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198698 06/22/2011
CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CARMEL, INDIANA 46032 CHECK AMOUNT: $6,527.92 75 REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 198698 CHECK DATE: 6/2212011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 23716617 779.40 FOOD BEVERAGES 1095 4239040 28237163 2,724.57 FOOD BEVERAGES 1095 4350000 28901870 75.00 EQUIPMENT REPAIRS M 1095 4350000 28901871 75.00 EQUIPMENT REPAIRS M 1095 4239040 28969212 2,873.95 FOOD BEVERAGES Customer Name And Address: Customer Id (COF Carmel Clay Parks 1235 Central Park Dr E 9461355 Invoice Id: Invoice Date And Time: Invoice Page: 28969212 0511312011 10:42 AM Page 1 of 1 PB SUBTOTAL 10 240 126.90 SUBTOTAL 16 192 212.64 20OZ PL 1/24S 160Z CN 1/12 PEPSI BEVERAGES COMPANY PEPSI WCHE 0- 12000 00559 -6 AMP 0- 12000 01643 -1 5411 West 78th St. 40.00 1 2421.14 21.14 30.00 1 1222.35 22.35 Indianapolis, IN 46268 DT PEPSI 0- 12000 00130 -7 Contact #:1 -800- 963 -2424 40.00 2 4821.14 42.28 SUBTOTAL 1 12 22.35 Sales Rep: Peter Heaviland II MDEW 0- 12000- 00131 -4 16OZ CN 1124 Route 701 40.00 1 2421.14 21.14 RKSTR ENRG 8- 18094 00001 -7 NRID /CID: 577336/9 MDEW LW SDKCK 0- 12000 00069 -0 50.00 1 2444.70 44.70 INV OI 40.00 1 2421.14 21.14 RKSTR ZRO CRB 8- 18094 00070 -3 DT MDEW 0- 12000 00134 -5 50.00 1 24 44.70 44.70 28969212 40.00 1 2421.14 21.14 SUBTOTAL 2 48 89.40 05/13/2011 10:42 AM DT DRPEP 0- 78000 08340 -8 Carmel Clay Parks 40.00 1 2421.14 21.14 140Z PL 1/12 LPT BRSK SWL 0- 12000 00369 -1 MU MLK CHOC 8- 76063 00201 -1 Recreation 40.00 1 2421.14 21.14 40.00 1 1225.38 25.38 1235 Central Park Dr E MU MLK VAN CRM 8- 76063 00202 -8 Carmel,IN 46032 SUBTOTAL 8 192 169.12 40.00 1 1225.38 25.38 Vendor 20OZ PL 1/24 SUBTOTAL 2 24 50.76 Store PRO ZRO BRY 0- 52000 70777 -9 Customer 9461355 40.00 3 7225.00 75.00 5G BIB TAXID: 0119683083 -001 PO PRO ZRO GRP 0- 52000 70779 -3 PEPSI POS 0- 12000 40003 -2 ACCOM CODE 40.00 3 7225.00 75.00 18.00 10 1011.76 117.60 SALES SUMMARY PRO ZRO KW STW 0- 52000 70778 -6 DT PEPSI POS 0- 12000 40006 -3 40.00 3 7225.00 75.00 18.00 15 1511,76 176.40 Qty Amount SUBTOTAL 9 216 225.00 MDEW POS 0- 12000 40009 -4 Sales 18.00 10 1011.76 117.60 Cases 159 2573.95 20OZ WM PL 1/24 DRPEP POS 0- 54900- 71054 -5 Total Units 1978 GAT BLU 0- 52000 32481 -5 18.00 10 1011.76 117.60 Credits 40,00 .8 192 21.75 174.00 Full Cases 0 0.00 SUBTOTAL 45 45 529.20 Single Units 0 0.00 GAT FRC GRP 0- 52000 32482 -2 Total Units 0 40.00 8 192 21.75 174.00 3G BIB Pepsi Deposits 300.00 GAT FT PNCH 0- 52000- 32866 -0 SRMIST POS 0- 12000 50388 -7 Sales Tax 0.00 40.00 8 192 21.75 174.00 18.00 6 611.76 70.56 State Local Charges 0.00 GAT LL 0- 52000 32868 -4 MUG RT BR POS 0- 12000 40408 -5 Amount Due $2873.95 40.00 8 192 21.75 174.00 18.00 6 611.76 70.56 GAT ORG 0- 52000 32867 -7 TROP LMND POS 0- 12000 01618 -9 TERMS: CHARGE 40.00 6 14421.75 130.50 18.00 9 911.76 105.84 Net 30 PD FCP GATFP20OZ 0- 52000 32866 -0 SUBTOTAL 21 21 246.96 PLEASE REMIT PAYMENT TO: 35.00 3 72 0.00 0.00 Pepsi -Cola CO2 SUBTOTAL 41 984 826.50 75 Remittance Dr, Suite 1884 2026 FULL TANK 0- 12000 40268 -5 Chicago IL 606751884 20OZ PL 1/12 30.00 4 418.78 75.12 RECEIVED BY: SBE LW ACFTPHOCAL 7- 39510- 00005 -6 SUBTOTAL 4 4 75.12 25.00 2 2413.29 26.58 S SBE LW BLKBLUOCAL 7- 39510 00284 -5 PEPSI DEPOSITS 25.00 2 2413.29 26.58 SBE LW HAPPROCAL 7- 39510 00282 -1 Package Cases Units Amount 25.00 2 2413.29 26.58 CO2 4 4 300.00 SBE LW MGOMLNOCAL 7- 39510 00004- SUBTOTAL 4 4 300.00 ITEM DETAIL 25.00 2 2413.29 26.58 SBE LW ORG TANG 7- 39510 00104 -6 SALES 25.00 2 2413.29 26.58 Amount Due Description UPC SBE LW POM CHE 7- 39510 00106 -0 for this Invoice: $2873.95 Wh lsl C ases Units Net Amount 25.00 2 2413.29 26.58 SBE LW STW KW 40C 7- 39510 00113 -8 20OZ PL 1/24 SW 25.00 2 2413.29 26.58 AQ WTR 0-12000-00159-8 40.00 LW YMBPOMOCAL 7-39510-( 40.00 10 240 12.69 126.90 BE L 2 2413.29 26.58 HA Y 24 2011 BY:..... 2896921220110513000946135519 44 2896921220110513000946139 °44 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 5/13/11 28901871 Repairs 75.00 5/13/11 28901870 Repairs 75.00 5/13/11 28969212 Concessions 28559 2,873.95. 5/20/11 23716617 Concessions 28599 779.40 5/27/11 28237163 Concessions 28599 2,724.57 Total 6,527.92 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 6,527.92 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 28901871 4350000 75.00 1 hereby certify that the attached invoice(s), or 1095 -1 28901870 4350000 75.00 bill(s) is (are) true and correct and that the 1095 -1 28969212 4239040 2,873.95 materials or services itemized thereon for 1095 -1 23716617 4239040 779.40 which charge is made were ordered and 1095 -1 28237163 4239040 2,724.57 received except 16 -Jun 2011 (y2yl'1P�j Signature 6,527.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund