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185388 05/11/2010 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: $1,151.52 CHICAGO IL 60675 -1884 CHECK NUMBER: 185388 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404011324 1,151.52 FOOD BEVERAGES PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 78TH STREET 1235 CenivI Park Or E INDIANAPOLIS, IN 46,268' 4 Carmel IN, 46032-4421 (317) 876 -3464 1 4 1 INVOICE 1404011324 P.O. DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -04 -23 10:17:12 DIST PT: 8008584 DUE DATE: 2010 -05 -23 CUST ID: 649907 ORDER#: 41709394 TAX ID: 0119683083 -001 ROUTE: 701 VENDORIDUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 7756 DT DR PEPPER 200 078000083408 1 40.00 19.17 20.83 0.00 20.83 24 173 MT DEW 20OZ NR P 012000001314 2 40,00 19.17 20,83 0.00 41.66 48 1202 PEPSI WLD CHRY 2 012000005596 2 40.00 19.17 20.83 0.00 41.66 48 8048 MUG RT BEER 20OZ 012000009105 1 40.00 19.17 20.83 0.00 20.83 24 2442 TROP LEMND A 20 012000812859 1 40.00 19.17 20.83 0.00 20.83 24 2449 TROP PK LEN A 2 012000812842 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WN 052000328660 1 40.00 18.57 21.43 0.00 21.43 24 2563 GAT LEMILINE WN 052000328684 4 40.00 18.57 21.43 0.00 85.72 95 2559 GAT ORANGE WM 20 052000328677 1 40.00 18.57 21.43 0.00 21.43 24 2567 GAT COOL BLUE WN 052000324815 6 40.00 18.57 21.43 0.00 128.58 144 1634 PROP FIT BRY 200 052000707779 1 40.00 15.37 24.63 0.00 24.63 24 SUBTOTAL 200ZNRPLS24 448.43 21 CS 504 4786 SB LF ORG TNG 20 739510001046 1 25.00 11.91 13.09 0.00 13.09 12 SUBTOTAL 200ZNRPLS12 13.09 1 CS 12 2767 RKSTR O R I G 16OZ 818094000017 1 50.00 5.96 44.04 0.00 44.04 24 SUBTOTAL 160ZCNLS 24 44,04 1 IS 24 1443 MT DEW AMP CHR 1 012000021145 1 30.00 7.98 22.02 0.00 22,02 12 1712 MT DEW AMP ORG 1 012000027666 1 30.00 7.98 22.02 0.00 22.02 12 1713 MT DEW AMP BRY 1 012000027673 1 30.00 7.98 22.02 0.00 22.02 12 1715 MT DEW AMP GRP 1 012000027680 1 30.00 7.98 22.02 0.00 22.02 12 SUBTOTAL 16OZENLS12U 88,08 4 CS 48 2568 PEPSI COLA 5 G B 012000400032 1 90.00 32.05 57.95 0.00 57,95 2576 DT PEPSI 5 G 810 012000400063 1 90.00 32.05 57.95 0.00 57.95 2600 HT DEW 5 G BIB 012000400094 1 90.00 32.05 57.95 0.00 57.95 2639 DR PEPPER 5 G BI 054900710545 1 90.00 32.05 57.95 0.00 57.95 SUBTOTAL 5 GB I BSNG 231.80 4 CS 2722 TROP LEMND A 3 012000016189 2 54.00 19.23 34.77 0.00 69,54 1190 HUG RT BEER 3 G 012000404085 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 GBIBSNG 139.08 4 CS 1960 M I S C S CO2 T75 2 999000019603 2 75,00 56.50 18.50 75.00 187.00 SUBTOTAL 20 LBTTM I S 187.00 2 CS TOTAL SALES 1151.52 37 CS 588 PLEASE REMIT PAYMENT T0: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 37 CS SALES AMOUNT 1761.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -759.48 DEPOSIT AMOUNT 150.00 NET DUE 1151.52 TERMS: CHARGE NET 30 DAYS THANK YOU 1404011324 1111.52 fik CUSTOMER SIGNATURE 1480135007011404011324080085840113118 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 Amount or Date Number note attached invoice 23446 1,151.52 s) or bill(s)) PO 4/23/10 1404011324 Vending Total 1,151.52 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 75 Remittance Drive, Ste 1884 Chicago, IL 60675 -1884 In Sum of 1,151.52 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOVCE NO. ACCT #rrlTLE AMOUNT Board Members Dept 1095 -1 1404011324 4239040 1,151.52 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 5 -May 2010 Signature 1,151.52 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund