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243820 03/31/15 �>`� � CITY OF CARMEL, INDIANA VENDOR: 359366 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******590.16* CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 243820 s�M��io`N" 'r INDIANAPOLIS IN 46206-7137 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 503250760 590.16 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from ii:::: .::....::::::::::.C.5FD31Q ..::::::::"'-':'i:"i:.""',>2:.:...; :.::.:.,•i.;. :...:::::::::::::iiii�::.::::.:•::::::::::::::.:.:�:::::::•::::::•:::::::. BROOKSHIRE GOLF CLUB+++ S��sco® 12120 BROOKSHIRE PKWY "<? .:E ::::s: r:<`: 412940 503250760 9 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ::>R?�?: ::»>::>'>: INDIANAPOLIS, IN 46268 317-846-7431 ::>;:;:«<:;<:> ... : .... I DUE FRIDAY 4 WEEKS AFTER ORDER aL CITY OF CARMEL . 1 CIVIC SQUARE DRIVER: AYERS, AARON ! CARMEL . 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N • • • •UU PM i?v{:::::::x::::::::::::::::.::::?tifil!..:.:I,j±!i:;::::(:i:::::::::::::::%:.::::. P.O. BOX 7137 2 1 3 15 13.0 129 INDIANAPOLIS IN SUB w IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN 4206-7137 TOTAL E FFOR AENY•SHORTAGE AFTER YIO UI HAOVIE ES IGNED IP ECEST RECEIVED MUSTE TAX v NO. PCS CUST. NO. PCS TOTAL 1 I DRIVER'S DELVD. 1 �qS ITEGHNo �g��p gg�yE gq�GC I �JryL 5U, pFC TMHM� EI7R IEggH LgI gL E7 GRo �JL I�JgR IgSIGN LI G N11 MEM p gE pqC Eg C37p 77�J g7��{C' qg g E7 R7HER7ESCEgLT F p INVOICE THESEHCOMMODITIES�R�ETAINCS�A TORUSTOPCLAIMAOtjER ?H SE COMMODOITIES,��ALL�INVENTORIESI OF'FOOD�OR�C 7HEfi ptiOb LJ CTS TOTAL R PAYABLE ON OR BEFORE ONT• ON PAGE 2 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL a FULL PAYMENT IS RECEIVED. Good things Scomefrom BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY ysc SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317-846-7431 . CITY OF CARMEL !_CIVIC SQUARE B 1 3 1 16 113. DRIVER'S qqS IITEEGHNpEER�gg��Hp gggg��yyEE ggqq��GGCCRRIICCuuryry ggUU,, � THTHORIZEOMODITIESTROETAINch� '( 1 DERIVED FROM THESE COMMODITII o FULL PAYMENT IS RECEIVED. VVT UYEN: 7 IMPORTANT: PERgISHABL 136 AENV SHORTAGE AF NO. PCS COST. OELVD. SIGN AND ANY NOT ELIGIBLE FOR RE IGNEW (PIECES BECRA CUSTOMER'S ORIGINAL INVOICE REC. R b ,C - TIES UNTIL CONFIDENTIAL PROPERTY OF SYSCO a.v. uvn itai INDIANAPOLIS IN SUB 4206-7137 TOTAL TAX TOTAL 590.16 roTai� 590.16 /24/15 LAST PAGE VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF$ PO Box 7137 Indianapolis, IN 46206-7137 $590.16 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 503250760 I 42-390.40 I $590.16 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 Thursday, March 26, 2015 �V' Director, Brookshire If Club Title I Cost distribution ledger classification if claim paid motor vehicle highway fund II 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)) 03/25/15 503250760 Food $590.16 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