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180224 12/08/2009
CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $830.09 y CARMEL, INDIANA 46032 75 REMITTANCE DRIVE SUITE 1884 CHICAGO IL 60675 -1884 CHECK NUMBER: 180224 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 1047 4239040 9404032410 409.33 FOOD BEVERAGES 1047 4239040 9405131704 420.76 FOOD BEVERAGES PEPSI-COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 78TH STREET ,1235 Central Park Or E INDIANAPOLIS, IN 46268 j Carmel, IN, 46032 -4421 (317) 876 -3464 G INVOICE 9405131704 P.O. 4 DR I VER 628464 Su l l i van, Ory i l l STORE: DELIVERY: 2009 -11 -13 8:46:36 DIST PT: 8008584 DUE DATE: 2009 -12 -13 CUST ID: 649907 ORDER: 39875126 TAX 10: 0119683083 -001 ROUTE: 713 VENDOR/DUNS: ASM: 606818 UNIT DISC NET DEP NET NET ITEM DESCRIPTION UPC QTY PRICE PRICE AMOUNT EACH SALES 2449 TROP PK LEM JO 2 012000812842 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WM 052000328660 2 40.00 18.57 21.43 0.00 42.86 48 2563 GAT LEMILINE WN 052000328684 2 40.00 18.57 21.43 0.00 42.85 48 1634 PROP FIT BRY 200 052000707779 2 40.00 •15.37 24.63 0.00 49.26 48 2367 LPTN BK SWL 20OZ 012000003691 1 40.00 19.17 20.83 0.00 20.83 24 SUBTOTAL 200ZNRPLS24 176,64 8 CS 192 2219 SB LF 0 YMBPOM 2 739510002838 1 25,00 11.91 13.09 0.00 13.09 12 2218 SB LF 0 FJ APL 2 739510002821 1 25.00 11.91 13.09 0,00 13.09 12 2217 SB LF 0 BLKBLU 2 739510002845 1 25.00 11.91 13.09 0,00 13.09 12 4789 SB LF PON CHRY 2 739510001060 1 25.00 11.91 13.09 0.00 13.09 12 4784 SB LF STR KIWI 2 739510001138 1 25.00 11.91 13.09 0.00 13.09 12 4787 SB LF BLK GRP 20 739510001121 1 25.00 11.91 13.09 0.00 13.09 12 4786 SB LF ORG TNG 20 139510001046 1 25.00 11.91 13.09 0.00 13.09 12 SUBTOTAL 200ZNRPLS12 91.53 7 CS 84 2620 MUS MLK VAN 140Z 876063002028 1 40.00 15.00 25.00 0.00 25.00 12 SUBTOTAL 140ZNRPLS12 25.00 1 CS 12 2568 PEPSI COLA 5 G B 012000400032 1 90.00 32.05 57.95 0.00 57.95 SUBTOTAL 5 GBIBSNG 57.95 1 CS 2722 TROP LEMND JD 3 012000016189 1 54.00 19.23 34.77 0.00 34.77 1160 SIERRA MIST LL 3 012000503887 1 54.00 19.23 34.77 0.00 34.77 SUBTOTAL 3 GBIBSNG 69.54 2 CS TOTAL SALES 420.76 19 IS 288 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT,IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675 -1884 TOTALS SALES QTY 19 CS SALES AMOUNT 733.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT 312.24 DEPOSIT AMOUNT 0.00 NET DUE 420.76 TERMS: CHARGE NET 30 DAYS THANK YOU 540513L 704 4 ?0 76 I Nov 1 7 zoos BY: CUSTOMER SIGNATURE 14801350071394051317 (14080085849317111 a PEPSI COLA GEN. BOT. Carmel Clay Parks Recreation 5411 WEST 78TH STREET Central Park Or E INDIANAPOLIS, IN 46268 tarmel, IN, 46032-4421 (317) 876-3464 INVOICE 9404032410 P.O. DRIVER: 624129 Heaviland II,Pe STORE: DELIVERY: 2009 -11 -20 10:41:37 DIST PT: 8008584 DUE DATE: 2009 -12 -20 CUSI 10: 649907 ORDER: 39954334 1.411 10: 0119683083 -001 ROUTE: 701 V' Yt10R /DUNS: ASH: 606818 UNIT DISC NET DEP NET NEI 'ltX DESLH pIION UPC QTY PRICE PRICE AMOUNT EACH SALES w9 PEPSI COLA 20OZ 012000001291 1 40.00 19.17 20,83 0.00 20.83 24 170 DI PEPSI 20OZ NR 012000001307 1 40.00 19.17 20.83 0.00 20.83 24 1782 Ml DEW VOLTAGE 2 012000028625 1 40,00 19.17 20.83 0.00 20.83 24 175 OT MT DEW 20OZ N 012000001345 1 40.00 19.17 20.83 0.00 20.83 24 173 MT DEW 20OZ NR P 012000001314 1 40.00 19.17 20.83 0.00 20.83 24 8850 CRUSH ORANGE 2UO U41710217982 1 40.00 19.17 20.83 0.00 20.83 24 2564 GAT FRT PUNCH WM 052000328660 1 40.00 18,57 21.43 0.00 21.43 24 2559 GAT ORANGE WM 20 052000328677 1 40.00 18.57 21.43 0.00 21.43 24 2567 GAT COOL BLUE WM 052000324815 1 40.00 18.57 21.43 U OU 21.43 24 2562 GAT FRC GRAPE WM U52000324822 1 40.00 18.57 21.43 r41 21.43 24 1639 PROP FIT LEN 200 052000707809 1 40.00 15.37 24.63 1. 24.63 24 1634 PROP FIT BRY 200 052000707779 1 40.00 15.37 24,63 0.i,u 24.63 24 I5U9 GAT BRY RAIN WM 052000208900 1 40.00 18.57 21.43 0.00 21.43 24 SUBTOTAL 2002NRPLS24 281.39 13 CS 312 2219 SO LF 0 YMBPOM 2 739510002838 1 25.00 11.91 13.09 0.00 13.09 12 1798 SB LF GOJI MEL 2 739510002548 2 25.00 11.91 13.09 0.00 26.18 24 2217 SO LF 0 BLKBLU 2 739510002845 2 25.00 11.91 13.09 0.00 26.18 24 SUBTOTAL 200ZNRPLS12 65.45 5 CS 60 2885 OR PEPPER CHR 21 078000098723 1 40,00 19.17 20.83 0.00 20.83 24 4450 DR PEPPER 21OZ N 078000082722 1 40.00 19.17 20.83 0.00 20.83 24 4451 DT DR PEPPER 210 078000083729 1 40.00 19.17 20.83 0.00 20.83 24 SUBTOTAL 210ZNRPLS24 62.49 3 CS 72 TOTAL SALES 409.33 21 CS 444 PLEASE REMIT PAYMENT TO: PEPSI COLA GEN.BOT.IN 75 REMITTANCE DRIVE SUITE 1884 CHICAGO,IL 60675 -1884 TOTALS SALES QTY 21 CS SALES AMOUNT 765.00 RETURN QTY 0 CS RETURN AMOUNT 0.00 EMPTIES QTY 0 CS MISC AMOUNT 0.00 ALLOWANCE AMOUNT 355.67 DEPOSIT AMOUNT 0.00 NET DUE 409.33 TERMS: CHARGE NET 30 DAYS THANK YOU 9404032410 409.33 CUSTOMER SIGNATURE 14130'13!300 0qM 9IF13 NOV 3 0 1009 BY: 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 11/13/09 9405131704 Vending 22887 F 420.76 11/20/09 9404032410 Vending 22929 F 409.33 Total 830.09 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 830.09 0� ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. 4CCT #[TITLE AMOUNT Board Members Dept 1047 9405131704 4239040 420.76 1 hereby certify that the attached invoice(s), or 1047 9404032410 4239040 409.33 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 3 -Dec 2009 Signature 830.09 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund