220298 05/21/2013iii
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: $280.98
CHICAGO IL 60675-5948
CHECK NUMBER: 220298
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 8628752 280 . 98 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
4/29/13 8628752 Concessions 29728 $ 280.98
Total $ 280.98
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
In Sum of$
$ 280.98
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1095-1 8628752 4239040 $ 280.98 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
16-May 2013
Signature
$ 280.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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