HomeMy WebLinkAbout234629 07/08/2014 ' y u.ugwf
t _ CITY OF CARMEL, INDIANA VENDOR: 359366
(; ® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,104.36'
+, _� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 234629
'M,��oH�a INDIANAPOLIS IN 46206-7137 CHECK DATE: 07/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 407031235 1,104.36 FOOD & BEVERAGES
Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
come from DELv:DAfE cusTOKeiz,
BROOKSHIRE GOLF CLUB... )/S
12120 BROOKSHIRE PKWY TRUCK SOP., 412940 407031235 2 1
CARMEL IN 46033 40000 WND62NDPSTIS, LLC
/00
INDIANAPOLIS, IN 46268
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: SCALES, JOHNNY
CARMEL IN 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.
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QTY PAC SIZE,: ITEM. DES
CR,IP.TIO„N IT:ENI uNiT ExTENDEC3 A
CODE : PR1't P;.RtCE
* DAIRY **
C .8" ,NL:.5.;'LB BRLCLS CHEESE AMER YEL120. SLI 28,131 66971,1,4 18,.99 18;.99
F C.S 224 CT . BLU BNY ICE CREAM BAR HOMEMADE VAN 218100 1719$06 22,70.. 22.70.
Xxx ...
F V I CS.....: 224. CT. BLU BNY....ICE .CR.EAM CONE...SUNDAE::<4...OZ 455$04 2493$72..;::.;27,.,9,9. .,... 2,7,•,9,9
I ✓~ S 244 5. 0Z LU BNY• I >:E CREAM SNDW .H CHIPS. GA
LORE 54661
1595487 24.9 4.92
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GROUP TOTAL****::
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F S.....,6.05,.,3
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F S 1212 CNT YS CLS BUN HOT DOG WHITE 6 HINGD 54607120 2496624 35.49 35.49
F S S 6 4 LB SYS IMP CHEESE STICK M022 BRD 3.25 IN 41010108 1925767 125.78 125.78
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F C S 244 OZ ARALEE MUFFIN CHEESE STREUSEL IW 08649 1697382 25.98 25.98
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S, 196CT,... ITOROLL KAISER HNY BUTR 4.25" 910,1,0;,;79.75,3,6,2 3.2,.,60 32:60..
TOTAL**** ,219:..85.
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C ONLY 36CT 4ARS CANDY "BAR MILKY WAY 255386 1771785 22.97 22.97
S 1223 OZ kRIZONA. DRINK TEA ARNOLD PALMER LITE 0554968 14.94 89.64
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S 1 2402SER,EC KETCHUP SQUEEZE; BTL HOUYA24 9617218 `. 26.87 26.87
C PL 15GAL CHWRTZ PICKLE CRS CUT KO 29658270756 1028919 39.92 39.92
D S 135 LB YS REL SHORTENING FRY LIQ CLR ZTF 1040521,E 4518403 ,"29 9,8 59.96
S.... 2: 500 ML URLIFE WATER PURIFIED
1147 4
6557 8108847 ,, .65 18 60
:'GROUP.TOTAL*:*:** 25'7,96
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P...O... BOX 7137
] 2E 2 28 119.6 556 INDIANAPOLIS IN SUB
R IMPORTANT: PERISHABLE PROCggUCTS ARE NOT ELIGIBLE FOR RETURN SS ggAFTE 4 206-7137 TOTAL
EOR ANY SHORT AGE RAFTER yIOUI HVOIEESIGNEfW WILL
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O. PCS COST. NO. PCS TOTAL
DRIVER'S NLVD.
SIGN SIGN REC. INVOICE
lFTHoPg��pA If �JryL T5URgLCp7��MEOp 7IEg `IS Ep p THIS NVQIC ARE gpLp SUBJEc7 O 7�{E g7A U ORV TRU TTOTAL
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! 11) FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONTON PAGE 2
o PAYMENT IS RECEIVED.
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SYSCO INDIANAPOLIS, LLC /009
CARMEL IN 46033 4000 W 62ND ST ;.+++RouE,
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317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: SCALE J HNNY
EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE.
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S 25 LB BRLIMP SALAD HI KEN 1071 251 717 4
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MIS H RG S AGS FOR FUEL SURCHARGE ' 2. 5. .0......
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z f 2 8 3.6 168 INDIANAPOLIS IN SUB
n DELIVERY.IMPORTANT: PERISHABLE
CABLE PRODUCTS SREVOICE WET ELIGIBLE BOERREEETURNSIgALEE 4 206-7137 TOTAL 1104.36
3 4 /.�6 23.2 724 FOR A.ppNV $HOR SAGE AFTER VOU HAVE SIGNED. PIE S RECEIVED MUST TAX
NO. PCS COST. NO. PCS TOTAL
DRIVER'S DELVD. SIGN C.
SIGN INVOICE
I TH E A RC lT R L OD 7I S E T INVOIC A UB EC 0 E gS7A O V RU T TOTAL 1104•36
H RgR7�IggFl�n gg GCT O �p7��ME PEIREgH gL7E' �GRof�I�I. ORA CO t�gMTLI NqC 11gJ4( g9gE�C T I � R �Q PAYABLE ON OR BEFORE - -
I�H g C�?TMIO�1 I S �ETAINC�A TRUST CLAIMAVER THES M ODI 1 AL I vi ?T IES O OD OR TH UC S
o 0E RIVED FRO
NT 5 ESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL $/01/14 LAST PAGE
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))
07/03/14 407031235 Food $1,104.36
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.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF $
PO Box 7137
Indianapolis, IN 46206-7137
$1,104.36
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 407031235 I 42-390.40 I $1,104.36 I 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
Monday, July 07, 2014
l
Director, Brookshi olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund