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210997 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $1,705.63 CARMEL, INDIANA 46032 LOCKBOX75948 CHICAGO IL 60675-5948 CHECK NUMBER: 210997 CHECK DATE: 7/1712012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 23542556 1, 705 . 63 FOOD & BEVERAGES P B C PEPSI BEVERAGES COMPANY 5411 West 78th St. Indianapolis, IN 46288 Contact #: 1-800-963-2424 Sales Rep: Peter Heavila d II Ju A Route #: 701 ! NRID/CID: 577__. # 23542556 06/22/2012 09:54 AM Carme arks & Recreation 1235 Central Park Dr E Carmel,IN 46032 Vendor #: Store #: Customer #: 9461355 TAX ID: 0119683083-001 PO #: ACCOM CODE #: _ SALES_ S_U_MM_ARY__ Qty Amount Sales Cases 114 1780.63 Total Units 1921 Credits Full Cases 4 0.00 Single Units 0 0.00 Total Units 4 Container Deposits -75.00 Sales Tax 0.00 State/Local Charges 0 Amount Due $1705.63 TERMS: CHARG Net 30 PLEASE REMIT PAYMENT TO: Pepsi-Cola r P.O. Box 75948 Chicago IL 606755948 RECEIVED BY: ITEM DETAIL SALES Description UPC Whlsl Cases Units Net Amount 20OZ PL 1124 SW AQ WTR 0-12000-00159-8 35.00 20 48011.90 238.00 SUBTOTAL 20 480 238.00 20OZ PL 1124S PEPSI 0-12000-00129-1 40.00 1 2416.73 16.73 PEPSI WCHE 0-12000-00559-6 40.00 2 4816.73 33.46 DT PEPSI-0-12000=00 30-7 40.00 2 4816.73 . 33.46 MDEW 0-12000-00131-4 40.00 1 2416.73 16.73 MDEW CD RD 0-12000-00224-3 40.00 2 4816.73 33.46 DT MDEW 0-12000-00134-5 40.00 1 2416.73 16.73 DRPEP 0-78000-08240-1 40.00 2 4816.73 33.46 DRPEP CHE 0-78000-09840-2 40.00 1 2416.73 16.73 SRMIST NAT LL 0-12000-21509-4 40.00 2 4816.73 33.46 MUG RT BR 0-12000-00910-5 40.00 3 7216.73 50.19 BRSK SWL 0-12000-00369-1 40.00 1 2416.73 16.73 LIT GT CIT 0-12000-01275-4 40.00 1 24 16.73 16.73 MDEW LW 0-12000-81131-9 40.00 1 2416.73 16.73 CRSH GRP 0-78000-01352-8 40.00 1 2416.73 16.73 CRSH ORG 0-78000-01328-3 40.00 1 2416.73 16.73 DT CRSH ORG 0-78000-01395-5 40.00 1 _ 24 16.73 _ 16.73 MDEW VLTG RAZ 0-12000-02862-5 40.00 1 2416.73 16.73 MDEW DBRY 0-12000-03906-5 40.00 2 4816.73 33.46 SUBTOTAL 26 624 434.98 20OZ WM PL 1124 GAT BLU 0-52000-32481-5 40.00 4 9616.73 66.92 GAT FRC GRP 0-52000-32482-2 40.00 2 4816.73 33.46 GAT FT PNCH 0-52000-32866-0 40.00 5 12016.73 83.65 GAT LL 0-52000-32868-4 40.00 5 12016.73 83.65 GAT ORG 0-52000-32867-7 40.00 2 4816.73 33.46 SUBTOTAL 18 432 301.14 20OZ PL 1112 SBE LW FJAPPROCAL 7-39510-00282-1 25.00 3 3613.17 39.51 SBE LW YMBPOMOCAL 7-39510-00283-8 25.00 1 1213.17 13.17 SBE LW MG MD CWTR 7-39510-00398-9 25.00 3 3613.17 39.51 SBE LW PCCNT CWTR 7-39510-00396-5 25.00 2 2413.17 26.34 SBE LW ACI RAZ OC 7-39510-00402-3 25.00 3 3613.17 39.51 SUBTOTAL 12 144 158.04 160Z CN 1112 AMP BST 0-12000-01643-1 30.00 1 1216.46 16.46 AMP BST CHE 0-12000-12635-2 30.00 1 1216.46 16.46 SUBTOTAL 2 24 32.92 160Z CN 1124 RKSTR ENRG 8-18094-00001-7 50.00 2 4832.92 65.84 RKSTR ZRO CRB 8-18094-00070-3 50.00 2 4832.92 65.84 SUBTOTAL 4 96 131.68 1502 CN 1112 STRBK DSE MCHA 0-12000-02845-8 30.00 2 2420.74 41.48 STRBK DSE VAN 0-12000-02849-6 30.00 2 2420.74 41.48 SUBTOTAL 4 48 82.96 140Z PL 1112 MU MLK CHOC 8-76063-00201-1 40.00 2 2432.92 65.84 SUBTOTAL 2 24 65.84 3G BIB TROP LMND POS 0-12000-01618-9 18.00 12 1212.44 149.28 SUBTOTAL 12 12 149.28 5113 BIB DT PEPSI POS 0-12000-40006-3 18.00 10 1012.03 120.30 SUBTOTAL 10 10 120.30 CO2 20LB FULL TANK 0-12000-40268-5 30.00 3 321.83 65.49 SUBTOTAL 3 3 65.49 20OZ PL 1124 PD FCP AQ200ZFREE 0-12000-00159-8 35.00 1 24 0.00 0.00 SUBTOTAL 1 24 0.00 CREDITS (Full Cases) Description UPC Cases Units Net Amount EMPTIES 20LB CO2 EMPTY TK 0-12000-40370-5 4 4 0.00 0.00 SUBTOTAL 4 4 0.00 CONTAINER DEPOSITS Package Cases Units Amount CO2 3 3 225.00 EMPTIES 4 4 -300.00 SUBTOTAL 7 7 -75.00 Amount Due for this Invoice: $1705.63 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 6122112 23542556 Concessions 30999 $ 1,705.63 Total $ 1,705.63 1 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 P.O. Box 75948 Chicago, IL 60675-5948 In Sum of$ $ 1,705.63 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 23542556 4239040 $ 1,705.63 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 12-Jul 2012 Signature $ 1,705.63 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund