HomeMy WebLinkAbout220562 06/04/2013 "*F CITY OF CARMEL, INDIANA VENDOR: 361189 Page 1 of 1
ONE CIVIC SQUARE COCA COLA REFRESHMENTS INDPLS�p��
" l` CARMEL, INDIANA 46032 2329 PAYSPHERE CIRCLE CHECK AMOUNT: $457.20
CHICAGO IL 60674 CHECK NUMBER: 220562
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 3376399006 457 . 20 FOOD & BEVERAGES
COCA-COLA REFRESHMENTS
INVOICE 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 11366466 INVOICE# 3376399006
AR# 1856466
RTE- 375 DRIVER- 3564 LOAD- IOF04 SEQ- 00006 DATE : 05 129/13
DOC# 33763990067 PL- 101 TIME: 08:02:43 CHARGE NET 15 PROX
SHELL BALANCE 513, 126113
PALLET BALK 0 S26/13
BRAD
SALES
OESCHIPfION ART# QTY PRICE AOJ# RATE NET EXTENDED
20OZ 24L PET CSD+MM+NT
20LSPETS CNTR CLASSIC 5788 4 34.00 3675 -10.00 24.00 96.00
20LSPSCTR ZERO COCA COLA 0377 1 34.00 3675 -10.00 24.00 24.00
20LSPETS CNTR DIET COKE 5769 3 34.00 3675 -10.00 24.00 72.00
SUBTOTAL 8 192.00
20OZ POWERADE
20PTLA POWERADE LL 5994 3 42.00 3675 -21.60 20.40 61.20
20PTLWM POWERADE FPUNCH 5995 3 42.00 3675 -21.60 20,40 61.20
20PTLWM PADE ORANGE 6938 3 42.00 3675 -21.60 20.40 61.20
20PTLWM POW MOUNTAIN BLA 4035 2 42.00 3675 -21.60 20.40 40.80
20PTLWM PA STRWBY LEMADE 6913 2 42.00 3575 -21.60 20.40 40.80
SUBTOTAL 13 265.20
DEPOSITS ON SALES
DESCRIPTION ART# QTY PRICE ADJ# RATE NET EXTENDED
SHELLS 16120 OZ 0606 8 0.00 «IMPLIED>> 0.00
SUBTOTAL 8 0.00
CONTINUED
COCA-COLA REFRESHMENTS
I NVO I CE 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
I OUTLET 11166466 I NVO I CE# 33 76399006
AR# 1866466
RTE- 375 DRIVER- 3564 LOAD- IOF04 SEQ- 00006 DATE : 05 129/13
DOC# 33763990067 PL- 101 TIME: 08:02:43 CHARGE NET 15 PROX
SILL BALANCE 513- 526/13
PALLET BALK 0 52S/13
BRAD
NET PRODUCT QTY 21 TOTAL PRODUCT 818.00
TOTAL ADJUSTMENTS -360.80
SUB-TOTAL 457.20
0031201550 -------------------
AMOUNT DUE 457 .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))
05/29/13 3376399006 Pop $457.20
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 2C
Coca-Cola Refreshments
Indianapolis Sales Center IN SUM OF $
2329 Paysphere Circle
Chicago, IL 60674-2329
$457.20
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 3376399006 I 42-390.40 I $457.20 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
Wednesday, May 29, 2013
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund