HomeMy WebLinkAbout178892 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1
ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING
4 CARMEL, INDIANA 46032 INDPLS SALES CENTER #114 CHECK AMOUNT: $207.90
2329 PAYSPHERE CIRCLE CHECK NUMBER: 178892
CHICAGO IL 60674 -2329
CHECK DATE: 10/2812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3386312004 207.90 FOOD BEVERAGES
A COLA COLA ENTERPRISES BOTTLER
INVOICE PAGE 1 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GULF CLUB IRI-SIAIES COCA -COLA BOTTLING
CITY OF CARMEL INDIANAPOLIS SALFS CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674-2329
317- 243-3771
OUTLET 1866466 1 NVO 1 l:E 3366312004
AR# 1866466
RTE- 375 DRIVER- 3707 LOAD- ISLO9 SEU OU004 DATE 10 2 1 09
DOC# 33863120045 PL- 101 TIME: n8:26:32 CHARGE NET 15 PROX
ALL SALAKE I5E• 10/19/09
PALLET BALM,' 0 10/19/09
ANITA
SALES
DESCRIPTION ARIA UIY PRICE ADJ# RATE NEI EXTENUED
DASANI -24 BOTTLE-- CASE
20PET24L DASANI WATER 5063 3 34.00 9017 -20.10 9.90 29.70
9019 -4.00
SUBTOTAL 3 29.70
2OOL PET LS CSO W /TEA (NO /DEP)
20LSPETS CNTR CLASSIC 5788 2 34.00 9017 -15.15 14.85 29.70
9019 -4.00
20LSPETS CNTR DIET COKE 5789 10 34.00 9017 -15.15 14.85 148.50
9019 -4.00
SUBTOTAL 12 178.20
DEPOSITS ON SALES
UESCHIPTION ART# UIY PRICE ADJ# RATE NEI EXTENUED
SHELLS 16/20 OZ 0606 12 0.00 IMPLIED» 0.00
SUBTOTAL 12 0.00
CONTINUED
A COCA COLA ENTERPRISES BOTTLER
INVOICE PAGE 2 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GULF CLUB TRI- SIAIES CUCA -COLA BOTTLING
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 60674 -2329
317 243-3771
OUTLET 1866466 INVOICE& 3386312004
AR# 1666466
RTE- 375 DRIVER- 3707 LOAD- ISLU9 SEU- 00004 DATE 10 2 1 09
DOC# 33863120045 PL- 101 TIME: 08:26:32 CHARGE NET 15 PROX
SHELL BALANCE 162 101!9109
PALLET BALAW 0 101I9109
ANITA
NET PRODUCT QTY 15 TOTAL PRODUCT 510.00
TOTAL ADJUSTMENTS 302.10
SUB-TOTAL 207.90
0031201550
AMOUNT DUE.' 207.90
THE UNDERSIUNED CONFIRMS AGREE=MENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
LAST PAGE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
6,?4 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a 7 d
Total R62 96
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
i
,VOUCHER NO. WARRANT NO.
u
ALLOWED 20
IN SUM OF
ZL ZY,� 2�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO* or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/207 ot6 0 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
1 20 O9
§O nature'
T' le
Cost distribution ledger classification if
claim paid motor vehicle highway fund