HomeMy WebLinkAbout212549 09/12/2012 °'CAF CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS6p,���
c. CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK AMOUNT: $372.20
CHICAGO IL 60674
CHECK NUMBER: 212549
CHECK DATE: 9112/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3366316512 372 . 20 FOOD & BEVERAGES
COCA-COLA REFRESHMENTS
INVOICE PAGE 1 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
CITY OF CARREL INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARREL IN 460333314 CHICAGO, IL 60674-2329
317-243-3771
OUTLET 1866466 INVOICE* 3366316512
ARM 1866466
RTE- 375 DRIVER- 3707 LOAD- ISL16 SEQ- 00012 DATE :08/29/1 2
DOC# 33663165125 PL- 101 TIME: 10:03:20 CHARGE NET 15 PROX
ALL BPLAKE 468- 8/27/12
PALLET BALK 6 8/27/12
DEBBIE
SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
DASAN'1 -24 BOTTLE CASE
20PET24L DASANI WATER 5063 6 34.00 3661 -20.80 13.20 79.20
SUBTOTAL 6 79.20
, 20OZ 24L PET CSD-MM+NT
f 20LSPSPRTY OT SPRITE ZRO 4806 1 34.00 3675 -10.00 24.00 24.00
20LSPTSPRPTY SPRITE 4320 2 34.00 3675 -10.00 24.00 48.00
20LSPETS CNTR CLASSIC 5788 2 34.00 3675 -10.00 24.00 48.00
20LSPETS CNTR DIET COKE 5789 4 34.00 3675 -10.00 24.00 96.00
SUBTOTAL 9 216.00
2 .5G BIB
BIB12.5 MMAID LHT LMNADE 4751 1 55.00 3588 -16.50 38.50 38.50
BIB12.5 GP SWT BLK TEA 5343 1 55.00 3588 -16.50 38.50 38.50
SUBTOTAL 2 77.00
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE AOJ#__ RATE.- NET EXTENDED
SHELLS 16120 OZ 0606 9 0.00 «IMPLIED» 0.00
SUBTOTAL 9 0.00
CONTINUED
COCA-COLA REFRESHMENTS
INVOICE PAGE 2 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GOLF CLUB COCA-COLA REFRESHMENTS
CITY OF CARREL . INDIANAPOLIS SALES CENTER
12120 BROOKSHIRE PKWY 2329 PAYSPHERE CIRCLE
CARREL IN 460333314 CHICAGO, IL 60674-2329
317-243-3771
OUTLET 1866466 INVOICE#. 3366316512
AR# 1866466
'RTE- 375 DRIVER- 3707 LOAD- ISL16 SEQ- 00012 DATE : 08/29/12
DOC# 33663165125 PL- 101 TIME: 10:03:20 CHARGE NET 15 PROX
ALL BPLAIEE 468, 8/27/12
PALLET BALAK B 8/27/12
DEBBIE
- • - - - - - - - - - - - - - - - - - - - - - - - - - • - • - - - - - - - - - -
NET PRODUCT QTY 17 TOTAL PRODUCT 620.00
TOTAL ADJUSTMENTS -247.80
SUB-TOTAL 372.20
0031201550 -------------------
AMOUNT DUE 372 .20
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
ROUTEPERSON CUSTOMER
LAST PAGE
i
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))
08/29/12 3366316512 Soda $372.20
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
$372.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3366316512 I 42-390.40 I $372.20 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
Thursday, August 30, 2012
Director, Brookshire7oolf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund