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181353 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI —COLA GEN BOT IN i CHECK AMOUNT: $1,830.35 Isti 4, CARMEL, INDIANA 46032 m REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 181353 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 9404035210 811.00 FOOD BEVERAGES 1095 4239040 9405134507 1,019.35 FOOD BEVERAGES PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 78TH STREET 1235 Central Park Or E INDIANAPOLIS, IN 46268 #i Carmel, IN, 46032-4421 (317) 876-3464 INVOICE 9404035210 P.O. DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2009-12-18 11:03:12 DIST PT: 8008584 DUE DATE: 2010 -01-17 COST ID: 649907 ORDER 40257265 TAX ID: 0119683083 -001 ROUTE: 701 VENDOR /DUNS: AN: 606818 UNIT DISC NET DEP NET NET ITEM 'DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 169 PEPSI COLA 200Z 012000001291 2 40.00 19,17 20.83 0.00 41.66 48 170 OTkPEPSI 200Z NR 012000001307 2 40.00 19.17 20.83 0.00 41.66 48 1782 HT DEW VOLTAGE 2 012000028625 2 40.00 19.17 20.83 0.00 41.66 48 175 DTI NT DEW 200Z N 012000001345 2 40,00 19.17 20.83 0,00 41.66 48 173 HT DEW 200Z NR P 012000001314 2 40.00 19.17 20.83 0.00 41.66 48 721 ASUAF I NA 200Z NR 012000001598 6 40.00 27.50 12.50 0,00 75.00 144 6728 LPTN ICED DGRN 2 012000012785 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WM 052000328660 4 40.00 18.57 21.43 0.00 85.72 96 2563 GAT LEH /LINE WN 052000328684 3 40.00 18.57 21.43 0.00 64.29 72 2559 GAT ORANGE WM 20 052000328677 2 40.00 18.57 21.43 0.00 42.86 48 2567 GAT COOL BLUE WH 052000324815 4 40.00 18.57 21.43 0.00 85.72 96 2562 GAT FRC GRAPE WM 052000324822 2 40.00 18.57 21,43 0.00 42.86 48 1639 PROP FIT LEN 200 052000707809 2 40.00 15.37 24.63 0.00 49.26 48 1634 PROP FIT BRY 200 052000707779 2 40.00 15.37 24.63 0.00 49.26 48 1509 GAT BRY RAIN WM 052000208900 2 40.00 18,57 21.43 0.00 42.86 48 SUBTOTAL 200ZNRPLS24 766.95 38 CS 912 2767 RKSTR O R I G 160Z 818094000017 1 50.00 5.96 44.04 0.00 44.04 24 SUBTOTAL 160ZCNLS 24 44.04 1 CS 24 TOTAL SALES 811.00 39 CS 936 PLEASE REMIT PAYMENT TO: _PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO, IL 60675-1884 TOTALS SALES QTY 39 CS SALES AMOUNT 1570.00 RETURN OTY 0 CS RETURN AMOUNT 0.00 EMPTIES OTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -759.00 DEPOSIT AMOUNT 0.00 NET DUE 811.00 TERMS: CHARGE NET 30 DAYS THANK YOU 940403 811.00 1 1 CUSTOMER SIGNATURE 1480135007019404035210080085849352118 V 1 0 44 ROMEWIET DEC 1 8 2009 BY: PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 78TH STREET 1235 Central Park Dr E INDIANAPOLIS, IN 46268 Carmel, IN, 46032-4421 (317) 876-3464 INVOICE 9405134507 P.O. DRIVER: 628464 Sul I ivan,Orvil I 5 STORE: DELIVERY: 2009 -12 -11 9:49:31 DIST PT: 8008584 DUE DATE: 2010 -01-10 CUST ID: 649907 ORDER 40191836 TAX ID: 0119683083 -001 ROUTE: 713 VENDOR /DUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 169 PEPSI COLA 200Z 012000001291 1 40.00 19.17 20,83 0.00 20.83 24 170 Of PEPSI 200Z NR 012000001307 1 40,00 19.17 20.83 0.00 20,83 24 1782 NT DEW VOLTAGE 2 012000028625 1 40.00 19.17 20.83 0.00 20.83 24 173 NT DEW 200Z NR P 012000001314 2 40.00 19.17 20.83 0.00 41.66 48 1202 PEPSI WLD CHRY 2 012000005596 1 40.00 19.17 20.83 0.00 20.83 24 2563 (i4T LEN/LINE WM 052000328684 3 40.00 18.57 21.43 0.00 64.29 72 2559 GAT ORANGE WM 20 052000328677 3 40.00 18.57 21.43 0.00 64.29 72 g• 2567 GAT COOL BLUE WH 052000324815 3 40.00 18.57 21.43 0.00 64.29 72 's` 2562 GAT FRC GRAPE WM 052000324822 3 40.00 18.57 21.43 0.00 64.29 72 1634 PROP FIT BRY 200 052000707779 1 40.00 15.37 24.63 0.00 24.63 24 1637 PROP FIT STRK 12 052000707786 1 40.00 15.37 24.63 0.00 24.63 24 1509 GAT BRY RAIN WN 052000208900 3 40.00 18.57 21.43 0.00 64.29 72 SUBTOTAL 200ZNRPLS24 495.69 23 CS 552 2219 SB LF 0 YMBPOM 2 739510002838 3 25.00 11.91 13.09 0.00 39.27 36 1798 SB LF GOJI MEL 2 739510002548 3 25.00 11.91 13.09 0.00 39.27 36 2218 SB LF 0 FJ APL 2 739510002821 3 25.00 11.91 13.09 0.00 39.27 36 2217 SB LF 0 BLKBLU 2 739510002845 3 25.00 11.91 13.09 0.00 39.27 36 4789 SB LF PON CHRY 2 739510001060 3 25.00 11.91 13.09 0.00 39.27 36 4787 SB LF BLK GRP 20 739510001121 3 25.00 11.91 13.09 0.00 39.27 36 4786 SB LF ORG TNG 20 739510001046 3 25.00 11.91 13.09 0.00 39.27 36 SUBTOTAL 200ZNRPLS12 274.89 21 CS 252 4451 DT OR PEPPER 210 078000083729 1 40.00 19.17 20.83 0,00 20.83 24 SUBTOTAL 210ZNRPLS24 20.83 1 CS 24 1790 STR E4C MOCHA 15 012000028458 2 30.00 8.75 21.25 0.00 42.50 24 SUBTOTAL 150ZCNLS12U 42.50 2 CS 24 2568 PEPSI COLA 5 G B 012000400032 1 90.00 32.05 57.95 0.00 57.95 2576 DT PEPSI 5 G BIB 012000400063 1 90.00 32.05 57.95 0.00 57.95 SUBTOTAL 5 GBIBSNG 115.90 2 CS 2722 TROP LEMND JD 3 012000016189 1 54.00 19.23 34.77 0.00 34.77 1160 SIERRA H I S T LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GBIBSNG 69.54 2 CS TOTAL SALES 1019.35 51 CS 852 PLEASE REMIT PAYMENT TO: PEPSI COLA GEW.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 51 CS SALES AMOUNT 1833.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT 813.65 DEPOSIT AMOUNT 0,00 NET DUE 1019.35 TERMS: CHARGE NET 30 DAYS THANK YOU 940S134507 1019.35 CUSTOMER SIGNATURE r' 1480135007139405134507080085849345117 0.?3oo;2__ il aamcv7min i DEC 1 8.1009 gy ICY:........ 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 75 Remittance Drive, Ste 1884 Chicago, IL 60675 -1884 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12/11/09 9405134507 Vending 23002 F 1,019.35 12/18/09 9404035210 Vending 23023 F 811.00 Total 1,830.35 I 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 75 Remittance Drive, Ste 1884 Chicago, IL 60675 -1884 In Sum of 1,830.35 ON ACCOUNT OF APPROPRIATION FOR 'tO4Program Ci d PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept (S 1 Q -7 9405134507 4239040 1,019.35 I hereby certify that the attached invoice(s), or /095 1.84 9404035210 4239040 811.00 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 7 -Jan 2010 Signature 1,830.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund