158584 04/15/2008 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: $808.34
CHICAGO IL 60675 -1884 CHECK NUMBER: 158584
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4239040 7405435101 473.36 FOOD BEVERAGES
905 4239040 8404009422 1,281.70 FOOD BEVERAGES
I
I
I
PEPSI AMERICAS
I Customr# 614649 Send Payment To:
Pepsi -Cola General Bottlers, Inc. PEPSIAMERICAS
Statement Date: 12/31/2007 Delta Beverage Group 75 Remittance Dr, Suite 1884
Division 14801 Dakota Beverage Group CHICAGO, IL 60675 1884
Correspondence 614649
Page: 1 Questions Regarding This Statement? Date Last Payment Rec'd: 11/02/2007
Call 1- 800 926 -7242 Last Check 153269
Billing Address: Payment Terms:
By Statement: Due 15th of the month
By Invoice: 30 Days from Invoice Date
67 39 *AUTO *3 -DIGIT 460
Ship To Address:
City of Carmel DBA Brookshire Golf Club
12120 BROOKSHIRE PKWY Brookshire Golf Club
CARMEL, IN 46033 -3314 12120 Brookshire Pkwy
IIIIIIIIIIIIIIIIIIIIIII„III
010651 -S Carmel, IN 46033
IN�iCiC�DATF IiVi/O�CEIU DUED�4TE TYPE SERIAiJREFERENCE #OPEN';AMOUNT PAST DUE
1211712007 7405435101 01/16/2008 TRADE 473.36
PAGE TOTAL: 473.36 0.00
TOTAL :A000UNT.BAUINCE;BY.INVOICE "AGING
CURRENT (1 -30) 1 -30 PAST DUE (31 -60) 31 -60 PAST DUE (61 -90) OVER 90 PAST DUE (91 TOTAL BALANCE
-473.36
O. 00 0.00
0.00 -473.36
TOTAL-ACCOUNTBAL�ANCE,BY,TYP.E
TRADE
473.36
(URIDE
Customer 34� 1 z t� 2 11
`sc nd Pa vnient, 'Ir
c
Statement Date. W109 2002 1 l'T SI?FllI St1( 1`„ f 61 x p v.
y31 1Trr�fz7e�
1 f
Division `1301 :r• l: f
ndenco 54
370 (70(f„:�hO, 11, COh?� i a'ri�}
Correspo
�.,t.
Page:
Ous; -tions Regarding This Statement? Date last Payment Reed.: 02 %0V ?002
Call 1.800.926.7242 Last Check 25' S8
Bdtmg Address: Payment Terms:
3 S €aterlent EJuc 7 f v' the moth
Invoice: 30 Day ,nT Imo ce Date
1 1 Shrp To Address
Jahn i) Store
123 Main Street t t i Q 5 e 7ia is
Anvio tn USA 12345 -67139 ,o 'tr
I'dain Street
1 ,(i„LL,IL,I,JtI I, VL i Ii,JtLltt l,hl aI tt5wn -USA 12345-s78
INVOICE DATE INVOICE NUMBER DUE DATE TYPE SERIAUREFERENCE OPEN AMOUNT PAST DUE
I
z
T his it: t 11(+ eurrcxlt
soma °mat w of the=
PAGE TOTAL: 10,92E90 0.00
OTAL ACC I pAl P NYO CE AGiVC
TOTAL A COUNT L-cc BV TYPE
PAGE_ 1 OF! INVOICE AMOUNT ,f INVOIC AMOUNT 1 IN VOICE AMOU NT
Plis is you
r
CUSTOMER 4310
STMT DATE. 0!109.200?
DIVISION# 11301
is a he CUSTOMER NAME: dF re uk -Iie wi%E7
John Q Store I tE t-- tiour tlyrrir,7tt. S°
f tI BUNG I'AIU LESS ALA INVOICES n.RE 5 I U ",l) T OTAL: 10,928.96
q
F A
PEPSIAMERICAS 1
75 Remittance Dr. Suite 1884 Vv r s
Lv
CHICAGO IL 60675 1884
a. J I .tit
IJL,IItt „(L,E,,,LI I,,,,IIIJ,L,(,I JL „Id,l,,,ll,l r; ='.tc,
1
00 SI41 700000000 109 28960 2 9 20"_ 2 5 I
PAGE 2 PEPSI COLA GEN' BOT.
5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
.(317) 876-3464
INVOICE 7405435101 DRIVER- 400011 Cimasko,John
P fl/ DSD: Brookshire Golf Club DELIVERY: 2007-12-17 7:41:20
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-01-16
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 24320365
CUST ID: 614649 ROUTE: 716
TAX ID: 0091201550 ASM: 401806
VENDOR/DUNS:
TOTALS
SALES QTY 0 CS SALES AMOUNT 0.00
RETURN QTY 6 CS RETURN AMOUNT -393.00
EMPTIES QTY 1 CS MIS! AMOUNT 0.00
ALLOWANCE AMOUNT 144.64
DEPOSIT AMOUNT -225.00
TERMS: CHARGE NET 30 DAYS NET DUE -473.36
THANK YOU
CUSTOMER S�GNATURE
Q�
y��\\
1488135OO71674054�5101O79621412351213 1480�35O07�674054351O1879611412351213
PAGE 1 PEPSI COLA GEN. BOT.
5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 7405435101 DRIVER: 400011 Cimasko,John
PO/DSD: Brookshire Golf Club DELIVERY: 2007-12-17 7:41:19
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-01-16
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 24320365
CUST ID: 614649 ROUTE: 716
TAX ID: 0091201550 ASM: 401806
VENDOR/DUNS:
6R0SS PRICE DISCOUNTS NET �[POSlT N8
ITEM DESCRIPTION UPC 0TY UNIT EXT UNIT [XT PRICE UNIT EXT AMOUNT
I--. F:
263 0R PEPPER, S G 80 O'��900710S4'S 2 CS 90.00 180.0 41.22 82.44 48.7P 0.00 0. Vg 97.S6
SUBTOTAL S G80SN6 97.Si, 2 CS
I0;5 DT CF P[PSl 3 G BlB 0'121)0048249'4 1 CS 54.00 5-4 23.86 23.86 30.14 0.01 0A0 30.14
1656 LPTN 0< UI;W/NL 3 G D0 0'410030101)0'2 1 CS 54.01) S4.08 25.834 2S.84 28.16 0.00 0.00 28.16
SU8TOTAL 3 G8lBSNG 68.30 2 CS
1876 M[SC SALES CO2 TNK 200 0'1200040369'9 1 CS 30.00 30.00 12.50 12.50 17.50 76.00 76,00
92.50
ell 20 L8TTMlS 92.50 1 CS
069 N{SC SALES CO2 TNX SV0 V'1200040029'2 I CS 75.01) 75.00 8.00 0.90 76.00 76.0V 76.00 150.00
SUBTOTAL S0 L8TTNlS 8V.Vl 1 CS
TOTAL SALEABLE RETURNS 3Y8.36 6 CS
����4�' E��� :47.
4829 NISC SALES 200 CO2 0-12V 0V40370'6 1 1 CS 0.01 0.80 0. 00) O.00 0.V0 75.00 75.00 76.0V
SUBTOTAL 76.00 1 CS
TOTAL EMPTIES 75.00 1 CS
PLEASE REMIT .PAYMEMT TO:
PEPSI COLA GEN.BQT.IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO, IL 60675-1884
14801350071674O54351O1079611412351113 148U1350071674O5435181O�9�11412351113
PAGE 2 PEPSI COLA GEN. BOT.
5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
(317> 876-3464
INVOICE 8404009422 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-04-03 7:35:17
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-05-03
DIST PT: 7961141 Carmel, I�, 46033-3314 ORDER# 26928945
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
0D& SALES 1281,70 45 CS
PLEASE REMIT PAYMENT TO:
PEPSI COLA GEM.BQT.IN
7S REMITTANCE DRIVE
SUITE 1884
CHICAG8,IL 60675-1884
TOTALS
SALES QTY 45 CS SALES AMOUNT 2019. 00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -812.30
DEPOSIT AMOUNT 75.00
30 DAYS NET DUE 1281.70
Tl-AAN YOU
CLSTOMEF� SI
K
U�
\b v
�4801�50070184O40094220796114�2094215 1480135087018404809422079611412094215
PAGE 1 PEPSI COLA GEN BOT
5411 WEST 78T H STRE�T
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE 8404009422 DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 2008-04-03 7:35:00
STORE: 12120 Brookshire Pkwy DUE DATE: 2008-05-03
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 26928945
CUST ID: 614649 ROUTE: 701
TAX ID: 0091201550 ASM2 402237
VENDOR/DUNS:
GROSS PRICE DISCOUNTS NET DEPOSIT NET
ITEM DESCRIPTION UPC QTY UNIT [XT UNIT [XT PRICE UNIT EXT AMOUNT�
!S3 C:�b It_ IE3
156 GAT 62 OH NM 2Nl NR O62000204010 t CS 30.00 3000 10.34 10.34 1166 0.00 0.00 19.66
1646 GAT G2 FRT PUN NN 2007 NR 0'6200020406'6 1 CS 30.00 30.00 10.34 10.34 19.66 0,00 0.00 19.66
{�,47 GAT 62 GRAPE WM 20OZ NR 0-6200020406'3 i CS 3V.0 0 30.00 10.34 10.34 1Y.66 0.00 1).00 1Y.66
l69 PEPS( COLA 20Ol NR PL 0'1200000129-1 3 CS 30.00 90.00 10.89 32.67 19.11 0.60 0.00 67.33
7738 0K PEPPER 2G0Z NR PL 0'7800008240'1 3 CS 30.00 90.00 10.89 32.67 B.\I Q. 00 G.V,) 57.33
173 NT D[0 200Z NR PL 0'1200000131'4 3 CS 30.00 90.00 10.89 32.67 0.11 0.00 0.V0 67.33
77S6 DT 0R PEPPER 20OZ NR Pi 0-7800008349'8 3 CS 30.00 90.00 10.89 32.67 19.11 030 0.01) S7.33
170 0T PEPSI 20OZ NR PL 0'1200000130'7 3 CS 30.00 90.00 10,89 32.67 19.11 0.00 0.00 67.33
721 A0UAFlNA 200Z NR PL 0-1200000159'8 6 CS 30.00 t80.00 18.63 IIIA8 I1.47 0.00 0.00 t,8.82
979 SIERRA MIST LL 20Ol N8 PL 0'1200000364-7 3 CS 30.00 90.00 10.89 32.67 19.11 0.00 0.00 67.33
�U8T0TAL 200lN0PLS24 8 471.78 27 CS
1774 GAT RED DRIVE .6 L NR PL O'6200063036' 1 CS 30.00 30.00 10.34 10.34 19.66 0.00 030 19.66
\78V GAT C00L FUS .S i NR PL 0'5200VS3036- CS 30. 00 30.00 10.34 \V.34 t9.66 0.00 0.00 19.t,6
1781 GAT 0T STORM .6 L NR PL 0'S20OOS3807- I CS 30.08 30.00 10.34 10.34 19.66 0.00 0.00 \Y.66
SU8TOTAL .6LNKPLS24 8 68.98 3 CS
2668 PEP Sl COLA G BlD �'�2�0V4��V3'2 2 CS Y�.VV �80.�� 38.36 76.7� 6\.�S V.VV V.VV It3.3V
2676 0T PEPSI 6 G BlB �'�2�0V��V�6'3 2 CS Y0.�� 18V.�V 38.36 76.7� 6�.66 �.�V iO3.3�
260� MT DEW 6 8 8l8 0-1200040009-4 2 CS 98 VV �80 38 36 76 7� 66 V V� V )�3 3V
2--QY 0R PEPPER 6 G BIB 0-5490071054'6 2 CS 90.00 00.00 38.29 76.68 61.71 V,Oq 0.00 103.42
SUBTOTAL 6 GBlBSN� 413.� 8 CS
'N8S 0T CF PEPSI 3 G B0 0-1200040249 '4 2 CS S4.00 108.00 22.02 44.04 31.98 4.00 O.VV 63.96
16S,'j UPTN BK USW/NL 3 G BIB 0'4100001000'2 2 CS 54.00 108.00 24.8 48,30 29.86 0.00 0.0V R9.7V
i160 SIERRA MIST LL 3 G 8{8 0'12000SO388-7 2 CS 64.00 108.00 22.02 44.04 31.98 0.00 0.00 63.96
SUBTOTAL 3 GBlBSN6 187.62 CS
0S9 MlSC SALES CO2 TNK 600 0'120004009'2 1 CS 76.01) 76.VO 0.00 0.01) 76.00 76.OV 76.V0 \57V.1)V
SUBTOTAL 60 LBTTN{S ISV.VV 1 CS
1480135;87018484889422M79611412O94115 1488135087818404809422079611412094115
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
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
.355333 PC-pSiAmP-2jcA S IN SUM OF
75 Remittance Dr Ste 1884
Chicago IL 60675 -1884
S'0 8,y
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
�5 OS 3S /o/ 733(0 bill(s) is (are) true and correct and that the
3 90 materials or services itemized thereon for
which charge is made were ordered and
received except
2003
Lnatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund