248482 08/12/15 0_�
CITY OF CARMEL, INDIANA VENDOR: 355333
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECKAMOUNT: S"** '569.26*
CARMEL, INDIANA 46032 LOCKBOX 75948 CHECK NUMBER: 248482
CCHICAGO IL 60675-5948 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 30412416 569.26 FOOD & BEVERAGES
PBC
PEPSI BEVERAGES COMPANY
5411 West 78th St.
Indianapolis, IN 46268
Contact #: 1-800-963-2424
Sales RepJulius_cr Golder
Route #: 701
NRID/CID: 577336/6
IN - ISE
# 30412416
Carmel. Cl.ay Parks &
Recreation
1235 Central Park Dr E
Carmel,IN 46032
Vendor #:
Store #:
Customer #: 9461355
TAX ID: 0119683083-001
PO #:
ACCOM CODE_ #: _
SALES_ SUMMARY
Qty Amount
Sales
Cases 38 569.26
Total Units 38
Credits
Full Cases 4 0.00
Single Units 0 0.00
Total Units 4
Container Deposits 0.00
Sales Tax 0.00
State/Local Charges 0.00
Amount Due - $569.26
TERMS: Charge
Net 30
PLEASE REMIT PAYMENT TO.
Pepsi-Cola
P.O. Box 75948
Chicago IL 606755948 W en
RECEIVED BY: Cj
ITEM DETAIL
SALES
Description UPC
Whlsl Cases Units Net Amount
CO2
20LB FULL TANK 0-12000-40268-5
30.00 4 424.55 98.20
SUBTOTAL 4 4 98.20
3G BIB
SRMIST PUS 0-12000-50388-7
30.00 6 613.99 83.94
,MUG RT BR POS 0-12000-40408-5
30.00 9 913.99 125.91
TROP LMND POS 0-12000-01618-9
50.00 9 913.99 125.91
SUBTOTAL 24 24 335.76
5G BIB
PEPSI POS 0-12000-40003-2
30.00 10 1013.5 3 135.30
SUBTOTAL 10 10 135.30
CREDITS (Full Cases)
Description UPC
Cases Units Net Amount
EMPTIES
20LB CO2 EMPTY TK 0-12000-40370-5
4 4 0.00 0.00
SUBTOTAL 4 4 0.00
CONTAINER DEPOSITS
�ackage Cases Units Amount
'CO2 4 4 300.00
EMPTIES 4 4 -300.00
SUBTOTAL 8 8 0.00
Amount Due
for this Invoice: $569.26
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
355333 Pepsi Cola Gen. Bot. Terms
P.O. Box 75948
Chicago, IL 60675-5948
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s))
7/29/15 30412416 Waterpark beverage order 38884 $ 569.26
Total $ 569.26
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.
355333 Pepsi Cola Gen. Bot. Allowed 20
P.O. Box 75948
Chicago, IL 60675-5948
In Sum of$
$ 569.26
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1095-1 30412416 4239040 $ 569.26 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
August 6, 2015
Signature
$ 569.26 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund