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186979 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 0 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHECK AMOUNT: $1,232.21 CHICAGO IL 60675 -1884 CHECK NUMBER: 186979 ON CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404009923 375.00 FOOD BEVERAGES 1.095 4239040 1404013413 1,185.22 FOOD BEVERAGES 1095 4239040 1404016229 421.99 FOOD BEVERAGES 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) 876-3464 INVOICE 1404013413 P.O. p: DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -05 -14 8:51:11 DIST PT: 8008584 DUE DATE: 2010 -06 -13 CUST ID: 649907 ORDER: 41960129 TAX 10: 0119683083-001 ROUTE: 701 VENDOR/DUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 2574 PRO MIND BCH 200 052000002973 1 40.00 15.37 24.63 0.00 24.63 24 169 PEPSI COLA 20OZ 012000001291 2 40.00 19.17 20.83 0.00 41.66 48 170 OT PEPSI 20OZ NR 012000001307 2 40.00 19.17 20.63 0.00 41.66 48 7738 OR PEPPER 20OZ N 078000082401 2 40.00 19.17 20.83 0.00 41.66 48 7756 OT DR PEPPER 200 078000083408 2 40.00 19.17 20.83 0.00 41.66 48 979 SIERRA MIST LL 2 012000003547 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 24 721 AQUAF I NA 20OZ NR 012000001598 10 40.00 27.50 12.50 0.00 125.00 240 2564 GAT FAT PUNCH WM 052000328660 3 40.00 18.57 21.43 0.00 64.29 72 2563 GAT LEMILIME WM 052000328684 4 40.00 18.57 21.43 0.00 85.72 96 2559 GAT ORANGE A 20 052000328677 2 40.00 18.57 21.43 0.00 42.86 48 2557 GAT COOL BLUE WM 052000324815 4 40.00 18.57 21,43 0.00 85.72 96 2562 GAT FRC GRAPE WM 052000324822 2 40.00 18.57 21.43 0,00 42.86 48 1639 PROP FIT LEM 200 052000707809 1 40.00 15.37 24.63 0.00 24.63 24 1634 PROP FIT BAY 200 052000707779 1 40.00 15.37 24.63 0.00 24.63 24 1637 PROP FIT STRK 12 052000707786 1 40.00 15.37 24.63 0.00 24.63 24 1526 FRE GT FRT PUN W 052000328650 3 0.00 0.00 0.00 0.00 0.00 72 SUBTOTAL 20UZNRPLS24 753.27 42 CS 1008 3250 SB LF 0 STRAPR 2 739510003361 2 25.00 11.91 13.09 0.00 26.18 24 4786 SB LF ORG TNG 20 739510001046 1 25.00 11.91 13.09 0.00 13.09 12 SUBTOTAL 200ZNRPLS12 39.27 3 CS 36 2620 MUS MLK VAN 140Z 876063002028 1 40.00 15.00 25.00 0.00 25.00 12 2619 NUS MLK CHO 140Z 876063002011 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 50.00 2 CS 24 1713 MT DEW AMP BRY 1 012000027673 1 30.00 7.98 22.02 0.00 22.02 12 SUBTOTAL 160ZENLS12U 22,02 1 CS 12 1793 STR E +C VANILA 1 012000028496 1 30.00 8.75 21.25 0.00 21.25 12 1790 STR E +C MOCHA 15 012000028458 1 30.00 8.75 21.25 0.00 21.25 12 SUBTOTAL 150ZCNLS12U 42.50 2 CS 24 2568 PEPSI COLA 5 G B 012000400032 2 90.00 32.05 57.95 0.00 05,90 2600 MT DEW 5 G BIB 012000400094 1 90.00 32.05 57.95 0.00 57.95 SUBTOTAL 5 GB I BSNG 173.85 3 CS 2722 TROP LEMNO JD 3 012000016189 2 54.00 19.23 34.77 0.00 69.54 1160 SIERRA MIST LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GB I BSNG 104.31 3 CS R w TOTAL SALES 1185.22 56 CS 111104 PLEASE REMIT PAYMENT T06; JU 1 0 2010 p PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 BY k"- TOTALS SALES QTY 56 CS SALES AMOUNT 2237.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT 1051.78 DEPOSIT AMOUNT 0,00 NET DUE 1185.22 TERMS: CHARGE NET 30 DAYS THANK YOU 1404013413 1105 CUSTOMER SIGNATURE 1480135007011404013413080085840134111 ,C C q CC PEPSI COLA GEN BOT. Camel Clay Parks Recreation 5411 WEST 78TH STREET 1235 Central Park Or E INDIANAPOLIS, IN 46268 Carmel, IN, 46032-4421 (317) 876-3464 N :0 �ICE 04 016229 P.O. 1I: DRIVER: 620616 Stader Eric STORE: ERV: 2010 -06 -11 13:08: D I ST PT: 8008584 -u(- CUST ID: 649907 ORDERe,: 42285787 TAX ID: 0119683083 -001 ROUTE: 701 VEMDORIOUNS: ASH: 606818 T UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 1782 HT DEW VOLTAGE 2 012000028625 4 40.00 19.17 20.83 0.00 83.32 96 721 AQUAF I NA 20OZ NR 012000001598 8 40.00 27.50 12.50 0.00 100.00 192 2559 GAT ORANGE WH 20 052000328677 5 40.00 18.57 21.43 0.00 107.15 120 2567 GAT COOL BLUE WN 052000324815 5 40.00 18.57 21.43 0.00 107.15 120 4400 FREE AQUAF I NA 20 012000001598 2 0.00 0.00 0.00 0.00 0.00 48 SUBTOTAL 200ZNRPLS24 397.62 24 CS 576 2217 SO LF 0 BLKBLU 2 739510002845 4 25.00 11.91 13.09 0.00 52.36 48 4784 SO LF STR KIWI 2 739510001138 4 25.00 11.91 13.09 0.00 52.36 48 SUBTOTAL 200ZNRPLS12 104.72 8 CS 96 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 2767 RKSTR ORIG 160Z 818094000017 4 50.00 5.96 44.04 0.00 176.16 96 SUBTOTAL 160ZCRLS 24 176.16 4 CS 96 2576 OT PEPSI 5 G BIB 012000400063 2 90.00 32.05 57.95 0.00 115.90 2600 HT DEW 5 G BIB 012000400094 3 90.00 32.05 57.95 0.00 173.85 SUBTOTAL 5 GB I BSNG 289.75 5 CS 1160 SIERRA M I S T LL 3 012000503887 2 54.00 19.23 34.77 0.00 69.54 SUBTOTAL 3 GB I BSNG 69.54 2 CS TOTAL SALES 1062.79 44 CS 780 SALEABLE RETURNS 9029 SIB CH CHERRY 3 818990002467 1 125.00 29.60 95.40 0.00 95.40 9079 SIB CH STRWBRY 3 818990002481 1 125.00 29.60 95.40 0.00 95.40 SUBTOTAL 3 GB I BSNG 190.80 2 CS TOTAL SALEABLE RETU 190.80 2 CS 780 EMPTIES 1965 M I S C S CO2 T75 E 012000403699 6 0.00 0.00 0.00 75.00 450.00 SUBTOTAL 450.00 6 CS TOTAL EMPTIES 450.00 6 CS 780 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 44 CS SALES AMOUNT 1878.00 RETURN QTY 2 CS RETURN AMOUNT 250.00 EMPTIES QTY 6 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT 756.01 DEPOSIT AMOUNT NET DUE 421.99 TERMS: CHARGE NET 30 DAYS THANK YOU 1404016229 42 1,99 JUN .j 5 2010 �'7 CUSTOMER SIGNATURE 1480135007011404016229 080085840162116 pepsiamericcs Send Payment To: PEPSIANIERICAS Statement Date: 05/31/2010 75 Remittance Dr, Suite 1884 Division 14801 Chicago, IL 60675 -1884 Correspondence 649907 Page: 1 Questions Regarding This Statement? Date Last Payment Recd: 05/20/2010 Call 1 -800- 926 -7242 Last Check 165388 Billing Address Payment Terms: �1i� y By Statement: Due 15th of the month A 0.,9 A ir.. i! iiYCi By Invoice: 30 Days from Invoice Date 7642 Ship To Address: Carmel Clay Parks Recreation 1411 E 116th St Carmel Clay Parks Recreation Carmel, IN 46032 -7611 1235 Central Park Dr E ,11,,,,,11111111„I1, loll III III Carmel, IN 46032 -4421 009046 -S GO GREEN! Please be sure to visit us at www.pepsiamericasbillpay.com to receive electronic statements and to make payments on -line. Ilv* VOICEDATI' iNVOIG1 !?UMBER,'tDUEDATE E' "b_nSEItIAI/�2EFEILFNCE# OPENtl11IOL�NT ,ti PASTA7JE' 04/09/2010 1404009923 05/09/2010 CR 375.00 375.00 F3ftOi8 14646i2616 E)5,3(y2910 INV 366 0 S� 25 fd 366.05 05/14/2010 1404013413 06/13/2010 INV 1,185.22 re�i a 95/-31/2919 140040141, 4 0612$001 fir- !N- 3, 9 97- V mrptALACC013NTBALANCEBYINVOICAGING CURRENT 1 -30 1.30 PAST DUE 31 -60 31.60 PAST DUE 61 -90 OVER 90 PAST DUE 91+ TOTAL BALANCE 4,576.19 -8.95 0.00 0.00 4.567.24 INVOICE# AMOUNT INVOICE AMOUNT INVOICE AMOi31Vi' /404009923 375.00. PAGE: 1 OF 1 1404012016 366.05 1404013413 1,185.22 STMT DATE: 05/31/2010 1404014114 3,390.97 DIVISION 14801 CUSTOMER 649907 CUSTOMER NAME: Carmel Clay Parks PLEASE EACH INVOICE BEING PAID UNLESS ALL INVOICES ARt BEING PAID TOTAL: 4 ,567.24 PEPSIAMERICAS Return this entire bottom remittance portion 75 Remittance Dr, Suite 1884 with your payment in the envelope provided. When paying by statement, payment is due by Chicago, IL 60675 -1884 the 15th of the month. Please allow 5 days for mailing. 00649907000000004567240531201D9 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 5/9/10 1404009923 Credit (375.00) 5/14/10 1404013413 Vending 23656 1,185.22 6/11/10 1404016229 Vending 23678 421.99 Total 1,232.21 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 1,232.21 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1095 -1 1404009923 4239040 (375.00) 1 hereby certify that the attached invoice(s), or 1095 -1 1404013413 4239040 1,185.22 bill(s) is (are) true and correct and that the 1095 -1 1404016229 4239040 421.99 materials or services itemized thereon for which charge is made were ordered and received except 17 -Jun 2010 T Signature 1,232.21 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund