180922 12/30/2009 a 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: $250.00
CHICAGO IL 60675 -1884
CHECK NUMBER: 180922
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 9404933117 250.00 FOOD BEVERAGES
PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation
5411 WEST 78TH STREET 1235 Central Park Or E
INDIANAPOLIS, IN 46268\ Carmel, IN, 46032 -4421
(317) 876-3464
/i INVOICE 9404933117
P.O. M: DRIVER: 628464 Sullivan,Orvill
STORE: DELIVERY: 2009 -11 -27 11:57:59
-JIST PT: 8008584 DUE DATE: 2009 -12-27
CUST 10: 649907 ORDER: 40032174
TAX ID: 0119683083 -001 ROUTE: 711
VENDOR/DUNS: ASH: 606818
UNIT DISC NET DEP NET NET
ITEM DE SCRIPTION UPC QTY PRICE PRICE AMOUNT EACH
SALES
721 AQUAF I NA 20OZ NR 012000001598 20 40.00 27.50 12.50 0.00 250.00 480
SUBTOTAL 200ZNRPLS24 250.00 20 CS 480
TOTAL SALES 250.00 20 CS 480
PLEASE REMIT PAYMENT TO:
PEPSI COLA GEN.BOT.IN
75 REMITTANCE DRIVE
SUITE 1884
CHICAGO,IL 60675 -1884
TOTALS
SALES QTY 20 CS SALES AMOUNT 800.00
RETURN QTY 0 CS RETURN AMOUNT 0.00
EMPTIES QTY 0 CS MISC AMOUNT 0.00
ALLOWANCE AMOUNT -550.00
DEPOSIT AMOUNT 0.00
NET DUE 250.00
TERMS: CHARGE NET 30 DAYS
THANK YOU
940493311 2543.01
D C L 3 2009
-By.-JI CUSTOMER SIGNATURE u
1480135007119404933117080085849331111
o
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
355333 Pepsi Cola Gen. Bot. Terms
75 Remittance Drive, Ste 1884
Chicago, IL 60675 -1884
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/27/09. 9404933117 Vending 22966 F 250.00
Total 250.00
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.
355333 Pepsi Cola Gen. Bot. Allowed 20
75 Remittance Drive, Ste 1884
Chicago, IL 60675 -1884
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1047 9404933117 4239040 250.00 1 hereby certify that the attached invoice(s), or
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
23 -Dec 2009
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund