HomeMy WebLinkAbout210796 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS�p���
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK AMOUNT: $555.53
CHICAGO IL 60674
CHECK NUMBER: 210796
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3366278615 555 . 53 FOOD & BEVERAGES
COCA-COLA REFRESHMENTS
I NVO ICE PAGE 1 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
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# 3366278615
AR# 1866466
RTE- 375 DRIVER- 3334 LOAD- ISL12 SEQ- 00014 DATE : 07/05/12
DOC# 33662786152 PL- 101 TIME: 11:39:48 CHARGE NET 15 PROX
SHELL BBLBHDE 437, 7/02/12
PBLLET BPLBHD 0 7/02/12
DEBBIE DE
SALES
DESCRIPTION ART# QTY PRICE AOJ# RATE NET EXTENDED
DASANI -24 BOTTLE CASE
20PET24L DASANI WATER 5063 6 34.00 3661 -21.52 12.48 74.88
SUBTOTAL 6 74.88
20OZ POWERADE
20PTLWM POWERADE LL 5994 2 34.00 3675 -10.95 21.04 42.08
0062 -2.00
20PTLWM POWERADE FPUNCH 5995 2 34.00 3675. -10.96 21.04 42.08
0062 -2.00
2OPTLWM PADE ORANGE 6938 5 34.00 3675 -10.96 21.04 105.20
0062 -2,00
20PTLWM POW MOUNTAIN BLA 4036 3 34.00 3675 -10.96 21.04 63.12
0062 -2.00
20PETBPK PA ZERO MXD BRY 7634 3 34.00 3675 -10.96 21.04 63.12
0062 -2.00
SUBTOTAL 15 315.60
CUPS AND LIDS (TUBES/CASES)
CPCS24ZOPE 7161 2120.00 3585 -57.70 6230 124.60
LDCS16DPE2 7165 1 70.00 3587 -29.55 40.45 40.45
SUBTOTAL 3 165.05
CONTINUED
COCA-COLA REFRESHMENTS
INVOICE PAGE 2 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
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# 3366278615
AR# 1866466
RTE- 375 DRIVER- 3334 LOAD- ISL12 SEQ- 00014 DATE : 07/05/12
DOC# 33662786152 PL- 101 TIME: 11:39:48 CHARGE NET 15 PROX
SHELL BPLKE 437- 7/82/12
PKLET BPLAK 0 7/02/12
DEBBIE BE
- - - • - - - - • - - - - - • - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 24 TOTAL PRODUCT 1,024.00
TOTAL ADJUSTMENTS -468.47
SUB-TOTAL 555.53
0031201550 --------------------
AMOUNT DUE 555 .53
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER_
LAST PAGE
Prescribed by State Board 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/05/12 3366278615 Soda $555.53
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
Coca-Cola Refreshments
Indianapolis Sales Center IN SUM OF $
2329 Paysphere Circle
Chicago, IL 60674-2329
$555.53
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3366278615 I 42-390.40 I $555.53 1 hereby certify that the attached invoice(s), or
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
Monday, July 09, 2012
ly
Director, Brookshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund