161995 07/23/2008 i
CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
0 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHECK AMOUNT: $269.23
CHICAGO IL 60675 -1884 CHECK NUMBER: 161995
CHECK DATE: 7/23/2008
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4239040 8404019202 269.23 FOOD BEVERAGES
�M
M W WON
PAGE 1 PEPSI COLA GEN. BOT�
5411 WEST 78TH STRE�T
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 8404019202 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-07-10 3:49:50
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-08-09
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 30042 158
CUST ID: 6146 49 ROUTE: 701
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
GROSS PRICE 0SCOUNT6 NET 0EP0SlT NB
0�SCKlPT{0N UPC UNIT E�l UND EXT PRIZE UN 1 EXT AMOUNT
721 AAUAFlNA 21,107 NR PL 0'i20000"S9'8 3 CS u. 00 90.V0 0.63 55 5 9 11.47 0.00 A.00 34.41
LPTN {CE0 0G3W 200Z NR Pi 0'12oVo 0 1278' 6).00 10.89 21.78 19.11 1).0�l 1).0 0 38.22
1 646 GAT 62 FRT PUN NM 200Z H �-S2�0V2V��S'6 l CS 3�.00 3V.0V 10.'N �V.�N 19.6� 0.�0 0.o0 B.66
1U 7 6AT G2 GR� NM 2Q7 NR 0'8209020406'3 I CS VV 30.V 0.34 1 K34 1Y.66 V.00 1).o0 B.66
16Vg �T B RAIN' KM NR 0_Sl0V020890_0 3 0 N. 1 0.31. 1y V0 V`80 1m66
25 7 GA COOL 8LU[ NM 200 K8 V'62�VV32�8�'S 2 CS 3V.�� 6V. ill 0 !kN 2V.68 66 V.00 V.00 3 .32
26E� "AT F8T PUNCH NM 211O7- NR 0'520 032 6'V 2 C 1V.34 20.68 0.66 V.t"V V.o� 39.32
2663 GAT L[N/LlNE NM 2 NK V'6200032868'4 CS 3V.90 30.VV lo. 1 o. 8.66 0.00 0.0V !Yi66,
SU8T0D& 2V0 ZNRP 9
LS2� 8 22Y.1 13
1 o �,*AJ COOL F Uj 6 .6 L N8 PL 0'S 3�J6' 2 CS 30, AP 60.01) 113.66 0.�W 2V.68 �.66 0.00 0.00 39.32
SUDT0TAL .6LN3PLS2� 8 3Y.32 2 CS
TOT SALES
PLEASE REMIT PAYMENT TO:
N/ p�e
206 80-�/��0 PEPSI COLA 6EN.B8T.IN
7S REMITTANCE DRIVE
SUITE 1884
CHICAGO,IL 68675-1884
TOTALS
SALES QTY 15 CS SALES AMOUNT 450. 00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -180. 77
DEPOSIT AMOUNT 0.00
TERMS: CHARGE NET 30 DAYS NET DUE 269.23
THANK YOU
9202079611'�12192127 14801350070184O40192O2O79611412192117
Pry �-J 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
P ei _n 8 o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
IN SUM OF
IS7A
ON ACCOUNT OF APPROPRIATION FOR
qos 3� C
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
G D EPT. I hereby certify that the attached invoice(s), or
`(JS FL( bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received exce i
20V g
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund