213613 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $232.44
, o CARMEL, INDIANA 46032 LOCKBOX 75948
CHICAGO IL 60675-5948 CHECK NUMBER: 213613
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 95584705 232 . 44 FOOD & BEVERAGES
PBC, C ��
� �3
PEPSI BEVERAGES COMPANY
5411 West 78th St.
Indianapolis, IN 46268
Contact #: 1-800-963-2424
Sales Rep: Peter Heaviland II
Route #: 701
NRID/CID: 577336/5
INVOICE
# 95584705
09/21/2012 08:21 AM
Carmel C ay ark & '
Recreation '
� .a
1235 Central Park E �����
Carmel,IN 4603 •
Vendor #:
Store #:
Customer #: 9461355 �\
TAX ID: 0119683083-001
PO #:
ACCOM CODE #: "
_
SALES SUMMARY
Qty Amount
Sales
Cases 15 232.44
Total Units 288
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 0.00
Amount Due $232.44
TERMS: CH
et C ECE ASE REMIT PAA
YMENT TO:
Pepsi-Cola
P.O. Box 75948
Chicago IL 606755948
IVED BY:
ITEM DETAIL _
SALES
Description UPC
Whlsl Cases Units" Net Amount
-2070Z-PL 1/24S
PEPSI 0-12000-00129-1
40.00 2 4816.73 33.46
DT CRSH ORG 0-78000-01395-5
40.00 1 2416.73 16.73
SUBTOTAL 3 72 50.19
20OZ WM PL 1124
GAT BLU 0-52000-32481-5
40.00 2 4816.73 33.46
GAT FT PNCH 0-52000-32866-0
40.00 1 2416.73 16.73-/
GAT LL 0-52000-32,8684
40.00 1 ,/24 16.73 16.73--'/
GAT G2 GLCR FRZ 0-52000-20006-5
40.00 1 2416.73 16.73 "
SUBTOTAL 5 120 83.65
20OZ PL 1112
SBE LW BLKBLUOCAL 7-39510-00284-5
25.00 11 1 1213.17 13.17
SBE LW FJAPPROCAL 7-39510-00282-1
25.00 1 1213.17 13.17
SBE LW POM CHE 7-39510-00106-0
25.00 1 1213.17 13.17
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 1 1213.17 13.17
SBE LW ACI RAZ OC 7-39510-00402-3
25.00 1 1213.17 13.17
SUBTOTAL 6 72 79.02
20OZ PL 1124
PRO ZRO BRY 0-52000-70777-9
40.00 1 2419.58 19.58
SUBTOTAL 1 24 19.58
Amount Due
for this Invoice: $232.44
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
9/21/12 95584705 Concessions $ 232.44
Total Is 232.44
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
P.O. Box 75948
Chicago, IL 60675-5948
In Sum of$
$ 232.44
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/rITLE AMOUNT Board Members
Dept#
1095-1 95584705 4239040 $ 232.44 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
4-Oct 2012
Signature
$ 232.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund