183420 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN
R �a CHECK AMOUNT: $302.25
CARMEL INDIANA 46032
75 REMITTANCE DRIVE SUITE 1884
CHICAGO IL 60675 -1884 CHECK NUMBER: 183420
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1404005010 302.25 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 1404005010
P.O. q; DRIVEkEV;-W2018:53:37 land II,Pe
STORE: �Cf�
DIST PT: 8008584 'MET,
CUST ID: 649907 ORDERM: 40965719
TAX ID: 0119683083 -001 ROUTE: 701
VENDOR /DUNS: ASH: 606818
UNIT DISC NET DEP NET NET
ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH
SALES
169 PEPSI COLA 20OZ 012000001291 1 40.00 19.17 20.83 0.00 20.83 24
170 OT PEPSI 20OZ NR 012000001307 1 40.00 19.17 20.83 0.00 20.83 24
7756 DT DR PEPPER 200 078000083408 1 40.00 19.17 20.83 0.00 20.83 24
1782 MT DEW VOLTAGE 2 012000028625 1 40.00 19.17 20.83 0.00 20.83 24
175 DT MT DEW 20OZ N 012000001345 1 40.00 19.17 20.83 0.00 20.83 24
1202 PEPSI WLD CHRY 2 012000005596 1 40.00 19.17 20.83 0.00 20.83 24
2442 TROP LEMND JD 20 012000812859 1 40.00 19.17 20.83 0.00 20,83 24
2567 GAT COOL BLUE WM 052000324815 2 40.00 18.57 21.43 0.00 42.86 48
SUBTOTAL 200ZNRPLS24 188.67 9 CS 216
2767 RKSTR ORIG 160Z 818094000017 1 50.00 5.96 44.04 0.00 44.04 24
SUBTOTAL 160ZENLS 24 44.04 1 CS 24
2722 TROP LEMNO JO 3 012000016189 1 54.00 19.23 34.77 0.00 34.77
1160 SIERRA MIST LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77
SUBTOTAL 3 GB I BSNG 69.54 2 CS
TOTAL SALES 302.25 12 CS 240
PLEASE REMIT PAYMENT TO:
PEPSI COLA GEN.BOT.IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO,IL 60675-1884
A"" TOTALS
SALES QTY 12 CS SALES AMOUNT 518.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -215.75
DEPOSIT AMOUNT 00
NET DUE 302.25
TERMS: CHARGE NET 30 DAYS
-i
THANK YOU
140400510110 302.25
g W CUSTOMER SIGNATURE
1480135007011404005010080085840050117
TO a MW397M
FEB 2 6 1010
BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to ble 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
2/19/10 1404005010 Vending 23198 302.25
Total 302.25
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
3
302.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 1404005010 4239040 302.25 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
11 -Mar 2010
fjpAkmm-'�t
Signature
302.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund