162464 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 Of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $492.49
•4 o. CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884
CHICAGO IL 60675 -1884 CHECK NUMBER: 162464
CHECK DATE: 8/7/2008
DEPARTME ACCO PO NU MBER INVOICE NUMBE A MOUNT D ESCRIPTION J
1150 4239040 8404020603 492.49 FOOD BEVERAGES
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PAGE 2 PEPSI COLA
5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 8404020603 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-07-24 4:08:56
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-08-23
DIST PT: 7961141 Carmel IN, 46033-3314 ORDER# 302501 15
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 AS11 606818
VENDOR/DUNS:
TOTALS
SALES QTY 20 CS SALES AMOUNT 792.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MI SC AMOUNT 0.00
ALLOWANCE AMOUNT -299.51
DEPOSIT AMOUNT 0.00
TERMS: CHARGE NET 30 DAYS NET DUE 492.49
THANK YOU
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
1 e'? _TAI Purchase Order No.
W" Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 2 V O8 4 "'e- C S'► Ae__ q92- `f
Total 7%2
I 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.
ALLOWED 20
i
IN SUM OF
mow► i 1 �g
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
5•U f�iy�Ldw3 `/2316"Vv 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
20
u re
Cost distribution ledger classification if fift
claim paid motor vehicle highway fund