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225042 10/08/2013 1 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: $358.02 CHICAGO IL 60675-5948 CHECK NUMBER: 225042 CHECK DATE: 1018/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 30588859 358 . 02 FOOD & BEVERAGES ® PBC PEPSI BEVERAGES COMPANY 541 1 West 78th St. Indianapolis, IN 46268 Contact #: 1-800-963-2424 Sales Rep: Peter Heaviland II Route #: 701 NRID/CID: 677336/6 # 30588859 0/2013 09: Carmel Clay Parks & 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 28 358.02 Total Units 28 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 $358.02 TERMS: CHAR PLEASE REMIT PAY TO. Pepsi-Cola P.O. Box 75948 Chicago IL .606755948 RECEIVED BY: C OCT 0 12013 RV• ITEM DETAIL a� SALES Description UPC Whlsl Cases Units Net Amount 3113 BIB SRMIST POS 0-12000-50388-7' 30.00 3 312.94 38.82 MUG RT BR POS 0-12000-40408-5 30.00 3 312.94 38.82 TROP LMND POS 0-12000-01618-9 50.00 12 1212.94 155.28 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 Amount Due for this Invoice: $358.02 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 9/20/13 30588859 Concessions 36184 $ 358.02 Total $ 358.02 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 E Voucher No. Warrant No. 355333 Pepsi Cola Gen. Bot. Allowed 20 P.O. Box 75948 Chicago, IL 60675-5948 In Sum of$ $ 358.02 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members INVOICE NO. ACCT#/TITL AMOUNT Dept# 1095-1 30588859 4239040 $ 358.02 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 3-Oct 2013 Signature $ 358.02 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund