160521 06/10/2008 �w 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: $406.59
CHICAGO IL 60675 -1884 CHECK NUMBER: 160521
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUM INVOICE N AM D ESCRIPTION
905 4239040 406.59 FOOD BEVERAGES
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r•, /1 S 1 1 1 c ,••r,•j 11 0058
_,l.ie B roo k shire Golf Club DELI 'I_ss.+(--
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l:J.,.T. FTs 7361141 (_a riIie:1, IN, 46033- 3314 URI'tER#3 2914; =3s..:=
Cut:il I ±,F�t> ROUTE: .1.J1
'TAX L' i. +l_I9.l. ti 5 1", 40223
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i ?SS- �RICE NET DEPOSIT NET
ITEM DESCRIPTION UPC QTY UNIT ERT 1JNIT EXT PRICE UNIT EXT AMOUNT
It
1 ?3 MT DE4 2t3a)..,N.R PL 2 CS 30,00 60.00 10.09 21,7rJ 1111 D,i7s} s3,$):7 :iac.
727 T -rp Z r 2-,r a r r•
c•: _r LPT11 ifc =R 200 NR PL t)-���UU =J1..r:J -C t CS 30.00 3�1,Qft iiJ,$a 1 ?,J9 i „11 b,1ir }s,tlfJ 19,11
I -Pr n RR A PE R, Z N -C OO ,L I
i�Ja? t;a: s3 M1
.r:?�r,. M� ..G.3 ,�F. i .J? .J 1 +,•J 30,1!17 .Js),l3s7 ls),34 ls),3=, 19,66 U,s }s) 0.00 19, 66
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��5f: `?AI t3b:APE W _01Jt ;1R L -5 v00o•d$2-2 1 CS 30,00 30.1!0 117, 3=t 0..1sZ .1'i,c•£ .00 0,01;. 19abE.
'2S t r i 2' r Vin• •ry n s
a_•J'J3 SA T ?_i�:LeMc �M �sJ! ?t NR U- 5�;1:J133�ot }1 -4 CS 30.00 60.0 1s,,:34 �0,�J %1 to 0a00 0,00 :39,32
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SUROTAL 2OCURMS24 E 135.97 CS
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C'U I S S SI I U OU in i CS nn 00 •3, n nr r, r j r
2H8 JI r v':C• 'i a,. +3 >ti. -J L •,J +f�, +3!) ]:,,rJ•,s .l }e..3 .3iJ,.3 ?lal;'.' 0. 00 0.1 6S
2S7t P E P SI C 3 r n 0 H r., nC r r r A C
"`T FOP: C'E3$ ti-1'.- {JSJDd�JtJ;Jc i •J 91.0 9 0. 0 0 •J. -J5 •:,}Jr•Jv �1,f1: 0. 00 100 4:.•J.
I �-r- r I B 0 64 9 0� 0 0 00 t. 3S n, 3S Ci t C t0 0 S C
i rJv 1 J t't, t��� fA �iQ -1_1, J4v 79j,}; 1 3 7:,r 1 ,L •3.1,-J •1 -J J, v�J _a�Tl •J Or iJ !Ja 7 t) JlrtJ -J
PURR L
fi r.,•' E n B 't= C.ennrt ?�rJC nC Gf1 -1 iit nn, 29 j �S f# Z
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S U BTOTAL C +n i n r
-J Ac'ga1E!3 �r0�.,. -JC• a CS
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nn n, r nnn f n 22 n 22 n nn r n 1,?
?c_ T RO P tEr'!ts aI' 3 ti BIB f 1�a1,U01�:1` 1 5-:. J x.;},00 �4,fJ0 ,_�.Or. :ji,�.J 1) 0 'i3OfJ ..rrJ
rr n n2 n, ,;n .3 q,
1_!);5 DT s:P PEE: =.I :a s BIB +7- 12?ws7s,:913,.4, i -4, DO 4 :3 ."8c ._a1i2 .3:,,rJ 1). ON, P, DO �l,.sJ
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SUBTOTAL 3 F]Bt ri.tKi 6;196 C'S
TOTAL SALES 406A9 13 CS
PLEASE REMIT PAYMENT TO:
PEPSIP COLA GEN. BOT. IN
75 MgM I TTANCE DRIVE
'SUITE 1884
CHICAW, IL 60675 -1
TOTALS
SA LES QTY 13 i_, SALES AMOUN 678.00
RETURN QTY i, I c T RETURN A M!_! N t 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
L..L._CA,_! 1%.1- _a:::: 1= ?Ik;t_si._INT -271.41
DEPOSIT AMOUNT 0.00
1::.1= :t'1'::`, 1:= ,F��.. ,E:: NET 30 I:l,..., S.
1 f:L =E 406,,
146 14{,1r?1:3SO0701 840401.43340796114# 14:3116
PAGE 2 PEPSI COLA GEN. BOT.
5411 WEST 78TH STREET
INDIANAPOLIS, IN 46268
(317) 876-3464
INVOICE DRIVER: 608923 Bender,Joseph
PO/DSD: Brookshire Golf Club DELIVERY: 11:37:56
STORE 12120 Brookshire Pkwy DUE DATE: 2008-06-21
DIST PT: 7961141 Carmel, IN, 46033-3314 ORDER# 29147335
CUST ID: 614649 ROUTE: 701
i
TAX ID: 0091201550 ASM: 402237
VENDOR/DUNS:
THANK YOU
CUSTOMER S GNAT
14881350070 18404014334879611412143216 1480135887018484014334079A-11412143216
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
7 �G- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5-"2;Z-0? 8(10'101(13'3V
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
75 S�i Iff
ON ACCOUNT OF APPROPRIATION FOR
9os ,QGC
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
QS g 0V0 /V 390 y0 0(0 59 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
Co 200
oiq 1
Hato
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund