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191792 11/10/2010 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: $1,313.67 Tti'�rdw CHICAGO IL 60675 -1884 CHECK NUMBER: 191792 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 140428811 1,313.67 FOOD BEVERAGES PEPSI COLA GEN. SOT. Carmel Clay.Parks Recreation 5411 WEST 78TH STREET 1235 Central Park Or E INDIANAPOLIS, IN 4626 Carmel, IN, 46032-4421 (317) 876 -3464 INVOICE 14 4028811 P.O. Y 4DR!- 12 eaviland II,Pe STORE: RY: 2010 -10 -15 8:40: DIST PT: 8008584 CUST 10: 649907 ORDER 43650713 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 169 PEPSI COLA 200Z 012000001291 2 40.00 19.17 20.83 0.00 41.66 48 2557 GAT COOL BLUE WH 052000324815 4 40.00 18.57 21.43 0.00 85.72 96 170 DT PEPSI 200Z NR 012000001307 3 40.00 19.17 20.83 0.00 62.49 72 1202 PEPSI WLD CHRY 2 012000005596 3 40.00 19.17 20.83 0.00 62.49 72 3719 SIERRA NATURAL 2 012000215094 2 40.00 19.17 20.83 0.00 41.66 48 681 AQUAFINA 200Z SH 012000001598 10 40.00 27.50 12.50 0.00 125.00 240 6727 LPTN ICED GRN 20 012000012754 2 40.00 19.17 20.83 0.00 41.66 48 8850 CRUSH ORANGE 200 041710217982 1 40.00 19.17 20.83 0.00 20.83 24 171 CF PEPSI 200Z NR 012000000706 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WH 052000328660 4 40.00 18.57 21.43 0.00 85.72 96 2563 GAT LEMILINE WH 052000328684 4 40.00 18.57 21.43 0.00 85.72 96 2559 GAT ORANGE WH 20 052000328677 4 40.00 18.57 21.43 0.00 85.72 96 1639 PROP FIT LEM 200 052000707809 1 40.00 15.37 24.63 0.00 24.63 24 1633 PROP FIT GRP 200 052000707793 1 40.00 15.37 24.63 0.00 24.63 24 1634 PROP FIT BOY 200 052000707779 1 40.00 15.37 24.63 0.00 24.63 24 1637 PROP FIT STRKI 2 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 858.02 45 IS 1080 2807 SB LF 0 AC I PUN 2 739510000056 3 25.00 11.91 13.09 0.00 39.27 36 2821 SB LF 0 NNGMEL 2 739510000049 3 25.00 11.91 13.09 0.00 39.27 36 2219 SB LF 0 YHBPOM 2 739510002838 3 25.00 11.91 13.09 0.00 39,27 36 2218 SB LF 0 FJ APL 2 739510002821 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 4784 SB LF STR KIWI 2 739510001138 3 25.00 11.91 13.09 0.00 39.27 36 4786 SB LF ORG TNG 20 739510001046 3 25.00 11.91 13.09 0.00 39.27 36 SUBTOTAL 200ZNRPLS12 274.89 21 CS 252 4450 DR PEPPER 210Z N 078000082722 3 40.00 19.17 20.83 0.00 62.49 72 SUBTOTAL 210ZNRPLS24 62.49 3 CS 72 2620 HUS HLK VAN 140Z 876063002028 1 40.00 15.00 25.00 0.00 25.00 12 2619 HUS MLK CHO 140Z 876063002011 1 40.00 15.00 25.00 0.00 25.00 12 2653. MUS HLK STRBRY 1 876063002097 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 75.00 3 CS 36 1443 HT DEW AHP CHR 1 012000021145 1 30.00 7.98 22.02 0.00 22.02 12 SUBTOTAL 160ZCNLS12U 22.02 1 CS 12 1793 STR E -1 VANILA 1 012000028496 1 30.00 8.75 21.25 0.00 21.25 12 SUBTOTAL 150ZCNLSI2U 21.25 1 CS 12 TOTAL SALES 1313.67 74 CS 1464 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN,BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675 -1884 AhAhh TOTALS SALES QTY 74 CS SALES AMOUNT 2585.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -1271.33 DEPOSIT AMOUNT 0.00 NET DUE 1313.67 TERMS: CHARGE NET 30 DAYS AAAhh THANK YOU AhAhh 14040?8811 1313,817 CUSTOMER SIGNATURE 148013500701140402 8811080085840288484 l 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 10115/10 140428811 Concessions 23964 1,31167 Total 1,313.67 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. Bot, Allowed 20 75 Remittance Drive, Ste 1884 Chicago, IL 60675 -1884 In Sum of 1,313.67 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1095 -1 140428811 4239040 1,313.67 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 4 -Nov 2010 n, Signature 1,313.67 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund