212335 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN
CARMEL, INDIANA 46032 LOCKBOX 75948 CHECK AMOUNT: $2,105.32
�.o CHICAGO IL 60675-5948 CHECK NUMBER: 212335
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 31588555 2, 105 . 32 FOOD & BEVERAGES
1
FDC
P,,; VERAGES COMPANY _3 Z
4�SI 11 West 78th St.
Indianapolis, IN 46268
Contact #: 1-800-963-2424
Sales Rep: Peter Heaviland II
Route #: 701
N R I D/CID: 577336/X
1
# 31588555
08/10/201 009:59 AM
arks &
Recreation
1235 Central Park Dr E
Carmel,IN 46032
Vendor #:
Store #: '
Customer #: 9461355
TAX ID: 0119683083-001
PO #:
ACCOM CODE #:
SALES SUMMARY
i Qty Amount
Sales
Cases 155 2105.32
I Total Units 1783
Credits
Full Cases 0 0.00
Single Units 0 0.00
Total Units 0
Container Deposits 0.00
Sales Tax 0.00
State/Local Charges
Amount Due $2105.32
TERMS: CHA
Ne
PLEASE IT PAYMEN'
Pepsi-Cola
P.O. Box 75948
Chicago IL 606755948 {
EC IVED 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
P.O. Box 75948
Chicago, IL 60675-5948
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/10/12 31588555 Concessions 31174 $ 2,105.32
Total $ 2,105.32
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$
$ 2,105.32
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 31588555 4239040 $ 2,105.32 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-Aug 2012
q
Signature
$ 2,105.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund