HomeMy WebLinkAbout231894 04/23/14 �,q"F.- CITY OF CARMEL, INDIANA VENDOR: 359366
® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $"""1,504.63'
,. r4 CARMEL, INDIANA 46032 PO Box 7137 CHECK NUMBER: 231894
+,y�,_ INDIANAPOLIS IN 46206-7137 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 0826978PU -89.00 FOOD & BEVERAGES
1207 4239040 404171170 1,593.63 FOOD & BEVERAGES
Goodthings
SSysco Indianapolis, LLC Statement Date 01/31/14
come from fl®Sto 4000 West 62nd Street Shipping Acct# 412940
Indianapolis, IN 46268 Billing Acct# 412940
Phone:(317) 291-2020 Last Payment Into
Date Check No
Toll Free: (800) 347-3920 . Amount
12/19/13 0000000000 qq 732.55
Ship To Address: BROOKSHIREGOLF CLUB+++ Amount Due: _ $330.39
12120 BROOKSHIRE PKWY
CARMEL IN 46033 Amount Enclosed $
Remit to:
n�4'
SYSCO INDIANAPOLIS LLC CITY OF CARMEL
P.O.BOX 7137 1 CIVIC SQUARE
INDIANAPOLIS IN 46206-7137 CARMEL IN 46032
Please complete form on reverse side and return this portion with your payment to the"Remit To"address.
Terms Marketing Associate Cash On At Past Due Amount Current Balance
DUE F-HiDAY 4 WEEKS"AFTER ORDER —GARY LEVERENZ`- 0.00 330.39 _0:00 I 330.39 -
Line Inv.Date Invoice Due Date Regarding/P.O. - Orig Amount Adjustments PaymentsB nce
1 11/01/13 0826978PU 11/01/13 0826978 -89.00 0.00 0.00 9.00
2 10/31/13 310311062 11/29/13 - 860.02 0.00 836.62
3 11/21/13 311211036 12/20/13 395.99 0.00 0.00 395.99
Page:1
BROOKSHIRE GOLF CLUB...
Stmt. Date I Ship To Acct# Bill To Acct# Last Payment Info Amount Due Amount Enclosed
01/31/14 1 412940 412940 1 Date: 12/19/13 Ck:0000000000 Amt:732.55 $330.39
If paying in full,please put a check mark in the paid column.If short-paying an invoice please indicate the amount.
No.I Invoice Amt Due Paid . No. Invoice Amt Due Paid No. Invoice I Amt Due Paid
1 1 0826978PU -89.00
2 1 310311062 23.40
3 1 311211036 395.99
Please return this portion with your remittance to the"Remit To"address.on the reverse side
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sysco
SYSCO INDIANAPOLIS LLC Statement Date:01/31/14 Account:412940-412940
Line I Inv.Date Invoice I Due Date I Regarding/P.O.. Orig Amount I Adjustments I Payments Balance
SYSCO is constantly working to find ways to improve the service we provide to our valuable customers.As a part of this initiative,we have improved
our statement format.We hope that you find this new statement straightforward and easy to understand. If there is a question regarding this
statement call(317)291-2020.
SYSCO INDIANAPOLIS LLC
P.O. BOX 7137
INDIANAPOLIS IN 46206-7137
Toll Free: (800) 347-3920
Introducing SyscoAccountCenter.com!!!
24 X 7 access to your invoices, credits, statements and payment history. Account Center also offers
easy to use online payment tools.
To get started visit www.syscoaccountcenter.com and sign up using the following temporary username
and password: Username = 412940 Password = IN15180
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3231870961&1-1
CUSTOMER'S ORIGINAL INVOICE
Good things CONFIDENTIAL PROPERTY OF SYSCO
come from ;::bELv. DATE. .. ".CUSTOMER: ,............ :.: ;.,...;
BROOKSHI RE GOLF CLUB... `®��®�
12120 BROOKSHIRE PKWY 1 >TR CK S oP.: 412940 404171170 8 1
CARMEL IN 46033 40000 WND62NDPSTIS, LLC
ROU E
317-846-7431 INDIANAPOLIS, IN 46268 -
DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: SCALES, JOHNNY
CARMEL IN 460.12 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE
QTY PAC SIZE ITEM UNET EXTENDED
T ITEM DESCRIPTION CODE PRICE PRICE A
x
** DAIRY ***
C is. DNLY5 LB ASASOL CHEESE CHDR ,JACK SHRD ,F'CY 10999CS 2406189 ,. 20.96 20.96
S 3848/80Z NT DEL CREAM HALF & HALF ASEPTIC. 0358608 21.85 21 85
** MEATS ***
GROUP TOTAL**** 42.$1
S 605.3 OZ IREIMP BEEF. GRND PTY HMSTYLE TJ .8 622.31 8160103... .69..98 69.98
Ge S, 110 LB JHNSVLE BRATWURST.'5X1 PRCK M.S. 10.00.21. 2199198 33 97 67.,94.
",p S 25 LB BBRLCLS FRANK ALL-MEAT 5X1 6. IN 7486506792 1137736 24.91 99.88
S 247 OZ HOLTEN PORK FRITTER BNLS HMST,Y 20009 658.3710 39.75 39.75
SEAFOOD ***
GROUP ,:TOTALtkk* 277:55
cX I CS 110 LB rRIDENT, COD BIRD ALE HSE 2-3 OZ 491152 2269934 59.95 59 95
GROUP TOTAL**:** 59.95:
** FROZEN ***
F S 1212 CNT YS CLS BUN HOT DOG WHITE 6" HINGD 54667120 2496624 34.94 34.94
S )NLY4 LB SYS IMP CHEESE STICK MOZZ BRD 3.25 IN 41010108 1925767 24.56 24.56
S 42.5LB YANTUR ONION RING BEER BTR 5/8" 30423 0855296 28.98 28.98
S 196 CT VITO ROLL KAISER HNY BUTR 4.25" .... 91010 7975362 32.60 32.60
cFI CS 243 9402 NPRIDE SANDWICH SAUS EGG CHS CROIS IW 482 5196581 26.60 26.60
GROUP TOTAL**** 147.68:
* CANNED & DRY ***
a IS NL 36 CT qESTLES CANDY BAR BUTTERFINGER 2.1 OZ 2800001159 5198056 22.97 22.97
z-0 IS ONLY36CT ARS
CANDY; BAR MILKY WAY 255386 1771785 22.97 , 22.97
S DNLY24 CT' 4ERSHEY CANDY BAR PAY DAY 80723 7030414 16.59 16.59
S NL 48 CT NICKER CANDY BAR SNICKER 1.86 OZ 256479 1793837 29.98 59.96
oN
REMIT TO
P.O. BOX 7137
1 7 21 12.0 209 INDIANAPOLIS IN SUB
a IMPORTANT: PERSI SHABLE PRODUCTS ARE NOT ELIGIBLE FOR RE$T�URN����ggAF 7E 46206-7137 TOTAL
E EOR VANV SHOERY. E RTAG C gFTER VIOUI HVAOVIE ESIA IPIECEST RECEIVED MLJ$TE TAX
DRIVER'S =DELVD. S
NO. PCs TOTAL
SIGN REC. INVOICE
TH PEER gg��AgLE gGRICATU,gL COMMOpITIES LIS Ep pN THI NV ICE A LD SUB,7 T 7O T E TA U ORY RU T TOTAL
F�UH ORIED BY SECTION ICI OF THE PERISHABLE A�iR�sU�,TI�SOM`ODIMIM p��TIgES ACT 1gECgp(7 U SryC gg9gE7IC�1 THET gFSL�ER p
I H SEE CC MM REEF ANS q TRU T LAM V R H E C M TES ALL INVENTORIES OF FObD OR OTHFR PRODUCTS PAYABLE ON OR BEFORE 2.
I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE
o FULL PA MENT IS RECEIVED.
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
COITIefrom "'DELV, DATEBROOK4Z,7/14 CUSTOMER
12120 HIREBROO GOLF CLUB... ysc®� TR L.K STOP. . 412940 404171170 8 2
12120 BROOKSHIRE PKWY
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC
4000 W 62ND ST ROUTE
SUBJECT
317-846-7431 INDIANAPOLIS, IN 46268 - P
DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: SCALES, JOHNNY
CARMP.T. TN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
QTY 6 PAC S12E ITEM, ,4ESCRIP:T,ION ITEM UN(T EXTENDED TST
T CODE PRICE PRICE Arnnr
x
L-l` NL, 36 CT.;: .... ESE:S. CANDY PEANUT BUTTER CUR--......' 4.4000':51977'69 24.18 24.18
S ... 30 ;CT `AYS" CHIP VARIETY BKDI::&, POPPED 2:.4::964 2591780 .24:'98 :: 24.98
S 160. CT ,AYS CHIP VARIETY SYSCO' FRI:TO:'LAY `:::>; 3183'.1 :65867:21 24:.98 49.96
.............
5 128 CT CHES CRACKE
R. HEESE::PEANUT.:::B .TR
C U 1:9960 ,2047805::::" 22 65 22' :::: 65
S 1,2 1.4 .OZ LANTER:: CRACKER PEANUT BTRTOAST .ROUD 7:029192 29 99 29:99
5 <.::::1
ViD IE 23 OZ' R'I'ZONA'':>DRINK : ''
TEA ARNOLD:;::>PALMER::.:I:I:TE 0554 i4 4 :..>:: . . 4"''
968 9 8 9.6 :>::; :;:;:'
S 4 1..75OZ LANTER PEANUT SALTED 07708 9549379..:..: 26.97 26.:97 :
S
48 ::OZ REY P SAUCE' BISTRO. DELI 00,0,6,8 : 039781 '05 '
S 1:' 1 LB BRLCLS :SNACK MIX SKY::::CREOLE" 91:069 9960329 33..97 67..94:
I CS .7 2 2:: :O:Z PLANTER SNACK''TRAIL MIX FRUI:T::.>&:`:NUT:" 193200:0.026 4936698 ..42::60 ' 42,60
S . 722 OZ PLANTER 'SNACK TRAIL MIX NUT & CHOC ::. ...;::;;.;:::::1932000027 4.93668.6::;::41.99 41.,99.;
t� S 2.. 5 ::ML URL.IFE.:.WATER::;PURI FEED 11:47:65:57 1088'4'7 4 6,5 27 90
GROUP TOTAL**** 613.'34
*'*.*_;PAPER. & DISPOSABLE::::*** .
V/ I CS . 1 20OCT SYS REL CUP PLAS PRTN TRANS 20Z YS20,OSYS 7790239 48.44 48.44
S 00 CT::: 5 YS:.CLS':>'FORK ;PLAS ::BLK:: MEDHVY MDLN.GTH :YMWF:ESY5 003370.';: 54::.36 54.36
S 2 4 1:00CT YS IMP LID PLAS:::C'LR.. F/1.5-2.,50Z PRTN::: YLS2FRSY.S 7790795;: 4:9.39 49.3.9
S 25033 GAL YS CLS LINER TRASH 33X39 .5 ML BLK H6639MBS 4075958 38:78 38.78
S 1 150.00T EORG P. TISSUE :TOILET' CO,RELESS::::2'PLY: WH.,::".,,. 193:78 6092605 57..$5 57.65
S 800;.FT EORG P TOWEL.;:ROLL. ENMOTION'' LR* 4AUT0 ;.. 8:94,60.' 962'7761 ';1: 6:9:.98 :. 6'9'':98
GROUP TOTAL 318.60
OPEN:a
REMIT :TO .
P.O. BOX 7137
z
2S 1 30 28.8 494 INDIANAPOLIS IN SUB
R
OEL�ERV.TPLEA�RS IE CHEC KPRO 11S NVOICEE WETVJIlIL NOT BOERREETURN$IFT
gALEE 4 206-7137 TOTAL
FOR ANY SHORTAGE AFTER Y6U HAVE SIGNED. PIECES RECEIVED MUST TAX
DRIVER'S NO. PCS OUST. NO. PCS TOTAL
gSI7EGNpE IZgEry ggLy SgEGCR ��7M ME pEfT ESS Lg IgFT DEL D.0 LH 11S q$LIGN MMp gEp Cg Eg C37p U 7HC q gE7 �) RiH ERTRIEgQFg`�E p INVOICE
THESE RCOMDMODEITIESTIICIJLA1NCgAFTRUHS TOPC RAIM AOVE R�THIE ETCOMMOD TIES,DALLS ND ETNTOR I E SI OF'SFOOD�OR�CO7HER PRODUCTS PAYABLE ON OR BEFORE TOTAL
I DERIVEDFROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 3
o FULL PAYMENT IS RECEIVED.
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
come from ;:::OELV. DATE .CUSTOMER
BROOK12120 HIREBROO GOLF CLUB... SO/Sco,
TR CK STOP. 412940 404171170 8 3
12120 BROOKSHIRE PKWY
/007
CARMEL IN 46033 40000 WND62NDPOTIS , LLC
ROBTE
317-846-7431 INDIANAPOLIS, IN 46268 TERM PAST DUE BAiANCFS ARE SUBJE
DUE FRIDAY 4 WEEKS AFTER ORDER
biUb4 -) NORMAL DELIVERY
CITY OF CARMEL RENZ
1 CIVIC SQUARE DRIVER: SCALES, JOHNNY
ARMEL IN 46012 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-14 60-250.4 AND 60-7414 ARE INCORPORATED HEREIN BY REFERENCE.
O.TY I 6 JPAC14 SIZE ITEM DESCRIPTION ITEM UNIT EXTENDED
T I CODE PRICE PRICE
** PRODUCE ***
C
„S 25 LB BOLIMP SALAD, CHICKEN 51,071 2510717 4,1.08... 41.08
S 25 LB 98RLIMP SALAD. TUNA ALBACORE 51194 2511947 47.65 47&
** ***
GROUP TOTTOTAL***::* 88.13
DISPENSER
D I CS... 12 5GAL ARQS SYRUP ROOT BEER BIB 15400298 66654,67 39.97 39.97
GROUP TOTAL**** ..39.97
..
MISC CHARGES, HG5 FOR FUEL SURCHARGE 5.00;;;. „
ORDER SUMMARY 46142
REMIT�:TO
P.O. BOX 7137
= 1.1 49 INDIANAPOLIS IN SUB
a IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN RLE 4206-7137 TOTAL 1593.63
4 8 54 41.9 752 FOR VANV SY. HORAGE AFTER PIECE; R11 pm VIOUI HAOVIE ESI GNED. IPIECEST BE
0 MUSTE TAX
DRIVER'S :DELVO
. PCS COST. NO. PCS TOTAL
REC.
gSIGNOoEE S CU � _, p7 g DGORIUL S gSLI MMp E qCg �7gTryC gE7 RHF gEgL�EJR! INVOICE
H SERR A III TRONA NC OFTOU �P RA MAI RATHESE TCOMMOD TIES IAL SINVETNTO I OFFOOD�OR�CTHER PRODPAYABLEON OR BEFORETOTAL 1593.63
ET �A5/16/14 LAST PAGE
1 DERIVE ROM THESE COMMODITIES. AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UN
01
FULL PAYMENT IS RECEIVED.
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/01/13 0826978PU Food ($89.00)
04/17/14 404171170 Food $1,593.63
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.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF $
PO Box 7137
Indianapolis, IN 46206-7137
$1,504.63
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
!H
/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1207 0826978PU 42-390.40 ($89.00) 1 hereby certify that the attached invoice(s), or
1207 404171170 42-390.40 $1,593.63 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
Friday, April 18, 2014
Director, Brooks'Al Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund