185912 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN
4 75 REMITTANCE DRIVE SUITE 1884 CHECK AMOUNT: $366.05
CARMEL, INDIANA 46032
CHICAGO IL 60675 -1884 CHECK NUMBER: 185912
DN
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1404012016 366.05 FOOD BEVERAGES
PEPSI COLA GEN. BOT. rmel Clay Parks Recreation
5411 WEST 78TH STREET 1 35 Central Park Or E
INDIANAPOLIS, IN 46268 Carmel, IN, 46032.4421
(317) 876-3464"'
1
INVOICE 1404012016
I
P.O. DRIVER: 628464 Sullivan,Orvill
STORE: DELIVERY: 2010 -04-30 10:34:01
DIST PT: 8008584 DUE DATE: 2010 -05-30
CUST ID: 649907 ORDER#: 41792505
TAX 10: 0119683083-001 ROUTE: 701
VENDOR/DUNS: ASH: 606818
UNIT DISC NET DEP NET NET
ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH
w SALES
175 OT MT DEW 20OZ N 012000001345 1 40.00 1917 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
6727 LPTN ICED GRN 20 012000012754 1 40.00 19.17 20.83 0.00 20.83 24
1566 LP WH WIRASP 200 012000022258 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 WM 052000328660 2 40.00 18.57 21.43 0.00 42.86 48
2367 LPTN BK SWL 20OZ 012000003691 1 40.00 19.17 20.83 0.00 20.83 24
SUBTOTAL 200ZNRPLS24 272.01 17 CS 408
2620 MUS MLK VAN 140Z 876063002028 1 40.00 15.00 25.00 0.00 25.00 12
2619 MUS MLK CHO 140Z 876063002011 1 40.00 15.00 25.00 0.00 25.00 12
SUBTOTAL 140ZNRPLS12 50.00 2 CS 24
2248 MT DEW AMP 16OZ 012000017568 1 50.00 5.96 44.04 0.00 44.04 6
SUBTOTAL 160ZCN4P 44.04 1 CS 6
TOTAL SALES 366.05 20 CS 438
PLEASE REMIT PAYMENT TO:
PEPSI COLA GEN.BOT.IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO,IL 60675-1884
TOTALS
SALES QTY 20 CS SALES AMOUNT 810.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -443.95
DEPOSIT AMOUNT 0.00
NET DUE 366.05
TERMS: CHARGE NET 30 DAYS
THANK YOU
1404012016 366.05
1�
S/A
J 1
CUSTOMER SIGNATURE
1480135007011404012016080085840120111
Purchase
Description I Y
P.O.
23 r G. J
O L. ..���',�i
Budget
Line Descr O� IL
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
4/30/10 1404012016 Vending 23544 366.05
Total 366.05
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. Bat. Allowed 20
75 Remittance Drive, Ste 1884
Chicago, IL 60675 -1884
In Sum of
366.05
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 1404012016 4239040 366.05 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
20 -May 2010
h kmo V (4
Signature
366.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i