171117 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1
0 ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING
CARMEL, INDIANA 46032 INDPLS SALES CENTER #114 CHECK AMOUNT: $194.36
2329 PAYSPHERE CIRCLE CHECK NUMBER: 171117
CHICAGO IL 60674 -2329
CHECK DATE: 4/16/2009
DEPARTMEN ACCOUNT P O NUMBER IN VOICE NUM AMOUNT DESCRIPTION
1207 4239040 3366317810 i 194.36 FOOD BEVERAGES
i
A COCA COLA ENIEHPHISES BOIILEH
NVO I CE PAGE I OF 2
SHIP 10: REMII 10:
BI1(UIKSHIHL G(ILE CLUB 1H1-SIAIES L"ULA-CULA VIII ILING
CI IV OF CAHMLL INDIANAPOLIS SALLS CLNIEH
12120 WOUI(MIRE PKWY 2329 PAYSMILHL CHICLE
CARMEL IN 460333314 CHICAG(7, IL 60674-1329
317-243 -3'171
I IIJ I i_I_ I I b( �(_.41_;1_i I NVI -I 1 1:2 11 3:3(;t:i;31 r'b'11.1
AR# 1666466
I {IL 345 111 {1VF1 MW LUAiJ U113 St :O" 01111119 I_IA 111 1.1/ "1 1:1 /Qt;l
DUCE 336G31761II/ PL IUI 11 ML: 13:!16:59 CHARGE NLI 15 PHUX
WLL EO,l E P- iilFif
RkLET ok ,r33ip
LI'in
SALES
UESCHIPIION AHI(1 UI'Y PHICL AUA HAIL NI_I LriIENULLI
/i It I/ P1= I I ti I_:`;IJ W 11- A NI) /111 -1
2ULS SPRI I 43211 G 34.011 YU I I -15.16 14.86 tiLi. I
9019 AM
ZULSPEIS CN I R CLASSIC 6'w 4 34 00 9017 15,15 14.65 59.40
9019 4.00
SUBTOTAL 10 148.50
GLACEAU `!_I;1CIl 241-S
20PILWM GLA VWTR 111 ESSN 2294 1 64.00 9016 -9 -011 22.96 12.96
9020 -2.00
SUBIOTAL 1 22.96
2I11111/ L S GI_ AI_ :L AU
21iP1TW1 (il A V'WIH XXX 65221 1 34 011 9016 -9.04 12.96 Z"- 1 16
9020 -2.00
SUBTOTAI 1 22.96
I,J1--I I I S 01V SAILS
ULS! :H11 Af{IN 01Y PH t.t N)JN HAIE NLI EXIENUEIJ
SHELLS 16/20 LIZ U6U6 10 1. 116 wMPL ll b» 0 00
SUBIOIAL t0 0.00
COIN I I NULL)
A C:li;A Cu! iIi 1 L HP HU
NVI_I PAGE 2 U 1
SHIP 10: REMIT TU:
BI {UHKSHIHL LUI.F I:I!i8 1HI SIAIES CI ICA ClIL A UUI I Nu
C I I V OF 1,AHML I NII I ANAPUL I S SAI I S CL.N I L
12120 UAIUK5HIHt: PKA 2329 PAVSPHV.W I !t Li
CAMEL IN 41.,1 ,iti14 CHICAGO, IL 60hr•; 29
317 3771
AR# 1866466
HIE" 315 UPIVUl- 3698 LUA0 1`IL113 Stu- OII(IU9 1_IA I I_ :1.111 '1 Cl 111 :1
UUC# +3663 118 1 02 PL- 1111 LIME: 13:00 59 CHAHGL NLI 15 PHUX
SrELI RSLP!iEE 7 ,':k;aj+
81.11 Eak i, 6 =tii 09
Ll ilhPl LE 3177100
NF. I PRUUUC I U I Y 12 I U I AL PI {U(JUC I 408.00
IOIAL ADJUSIMLNIS 213.58
SUH-IOTAL 194.42
IN ST FAX 7.00% ON 194 42 13.6
AMUUN I IJUL 21.113 O3
l
I1I1 UNI 106 I GNI U CUNI I HM:i ALMI I Mt N I
I I I IL ILHMS AND CONUIIIUNS AND "I
AUIHLIRILEU IU SIGN
HOUIEPEHSON Ct.1'�IUMIH
LAS1 PAGE
W �1-1-oard 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 5�9 Go -9S 33��
J
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total -1
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
IN SUM OF
��y31
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3 go Z16 bill(s) is (are) true and correct and that the
34, materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignatuge
31A 9? /&-19;
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund