213134 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $577.90
CARMEL, INDIANA 46032 LOCKBOX 75948
CHICAGO IL 60675-5948 CHECK NUMBER: 213134
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 28201859 299 .45 FOOD & BEVERAGES
1095 4239040 28542008 278 .45 FOOD & BEVERAGES
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
31225 $ 299.45
8131/12 28201859 Concessions $ 278.45
9/7/12 28542008 Concessions
Total $ 577.90
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
120_
Clerk-Treasurer
Voucher No. Warrant No.
355333 Pepsi Cola Gen. Bot. Allowed 20
P.O. Box 75948
Chicago, IL 60675-5948
In Sum of$
$ 577.90
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 28201859 4239040 $ 299.45 1 hereby certify that the attached invoice(s), or
1095-1 28542008 4239040 $ 278.45 ' 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
20-Sep 2012
Signature
$ 577.901 Accounts Payable Coordinator
Cost distribution ledger classification if t Title
claim paid motor vehicle highway fund