214780 11/20/2012 �,. CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $998.93
CARMEL, INDIANA 46032 LOCKBOx 75948
,off_ CHICAGO IL 60675-5948 CHECK NUMBER: 214780
CHECK DATE: 11120/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 86734459 746 .43 FOOD & BEVERAGES
1095 4239040 86926709 130 . 90 FOOD & BEVERAGES
1091 4359000 99670818 121 . 60 SPECIAL PROJECTS
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
10/24/12 99670818 Fall Frolic $ 121.60
10/26/12 86734459 concessions 29122 $ 746.43
11/2/12 86926709 concessions $ 130.90
Total $ 998.93
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accoFdance
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$
$ 998.93
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACC T#/TITL AMOUNT Board Members
Dept#
1091 99670818 4359000 $ 121.60 1 hereby certify that the attached invoice(s), or
1095-1 86734459 4239040 $ 746.43 bill(s) is (are)true and correct and that the
1095-1 86926709 4239040 $ 130.90 materials or services itemized thereon for
which charge is made were ordered and
received except
15-Nov 2012
X.
Signature
$ 998.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund