175185 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1
ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING
0 I CHECK AMOUNT: $2,254.77
i•. CARMEL, INDIANA 46032 INDPLS SALES CENTER #114
2329 PAYSPHERE CIRCLE CHECK NUMBER: 175185
CHICAGO IL 60674 -2329
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DES
1207 4239040 3376314106 1,164.11 FOOD BEVERAGES
1207 4239040 3376314705 626.19 FOOD BEVERAGES
1207 4239040 3376315212 464.47 FOOD BEVERAGES
n 1 A COCA COLA ENIERPRISES BOTTLFR
I NVU I C1= PAGE I OF 2
SHIP 10: REMIT TU:
UROUKSH I H L GULF CLUB 1 R I -S I AI LS COI '.A- I.UI -A U M I L I N L I
CI 1Y OF I:AIIMEL INUTANAPULIS SALES CFNIER
IZ120 OHUOKSHIfiE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 1/0674 -2329
317 243 -3771
I_I_ 1 '1 t_5(_i(5 /-1/_1,15 I NVI_I I I_ I_ff �,i 1 /11 1 bZ '12
AR# 1866466
HIE `175 HRIVFH- 3101 LUAU- ISL19 SIM- 01111TH IIA11_:1_I! /'161U�1
UUC# 337G315'21Z1 PI.- 101 I IMI 09:54:40 LIAI1GI NF I 15 PHUX
,HILL E+i MCE 170- 711
NLET ErILN;4 4 M,; o0
MITM rviEkll
SALT
III.SLiIPIIIIN Ali la UIY PHILL AIJ.J9 HAIL NI:I EXIENUI_U
I JA'iAN I -24 E 1 1_1_ I -ASE
20PEI'241- DASAN I WATER 5(163 6 34.00 9017 Z0. 10 9. 59.40
9019 4.00
SUBTOTAL 6 59.40
ll_ICIZ_ I'L I I_'i I_:`;IJ W/ I 1 -A NI-I /1:11_1'
20-SPO S CNIR CLASSIC r, 788 6 3"1.1111 5+011 1t). 15 14.85 89. 10
9019 -4.00
/-ULSPFIS 0111 DIFI CUKI: 5189 0 34.110 41117 15. I;, 14.85 1MAW
9019 -4.00
2ULSPFIS BAIII-S HUI)IMIA :rJ51; 1 34 W0 9111! IS. V 14.8:; 14.85
4019 -4.0(1
SUBTOTAL 15 222.75
GI_ACI AI_I 2001 241 S
?(d'ILwm GI.A VWIR 10 LSSN 2`rd4 1 x4,011 :11118 -9.114 /1.'111, 2Y. t1171
90211 -2 -.140
SUB 101 Al- I 22.96
CRUZ_ I-'1 I L 1'1 IWI Ii Al II- N1.1 /1.11 1 1
211PTLWM PUN MOUNTAIN ULA 41135 1 :34.011 1,11118 13.911 It:. III 1 12.10
9020 4.00
SUUIOIAL 7 IIZ.70
21107 I_S GI_A CF- At, I
2UPIl.WM GLA'JWIR XXX 6: ;26 1 34.1111 9111 ti -9.114 22 96 '2'1.96
9020 -2.00
SUBTOTAL 1 22.96
CON1 I NUI =D
A COI:A COLA EN I I-1 0H 15ES HI1111.111
I NVl_I I CF PAGE 2 OF 2
SHIP 10: HEMII IU:
BROOKSHIRL GULF CI.UU -ir l-SIWES CI.ICA 1.01 -A BOTTLING
CI I OF I :AIIMI:L 1N01ANAPHI.IS SALES CI
12120 HIIOUKSHIIiI. PKWY '1.329 PAYSPHIJfl: CIRI :I.F
CARMEL IN 46113;13314 CIIWAGO, IL 6W)14.2329
317-243 -3771
LII.J 11. -1= I 'I oci iz ll'i1 i I NVI-1 11- 1,i "3 I t,I_ 1
AD 1866466
HIE 375 IJHIV(:R 3107 LUAU ISI.ILI 5F11 00010 I )A 1111 U l.
DOC9 3376315112 PL IIII I IMF 119:54:40 Cl1AHCd NE Ib PRUX
`:HELL NATE 20 `14419
NUT EnI.M.: 8 7/14"09
61A nME1
lJl= 1'LI'i I T., ON SAIL'
ULSCHIPIION Ali I# UIY PHIL. AIJJN HAIL• NLI tR101 -11
SHELLS 16/211 OZ 0606 15 0.00 WMI 0.110
SUB101AL 15 0.00
NE I PHUUU'1: I QTY 30 101 AL PHOUIJC I 1,020.110
IOIAL AHJUSIMENIS -579.23
SUB IUTAL 440.77
IN ST TAX 7.00% ON 381.37 26.7n
AMT- )UN I DIJL /1 (5 7 4
OIL UNUMSIGNIA1 I:IJNFIHMS AGI111ML'NI
10 I HE I ERMS AND L' INII I T IONS ANIJ 11;
AUIHORIZEI) TO SIGN.
Lim 6 w-
HOUIFPFHSON WSIIIMER
11 _A ;1 I'Af_;E
A COCA CULA F ERPR I SFS BO i IL FR'
I NVO I PAGE I OF 2
SHIP IU: HrM I I TO:
BROOKSH I HE' GULF CLUB IRI -S'IAIES l.'UI:A-LUI-A DO! ILING
CIlY OF CARMEL iNUIANAPOLIS SALES LENIER
12120 HR09KSHIHI- PKWY 2329 PAYSPHEHE CIRCLE
CARMEL IN 4GU333314 CHICAGO, IL 611674-23211
317-243-3771
ou 1 1-1 r 1 C3 iI5 ci -16 1 NVO 1 33 033 '1 Y
AR# 1d66466
HIE- 375 1,1110,11R- 386H LAU- IS1.21 Sul- II;lfln5 LIATE Ot-1 (YZA
OUC9 "376314 PL- 101 1 ift: 12 50:42 IJWGI: 'NEI 15 PHOX
XLL Smi-KE li?
PALLET KA 0 7/0
ATHA AHEM
SALES
lk SIA I:-'I 11 jN AH I 111 IJH I Ct: AUJ# HAIF NEI LXR.NIJEU
0 A' S AN I- %/i 1 1 t-A,:;F-
?uPEivelt. WPiSl WAIEH 50133 lu 34.00 91111 -211.10 9.90 99. (it)
9019 -4.00
SUBTOTAL In 99.00
20(-) Pl-- I I-S W 1 A N1.1 /[-JL- I
?OLSPSFR i Y U I SPH I I E ?HU 4065 2 34.011 :1017 15. 15 14.85 29.
9019 -4.00
20I.SPOS CNIR CLASSIC 5788 6 311.00 14017 -15.15 14.85 89.10
90 19 -4.U0
ZFHO COCA COLA 03,11 7 34. 011 16. 16 14.65 29 M
9019 -4.00
21)LSIIEIS CNIH 00:1 CIIKL- billiti 8 :31 011 9017 -15.16 14.05 1 Iti.60
9019 -4.00
SUBTOTAL lb 267.30
2 0( -I/- FIE I POVAJiAl It-- N(J 1,11::: 1-
2W I LWM POWERAOF I.I. 5994 7 34.06 90 Id 13.90 16. 111 11?. 0
9020 -4.00
ZUPiLWM POWEHAIIE FPlJNCII 5995 1 34 WI 9UI6 13.91 16 11) 112.711
9020 -4.00
SU8TOIAL 14 225.40
DEP(JS I 1 ON SAIJH:J
ULSIA I P I ION AHI# Q I Y PHItT. tdlJ# H A I E NLI B I LNUE3
SHELLS 1610 0Z U606 Itl U.1111 <:IMPLIEIJX, 0.00
SUBTOTAL 18 0.00
C, ON T I NULL)
A COCA CULA EN I ERPH I SFS bil I I LEH
I NVO I CIE PAGE 2 OF 2
SHIP FO: REM I I 10:
HRIJUKSH1111- GLILF 111JU IHI-SIAH:S LiJUA-i"Ill A UUI!L]N.6
C OF CAHMEL. INUIANAPOLIS SALES CENIIL-H
12120 HI?UIIK91IRF PKWY ?329 tJAY';flHFIV: CIRCLE
CARMEL IN 460333:114 CHICAGO, !I. 6LI674-2329
317-243-3771
Ou"11.11-- I 16 13 G ZI t 5 6, 1 Nvu I Cl--" E -3 Wi 14
AR# 1866466
HIL- 16C
j_,,go- SLu- 0011:15 0 A I L I'/ 1.)�l 05
LIOIA 3376"1 W/ObC PL- 101 IlMi:; 12:50A2 IJIARGF NL: 15 PROX
KILL
Nil fa ffpri
NEI PRUUU(:l UIY 42 101AL 11HUOULl 1,4'20.
IOIAL ADJUSIMENIS -836.30
SLJ8- 10 iAL 591.70
IN Sl TAX 7.001 ON 492.70 34.49
AM0!JN7 f 626.19
OIC UNUF.Rl)'iGNW LUNFIHMS AGRI-EMI-V
10 1 HE TERMS ANU CONO I I IONS ANO IS
AUTHORIZEO 10 SIGN.
HUUTEPERSON CUSIOMER
1-AST PAGE
+,A COCA CULA ENTERPRISES HUITLEH
INVOICE PAGE 1 OF 3
SHIP 10: REMIT TO:
BROOKSHIHE GULF CLUB IHI- STATES CUCA-CULA BUIILING
CITY10F CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674-2329
317- 243 -3771
I.JU 1-L 1 I 66646Li I NVU I CF" 3376:3 14 1 i 16
AR# 1866466
HIE UHIVLR 3701 LOAD ISL05 SiU UUpUS U A I E CJ 7 02_ 0 9
UUI;" 763 1 4 1 216 7 PL 1111 TIME: 09:118:29 CHARGE NEI 15 PRUX
'SHELL EnOKE IL• K
PHLLEI k6l Q 6r (v(y
HIM
SALES
UESCHIPIIUN AHI# UIY PRICE AUJ# HAIE NEI LXIENUED
OASAN 1 -24 BOTTLE CASE_
20PET24L DASANI WATER 5u63 211 34.00 9017 -20.10 9.90 198.00
9019 -4.00
SUBTOTAL 20 198.00
2OOZ NI_ I LS USU W IT- A NU /UEP
20LSPSPRTY DT SPRIIE ZHU 4806 'Z 34.00 91117 -15.15 14.85 29.70
9019 -4.00
2ULSPEIS CNTR CLASSIC 5788 9 34.00 9017 -15.15 14.85 133.65
9019 -4.00
ZOLSPSCIR LERO I:UC.A COLA 03'7 Z :34.011 9017 15.15 14.85 29.70
9019 4.00
20LSPEIS CNIH 0111 COKL 6789 I M. 00 9017 -15.15 14.85 103.95
9019 -4.00
20LSPE 1'S 13giiUS HU0110A R b85iJ 1 34.00 9017 -15.15 14.85 14,85
9019 -4.00
SUBTOTAL 21 311.85
GLACEAU 2002 241_S
20PILWH GLA VWTR 10 ESSN 2294 3 34.00 9016 -9.04 211.96 62.88
9020 -2.00
1321 -2.00
SUBTOTAL 3 62.88
200Z PE I I_:i PUWL1 -4AIAL NU /LILT'
20PTLWM POWERADE LL 5994 10 34.00 9018 -13.90 14.10 141.210'
9020 -4.00
1320 -2.00
ZOPILWM POWERADL FPUNCH 5995 10 34.OU 9016 -13.90 14.10 141.00
9020 -4.00
1320 -2.00
CONT I NUED
A COCA COLA ENIEHPHISES HUIILI:R
NVO I CE PAGE 2 OF 3
SHIP TO: REMIT TO:
BHUUKSHIHE GULF CLUH IHI- SIAIES COCA-CULA DIM LING
CIIY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIPF PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 46u333314 CHICAGO, IL 60674-2329
317.243-3771
OU ILL 1 1Zi1_;6ILil_ 1NVOICEtt 'I o6
AR# 1866466
HIL 375 ORIVEli- 3707 LUAU- ISLOS sLu 00005 IJA I t_ 0'l
DOC# 337631411167 PL- 101 TIME: 09:08:29 CHARGE NEI 15 PROX
WELL BHLHfE Ilia g; fir(;
F %LEI cALML' 6 S ?N9
n1JTA
SALES
UESCHIPIIUN AR I# IJIY PRICE AUJ# HAIE NEI EXILNUEU
20P1LWM POW MOUNTAIN BLA 4035 10 34.U0 9018 -1'3.90 14.10 141.00
9020 -4.00
1320 -2.00
_SUaTOIAL 30 423.00
2OCJZ PET tsPK NO DL =P
20PET8PK PA ZERO GRAPE 7619 3 34.00 9018 -13.9U 14.10 42.30
9020 -4.00
1321 -2.00
SUBTOTAL 3 42.30
20OZ LS GLACEAU
21JPTLWM GLA VWTR XXX 6526 3 34.00 9018 -9.04 20.96 62.86
9020 -2.00
1320 -2.00
SUBTOTAL 3 62.88
DEPUS 1 I S ON SAI_E5
UESLHIPIIUN AHI# UIY PRICE AIJJ# HAIE NEI EXILNUtU
SHELLS 16/20 OZ 0606 21 0.00 «IMPLIED 0.00
SUBTOTAL 21 0.00
CONTINUED
A COCA COLA LNIEHPHISES BUIfLEH
NVU I CE PAGE 3 OF 3
SHIP T0: REMIT TO:
BfiUIE'H!Hf: GULF CLUB IRI-SIAILS COCA CULA HUIILING
CITY OF CAHMFL INDIANAPOLIS SALES CENTER
12120 BRUOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL Gu674.2329
317-243.3771
UU 11_ -I. I 6t3 INVU II,Ltt 3376314'11:16
AR# 1866466
ftlL- 37.`1 /C►
UHIVLH- 37217 LU /6- ISL06 St U (100215 LJAI E CI %/2:12! -1
UDC# 33763141U67 PL- 101 LIME: 09:08:29 CHARGE NEI 15 PROX
SHELL &ivl(E 112• 'c% ?8r U?
FALLEI EHLAf( G 6i3U69
MITA
NET PRUDUCI UTY 80 IOIAL PHUOUCI 2,7Z0.00
TOTAL TOTAL ADJUSTMENIS -1,619.09
SUBTOTAL 1,100.91
IN ST TAX 7.001 ON 9U2.91 63.2u
AMOUNT DUE 1,164.11
1 HE UNUEHS I GNEI J CIJNF I RMS AGREL I
10 THE IEHMS AND CUNDIIIONS AND IS
AUTHORIZED TO SIGN.
1
HOUTEPLRSON CUSTOMER
LAST PAGE
P P-scribed by State Board of Accounts City Form No. 201 (Rev. 1995)
,7 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 I.
i 1 `:5 101 �1 Purchase Order No.
C t rd e. Terms
`L w(n4 5 a Date Due
Invoice Invoice Description Amount
Date Number note attached invoice(s) or bill(s))
V
Total Z
I hereby certify that the attached invoice(s), or bifl(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.
OWED 20
COQ 6-� (l
4 L c IN SUM OF
ON ACCOUNT OF A FOR
r�kjP Club
Board Members
Po# or INVOICE NO. ACCT #ITITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
-1 i 3gp- �(p bill(s) is (are) true and correct and that the
07 materials or services itemized thereon for
/020`7 332 /g which charge is made were ordered and
received except
200
S' ature
L9
Ti
Cost distribution ledger classification if e
claim paid motor vehicle highway fund