HomeMy WebLinkAbout174529 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1
ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING
s, io CARMEL, INDIANA 46032 INDPLS SALES CENTER #114 CHECK AMOUNT: $507.36
2329 PAYSPHERE CIRCLE
CHECK NUMBER: 174529
CHICAGO IL 60674 -2329
CHECK DATE: 718/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3376313611 507.36 FOOD BEVERAGES
i�
A CUCA CIJI.A I I I:RPH I :iES 110'1'1 I
I NVO I C:IE PAGE I OF 3
SH IP 10: REMIT 10:
H;VIIJK;�Illlit: 6111 IAUH I R I b I t, I I, 11"A A U0 I I IJNG
C I I Y 01 I'ARHU. INOIANAPUI IS ',ihfiS I
12 1?u BRINKS1111d: PKWY "19 I'AYSPH04 LIKI,t
I:AliMEL IN 116W CHICAGO, 11. 6Ij6
317-243-3711
1 IIJ 1 1 1
I NVI-I I
AR# 1866466
H11- 3;5 '1Ji?lVb(- I.0AIJ- IS1.21 ;Li)- (1:01110 1 :A*11:-.
it IC# X3 /6"W1 36 1 1 PL- 101 11141 CHAIfGF NL; 16 PPDX
Xtl vI.&H IN'- B 0r
IOTA
SAI-.FzS
I P I I ON Alf U I Y PH I I.J AU J# J# !?A I L Nd l:1-'1!t:NU1U
D A-.; /kN I 2 4 1 1.1 1* 1 1 1
1uPF124L OASANI WAIER 5063 1'2 34.011 Yult -21[l 11.1 9.911 116.60
9019 -4.00
cUb 10 1 AL
12 1 IiIi.bo
OU'- PI I W i IzA NIJ /U[
2111.SPL IS CN 1 R CLASSIC 5766 6 34.110 Lio 17 -15.15 14. 89.
9019 -4.00
2ULS11 I S CNIR Ulb CUKF 6189 6 34. GO 901 16. 1!) 14,135 89.
9UI9 -4.00
SUB TO I Al. 12 178.20
Gl-ACEAlJ 200Z 241-S
20P H.01 fal.A VW I R it, F" ZZ(III '1 34. 011 9016 •9 1111 %111 62.68
9020 -2.00
1321 -2.00
SUBTOTAL 3 62.68
11'11- 1 NLI
2UIILWM POWFRADE LL 599II 2 34.00 90 18 13. 'a U 11.10 28.20
9J20 -4.00
1320 -2.00
POWFRADV FPUNCH 5995 2 34 (11; 90 13.90 14. 26.20
9020 -4.oO
1320 -2.00
20P1(A POW MOUNIAIN BLA 4035 2 34. IJU 9018 -13.90 14.10 26.20
9020 -4.00
1320 -2.00
SUUTUIAL 6 84.60
200Z I-S Gt-A(:I
CON"IINUED
A COCA COLA EN I B4 I SES 8011 I.EH
I NVO I CF- Y PAGE 2 OF 3
SH 10: REMIT TO:
upulIK-NI111F GIII,I 1:1-lib IRI -SIAIL" IXU-CUI-A HU111-ING
CIIY OF LAHM[-I- INDIANAPUIS SALES UI:NILH
12120 61100K`HIRE PKWY 23•9 Pti'Y'SPI1011' CIRCLE,
CARMEI. IN II6I1'533314 CHICAGII, IL 6i)(5711-1329
317-243-3771
LJLI I'LI: f I NVI:j I UL- .33713`5 'i I
AR# 1666466
Hl!'- 375 IJKIV0(- 3107 LIjAI)- I su I 'uj- Imum U A 111 10 12! 1-09
uul.# 33763136117 PI.- 10i TIME: 10:36:2, I'HARUF
NI; 15 PROX
RLET MU-X 0 6 1 303
ULSU I P I ION Arl I QIY IIHICF Aijim HAIL NtI E.XII:Nljl-U
zlipli.04 GLA VWIR XXX 6526 3 31.00 9016 -9.04 20.96 62.
9020 -2.00
1320 -2.00
SUBTOTAL 3 62.86
1JLPI-)S I l ti 0N ti'-Al k =4; -:S
u6ut(i 111 1N
AIN# Q1V P1611 AUJ# HA I NI:I LWN111:13
SHEILS f, 0'7 7 (1606 1? 0,111) <,IMP[,IEDI "I
SUBT OTAL AL 1 2
NL I PHODUCT U IV 36 IUIAI 11HUIJUf 'I 1, 22 4. 1) 11
ill[Al, ADJUSIMLNIS -716.6
SUB 10 1 AL 50.36
IN ST TAX 7.001 ON 386,56 27.20
AMOUN 11' I-JIJL-: 6:34 56
U01-41 I NLIi:-
A i:(Ii:A i:0LA i-,N I LHIIII I SLS HO I FLI:!*1
I I 1 PAGE 3 Ol- 3-
SHIP 10: Hr.m I r io:
UNUIlKiflIlif UIU I'I.UIJ 11?i U iC A UJI-A IJLI 11 I- I NU
C I I Y IJI: ("AHMI i. INIJ!ANAPUIJS SAIJ-'j-' 1:LNIU?
!212u 1Yj(JK VKWY 232 Ilfky"PHEHL l.'IHCLL
CfARIII IN 46 CHICAGO, 11. 60674-236
317-243-377
1-1-- 1 '1 2 51:111t I Nvu I I-A- f 3G 1 1
AR# 1866466
W L- 'Y;) LIHIVLII- IUAII- ISL?.I sl:u- LI(Imu EI A 1 06, 26 fl!:)
OC9 3376:1 136117 P1 10I IIML: 10:36:25 1-'IIAIILIL NI: I I!; IIH)X
K It
RmLLET Ditrd,.' (t
IIIL UNOB'SIGN!J] CON! IIIMS AGIU-MI-N;
10 111E I [:HMS kNu CUNU I 11 UNS tVAJ 1 S
AUiHORIZFD 10 SIGN.
ROU I EPEHSON [.'US I Umt I i
I A'S '1' P AG E
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
f 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.
q O -0KL(. rc te-
Terms
I L 00 Cl Lf, Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
W- a 6q 33l�al3w
b 53
Total �P
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
`�TW S e.5- oC a- Z 6 1 K
�3 k, IrG IN SUM OF
Lk 6LInL4 3 2-q
ON ACCOUNT OF APPROPRIATION FOR
(St,e-r,z a,0
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
nj �t 3 i bill(s) is (are) true and correct and that the
�G�7• materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sig
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund