176473 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00353399 Page 1 of 1
ONE CIVIC SQUARE TRI -STATE COCA COLA BOTTLING
�i CHECK AMOUNT: $1,028.08
CARMEL, INDIANA 46032 INDPLS SALES CENTER #114
2329 PAYSPHERE CIRCLE CHECK NUMBER: 176473
CHICAGO IL 60674 -2329
CHECK DATE: 8/19/2009
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3356430209 362.72 FOOD BEVERAGES
1207 4239040 3376317310 665.36 FOOD BEVERAGES
i'
'l
Rn A COCA CULA ENIEHPHISES BUTFLER
I NVOICE PAGE 1 OF 3
'.SHIP TO: REMIT f0:
BHUXiMid' GULF I,:LUU IH1- STAIES EUCA -CULA HOIILING
CIIV OF CAHMEL INDIANAPOLIS SALES CENTER
12120 HHOUKSHIRI: PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 4610333314 CHICAGO, IL 60674-2329
317-243 3771
OU LE 1 'I 8664t 1 NVLI I CI= 33763 "1 73 10
ARN 186
HIE 375 DHIVLH 3 LUAU- ISLZZ SEQ 000(19 DA I E 06 1311:79
DOC# i3 "163173IO2 PL- 101 MIME: 10:43:41) CHARGE NET 15 PROX
SHELL BnCL�1:E 1?2• ;;rk
FAILET BnLnNC 6 3�1u4�5
ANITn riERN
SALES
UESCHIPTIUN M I# UIY PRILE ADJ# HALF NEI EXIENULO
DASAN I -24 E3U I "I I_I- CASE
APET24I. OASANI WATER 5063 14 34,OU 9017 20.10 9,9CI 138.60
9019 -4:00
SUBTOTAL 14 138.60
20OZ PE I LS CSO W 1 E A NO /LIED
2[ILSPSPRTY DT SPRIIE NU 41506 2 34.00 9017 15.15 11.85 2930
9019 -4.00
20LSPISPIIPIY SPHITE 4320 2 34.00 9017 -15.15 14.85 29.70
9019 -4.00
2ULSPF[S CNTR CLASSIC 5788 4 34,00 9017 -15.15 14.85 59.40
9019 -4.00
201- SPSETH ZERO COLA COLA 11371 2 34.00 9017 -15.15 14.85 Z9.7u
9019 -4.00
20LSPETS CN1R DIET COKE 5(89 12 34.110 9017 -15.15 14 85 178.211
9019 -4.00
SUBTOTAL 22 326.70
GLACEAU 20OZ 2 4LS
20PTLWM GLA VWTI 10 ESSN 2294 1 34.00 9018 -9.04 22.96 22.96
9020 2.00
SUBTOTAL 1 22.96
200L PE-1 LS P(, M Et- 4AI:JE_ NO II_]EP
20PTLWM POWERADE LL 5904 5 34.00 9018 13.90 16.10 80.50
9020 -4.00
20PILWM POWERAflF FPUNCH 5995 1 34 OU 9016 -13.90 16.10 16.10
9020 -4.00
20PTLA PAOF ORANGE 6936 2 34.0(1 9018 -13.90 16.10 32.20
9020 -4.00
ZOPTLWM POW MOUNTAIN DLA 4035 3 34.00 9018 -13.90 16.10 48.30
CONI INUED
A CUCA COLA ENTERPRISES HUITLER
NVO I CE PAGE 2 OF 3
SHIP TO: REMIT TO:
BRUOKSHIRI GULF CLUD 1111 SIAIES CUCA-CULA BU JI-ING
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BHOOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARMEL IN 460333314 CHICAGO, IL 000674-2329
317- 243 -3771
OU I LF I' 1 r036466 I NVO ICE# 3376317310
AR# 1866466
RIE 375 OIIIVC 3707 LOAD I011? SCN 00009 DA-I I F Q8 13 f Chi
DOC# 337631`13102 PL- 101 TIME: 10:43:40 CHARGE NET 16 PROX
SHELL BALANCE 14- 2/12/Ni
EALLEI BALAIiC 0 S /12,0+?
With AHERN
SALES
DESEHIPIIUN AHI# UIY PHICF AOJ# RAIE NLI EXIENHEU
9020 4.00
SUBTOTAL 11 177.10
DL= POS1 1S ON SALES
UESEHIPIIUN AHIN UiY PHICE ADJ# RAIF NEI EXILNDEU
SHELLS 16120 OZ 0606 22 O,oU <<IMPLIED> 0.00
SUBTOTAL 22 0.00
NEI PRODUCT OIY 46 TOTAL PHODUC1 1,632.00
TOTAL AOJUSIMENIS 966.64
SUB TOTAL 665.36
IN ST TAX 7.0N ON 526.76 36.87
AMOUNT DUE_ 7C12.23
CON TINUEU
A COCA COLA ENII:RPRISES HOITLEH
INVOICE PAGE 3 OF 3
SHIP TO: REMIT 10:
BROUKSHIHE GULF ULM THI- STAIES CUCA -COLA BOTTLING
CITY OF CARMEL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE.
CARMEL IN 4603333/4 CHICAGO, IL 6U674 -2329
317-243-3771
OUTLE I 1666466 I NVLI 1 CEM 33763'173'1
AR# 1866465
RTE- 375 DRIVER- 31111 LOAD- ISL2'Z SEQ- On009 IAA I L 06 1;3IQ'._l
OOC# 33763173102 PL 101 TIME: 10:43:40 CHARGE NET 15 PHOX
XLL E6LAICE 1i2
PALLET PnLANE L ail2ia?
IFIE_ UNOLRSIGNEO CUNT IHMS AGHEEMENI
fU THE IEIiMS AND LUND[IIDNS AND IS
AUTHORIZEU TO SIGN,
ROUIEPERSON CUSIUMER
LAST RAGE
A COCA COLA ENTERPRISES BOTTLER
INVOICE PAGE I OF 2
SHIP TO: REMIT FO:
UIRY CLUli IRi -SIAH:S CIII:A-CUI.A HUI I[JNG
CI I'I OF CARMEt INDIANAPOLIS SALES CENfEH
121211 DROOKSHIIII: PKWY 2329 PAYSPHERI: CIRCLE
CARMEL IN 460333314 CHICAGO, It. 60674-2329
317-243-3771
OLI LL I I L ICi4 1 N V 0 1 l:L 33E 6 -13 2 0
AR# 186E-166
I?IL 375 IIHIVIJI- 37111 L(IAIJ- I51.21 SEQ- 110009 IJA 1-
1 01. i-)4i
UUC# 33564302090 PL- 101 1 IVIE: 12:29:3!1 CHARGE NEI 16PROX
SALES
I-ILSLH I I I I I ON A H I N Uly AIIJ# RAIL NEI LXII-
DASAN 1 -24 I30 1 TI-f CASE
20PE1241- DASANI WAIER 5063 6 31,011 4017 -20.10 940 70.20
9019 -4.00
SUBTOTAL 8 79.20
PIZ I I- S W f 1 FA NO
201-SPI CNOI CLASSIC 5768 6 34.110 9017 15. 1 IS 14.8;) 89.10
9019 -4.00
2OLSPSI: I R Ylf) COCA COLA 03?'7 2. 34.00 ;10 17 -15.15 14.65 29.70
9019 -4.00
Vol-SPOS CNII? UlEr COKE 5789 6 34.00 901 -15.15 14.85 69.10
9019 -4.00
ZOLSPLIS fIARCIS 13001HI i 34.00 90 17 15. ]5 14.65 29.70
9019 -4.00
SUBIOIAL 16 21'.60
G L AC I::-: ALI 20OZ 2411-S
21fl*ilm GLA VWTR to FS (A 2194 1 34.00 411118 9.04 1 2.96 22.46
9020 -2.00
SUVOIAL 1 22.96
2 0O I-S GLACEAL)
20PTIAM GLA WIR XXX 65 1 34.011 9016 -9.!14 22. Lc 22-96
9020 -2.00
SUBTOTAL 1 22.96
DEPOSITS ON SALES
I.ILSU'll I P I ION AHI# QIY PHICE A0J# HAZE. NLI EXIIAJEU
SIIELLS 161211 O'l 060G 16 0.09 WMPLIED 0.00
SUBIOTAL 16 U.00
CONTINUED
A COCA COLA ENILHPRISES 8011LEH
I NVO I CE PAGE 2 OF 2
SHIP 10: REMIT TO:
EIIIUUKSHIIk- GOLF CLUB 1H1-SIAIES CUCA-COI-A BUIIILING
CITY OF CANMEL INUIANAPOLIS SALES CENIEH
12120 8111)(1)(SHIRE PKWY 2329 PAYSPIII-rft- C111CLE
C. ARMEL IN 4611333314 CHICAGO, Ii- 60674-2329
317-243-3771
'I (-)/I 61 1 NVO I
AR# 1866466
HII:- 376 UHIVFif- 3107 :11AI1- I'Lil SEU- 1100(19 UATF (11310611)zi
llOC4 3356012090 PL- 1111 IIMF: CHARGE NET 15 PROX
SPILLB6ACE W ?44,6
PALLET biNi' (i
ANN
DEPOS I 'I S ON SALES
UESCH I P I I (IN AH I 111 Y PHICE AI)J# HAZE NEI LXII
NEI PRUUUI'I UIY 26 IOIAL PHUHUCI 884.00
TOTAL ADJUSTMENTS -521.28
SUB-fOIAL 362.72
IN sr TAX 7.00% ON 283.52 19.85
AMOUNT DUE 382 5 7
THE UNIlf-IISIGNEU CONFIRMS AGREEMENT
10 IHE IFHMS AND CONDIIIONS AND IS
AUTHORIZED fU SIGN.
A
ROUTEPERSON CUSTOMER
LAST PAGE
NFIW rWedstate 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
�7riS C�CI�A Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 0
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
OUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
-2
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3a z o-V 36a, 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
20
f
S' atur
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund