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177422 09/15/2009 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 #1 14 CHECK AMOUNT: $734.12 •w,. 2329 PAYSPHERE CIRCLE CHECK NUMBER: 177422 CHICAGO IL 60674 -2329 CHECK DATE: 9/15/2009 DEPA ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 3376318817 222.75 FOOD BEVERAGES 1207 4239040 3376319204 511.37 FOOD BEVERAGES A COCA CULA ENTERPRISE;.' BUTILER i INVOICE PAGE 1 OF 2 SHIP 10: REMIT TO: BRU!JKSHIHE GULF CLUB [HI-S1AIVb WCA -CULA HUTILING CITY OF CAHMEL INDIANAPOLIS SALES CENTER 12120 BHUUKSHIRE PKWY 2329 PAYSPHERE CIHCLE CARMEL IN 460333314 CHICAGO, IL 60674-2329 317-243 -3771 01) 1 LE I 1 666466 1 NVO I CL 33 %6'31 613 "1 t AR# 1866466 HIF- 375 DRIVER- 3707 LUAU- ISL04 SEU 00016 D All- [79 03 1 09 DOC# 337631x8175 PL- 101 IIME: 11:31:50 CHARGE NEI 15 PROX '.HELL;ALn1ii:E 143' 9 PALLET Ekil 6 9101,0:+ WiI1A, FAM LiFNED OE SALES UESCHIPIIUN ARI# UIY PRICE AOJ# HAIE NEI EXIENUED OASANI -24 HOTI'LE EASE 20PrT24L DASANI WATER 5063 6 34.00 9017 -20.10 MI.) 59.40 9019 -4.00 SUBTOTAL 6 59.40 20OZ PEI LS USO W 1 EA NO /1 2ULSPISPRPTY SPRITE 4320 1 34.UO 9017 -15.15 14.85 14.85 9019 -4.00 2ULSPSCIR ZERO COCA COLA 0377 2 34.00 9017 -15.15 14.65 2.9.70 9019 -4.00 2'1, SPEIS CNIH DIET COKE 5789 6 34.00 9017 -15.15 14.65 116.80 9019 -4.00 SUBTOTAL 11 163.35 DEPOS I I S ON SALES ULSCHIPIION AH I UIY PRICE AUJ# HAIE NEI EXTENDED SHELLS 16/20 O7 0606 11 0.00 «IMPLIED» 0.00 SUBTOTAL 11 0.00 CAN 1 I NUED A COCA COLA ENIERPHISES BOTILEH I NVOI CE PAGE 2 OF 2 SHIP 1'0: REMIT TO: BHOOKSHIRE GULF CLUB THI-SIAIES CUCA-CULA BOIILING CITY OF CARMEL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674-2329 317-243-3771 UU I LL= F 186E�41i6 I NVO I C:E# 33763/661 7 AR# 1866466 RI& 375 DRIVER- 3707 LUAU- ISL04 S1:0- 110016 111 A 1 E 09 /Q31Ok3 DOC# 33763188175 PL- 101 LIME: 11:31:50 CHARGE NEI 15 PROX HELL BiN Ln`HCE h 910+1/09 PALLET ?KRlq 6 9101/09 MITA, FAM UF0ATE0 OE NET PRODUCI OlY 17 IOIAL PRODUCI 576.00 TOTAL ADJUSTMENTS -355.25 SUB-TOTAL 222.75 0031201550 AMOON I DUE 222.75 THE UNDERSIGNED CONFIRMS AGREEMENT 70 IRE TERMS AND CUNDIIIUNS AND IS AUTHORIZED TO SIGN. .ROUTEPERSON CUSTUMER LAST PAGE A COCA COLA ENTERPRISES BOTTLER r NVO I CE PAGE 1 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GULF CLUB TRI-SIATES COCA CULA BOIILING CITY OF CARMEL INDIANAPOLIS SALES CENTER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL IN 460333314 CHICAGO, IL 60674-2329 317-243 -3771 OU T LEI 1866466 1 NVO ICE# 33763 19204 AR# 1866466 RIE- 375 DRIVER- 3707 LOAD- ISL21 SEQ 00004 DATE 09 1 0 109 DOC# 33763192045 PL- 101 TIME: 08:24:34 CHARGE NET 15 PROX SHELL BALKE IS4- 9/08/09 PALLET SALANC 0 ME49 ANITA SALES DESCRIPTION ANT# QIY PRICE ADA HAIE NET EXIENUEU DASANI -24 BOTTLE CASE 20PET24L DASANI WATER 5063 6 34.00 9017 -20.10 9.90 79.20 9019 -4.00 SUBTOTAL 8 79.20 20OZ PET LS CSIA W /IEA (NO /DEP) 2OLSPTSPRPTY SPRITE 4320 1 34.00 9017 -15.15 14.85 14.85 9019 -4.00 20LSPSCIR ZERO COCA COLA 0377 1 34.UO 9017 -15.15 14.85 14,b5 9019 4.00 20LSPETS CNTR DIET COKE 5789 9 34.00 9017 -15.15 14.85 133.65 9019 -4.00 20LSPETS BARQS ROUTBEER 5858 2 34.00 9017 -15.15 14.85 29.70 9019 -4.00 SUBTOTAL 13 193.05 GLACEAU 20OZ 24LS 2UPTLWM GLA VWTR 10 ESSN 2294 1 34.00 9018 9.04 22.96 22.96 9020 -2.00 SUBTOTAL 1 22.96 20OZ PET LS POWERAIJE NO /OLP 2UPTLWM POWERADE FPUNCH 5995 5 34.00 9016 -13.90 16.10 80.50 9020 -4.00 20PTLWM POW MOUNTAIN BLA 4035 4 34.00 9016 -13.90 16.10 64.40 9020 -4.00 SUBTOTAL 9 144.90 20OZ POWERADE 20PET8PK PA LEMON LIME 2161 3 34.00 9018 -13.90 16.10 48.30 9020 -4.00 CONTINUED A COCA COLA ENIERPRISES BOTILER INVOICE PAGE 2 OF 3 SHIP TO: REMIT TO: BROOKSHIRE GOLF CLUB TRI-SIAIES 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 11366466 1 NVO 1 3:3763 19204 AR# 1866466 RTE- 375 DRIVER- 3707 LOAD- ISL21 SEQ 00004 OA I 09 1 O 0 _4`•. DOC# 33763192045 PL- 101 TIME: 08:24:34 CHARGE NET 15 PROX SHELL BALAIICE I54• W09 PALLET BALK 0 910849 ANITA SALES UESL'HIPTION AHI# UIY PRICE ADA RAIE NEI EXIENUEU SUBTOTAL 3 48.30 20OZ LS GLACEAU 20PTLWM GLA VWTR XXX 6526 1 34.00 9018 -9.04 22.96 22.96 9020 -2.00 SUBTOTAL 1 22.96 DEPOSITS ON SALES UESCRIPIIUN ART# QIY PRICE ADD RAIE NEI EXIENUED SHELLS 16;20 OZ 0606 13 0.00 <<IMPLIED>> 0.00 SUBTOTAL 13 0.00 CONTINUED e A C'OL'A COLA ENTERPRISES BOITLER INVOICE PAGE 3 OF 3f r A SHIP TO: REMIT TO: BROOKSHIRE GOLF CLUB IRI-SIAIES CULA -CULA UUIILING CITY OF CARMEL INDIANAPOLIS SALES CENIER 12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE CARMEL/ IN 460333314 CHICAGO, IL 60674 -2.329 317- 243-3771 OUTLET 11366466 I NVO I CE# 33 763 1 1-12 04 AR# 1866466 RTE- 375 DRIVER- 3707 LUAU- ISL21 SEQ- 6004 DA TL 09 1 0 09 DOC# 33763192045 PL- 101 TIME: 08:24:34 CHARGE NEI 15 PROX ;HELL DLKE 1S4• MVO PALLET BALANC 0 9/0849 ANITA NEI PRODUCT QTY 35 TOIAL PRODUCT 1,190.00 TOTAL ADJUSTMENTS 678.63 SUB -TOTAL 511.37 0031201550 AMOUNT DUE 511.37 IHE UNDERSIGNED CONFIRMS AGHEEMENI TO IHE TERMS AND CONDITIONS AND IS AUTHORIZED TO SIGN. ROUTEPERSON CUSIOMER 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 c 6/� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) vk Total I 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. r ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ,626 3� Q bill(s) is (are) true and correct and that the 37 3 9a 3 qo V0 T11, S 7 materials or services itemized thereon for which charge is made were ordered and received except a/1 /q 2Q b S atu re Cost distribution ledger classification if Titf claim paid motor vehicle highway fund