161024 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $1,187.33
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884
CHICAGO IL 60675 -1884 CHECK NUMBER: 161024
CHECK DATE: 6/25/2008
D EPAR TME NT ACCOUNT PO NUM INVOI NUM AMOUN D ESCRIPTION
905 4239040 8404016402 1,187.33 FOOD BEVERAGES
I
P GE 2 PEPSI COLA GEN. BOT.
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5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
(317) 876-3464
I 8404016402 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-06-12 3:57:59
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-07-12
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 29665277
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
TOTALS
SALES QTY 50 CS SALES AMOUNT 2004.00
RETURN QTY 0 CS RETURN AMOUNT
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -816.67
DEPOSIT AMOUNT 0.00
TERMS: CHARGE NET 30 DAyS NET DUE 1187.33
THANK YOU
CUS/OMER SIGNATURE
1488135007018404016482879611412164211 148013500 7 /01S,4040 16482879611412164211
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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
i Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-ate gq0VO& Oz 33
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
Z-
7, 33
ON ACCOUNT OF APPROPRIATION FOR
�r'5
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
j� 3%p 0 /y 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 63
S
Cost distribution ledger classification if
Tale
claim paid motor vehicle highway fund