188947 08/18/2010 \,f 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: $892.98
CHICAGO IL 60675 -1884
CHECK NUMBER: 188947
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1404020415 892.98 FOOD BEVERAGES
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PEPSI COLA GEN, BOT. Carmel Clay Parks Recreation
5411 WEST 78TH STREET 1235 Central Park Of E
INDIANAPOLIS, IN 46268 Carmel, IN, 46032 -4421
(317) 876-3464
INVOICE 1404020415
P.O. 624129 HeaviIand II,Pe
STORE:
D I S T PT: 8008584 DUE DATE: 201-0- fr-2
CUST ID: 649907 ORDER#: 42780050
TAX ID: 0119683083-001 ROUTE: 701
VENDORIDUNS: ASM: 606818
UNIT DISC NET DEP NET NET
ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH
SALES 2574 PRO HIND BCH 200 052000UO2973 1 40.00 15.37 24.63 0.00 24.63 24
1782 MT DEW VOLTAGE 2 012000028625 1 40.00 19.17 20.83 0.00 20.83 24
173 MT DEW 2002 NR P 012000001314 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
6727 LPTN ICED GRN 20 012000012754 1 40.00 19.17 20.83 0.00 20.83 24
171 CF PEPSI 20OZ NR 012000000706 1 40.00 19.17 20.83 0.00 20.83 24
1202 PEPSI WLD CHRY 2 012000005596 1 40.00 19.17 20.83 0.00 20.83 24
8850 CRUSH ORANGE 200 041710217982 2 40.00 19.17 20.83 0.00 41.66 48
2565 GAT FOST GLAC I W 052000324860 4 40.00 18.57 21.43 0.00 85.72 95
1639 PROP FIT LEM 200 052000707809 1 40.00 15.37 24.63 0.00 24.63 24
SUBTOTAL 200ZNRPLS24 405.79 23 CS 552
2219 SB LF 0 YMBPOM 2 739510002838 3 25.00 11.91 13.09 0.00 39.27 36
2217 SB LF 0 BLKBLU 2 739510002845 3 25.00 11.91 13.09 0.00 39.27 36
4786 SB LF ORG TNG 20 739510001046 2 25.00 11.91 13.09 0.00 26.18 24
SUBTOTAL 200ZNRPLS12 104.72 8 CS 96
2566 PEPSI COLA 5 G B 012000400032 1 90.00 32.05 57.95 0.00 57.95
2576 DT PEPSI 5 G BIB 012000400063 2 90.00 32.05 57.95 0.00 115.90
SUBTOTAL 5 GBIBSNG 173.85 3 CS
2722 TROP LENNO A 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
1160 SIERRA MIST LL 3 012000503887 2 54.00 19.23 34.77 0.00 69.54
SUBTOTAL 3 GB I BSNG 208.62 6 CS
TOTAL SALES 892.98 40 CS 648
PLEASE REMIT PAYMENT TO:
PEPSI COLA GEN.BOT.IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO,IL 60675 -1884
TOTALS
SALES QTY 40 CS SALES AMOUNT 1714.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -821.02
DEPOSIT AMOUNT 0
NET DUE 892.98
TERMS: CHARGE NET 30 DAYS
THANK YOU
1404020415 892.98
S
CUSTOMER SIGNATURE
14801350070114 80013584 04487
pe-i�- ,(3q
1
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
712311,0 1404020415 Concessions 23776 892.98
Total 892.98
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
r
Voucher No. Warrant No.
355333 Pepsi Cola Gen. Bot. Allowed 20
75 Remittance Drive, Ste 1884
Chicago, IL 60675 -1884
In Sum of
892.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1095 -1 1404020415 4239040 892.98 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
12 -Aug 2010
Signature
892.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund