGES PURCHASED FROM ANY LIQUOR QR WHOLESALER IN INDIANA. "BY EXECUTION OF`'THIS DELIVERY CERTIFICATE, MERCHANT WARRANTS THAT THEY HOLD A VALID RETAIL MERCHANT CERTIFICATE ACCOUNT WITH THE INDIANA DEPT. OF EV'ENU'E'.' THIS PURCHASE i FOR RESALE AND NOT SUBJECT TO. INDIANA SALES TAX." THE ABOVE SIGNED AGREES TO THE TERMS AND CONDITIONS OF CREDIT ESTABLISHED BY OLINGER DISTRIBUTING COMPANY FAILURE TO REMIT PAYMENT WITHIN THESE TERMS WILL MAKE THE ABOVE SIGNED SUBJECT TO A DELINQUENT' RATING WITH OLINGER DISTRIBUTING COMPANY NON PAYMENT OF OUTSTANDING -DEBT AILL BE- SUBJECT TO 3RD PARTY COLLECTIONS, AND'ABOVE SIGNED WILL 'BE RESPONSIBLE FOR THE D.EBT.AND ALL COLLECTION FEES ASSIGNED. BY OLINGER DISTRIBUTING COMPANY. s R r `CUSTOMER ORIGINAL COPY EFt DISTRIIrtUTING C OMPANY" PHOhf.� 4°'3/76 �1�8�81 6991{ 11 14�91Q0�1�018�� CIO BO +;8104£3 OR /3Eib- 573.4 TP IN 462613 r-A'x 317/87b 3638 0009007133007 7133007 y LROC(I�.SHIRE GO CLUB z' GI .10/ 14/09 i 1c�0 BROODSI IiRE PKWY PAGE 1 W49- 090221 W49- 150;38 CARMEL, IN, 432 e y C /�s' 17: 42: S2 Cot PHONE 317 84b -?431 07955 65- .22 RR29- 03!4? NET DUE 1Q:'- 9:`O9, "93 Tih P 1R I FS 1 IL 112 BACARDI GOLD .0008048002530 18. •38 18.38 18.38 18.38 RC INITIAL S619_9 ,14 1L 12 BACARDI SUPERI .000804 8001530 1 a '38 t, 18 3�3 18 38 Db. 76 RC INITIAL 1.1- 04'1 It>. 5619 -9 31 1 3:f 14 2 1;L i r? DEWARS -WH .LABEL SC ;OTC! -i, A- �Q 048048t)� 3041 32.- 00. K 3 ._04 64. 4 3rr:.4i 1 RC INITIAL f NON- Al_C•OHC3 I C•S 1 RC INITIAL r 4507-514 2 1L 12 F CALL POMEGRANATE .SYRU 0.00 5.92 5. 92 11. 84 92 IBC INITIAL RC NOTE CUSI INITIAL' SER'J ID CRED1.T tn}�LC I3E OL. 3S�D,_ QR FR:I.DAY. C3T3E �'H I. ir ffi ITORY. PLEASE CCINTACT YOUR:° SAL. r. REP. W ITH QU EST ION RC INITIAL •I£• #*4 ALSS tAN{..`H- SALES R`E' �-S#I' SALESMAN NAME rf 'AMOUN' BRA NOi J RC.: INITIAL 2136 TAMMY HARMAN 3 E RC.u�Ys; Fri#•## i##• aY• fi�3l ie' INfffAL #3F #57dF� #iF1i ###Y'A# 'SA.°ES RrC`AI 5 I3Y 'CLASS' SP [R I I SPECIALTIES W'I:NE°, COOLE B. =ER NON A LCO H OL LOW P ROOF RC INITIAL 1 19. 14 84 RC INITIALl 1L 7 RC t f INITIAL I Y r 7 1..3 z m F 134. AS 134. DO LLARS r' PAyAklLE 01. TRUCK SHORT ON DELIVERY 04. BILLED RIGHT /FILLED WRONG 12. DUPLICATE -ORDER n. MERCH. NOT AUTHORIZED .,NO CLAIMS FOR BREAKAGE OR SHORTAGE WILL BE PAY THIS RETURN CODE: RC 02. BROKEN ON -0ELIVERY O6. CUSTOMER DIDN'T WANT /ORDER 13. INCORRECT, DISCOUNT 44. wcORRECT.VINTAGE ALLOWED WITHOUT DRIVER'S SIGNATURE AT TIME OF DELIVERY 03. STORE CLOSED ON ARRIVAL 08. NO MONEY FOR COD 14. LATE/TIME STOP i AMOUNT C 1D=..'T E #I:. Z i}- 1 STATE AND FEDERAL TAXES PAID This invoice is paybbie in MAR I ON L i E &p O7 1 1 c 0 "i DRIVER SIGNATURE DATE DELIVERED CUSTOMER NAME (PLEASE PRINT) CUSTOMER SIGNATURE, DATE RECEIVED %TERMS AND CLAIMS FOR SHORTAGE OR•DAMAGE`WILL NOT BE HONORED:UNLESS. NOTED ON THE RECEIVING DOCUMENT AT TIME OF DELIVERY. MERCHANDISE AS ORDERED NOT RETURNABLE. THE PURCHASER REPRESENTS THAT HE HAS NO UNPAID DEBTS MORE THAN THIRTY DAYS OLD FROM THEIR DATE OF INVOICE, FOR ANY ALCOHOLIC BEVERAGES PURCHASED FROM ANY LIQUOR OR WINE WHOLESALER IN. INDIANA: "BY EXECUTION OF THIS DELIVERY CERTIFICATE, MERCHANT WARRANTS THAT THEY HOLD A VALID RETAIL MERCHANT CERTIFICATE ACCOUNT WITH THE INDIANA DEPT. OF REVENUE. THIS PURCHASE IS FOR RESALE AND NOT SUBJECT TO INDIANA SALES TAX." THE ABOVE' SIGNED AGREES TO THE TERMS AND CONDITIONS OF CREDIT' ESTABLISHED BY OLINGER DISTRIBUTING COMPANY. FAILURE TO REMIT PAYMENT WITHIN THESE TERMS WILL MAKE THE ABOVE SIGNED SUBJECT TO A DELINQUENT RATING WITH OLINGER DISTRIBUTING COMPANY NON PAYMENT OF OUTSTANDING DEBT WILL-BE SUBJECT TO.3RD PARTY. COLLECTIONS, AND ABOVE SIGNED WILL BE RESPONSIBLE FOR THE DEBT AND ALL COLLECTION FEES ASSIGNED BY OLINGER DISTRIBUTING COMPANY. P escri$ed by State Board of Accounts City Form No. 201 (Rev. 1995) 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 a l Lx L 2 f Purchase Order No. a 1 a Leff Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total `(p �`f I 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 0 UCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF aa -741 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or d� 33007 ago -S11� 30, 9� bill(s) is (are) true and correct and that the D 7 7/3 74, 9g ge 0 7t materials or services itemized thereon for which charge is made were ordered and received except 20 d 5 SJonature v Title Cost distribution ledger classification if claim paid motor vehicle highway fund