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192194 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN 1' CHECK AMOUNT: $1,598.32 CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 192194 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1404030213 1,598.32 FOOD BEVERAGES PEPSI COLA GEN. BOT. Carmel Clay Parks 8 Recreation 5411 WEST 78TH STREET 1235 Central Park Or E INDIANAPOLIS, IN 46268 Carmel, IN, 46032-4421 (317) 876-3464 c I M O- 1t EE',"14 :04b 0 213 P.O. Y; DR_I.VER:_624,129 Heaviland II,Pe STORE: DELI VERY: 2010-) 0=29ri':31:52 DIST PT: 8008584 DL'S 90F12011) -19 -28 CUST ID: 649907 ORDERY; 43753640 TAN ID: 0119683083-001 ROUTE: 701 VENDORIBUNS: ASH: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 9813 MT DW CODE RED 2 012000002243 1 40.00 19.17 20.82 0.00 20.83 24 1782 MT DEW VOLTAGE 2 012000028625 4 40.00 19.17 20.83 0.00 83.32 96 169 PEPSI COLA 20OZ 012000001291 2 40.00 19.17 20.83 0.00 41.66 46 2567 GAT COOL BLUE WN 052000324815 4 40.00 18.57 21.43 0.00 85.72 96 170 OT PEPSI 20OZ NR 012000001307 2 40.00 19.17 20.83 0.00 41.66 48 1202 PEPSI WILD CHRY 2 012000005596 1 40.00 19.17 20.83 0.00 20.83 24 7738 DR 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 48 175 DT MT DEW 20OZ N 012000001345 1 40.00 19.17 20.83 0.00 20.83 24 173 MT DEW 20OZ NR P 012000001314 4 40.00 19.17 20.83 0.00 83.32 96 681 AQUAF I NA 20OZ SH 012000001598 1r 40.00. -.50 -12.50 0.00 187.50 360 2245 CRUSH GRAPE 20OZ 041710227961 1 40.00 19.17 20.83 0.00 20.83 24 8048 MUG RT BEER 20OZ 012000009105 2 40.00 19.17 20.83 0.00 41.66 48 2564 GAT FRT PUNCH WH 052000328660 4 40.00 18.57 21.43 0.00 85.72 96 2563 GAT LEMILIME WH 052000328684 4 40.00 18.57 21.43 0.00 85.72 96 2562 GAT FRC GRAPE WM 052000324822 4 40.00 18.57 21.43 0.00 85.72 96 1639 PROP FIT LEM 200 052000707809 3 40.00 15.37 24.63 0.00 73.89 72 1633 PROP FIT GRP 200 052000707793 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 73.89 72 1637 PROP FIT STRK 12 052000707786 3 40.00 15.37 24.63 0.00 73.89 72 2429 MT DW LIVE WIR 2 012000811319 1 40.00 19.17 20.83 0.00 20.83 24 SUBTOTAL 200ZNRPLS24 1305.03 66 CS 1584 4789 SB LF PON CHRY 2 739510001060 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 52.36 4 CS 48 2885 DR PEPPER CHR 21 078000098723 1 40.00 19.17 20.83 0.00 20.83 24 SUBTOTAL 210ZNRPLS24 20.83 1 IS 24 2619 MUS MILK CHO 140Z 876063002011 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 25.00 1 CS 12 1790 STR E+C MOCHA 16 U12000028458 1 30.00 8.75 X1.25 0.00 21.25 12 SUBTOTAL 150ZCNLS12U 21.25 1 CS 12 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 1 90.00 32.05 57.95 0.00 57.95 SUBTOTAL 5 GBIBSNG 17315 3 CS TOTAL SALES 1598.32 76 CS 1680 =.SU s �PLE_ASE REMtsIPAYMENT }TO PEPS BOT X75 REMITTANCE DRIVE CHICA I C"� 60675 1884" TOTALS" SALES QTY 76 CS SALES AMOUNT 3120.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT -1521.68 DEPOSIT AMOUNT 0.00 NET DUE 32 TERMS: CHARGE NET 30 DAYS THANK YOU 1404030213 1590.3? O I M A a 9 V IE S NOV 1 1 2010 CUSTOMER SIGNATURE BY' 148013500701140403021308008584030248X �(C 00 13x0 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 10/29110 1404030213 Concessions 24054 1,598.32 Total 1,598.32 f 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 1,598.32 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1095 -1 1404030213 4239040 1,598.32 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 18 -Nov 2010 Signature 1,598.32 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund