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182504 02/17/2010
CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHECK AMOUNT: $1,203.98 CHICAGO IL 60675 -1884 CHECK NUMBER: 182504 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404002214 658.60 FOOD BEVERAGES 1095 4239040 9404036503 545.38 FOOD BEVERAGES 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 1404002214 P.O. q: DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -01 -22 10:01:40 DIST PT: 8008584 DUE DATE: 2010 -02 -21 CUST ID: 649907 ORDERI: 40646063 TAX ID: 0119683083-001 ROUTE: 701 VENDORIBUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 169 PEPSI COLA 20OZ 012000001291 2 40.00 19.17 20.83 0.00 41.65 48 170 DT PEPSI 20OZ NR 012000001307 2 40.00 19.17 20.83 0.00 '41.66 48 721 AQUAFINA 20OZ NR 012000001598 10 40.00 27.50 12.50 0.00 125,00 240 6728 LPTN ICED DGRN 2 012000012785 1 40.00 19.17 20.83 0.00 20.83 24 8048 MUG RT BEER 20OZ 012000009105 1 40,00 19.17 20.83 0.00 20.83 24 8850 CRUSH ORANGE 200 041710217982 1 40,00 19.17 20.83 0.00 20,83 24 2564 GAT FRT PUNCH WH 052000328660 2 40.00 18.57 21.43 0.00 42.86 48 2553 GAT LEM /LINE WH 052000328684 2 40.00 18.57 21.43 0.00 42.86 48 2559 GAT ORANGE WM 20 052000328677 2 40.00 18.57 21.43 0.00 42.86 48 2567 GAT COOL BLUE WM 052000324815 3 40.00 18.57 21.43 0.00 64.29 72 1509 GAT BRY RAIN WH 052000208900 2 40.00 18.57 21.43 0.00 42.86 48 SUBTOTAL 200ZNRPLS24 506.54 28 CS 672 1798 SB LF GOJI MEL 2 739510002548 1 25.00 11.91 13.09 0.00 13.09 12 SUBTOTAL 200ZNRPLS12 13.09 1 CS 12 2620 MUS NLK VAN 140Z 876063002028 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 25.00 1 CS 12 1793 STR E +C VANILA 1 012000028496 1 30.00 8.75 21.25 0.00 21.25 12 SUBTOTAL 150ZCNLS12U 21.25 1 CS 12 2576 DT PEPSI 5 G BIB 012000400063 1 90.00 32.05 57,95 0,00 57.95 SUBTOTAL 5 GB I BSNG 57.95 1 CS 1160 SIERRA MIST LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GBIBSNG 34.77 1 CS TOTAL SALES 658.60 33 CS 708 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675 -1684 TOTALS XXXhX SALES QTY 33 CS SALES AMOUNT 1359.00 RETURN OTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -700.40 DEPOSIT AMOUNT 0.00 NET DUE 658.60 TERMS: CHARGE NET 30 DAYS THANK YOU 14040U2214 6 58.60 4� CUSTOMER SIGNATURE 1480135 007011404002214080085840022111 i L&A 1 �e �t c om �a� Y Pe'psiArr�Oricas 01/22/2010 2:06 PAGE 1/1 Fax Server PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST.78TH,STREET 1235 Central Park Or E INDIANAPOLIS,: IN .46268 Carmel, IN, 46032 -4421 (317) 876 -34'54 f INVOICE 9404036503 P.O. ORIVER: 624129 Hazy iIand 11 Pe STORE: DELIVERY; 2009 12-31 8:33:57 GIST PT: &008584 DUE DATE; 2010 01 30 CUST 10: 649907 ORDENi 40408169 a TAX 10: 0119683083 001 ROUTE; 701 UENDDRtOUNS: ASH: 606818 UNIT 0 1 SC NET OEP NET NET I TEM DESCR 1 PT I ON I UPC QTY PRICE PRICE AMOUNT EAC i SALES 721 AQUAFINA 20 OZ NR 012000001598 6 40.00 27.50 12.50 0.00 75.00 144 2564 GAT FRT PUNCH 14H 052000328860 2 40.00 18.57 21.43 0.00 42.86 48 2553 GAT LEMILINE WM 052000328684 2 40.00 18.57 21.43 0.00 42.86 48 2567 GAT COOL BLUE wM 052000324815 2 40.00 18.57 21.43 0,00 42,86 48 1634 PROP FIT BRY 200 052000707779 1 40.00 15.37 24.63 0.00 24.63 24 1637 PROP FIT STRK 12 052000707766 3 40.00 15.37 24,63 0.00 73.59 72 SUBTOTAL 200ZNRPL524 302.10 16 CS 384 2219 SB LF 0 YHBPOM 2 739510002838 2 25,00 11.91 13.09 0.00 26.18 24 2218 SO LF 0 FJ APL 2 739510002821 2 25.00 11.91 13.09 0,00 26.18 24 4787 SO LF BILK GRP.20.739510001121 2 25,00' 11,91 13.09 0,00 26.18 24 Purchase VC I-)E) SUB70TAL 2o0ZNRPLSI2 78.54 6 IS 72 Description P.O. P O i�0 2619 KUS MILK CHO 140Z 876063002011 2 40:00 15.00 25.00 0,00 50.00 24 �q Ci.L A SUBTOTAL 140ZNRPLS12 50.00 2 CS 24 Bud Una t7esrx °I E-\/ 1713 NT DEW AV BRY 1 012000027673 1 30.00 7.98 22.02 0.00 22.02 12 _Date Purchaser SUBTOTAL 150ZCNLS12U 22.02 1 CS 12 App Dates_: 2566 PEPSI COLA 5 G B 012000400032 1 90.00 32.05 57.95 0.60 57.95 SUBTOTAL 5 GBIBSNG 57,95 1 CS 2722 TROP LEMND JD 3 012000016189 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GBIBSNG 34.77 1 CS TOTAL SALES 545.36 27 CS 492 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 50675.1864 -*a* TOTALS SALES QTY 27 CS SALES AMOUNT 1044.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS M I S C AMOUNT 0,00 ALLOWANCE AMOUNT 498.62 DEPOSIT AMOUNT 0.00 NET DUE 545.38 TERMS: CHARGE NET 30 DAYS THANK YOU 940403GS03 545.36 Iv CUSTOMER SIGNATURE 1480135007019404036503080085849365111 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 12/31/09 9404036503 Vending 23115 545.38 1122110 1404002214 Vending 23109 658.60 Total 1,203.98 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 1 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 1,203.98 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 9404036503 423904Q 545.38 I hereby certify that the attached invoice(s), or 1095 -1 1404002214 4239040 658.60 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 11 -Feb 2010 Signature 1,203.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund