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223605 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 355333 Page 1 of 1 ONE CIVIC SQUARE PEPSI-COLA GEN BOT IN CARMEL, INDIANA 46032 LOCKBOX75948 CHECK AMOUNT: $447.92 CHICAGO IL 60675-5948 CHECK NUMBER: 223605 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 33586862 447 . 92 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: 577341/5 11 # 33586862 08/16/2013 12:49 PM Carm Cta s & 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 30 447.92 Total Units 30 Credits Full Cases 7 0.00 Single Units 0 0.00 Total Units 7 Container Deposits 0.00 Sales Tax 0.00 State/Local Charges 0.0 Amount Due $447.92 TERMS: CHAR et 30 PLEAS REMIT PAYMENT TO: Pepsi-Cola P.O. Box 75948 hicago IL 606755948 RECEIV BY: ITEM DETAIL SALES Description UPC Whlsl Cases Units Net Amount CO2 20LB FULL TANK 0-12000-40268-5 30.00 7 722.70 158.90 SUBTOTAL 7 7 158.90 313 BIB MUG RT BR POS 0-12000-40408-5 30.00 3 312.94 38.82 SUBTOTAL 3 3 38.82 5G BIB PEPSI POS 0-12000-40003-2 30.00 10 1012.51 125.10 DT PEPSI POS 0-12000-40006-3 30.00 10 1012.51 125.10 SUBTOTAL 20 20 250.20 CREDITS (Full Cases) Description UPC Cases Units Net Amount EMPTIES 20LB CO2 EMPTY TK 0-12000-40370-5 7 7 0.00 0.00 SUBTOTAL 7 7 0.00 CONTAINER DEPOSITS Package Cases Units Amount CO2 7 7 525.00 EMPTIES 7 7 -52.5.00 SUBTOTAL 14 14 0.00 Amount Due for this Invoice: $447.92 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 8/16/13 33586862 Concessions 36058 $ 447.92 Total $ 447.92 I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in accordance with 1C 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$ $ 447.92 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 33586862 4239040 $ 447.92 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 22-Aug 2013 Signature $ 447.92 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund