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Sii9co ?fl...GK;:S:.;DP:::::.. 12120 BROOKSHIRE PKWY :...::::.::.:?;:..:.?::;: 412940 407241201 0 2 SY5CO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND 5T INDIANAPOLIS, IN 4 NAP 46268 4438 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC .SQUARE DRIVER: HOD, JOSHUA CARMELIN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741,4 ARE INCORPORATED HEREIN BY REFERENCE. .. ..: .............>?4�................................................................................ITE .. PTI.bN.........:................................................... ............ ............... ?::.>?:.;:.?:i .::::::.:�:...:.......:::::::::::::::::::::.:::.::..::.:::.:::.�: ........:......... .............................. ................................................................ 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INVOICE I gS�HI�EG�{NPp �gEHp gg�yE gq�GCRICp�1ryL r�I�( p��7MHME pEITq ET pGpq�NCU7LHIUgR IqL MEM qE gEo DpCgT gEC3Tp ou g7�IC' gg7gE77(1 R HE7 gEgl�E p pTHESE�COMMODITIESTRETAINCAFTRUSTOPCL�MA��ER THESE TCOMMODOITIEgDIALLSIttlVENTORIESIOF•FOOD90FC�7HER PRODUCTS TOTAL $09.4$ PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL $/22/'14 LAST PAGE p FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ PO Box 7137 Indianapolis, IN 46206-7137 $2,297.80 ON ACCOUNT OF APPROPRIATION FOR i Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 407171087 I 42-390.40 I $1,411.40 1 hereby certify that the attached invoice(s), or 1207 I 407171086 I 42-390.40 I $76.92 bill(s) is (are) true and correct and that the 1207 I 407241201 I 42-390.401 $809.48 materials or services itemized thereon for which charge is made were ordered and received except Friday, July 25, 2014 Director, Brookshir /If Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 07/17/14 407171087 Food $1,411.40 07/17/14 I 407171086 I Food I $76.92 07/24/14 I 407241201 I Food I $809.48 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 5-11-10-1.6 120 Clerk-Treasurer