HomeMy WebLinkAbout219281 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS�pL�
CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE �FiECK AMOUNT: $615.16
'+ CHICAGO IL 60674
CHECK NUMBER: 219281
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3376394113 615 . 16 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# 3376394113
AR# 1866466
RTE- 375 DRIVER- 3564 LOAD- IOF04 SEQ- 00013 DATE : 04/1 0/l 3
DOC# 33763941136 PL- 101 TIME: 10:23:24 CHARGE NET 15 PROX
SHELL RAKE 489, 4/08/13
PALLET BALK 0 4/08/13
BRAG
SALES
DESCRIPTION ART# QTY PRICE ADA RATE NET EXTENDED
16OZ CAN ENERGY 24 LOOSE
16ZCN24L MONSTER ENERGY 1656 1 50.00 3668 -16.00 34.00 34.00
SUBTOTAL 1 34.00
20OZ 24L PET CSD+MM+NT
20LSPSPRTY DT SPRITE ZRO 4806 1 34.00 3675 -10.48 23.52 23.52
20LSPTSPRPTY SPRITE 4320 2 34.00 3675 -10.48 23.52 47.04
20LSPETS CNTR CLASSIC 5788 4 34.00 3675 -10.48 23.52 94.08
20LSPETS CNTR DIET COKE 5789 4 34.00 3675 -10.48 23.52 94.08
20LSPETS MELLO YELLO 5855 1 34.00 3675 -10.48 23.52 23.52
20LSPETS BARQS ROOTBEER 5858 1 34.00 3675 -10.48 23.52 23.52
20LSPET FANTA ORANGE 5839 2 34.00 3675 -10.48 23.52 47.04
SUBTOTAL 15 352.80
2'.5G B I B
BIB12.5 FANTA ORANGE 4130 1 55.00 3574 -14.80 40.20 40.20
81812.5 BARQS ROOTBEER 8206 1 55.00 3574 -14.80 40.20 40.20
SUBTOTAL 2 80.40
5 . OG BIB
BIB/5.00 CLASSIC 7825 1105.00 3574 -31.02 73.98 73.98
BIB/5.00 DIET COKE 7827 1105.00 3574 -31.02 73.98 73.98
SUBTOTAL 2 147.96
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16/20 OZ 0606 13 0.00 «IMPLIED» 0.00
SUBTOTAL 13 0,00
CONTINUED
COCA-COLA REFRESHMENTS
INVOICE PAGE 2 OF 2
SHIP TO: REMIT TO:
BROOKSHIRE GULF 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 s
OUTLET 1866466 INVOICE# 3376394113
AR# 1866466
RTE- 375 DRIVER- 3564 LOAD- IOF04 SEQ- 00013 DATE : 04/10/1 3
DOC# 33763941136 PL- 101 TIME: 10:23:24 CHARGE NET 15 PROX
SHELL BALANCE 489, 4/08/13
PALLET BALK 0 4/08/13
BRAD
- • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NET PRODUCT QTY 20 TOTAL PRODUCT 880.00
TOTAL ADJUSTMENTS -264.84
SUB-TOTAL 615.16
0031201550 ------------ -----
AMOUNT DUE 615 . 16
THE UNDERSIGNED CONFIRMS AGREEMENT
TO THE TERMS AND CONDITIONS AND IS
AUTHORIZED TO SIGN.
CUSTOMER
k 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))
04/10/13 I 3376394113 I Pop I $615.16
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
$615.16
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3376394113 I 42-390.40 1 $615.16 1 hereby certify that the attached invoice(s), or
1 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, April 11, 2013
Director, Broo hire Golf Club
Titie
Cost distribution ledger classification if
claim paid motor vehicle highway fund