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225509 10/23/2013 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; $155.28 ?� CHICAGO IL 60675-5948 CHECK NUMBER: 225509 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 28439159 155 .28 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 04-�'/Vendor I # 28439159 10/11/2013 10:23 AM r arks & Recreation 1235 Central Park Dr E Carmel,IN 46032 #: ore #: Customer #: 9461355 TAX ID: 0119683083-001 PO #: A_CCOM CODE SALES SUMMARY _ --------- --- -Dty Amount Sales Cases 12 155.28 Total Units 12 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 $155.28 TERM * D Net 30 PLE E REMIT PAYMENT T Pepsi-Cola P.O. Box 75948 Chicago IL 606755948 (ECEIVED BY: ITEM DETAIL SALES Description UPC Whlsl Cases Units Net Amount 3G BIB DT DRPEP POS 0-54900-72051-3 30.00 6 612.94 77.64 TROP LMND POS 0-12000-01618-9 50.00 6 612.94 77.64 SUBTOTAL 12 12 155.28 Amount Due for this Invoice: $155.28 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 10/11/13 28439159 Concessions $ 155.28 Total $ 155.28 I 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$ $ 155.28 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 28439159 4239040 $ 155.28 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 17-Oct 2013 P Je/t& Signature $ 155.28 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund