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218988 04/09/2013 *F 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: $779.76 CHICAGO IL 60675-5948 CHECK NUMBER: 218988 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 30190608 779 . 76 FOOD & BEVERAGES PBC PEPSI BEVERAGES COMPANY 5411 West 78th St. Indianapolis, IN 46268 Contact #: 1-800-963-2424 Sales Rep: Yonzl Murphy Route #: 713 NRID/CID: 577341/3 IM0Carm & 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 64 779.76 Total Units 64 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 $779.76 TERMS: CHARGE Ou PLEASE REMI1 PAYMENT TO: _ Pepsi-Cola P.O. Box 75948 Chicago IL 606755948 RECEIVED BY: titb��>t��l Cam' � U5 � ITEM DETAIL SALES Description UPC Whlsl Cases Units Net Amount 3G BIB _ DT DRPEP POS 0-54900-72051-3 3000 3 312.44 37.32 SRMIST POS 0-12000-50388-7 30.00 6 612.44 74.64 MUG RT BR POS 0-12000-40408-5 30.00 3 312.44 37.32 TROP LMND POS 0-12000-01618-9 50.00 12 1212.44 149.28 SUBTOTAL 24 24 298.56 5G BIB PEPSI POS 0-12000-40003-2 30.00 20 2012.03 240.60 DT PEPSI POS 0-12000-40006-3 30.00 10 1012.03 120.30 MDEW POS 0-12000-40009-4 30.00 10 10 12 03 120.30 SUBTOTAL 40 40 481.20 Amount Due for this Invoice: $779.76 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 3/29/13 30190608 Concessions 29593 $ 779.76 Total $ 779.76 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 355333 Pepsi Cola Gen. Bot. Allowed 20 P.O. Box 75948 Chicago, IL 60675-5948 In Sum of$ $ 779.76 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 30190608 4239040 $ 779.76 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-Apr 2013 I Signature $ 779.76 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund