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Home My WebLink About177878 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1 ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING CARMEL, INDIANA 46032 INDPLS SALES CENTER #114 CHECK AMOUNT: $339.22 2329 PAYSPHERE CIRCLE CHECK NUMBER: 177878 CHICAGO IL 60674 -2329 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 3376319716 339.22 FOOD BEVERAGES /4 A COCA COLA ENTERPRISES BOIILER I,NVO I CE PAGE 1 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GULF CLUB 1R1-SIAIES COCA-CULA BUTILING CITY OF CARMEL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674 -2329 317-243-3771 OU I LE F 1866466 I NVO I CL& 33 ARM 1866466 RTE- 375 OHIVEH- 3707 I.OAU- ISL17 SL 00016 13 ATE 09 17 09 DOC# 3,1763197168 PL- 101 MIME: 12:16:34 CHARGE NEI 15 PHOX SHELL RICE 10- 91IM19 PALLET BALANC d 9115109 ANITA AHERN SALES DESCHIPIIUN AHIM QlY PRICE AUJM HAIE NEI EXIENUEU DASAN 1 -24 BO I'TLE CASE 20PET24L DASANI WATER 5063 4 34.00 9017 -20.1U 9.90 39.60 9019 -4.00 SUBTOTAL 4 39.60 20OZ PET LS CSD W I TEA NO /L]EP 20LSPSPRTY OT SPRIIE ZRU 4806 2 34.00 9017 -15.15 14.85 29.70 9019 -4.00 20LSPTSPRPTY SPRITE 4320 2 34.00 9017 -15.15 14.85 29.70 9019 -4.00 201-SPETS CNTR CLASSIC 5788 6 34.00 9017 -15.15 14.85 69.10 9019 -4.00 201-SPETS CNIR DIET COKE 5789 6 34.00 9017 -15.15 14.85 69.10 9019 -4.00 SUBTOTAL 16 237.60 GLACEAU 20OZ 241 -S 2UPTLWM GLA VWTR 10 ESSN 2294 1 34.00 9018 -9.04 22.96 22.96 9020 -2.00 SUBTOTAL 1 22.96 20OZ POWERADE 20PET6PK PA ZERO MXD ORY 7634 1 34.00 9018 -13.9U 16.10 16.10 9020 -4.00 SUBTOTAL 1 16.10 20OZ LS GLACEAU 20PTLA GLA VWTR XXX 6526 1 34.00 9016 -9.04 22.96 22.96 9020 -2.00 SUBTOTAL 1 22.96 CONTINUED A COCA COLA ENTERPRISES BUl1LER INVOICE PAGE 2 OF 3 SHIP TO: REMIT TO: BRUOKSHIHE GULF CLUB IRI-STAIES CULA-CULA UUIII_ING CITY OF CARMEL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674-2329 317-243-3771 OUTLET 1666466 1 NVO ICE# 33763 '197 16 ARM 1866466 RTE- 375 OHIVEH- 3707 LOAD- ISL17 SEU 00016 DA I E 09 I 1 7 109 DOCM 33763197168 PL 101 TIME: 12:18:34 CHARGE NEI 15 PROX SHELL MLANCE 10 9111109 PALLET BALK 0 9115109 ANITA MR SALES DESCHIPIIUN AHIM UIY PRICE AUJM RAZE NEI EXIENUEU DEPOSITS ON SALE: DESCRIPTION AHIM QIY PRICE AUJM HAIE Ni:l FXIENUEII SHELLS 16 /20 OZ 0606 16 0.00 W MPLIED» 0.00 SUBTOTAL 16 0.00 NET PRODUCT QTY 23 IUTAL PRODUCT 782.00 TOTAL ADJUSTMENTS -442.78 SUBTOTAL 339.22 0031201550 AMOUNT DUE 339.22 CONTINUED A COCA COLA ENTERPRISES BOIILER INVOICE PAGE 3 OF 3 a SHIP T0: REMIT TO: BROOKSHIRE GULF CLUB 1R1-STAIES COCA-COLA BUIILING CITY OF CARMEL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674 -2329 317- 243 -3771 OUTLET .1'866-4(56 INVOICE# 3376319716 ARM 1866466 RIE- 375 OHIVER- 3701 LOAD- ISL17 SEQ-'00016 D A I E 09 1 7 09 DOCM 33763197168 PL- 101 TIME: 12:1834 CHARGE NET 15 PROX SHELL BALKE 157 9115109 PALLET BALANC d 9115109 ANITA AHERN I THE UNDERSIGNED CONFIRMS AGREEMENT TO THE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN. V' ROUTEPERSON CUSTOMER LAST PAGE Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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 (�40 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) �W_3 j 76514"6' Total 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 373 7 n 0339 �2a ON ACCOUNT OF APPRO FOR (S6/--Y", �i� D (o6 �Ottif2 N Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or j �20 3376fj Y2 390 339. -s 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 _A 20 Z-1 6 L )Signatur Title Cost distribution ledger classification if claim paid motor vehicle highway fund