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187999 07/21/2010
a CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $4,123.80 CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 187999 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404015510 4,123.80 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 1404015510 P.O. 1: DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -06-04 8:41 :11 DIST PT: 8008584 DUE DATE: 2010 -07 -04 CUST ID: 649907 ORDER#: 42203264 TAX ID: 0119683083 -001 ROUTE: 701 VENDOR/DUNS: ASH: 606818 UNIT O I S E NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 169 PEPSI COLA 2002 012000001291 5 40.00 19.17 20.83 0.00 104.15 120 170 DT PEPSI 2002 NR 012000001307 5 40.00 19.17 20.83 0.00 104.15 -120 979 SIERRA MIST LL 2 012000003547 2 40.00 19.17 20.83 0.00 41.66 48 175 OT HT DEW 2002 N 012000001345 4 40.00 19.17 20.83 0.00 83.32 96 173 HT DEW 20OZ NR P 012000001314 5 40.00 19.17 20.83 0,00 104.15 120 721 AQUAFINA 20OZ NR 012000001598 20 40.00 27.50 12.50 0.00 250.00 480 6727 LPTN ICED GRN 20 012000012754 2 40.00 19.17 20.83 0.00 41.66 48 1202 PEPSI WLD CHRY 2 012000005596 4 40.00 19.17 20.83 0.00 83.32 95 8048 HUG RT BEER 20OZ 012000009105 4 40.00 19.17 20.83 0.00 83.32 96 8850 CRUSH ORANGE 200 041710217982 4 40.00 19.17 20.83 0.00 83.32 95 7920 OT CRUSH ORB 200 041710297984 2 40.00 19.17 20,83 0.00 41.66 48 2245 CRUSH GRAPE 20OZ 041710227981 2 40.00 19.17 20.83 0.00 41.66 48 2429 MT OW LIVE W I R 2 012000811319 2 40.00 19.17 20.83 0.00 41.66 48 9813 MT OW CODE RED 2 012000002243 2 40.00 19.17 20.83 0.00 41.66 48 2564 GAT FRT PUNCH WH 052000328660 8 40.00 16.57 21.43 0.00 171.44 192 2563 GAT LEN/LINE WH 052000328684 8 40.00 .18.57 21.43 0.00 171.44 192 2559 GAT ORANGE WH 20 052000328677 4 40.00 18.57 21.43 0.00 85.72 96 2567 GAT COOL BLUE WH 052000324815 8 40.00 18.57 21.43 0.00 171.44 192 2562 GAT FRC GRAPE WH 052000324622 4 40.OU 18.57 21.43 0.00 85.72 96 2565 GAT FOST GLAC I W 052000324860 4 40.00 18.57 21.43 0.00 85.72 96 2560 GAT RIP RUSH WH 052000324884 4 40.00 18.57 21.43 0.00 85.72 96 1639 PROP FIT LEN 200 052000707809 3 40.00 15.37 24.63 0.00 73.89 72 1634 PROP FIT BRY 200 052000707779 3 40.00 15.37 24.63 0.00 73.69 72 1637 PROP FIT STRK 12 052000707786 3 40.00 15.37 24.63 0.00 73.89 72 4400 FREE AQUAFINA 20 012000001598 8 0.00 0.00 0.00 0.00 0.00 192 2224 OR PEPPER CHR 20 078000098402 2 40.00 19.17 1 20.83 0.00 41.66 48 SUBTOTAL 200ZNRPLS24 2266.22 122 CS 2928 2807 SB LF 0 ACIPUN 2 739510000056 6 25.00 11.91 13.09 0.00 78.54 72 2218'SB LF U FJ APL'2 (39510002621 ti 25.00 11.91 13.09 0.00 76.54 72 4789 SB LF PON CHRY 2 739510001060 4 25.00 11.91 13.09 0.00 52.36 48 4784 SB LF STR KIWI 2 739510001138 6 25.00 11.91 13.09 0.00 78.54 72 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 739510001046 2 25.00 11.91 13.09 0.00 26.18 24 SUBTOTAL 200ZNRPLS12 366.52 28 CS 336 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 2767 RKSTR O R I G 16OZ 818094000017 4 50.00 5. 44.04 0.00 176.16 96 SUBTOTAL 160ZLNLS 24 176.16 4 CS 96 1443 HT DEW hMP CHR 1 01200002 i i45 i 30. UO 7.98 22.02 0.00 22.02 12 1712 -MT DF•.? Akl Ok6 I U120000666 1 30.00 7.98 22.02 O.OU 22.02 12 1 i 1's Al 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 160ZCNLSI2U 86.08 4 CS 48 2248 HT DEW ANP 1602 012000017568 1 50.00 5.95 44.04 0.00 44.04 6 SUBTOTAL 160ZCN4P 44.04 1 IS 6 1793 STR E +C VAN I LA 1 012000028496 2 30.00 8.75 21.25 0.00 42.50 24 1790 STR E +C MOCHA 15 012000028458 2 30.00 8.75 21.25 0.00 42.50 24 SUBTOTAL 150ZCNLS12U 85.00 4 CS 48 2568 PEPSI COLA 5 G B 012000400032 2 90.00 32.05 57.95 0.00 115.90 2576 OT PEPSI 5 r, BIB. 012000400063 2 90.00 32.05 57.95 0.00 115.90 2639 OR PEPPER 5 G BI 054900710545 '2 90:00 32:05- 51-.9.5 0.00 115.90 SUBTOTAL 5 GB I BSNG 347.70 6 CS 2722 TROP LEMND JO 3 012000016189 2 54.00 19.23 34.77 0.00 69.54 1190 HUG RT BEER 3 G 012000404085 2 54.00 19.23 .34.77 0.00 69.54 SUBTOTAL 3 GB I BSNG 139.08 4 CS 1960 H I S C S CO2 T75 2 999000019603 6 75.00 56.50 18.50 75.00 561.00 SUBTOTAL 20 LBTTMIS 561.00 6 CS TOTAL SALES 412310 181 CS 3486 PLEASE REMIT PAYMENT 1'0: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 181 CS SALES AMOUNT 7036.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -3362.20 DEPOSIT AMOUNT 450.00 NET DUE 4123- -80 TERMS: CHARGE NET 30 DAYS THANK YOU 1404015510 4123.11) CUSTOMER SIGNATURE 14801350070: 155100 Uiib54:"4 114 DD �D 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 614110 1404015510 Concessions 23699 4,123.80 Total 4,123.80 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 4,123.80 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 1404015510 4239040 4 ,123.80 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 15 -Jul 2010 l in iw A Signature 4,123.80 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund