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189945 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN r 0 CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHECK AMOUNT: $1,170.57 CHICAGO IL 60675 -1884 CHECK NUMBER: 189945 CHECK DATE: 9/1412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404023221 414.56 FOOD BEVERAGES 1095 4239040 1404024608 756.01 FOOD BEVERAGES LE A GEN. BOT. Carmel Clay Parks &Recreation 78TH STREET s' i' 1235 Central Park Dr E LIS, IN 46268 Carmel, IN, 46032 4421 -3464 INVOICE 1404023221 P.O. d: DR 6.1.7D29•Gr C Ch hr istoP STORE: L I VERY: 2010 -08 -20 12:39: D I ST PT: 8008584 E T1 20�U CUST ID: 649907 ORDER: 43111620 TAX ID: 0119683083 -001 ROUTE: 701 VENDOR/DUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 1584 PEPSI MAX 20OZ N 012000018800 2 40.00 19.17 20.83 0.00 41.66 48 7738 OR PEPPER 20OZ N 078000082401 1 40.00 19.17 20.83 0.00 20.83 24 173 HT DEW 20OZ NR P 012000001314 1 40.00 19.17 20.83 0.00 20.83 24 681 AQUAFINA 20OZ SH 012000001598 9 40.00 27.50 12.50 0.00 112.50-e 216 1202 PEPSI WILD CHRY 2 0120000uti596 2 40.00 19.17 20.83 0.00 41.66 48 8048 HUG RT BEER 20OZ 012000009105 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 7920 DT CRUSH ORG 200 041710297984 1 40.00 19.17 20.83 0.00 20.83 24 2563 GAT LEMILIHE A 052000328684 2 40.00 18.57 21.43 0,00 42.86 48 2559 GAT ORANGE WM 20 052000328677 2 40.00 18.57 21.43 0.00 42,86 48 1637 PROP FIT STRK 12 052000707786 1 40.00 15.37 24.63 0.00 24.63 24 4400 FREE AQUAFINA 20 012000001598 1 0.00 0.00 0.00 0.00 0.00 24 SUBTOTAL 200ZNRPLS24 410,32 24 CS 576 2568 PEPSI COLA 5 G B 012000400032 1 90,00 32,05 57,95 0.00 57.95 2576 OT PEPSI 5 G BIB 012000400063 1 90.00 32.05 57.95 0.00 57.95 2600 MT DEW 5 G BIB 012000400094 2 90.00 32.05 57.95 0.00 115.90 2639 DR PEPPER 5 G BI 054900710545 2 90.00 32.05 57.95 0.00 115.90 SUBTOTAL 5 GH I BSNG 347.70 6 CS 1190 HUG RT BEER 3 G 012000404085 1 54.u0 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 69.54 2 CS 1960 M I SC S CO2 T75 2 999000019603 2 75. UO 56.50 18.50 75.00 187.00 SUBTOTAL 20 LBTTM I S 187.00 2 CS TOTAL SALES 1014.56 34 CS 576 EMPTIES 1965 RISC S CO2 T75 E 012000403699 8 0.00 0.00 0.00 75.00 600,00 SUBTOTAL 600.00 8 CS TOTAL EMPTIES 600.00 8 CS 576 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 34 CS SALES AMOUNT 1718.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 8 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -853.44 DEPOSIT AMOUNT 450.00 5--- 6 TERMS: CHARGE NET 30 DAYS NET DUE 414 Fkh THANK YOU 14r;14QS�1 414.56 a CUSTOMER SIGNATURE 14801350070 11404023221080085840232482 C 4 0 0 2 22- PEPSI COLA GEN. BOT. 1 1U Carmel Clay Parks Recreation 5411 WEST 78TH STREET 1235 Central Park Or E INDIANAPOLIS, IN 46268 Carmel, IN, 46032.4421 (317) 876.3464 INVOICE 1404024608 P.O. DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2010 -09-03 9:39:59 DIST PT: 8008584 DUE DATE: 2010 -10 -03 CUST ID: 649907 ORDER 43270282 TAX ID: 0119683083 -001 ROUTE: 701 VENDOR /DUNS: ASN; 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 170 OT PEPSI 2002 NR 012000001307 1 40.00 19.17 20.63 0.00 20.83 24 1782 MT DEW VOLTAGE 2 012000028625 2 40.00 19.17 20.83 0.00 41.66 48 173 MT DEW 20OZ MR P 012000001314 1 40.00 19.17 20.83 0.00 20.83 24 681 AQUAF I NA 20OZ SH 012000001598 15 40.00 27.50 12.50 0.00 187.50 360 2442 TROP LEMND JO 20 012000812859 1 40,00 19,17 20.83 0.00 20.83 24 2449 TROP PK LEN JD 2 012000812842 1 40.00 19.17 20.83 0.00 20.83 24 2245 CRUSH GRAPE 20OZ 041710227981 1 40.00 19.17 20.83 0.00 20.63 24 2429 MT DW LIVE W I R 2 012000811319 1 40.00 19.17 20.83 0.00 20.83 24 9813 HT DW CODE RED 2 012000002243 1 40.00 19,17 20.93 0.00 20.83 24 2564 GAT FRT PUNCH WH 052000328660 2 40.00 18.57 21.43 0.00 42.86 48 2563 GAT LEM /LIME WM 052000328684 2 40.00 18.57 21.43 0.00 42.86 48 2567 GAT COOL BLUE WM 052000324815 2 40.00 18.57 21.43 0.00 42.86 48 1637 PROP FIT STRKI 2 052000707786 1 40.00 15.37 24.63 0.00 24.63 24 SUBTOTAL 200ZNRPLS24 528.18 31 CS 744 2217 SB LF 0 BLKBLU 2 739510002845 2 25.00 11.91 13.09 0.00 26.18 24 4784 SB LF STR KIWI 2 739510001138 2 25.00 11.91 13.09 0.00 26.18 24 4787 SB LF BLK GRP 20 739510001121 2 25.00 11.91 13.09 0.00 26.18 24 SUBTOTAL 200ZNRPLS12 78.54 6 CS 72 2620 MUS MLK VAN 140Z 875063002028 1 40.00 15.00 25.00 0.00 25.00 12 2653 NUS MLK STRBRY 1 876063002097 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 50.00 2 CS 24 1712 MT DEW AMP ORG 1 012000027666 1 30.00 7.98 22.02 0.00 22.02 12 SUBTOTAL 160ZRS12U 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 1160 SIERRA MIST LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GB I BSNG 34.77 1 CS TOTAL SALES 756.01 43 CS 876 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675-1884 TOTALS SALES QTY 43 CS SALES AMOUNT 1614.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES OTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -857.99 DEPOSIT AMOUNT 0.00 NET DUE 756.01 TERMS: CHARGE NET 30 DAYS THANK YOU 14040246U8 156,01 CUSTOMER SIGNATURE 14801350070114040 2460808008584024648}( 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 8120110 1404023221 Concessions 23638 414.56 913110 1404024608 Concessions 23911 756.01 Total 1,170.57 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 4 1,170.57 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095.1 1404023221 4239040 414.56 f hereby certify that the attached invoice(s), or 1095 -1 1404024608 4239040 756.01 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 9 -Sep 2010 Signature 1,170.57 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund