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184888 04/27/2010
CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN i QJ� CHECK AMOUNT: $1,001.90 CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 184888 CHECK DATE: 4/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404009913 1,001.90 FOOD BEVERAGES PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 76TH STREET w 1236;. entral Park Or E INDIANAPOLt'S; 'IH 46268 Carmel, IN, 45032-4421 (317) 876-3464 INVOICE 1404009913 P.O. DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -04 -09 8:50:14 DIST PT: 8008584 DUE DATE: 2010 -05-09 CUST ID: 649907 ORDER 41540993 TAX 10: 0119683083-001 ROUTE: 701 VENDORIBUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 2574 PRO MIND BCH 200 052000002973 2 40.00 15.37 24.63 0.00 49.26 48 170 DT PEPSI 20OZ NR 012000001307 1 40.00 19.17 20.83 0.00 20.83 24 721 AQUAF I NA 20OZ NR 012000001598 10 40.00 27.50 12.50 0.00 125.00 240 2429 MT DW LIVE W I R 2 012000811319 1 40.00 19.17 20.83 0.00 20.83 24 9813 MT DW CODE RED 2 012000002243 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WH 052000328660 4 40.00 18.57 21.43 0.00 85.72 96 2563 GAT LEMILINE Wk 052000328684 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 1634 PROP FIT BRY 200 052000707779 1 40.00 15.37 24.53 0.00 24.63 24 1637 PROP FIT STRK 12 052000707786 2 40.00 15.37 24.63 0.00 49.26 48 2224 OR PEPPER CHR 20 078000098402 1 40.00 19.17 20.83 0.00 20.83 24 SUBTOTAL 200ZNRPLS24 545.77 29 CS 696 3248 SB LF 0 BLKCHR 2 739510003385 1 25.00 11.91 13.09 0.00 13.09 12 3250 SB LF 0 STRAPR 2 739510003361 1 25.00 11.91 13.09 0.00 13.09 12 2821 SB LF 0 MNGMEL 2 739510000049 4 25.00 11.91 13.09 0.00 52.36 48 2219 SB LF 0 YMBPOM 2 739510002838 4 25.00 11.91 13.09 0.00 52.36 48 2217 SB LF 0 BLKBLU 2 739510002845 4 25.00 11.91 13.09 0.00 52.36 48 4789 SB LF PON CHRY 2 739510001060 4 25.00 11.91 13.09 0.00 52.36 48 4787 SB LF BLK GRP 20 739510001121 4 25.00 11.91 13.09 0.00 52.36 48 4786 SB LF ORG TNG 20 739510001045 4 25.00 11.91 13.09 0.00 52.36 48 SUBTOTAL 200ZNRPLS12 340.34 26 CS 312 2619 NUS MLK CHO 140Z 876063002011 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 1190 MUG RT BEER 3 G 012000404085 2 54,00 19.23 34.77 0.00 69.54 SUBTOTAL 3 GBIBSNG 69.54 2 CS TOTAL SALES 1001,90 59 CS 1032 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 59 CS SALES AMOUNT 1988.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -986.10 DEPOSIT AMOUNT 0.00 NET DUE 1001.90 TERMS: CHARGE NET 30 DAYS THANK YOU 1404009913 1001.90 j CUSTOMER SIGNATURE 148013500701140400991308008584009911X ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized mb-st 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 23377 1,001.90 4/9110 1404009913 Vending Total 1,001.90 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 1,001.90 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1095 -1 1404009913 4239040 1,001.90 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 22 -Apr 2010 Signature 1,001.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund