161512 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $1,523.03
z ta� r. CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884
CHICAGO IL 60675 -1884 CHECK NUMBER: 161512
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOI NU AMOUNT DESCRIPTION
905 4239040 8404017802 1,315.76 FOOD BEVERAGES
305 4239040 8404018502 207.27 FOOD BEVERAGES
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PAGE 1 PEPSI COLA GEN. BOT
5411 WEST 78TH STRE�T
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 8404017802 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-06-26 4:01:59
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-07-26
DIST PT: 7961141 (armel, IN, 46033-3314 ORDER# 29859400
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
GROSS PRICE DISCOUNTS NB DEPOSIT NET
]TEN DESCRIPTION UPC QTY UNIT [XT UNlT EXT PRICE UNIT [XT AMOUNT
L-E-��
170 MT DEW SUPERN 20Ol NR Pi 0'120000200-0 1 CS 30.00 30.00 10.89 10.89 19.11 0.00 0.00 19.11
1786 NT DEN K00LUT 200l NK PL 0'1200002866'3 1 CS 30.00 30.00 0.89 10.89 19.11 0.00 0.00 0.11
1782 MT DEW V0LTASE 20Ol N8 PL 0'1200002862'6 1 CS 30.00 30.00 10.89 10.89 19.11 0.00 0.00 19.11
7738 0R PEPPER 20Ol M0 PL 0'7800008240-1 2 CS 30.00 60.00 10.89 21.78 19.11 0.00 0.00 38.22
173 NT DER 20Ol N8 Pi 0-1200000131'4 1 CS 30,00 30.00 10.89 0.89 19,11 0.08 0.00 19.11
170 DT PEPSI 200Z N8 PL 0'1200000130'7 4 CS 30.00 120.00 10.89 43.66 19.11 0.00 0.00 76.44
721 A&UAFlNA 200l NK PL 0'1200000159'8 8 CS 30.00 240.00 18.63 148.24 11.47 0.00 0.00 91.76
6727 LPTN ICED GKN 20OZ NK PL 0'1200001276'4 1 CS 30.00 30.00 10.89 10.89 19.11 0.00 0.00 19.11
�(WS SAT 62 OR8 WK 200Z N8 0-6200020407'0 2 CS 30.00 60.00 10.34 20.68 19.66 0.01) 0.00 39.32
1646 GAT 62 F8T PUN WK 200Z N8 8'6200020406'6 2 CS 30.00 60.00 0.34 20.68 19.66 0.00 0.00 39.32
1647 GAT 62 GRAPE NM 20OZ NK 0'5200020406'3 2 CS 30.00 60.00 10,34 20.60 19.66 0.00 0.00 39.32
2669 GAT ORANGE NM 20Ol NK 0-6200032867'7 2 CS 30.00 60.00 10.34 20,68 19.66 0.00 0.00 39.32
2562 GAT FRC GRAPE WN 2007 KK 0'5200032482'2 2 CS 30.00 60.00 10.34 20.68 19.66 0.00 0.00 39,32
2S67 GAT COOL BLUE NN 280l NR 0'6200032481'5 4 CS 30.00 120.00 10.34' 41.36 19.66 0.00 0.00 78.64
266S EAT F0ST GLACl NM 200Z NK 0'6200032486'0 2 CS 30,00 60.00 10.34 20.68 19.66 0.00 0,00 39.32
2664 GAT FKT PUNCH WN 20OZ NK 0-6200832866-0 2 CS 30.00 60.00 10.34 20.68 19.66 0.00 0.00 39.32
1c,68 EAT RIP RUSH NM 200l N8 0'S200032488-4 2 CS 30.00 60.00 10.34 20.68 19.66 0.00 0,00 39.32
SUBTOTAL 200ZNRPLS2 8 17 3Y CS
{774 GAT RED 08lN[ .5 L N8 PL 0'S20VV63036- 2 CS 30.00 60.08 10.34 20.68 194 0.00 0 39,32
SUBTOTAL .6LNKPLS24 B 39.32 2 CS
2668 PEPS[ COLA 6 G 80 0-1200040003-2 2 CS 90.00 i8*.80 38.35 76.70 51.6.5 0.00 0.00 183.30
2676 0T PEPSI 6 6 BIB 0'1200048006-3 1 CS 98.00- 90.00 39.36 38.35 61,66 0.00 0.00 51-65
2600 Ml DEW S G 80 0'1200040009'4 2 CS 90,@F-180.0` 38.3S 7670 61.66 0.00 0.00 103,30
2639 0R PEPPER 5 GVlH 0-549007064'5 2 CS SN 180.00 38.2Y 51.71 0.00 0.00 103.42
SU00D& 6 G8l8SNG 361�6J 7 CS
2722 TROP L[NN0 J0 3 G BIB 0-1200001618-9 3 CS 54.W �.0V 22.02 66.86 3L98 0.00 0.00 96.94
11085 0T CF PEPSI 3 G 818 0'1200040249'4 1 CS 54,00- S4.00 162.00 54,00 22.02 22.02 31.90 0.00 _0,00 31.90
1666 LPTN 8K USN/NL 3 G 80 0-4100001000'2 2 CS 54.00 08.00 24.1S 48.30 29.85 0.00 0.00 59.70
1160 SIERRA MIST LL 3 8 B0 0'1200060388'7 1 CS 64.00 S4,00 22.02 22.02 31.98 0,00 0.00 31.98
148013500781848401788207961141217-P,Iil. 148O13608781840401780207961&uK1217:Bl1I
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P� E 2 PEPSI COLA GEN. BOT.
5411 WEST 78TH.STREET
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 8404017802 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-06-26 4:02:02
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-07-26
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 29859400
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
SUBTOTAL 3G8lBSNS 219.60 7 CS
TOTAL SALES 138.76 55 CS
PLEASE REMIT PAYMENT T0:
PEPSI COLA GEN.B0T. IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO, IL 60675-1884
TOTALS
SALES QTY 55 CS SALES AMOUNT 2238.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -922.24
DEPOSIT AMOUNT 0.00
TERMS: CHARGE NET 30 DAYS NET DUE 1315.76
THANK YOU
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CL��OMER SIGNATUE
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Ht-9 iaM FM p4RplC:H WM 203 NP. 3- 5%;J1?t33?$F15 -FR I CS :30.0}J 30,00 10 .34 10.34 19.66 0.00 .0 0 BA6
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,IUBTOTAL HIBSK, 31.9; i cS
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PLEASE REMIT PAY MENT TO
PEPSI COLA AEI+.! BOT. I Ili
75 REMITTANCE DR IVE
SUITE 18,84
CHI =AGaO I 61) -1884
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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
:cfuhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
r
�E� S (C� (C1 C`` e-n r Ru Purchase Order No.
Terms wQ
Date Due
.yK4'
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7 /1 01 0 TA14C T67Z_ 131
Total z 3. 5
w I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
ith IC 5- 11- 10 -1.6.
_'20
Clerk- Treasurer
VOUCHER NO. WARRANT NO. ;N
ALLOWED 20
2u IN SUM OF
7fA\ -5�r
�nc s 3:- 4C ZJ T
I S '2-3 D
ON ACCOUNT OF APPROPRIATION FOR
1 2 1 0S Bc� L
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�t F40 -4cj c 13 i S 7 v bill(s) is (are) true and correct and that the
e vgcgcl -6S, 2- ZC Z`7 materials or services itemized thereon for
which charge is made were ordered and
received except
C/ 20 v�
atu re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund