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164878 10/16/2008
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: $477.38 CHICAGO IL 60675 -1884 CHECK NUMBER: 164878 CHECK DATE: 10/16/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1150 4239040 8404027603 247.21 FOOD BEVERAGES 1.150 4239040 8404028309 230.17 FOOD BEVERAGES i TTT9L33Tt`T 0CU9I30r0t�GT0L00SCT08�T TTT9�3�T1/TT96L0009L301r0 8T0L00SCT08V T lSD3 >�1 T3^L�3 3 :SW8�l 00^0 1 NDOW� lISO6�](I 1NOOW4 N�MO 00 ,LNDOW� 3SIW S3 0 �1O S�Il6W� 00^0 lNOOW� ��8Ql�8 S3 0 �lO N8Ol�8 00^06C lNDOW� T88T-SL9O9 lI OL IH3 i78 8T 3lIDS 2 AI8O -3 3N 4 llIW Sl NI~lO8'N-3S V-103 IS-636 :Ol lN�Wl"6 lIW 6 SJ�\ h7 S]lVS lVlO1 S3 lL`�S 8NSOl83 S lVl0l88 00`0 �L`lS 6�'8C ��8C �V'U6 ��'V6 S3 S'���LV06�S-� 80 8 S 83J63J 80 6CYJ S3 0� ac. C 8 �80l80S 3C`6C 0 0 �C'Vl 00'09 0V`VC S3 ��983CV0��'0 8N l�3 N0 ]Nll/�� lV9 C9S� 7c, L-1 w0'V �U'V 99`6l 89^V� �C'�l V�'�9 �V`0C S3 S'0�Z�0VV�9-V UN l0�� NM �Ul8 l003 �V8 99'Q 0V'0 V0'V 99`6l hc 'N 0� V0`VC �0'�C S3 �'J��3C0�V73'0 8N Z0V� NN ]��8 �8 lU9 JYSC V�`0 0�'V 99`@ �YC'N ��`0\ V0'0C U�`0C S3 1'L98JCVVV�S'0 8H I00 WM 38�00 lV8 6�� 99`6\ 00'0 t�C'0l C� ^Vl 0C VV`tic, S3 8N 700� N� ��88 7 8 1V9 LpY� S3 9'SV��3�V0�S-0 8N N N8J l3� 39 �8 Y\9l \l`6l 00`n k0`0 7 0\ VV `0C 1 0V 0 7 'V 7J HN 00 lS696 l0 �L� I�`�� 0O'VC fC S 7 '6J0 VV0O'0 l� &N lOV3 0l03 iSJ]6 69l =1 _I 0 4 C__z lN0NV 1 X3 1 lN0 33l8J 1X] llN8 1v -.2 1 lN0 1 l0 368 N0llJ0 NB11 l]N l}S&B0 BN SlN803S0 9306 SS08� :SNOO/8OON]A 8T8909 :WSU 0 T03T600 :�I XM1 IT y9VT9 1 SO3 8 f�8TTC #8]O8O i�TCC-CC09� ^NI ^lamAe3 T�TT96l :l6 lSIJ T0-TT-8003 :]lM ]OO 03T3T :]8D1S 30-0T-800 8]AIl]O qnl2 �lo3 a��qs�oo�8 :OSO/OJ P^uS 9C800� :8]AI8� C09/Z0�0�8 ]3IOANI �9�C-9L8 (LTC) 8939� NI ^SI O6� S.���L�/��MI���� T S�6 PAGE 2 PEPSI COLA GEN. BOT. 5411 WEST 78TH STREET INDIANAPOLIS, IN 46268 (317) 876-3464 IN»OICE 8404028309 DRIVER: 624129 Heavil d II,P PO/DSD: BrookshireGolf`Club DELIVE�Y: 2008-10-09 7:30:2B STORE: 12120 Brookshire Pkwv DUE DATF: �0V8-11-08 DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 31286314 CUST ID: 614649 R9UTE: 701 TAX ID: 0091201550 ASM: 606818 �ENDOR/DUNS: SALES OTY 8 CS SALES A�OUNT 38�.0C RETURN QTY 0 CS RETURN AMUUNT EMPTIES OTY 1 CS MISC AMOUNT 0.00 ALLO�ANCE AMOUNT -153'83 DEPOSIT AMOU�� 0.00 TERMS: CHARGE NET 30 DAYS NET DUE 230.17 THANK YOU 1 Fr ':i1��w��|u��� i �480135007018404028309079611412283214 1480135007018404028309079611412283214 C T iClitnt T VT f fir- T nfiCC V4:.g:, T =I -I 3 3 S h N I 10 3 N 3 9 V'! 0 0 1 'S d 3 �01 INOW'A"-d i2 t I jN-a J 1 �Rlol Vt IL -4 1 1 5 VV 11 11 L1 VVIII, I -3 r 1 fl f:7 I 'Y:'! C ft 7 --,1 ft P fjt!iq -ft v n I III vt !wn;enc 43 A (i7 1 i a1 A qN Ji 1 :1 1 7 �5 ("ll C. a�c CC. C•r• ft z f 7 tu 1 �3 t:, IC-1 1,.i ia r 7 fift f, C, 'I f CC rc ft r, t: n h k XQ r, 1 C, C., 6 L ,S- C 4 C, 7C N -1, tR! 7f-,filI i 1 �ir rt.1 y 1 1' ft t 7 ii 7�1 I es it (I ft fl,i T hc ft 1 v{ n (i ft a t, 1 07- ft f, IP fC. C- I :i, 1 v 'I u I t7c �fo ,7z rt 7 fif, fC. 4ft f1c. C- i f; t, A Z f, 7 C C, M C, J: 7 t7l'u?% 7- 4 C t-� T (j, q I'S -.1 1 II lull i Fi u(I ft ft I ft W; f, t 7 1 ft -2 1 1ji v 1. .0ii a n—j j t M, irtiA i @1 z T j I :i I z C, 11 1 i C ft j J 20 n-U-3-j Q Q T (17 T il ":3 1 C1 1 7 j,1 T T J i .Ht I. 1-- L .1 T r D l I't C. A T U S c! A P. I-ART T 0' C 1A 6 T 1.7 1 .3 A 1' `1 L 07,-1 t, r. a :I 11"l (I A,�l �r T C 3 VOUCHER NO. WARRANT NO. ALLOWED 20 D�5 L (x©44 �.v. �6 fi`�� IN SU M OF X77 37 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or ���J yo dz8j z3�jo�f� �3� bill(s) is (are) true and correct and that the 5 yoyoz7403 N7 materials or services itemized thereon for which charge is made were ordered and received except 20 iiqnature Cost distribution ledger classification if Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 r Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) W'1,02_ '7G93 c)-`f7 2-° Total `T 7 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