206392 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI -COLA GEN BOT IN CHECK AMOUNT: $190.68
CARMEL, INDIANA 46032 LOCKBOX 75948
CHICAGO IL 60675 -5948 CHECK NUMBER: 206392
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 22794412 190.68 FOOD BEVERAGES
J PBCL
EPSI BEVERAGES COMPANY
5411 West 78th St. Q
Indianapolis, IN 46268
Contact 1 -800- 963 -2424 JqN z 4
Sa s Rep: Peter Heaviland II OJ
Route 701
NRID /CID; 577336/ar, 1
INVOICE JJ((
22794412
01/20/2012 11:00 AM
Carmel C ay Parks
Recreation
1235 Central Park Dr E
Carmel,IN 46032
Vendor
Store
Customer 9461355
TAX ID: 0119683083 -001
PO
A CCOM C O_ D
SALES SUM
Qty Amount
Sales
Cases 20 265.68
Total Units 260
Credits
Full Cases 1 0.00
Single Units 0 0.00
Total Units 1
Container Deposits -75.00
Sales Tax 0.00
State /Local Charges 0.00
Amount Due $190.68
TERMS: CHARGE
Net 30'
PLEASE REMIT PAYMENT TO:
Pepsi -Cola
P.O. Box 75948
Chicago IL 606755948
RECEIVED BY:
5 arm
6 IL
ITE DETAIL
SALES
Descriptiu UPC
WhIsl Cases Units Net Amount
20OZ PL 1124 SW
AQ WTR 0- 12000 00159 -8
35.00 6 144 .12.69 76.14
SUBTOTAL 6 .144 76.14
20OZ PL 1124
PD FCP AQ200ZFREE 0- 12000 00159 -8
35.00 1 24 0.00 0.00
SUBTOTAL 1 24 0.00
20OZ WM PL 1124
GAT BLU 0- 52000- 32481 -5
40.00 2 4821.75 43.50
SUBTOTAL 2 48 43.50
20OZ PL 1112
SBE LW PCCNT CWl R 7- 39510- 00396 -5
25.00 2 2413.29 26.58
SUBTOTAL 2 24 26.58
140Z PL 1112
MU MILK CHOC 8- 76063 00201 -1
40.00 1 1225.38 25.38
SUBTOTAL 1 12 25.38
3G BIB
SRMIST POS 0- 12000 50388 -7
18.00 3 311.76 35.28
SUBTOTAL 3 3 35.28
5G "SIB
PEPSI POS 0- 12000 40003 -2
18.00 5 511.76 58.80
SUBTOTAL 5 5 58.80
CREDITS (Full Cases)
Description UPC
Cases Units Net Amount
EMPTIES
20LB CO2 EMPTY TK 0- 12000 40370 -5
1 1 0.00 0.00
SUBTOTAL 1 1 0.00
CONTAINER DEPOSITS
Package Cases Units Amount
EMPTIES 1 1 -75.00
SUBTOTAL 1 1 -75.00
Amount Due
for this Invoice: $190.68
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
P.O. Box 75948
Chicago, IL 60675 -5948
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1120/12 22794412 Concessions 190.68
Total 190.68
f 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
3
s
Voucher No. Warrant No.
355333 Pepsi Cola Gen. Bot. Allowed 20
P.O. Box 75948
Chicago, IL 60675 -5948
In Sum of
190.68
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 22794412 4239040 190.68 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
9 -Feb 2012
y,fXJ!
Signature
190.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund