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217776 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $707.03 �? CARMEL, INDIANA 46032 LOCKBOX 75948 o��o CHICAGO IL 60675-5948 CHECK NUMBER: 217776 CHECK DATE: 212612013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 27872610 238 . 00 FOOD & BEVERAGES 1095 4239040 29334160 469 . 03 FOOD & BEVERAGES ® P B C U PEPSI BEVERAGES COMPANY / 541 1 West 78th St. 1 Indianapolis, IN 46268 Contact #: 1-B00-963-2424 Sales Rep: James Cole Route #: 701 NRID/CID: 577336/5 I # 29334160 02/08/2013 11.21 AM arks & Recreation 1235 Central Park Dr E Carmel,IN 46032 Vendor #: Store #: Customer #: 9461355 TAX ID: 0119683083-001 PO #: ACCOM CODE #: _ SALES SUMMARY Qty Amount Sales Cases 27 469.03 Total Units 378 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 $469.03 TERMS: CH - ASE REMIT PAYME O: Pepsi-Cola P.O. Box 75948 Chicago IL 606755948 RECEIVED BY: ITEM DETAIL SALES Description UPC WhIsl Cases Units Net Amount 20OZ PL 1124S DT CRSH ORG 0-78000-01395-5 40.00 1,/' 24 16.73 16.73 MDEW VLTG RAZ 0-12000-02862-5 40.On 1 7 ?4 1F;TA 1 F 7'1 -SUBTOTAL 2 '48. 33.46 20OZ WM PL 1124 GAT BLU 0-52009-32481-5 40.00 4./ 9619.58 78.32 GAT FT PNCH 0;52000-32866-0 40.00 1/ 2419.58 19.58 GAT LL 0-52000-32868-4 40.00 1 J 2419.58 19.58 SUBTOTAL 6 144 117.48 20OZ PL 1112 SBE LW BLKBLUOCAL 7-39510-00284-5 30.00 1✓ 1213.17 13.17 SBE LW FJAPPROCAL 7-39510-00282-1 30.00 1 / 1213.17 13.17 SBE LW POM CHE 7-39510-00106-0 30.00 1./ 1213.17 13.17 SBE LW YMBPOMOCAL 7-39510-00283-8 30.00 1 .i 12 13.17 13.17 SBE LW MG MD CWTR 7-39510-00398-9 30.00 1✓ 1213.17 13.17 SBE LW ACI RAZ OC 7-39510-00402-3 30.00 1-/ 1213.17 13.17 SBE LW BLD ORG MG 7-39510-00403-0 30.00 1 / 1213.17 13.17 SUBTOTAL 7 84 92.19 160Z CN 1112 AMP BST 0-12000-01643-1 30.00 1 ✓ 1216.46 16.46 AMP BST GRP 0-12000-38250-5 30.00 1 / 1216.46 16.46 SUBTOTAL 2 24 32.92 160Z C N 1124 RKSTR SPR SR,5BRY 8-18094-00259-2 34.00 1 2432.92 32.92 SUBTOTAL 1 24 32.92 140Z PL 1112 MU MLK BAN C5M 8-76063-00203-5 40.00 1/ 12 32 92 32.92 MU MLK VAN CRM 8-76063-00202-8 40.00 1 1232.92 32.92 SUBTOTAL 2 24 65.84 3G BIB DT DRPEP POS 0-54900-72051-3 30.00 3 i 312.44 37.32 TROP LMND POS JJ-12000-01618-9 50.00 3✓ 312.44 37.32 SUBTOTAL 6 6 74.64 20OZ PL 1124 PRPL ZRO MAND ORG 0-52000-13476-6 40.00 1 �/24 19.58 19.58 SUBTOTAL 1 24 19.58 Amount Due for this Invoice: $469.03 PBC PEPSI BEVERAGES COMPANY 5411 West 78th St. Indianapolis, IN 46268 Contact #: 1-800-963-2424 Sales Rep: Peter Heaviland 11 Route #: 701 NRID/CID: 577336/3 INVOICE - 27872610 02/15/2013 1M CA—- arks & Recreation 1235 Central Park Dr E Carmel,IN 46032 Vendor #: Store #: Customer #: 9461355 TAX ID: 0119683083-001 PO #: ACCOM_CODE #: SALES SUMMARY Qty Amount Sales Cases 20 238.00 Total Units 480 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 `$238.00 TERMS' Net 30 PLEAS REMIT PAYMEN TO: Pepsi-Cola P.O. Box 75948 hicago IL 606755 48 RECEI BY: ITEM DETAIL SALES Description UPC Whlsl Cases Units Net Amount 20OZ PL 1124 SW AQ WTR 0-12000-00159-8 40.00 20 48011.90 238.00 SUBTOTAL 20 480 238.00 Amount Due for this Invoice: $238.00 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 2/8/13 29334160 Concessions 29442 $ 469.03 2/15/13 27872610 Concessions $ 238.00 Total $ 707.03 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 i f In Sum of$ i $ 707.03 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 29334160 4239040 $ 469.03 1 hereby certify that the attached invoice(s), or 1095-1 27872610 4239040 $ 238.00 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 21-Feb 2013 Signature $ 707.03 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund