222117 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1
ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CHECK AMOUNT: $464.62
CARMEL, INDIANA 46032 LOCKBOX 75948
CHICAGO IL 60675-5948 CHECK NUMBER: 222117
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 80767306 464 . 62 FOOD & BEVERAGES
J® PBC
PEPSI BEVERAGES COMPANY (�
5411 West 78th St. 7C=3 Indianapolis, IN 46268
Contact #: 1-800-963-2424 > N
Sales Rep: Yonzl Murphy R all
Route #: 713 r Z
N_R_ID/CID: 57734.1/5 U
_
INVOICE
80767306
06/21/2013 09:45
Carmel C ay Parks &
Recreation C(y)ceSSlons
1235 Central Park Dr E
Carmel,IN 46032 aclq 75 F
Vendor #: (0g5-I_423g0pD
Store #:
Customer #: 9461355
TAX ID: 0119683083-001
PO #:
ACCOM CODE #:
SALES SUMMARY
Qty Amount
Sales
Cases 37 562.32
Total Units 37
Credits
Full Cases 10 -22.70
Single Units 0 0.00
Total Units 10
Container Deposits -75.00
Sales Tax 0.00
State/Local Charges
Amount Due $464.62
TERMS: CHA
REMIT PAYMENT TO:
Pepsi-Cola
P.O. Box 75948
Chicago IL 6067559
RECEIVED BY:
ITEM DETAIL
SALES
Description UPC
Whlsl Cases Units Net Amount
CO2
20LB FULL TANK 0-12000-40268-5
30.00 9 922.70 204.30
SUBTOTAL 9 9 204.30
3G BIB
SRMIST POS 0-12000-50388-7
30.00 6 612.94 77.64
MUG RT BR POS 0-12000-40408-5
30.00 6 612.94 77.64
TROP LMND POS 0-12000-01618-9
50.00 6 612.94 77.64
SUBTOTAL 18 18 232.92
5G BIB
PEPSI POS 0-12000-40003-2
30.00 5 512.51 62.55
DT PEPSI POS 0-12000-40006-3
30.00 5 512.51 62.55
SUBTOTAL 10 10 125.10
CREDITS (Full Cases)
Description UPC
Cases Units Net Amount
CO2 -- -- - -
20LB FULL TANK 0-12000-40268-5
1 122.70 -22.70
SUBTOTAL .1 1 -22.70
EMPTIES
20LB CO2 EMPTY TK 0-12000-40370-5
9 9 0.00 0.00
SUBTOTAL 9 9 0.00
CONTAINER DEPOSITS
Package Cases Units Amount
CO2 9 9 675.00
CO2 1 1 -75.00
EMPTIES 9 9 -675.00
SUBTOTAL 19 19 -75.00
Amount Due
for this Invoice: $464.62
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
6/21/13 80767306 Concessions 29975 $ 464.62
Total $ 464.62
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$
$ 464.62
I
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1095-1 80767306 4239040 $ 464.62 1 hereby certify that the attached invoice(s), or
bills) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
10-Jul 2013
Signature
$ 464.62 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund