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238517 10/21/14
+�,CAgM �/ CITY OF CARMEL, INDIANA VENDOR: 359366 ® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******886.41* �_� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 238517 �'��'roN�°' INDIANAPOLIS IN 46206-7137 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 410021682 495.88 FOOD & BEVERAGES 1207 4239040 410091601 390.53 FOOD & BEVERAGES GoodtNngs CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from BROOKSHIREGOLF CLUB... �1/SCO® :...�....�.:.............F� ::::::.:::::::........... .. . :::::.: ,::::::.................................... 12120 BROOKSHIRE PKWY ;';<rR..cK:s:. 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' ........ ... % ............................. U;}};:ih:.i:::{':.:.i:':::i::i':::::ii:;::::iii:.:i:::vi:i.::j;::;i%;i`:::ji:?:.::4:i:iii::iii:':ilii:':::::..i::v>:':%iii::::::ii::!i :'.--_:'>:::::.::::;:isS:i::i::i::i::»y,'•ii::iiii:;';:i,:iY::;Y:i.....};i::.;::il"•ii::i::::}}iii:?:i:?t:i:?:>:;:::;:;i:.:::::i::::;i:::::::::.:iiiiii:l:iii:ii::ii:::::::::iii::i:::::i:::::::+i:ii:i:i:::.:::i`::::::::::::::::ii:{:::iii•'/,:j:l:::::iii:i>iiji?iiiii:i:jiiii:::::::i ... .. .. ... .. .. .. .. ..... ... ...... ...::.........:...... i 1 • • ......................... ... ............ yy,�•:::7'Glx::::::::::is:::i::::::::::i:::`'::Y:::::. N • • • : :::::::::::::it:::::::::::i::::'+'+"+'::::'."'-'. ::..�.cM!1..::: r.:::.::::::::........:.....:... P.O. BOX 7137 4 11 11.1 168 INDIANAPOLIS IN SUB . q IMPORTANT: PERISHABLE PR D CTS ARE yyNyyOT ELIGIBLE FOR RETURNg�gAFTE 4206-7137 TOTAL 390.53 E 4 11 11.1 168 FOR"ANY SHOR AGE AFTE Y U N A CE$IGNED IPIECES RE REO MUSTS TAX v NO. PCS CUST. NO. PCS TOTAL 1 DRIVER'S DELVD. SIGN REC. INVOICE 1 gSHIFTMGNOE�jgEHp gg�yEgp�GCRCury r��I(C1gp�7MHME pEI7RIEg �7E pGORIN��JTLH�SRIgL MEMpR SE CgTUB 7 Ug7�{C. gg7gET RHE7 gEgLI� p TOTAL 390..53 MUM., AFTORUSTOPCLAIMAVER THE SETCOMMO�TIESD�AiL VEtfT0 1170FFOOD90RpC7HERRPRODUCTS PAYABLE ON OR BEFORE __ I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FRO THE L OF THESE COMMODITIES UNTIL 11/07/14 LAST PAGE, 0 FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF$ PO Box 7137 Indianapolis, IN 46206-7137 $886.41 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 410021682 42-390.40 $495.88 1 hereby certify that the attached invoice(s), or 1207 410091601 42-390.40 $390.53 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 Tuesday, October 14, 2014 Director, Brook ire Golf 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)) 10/02/14 410021682 Food $495.88 10/09/14 410091601 Food $390.53 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