HomeMy WebLinkAbout246315 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 365677
..*...(9-
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $** 29.53*CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER CHECK NUMBER: 246315
DEPT CH 10490 CHECK DATE: 06/17115
PALATINE IL 60055-0490
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926066496 29.53 FOOD & BEVERAGES
oordun
FOOD SERVICE STORE
Fishers
9540 Masters Rd
Indianapolis, IN 46250
(317) 845-0712
•
Invoice
A/R Inquiries 1-800-968-6490
Customer Service 1-800-968-4164
www.sfs.com
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BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
KIRKERSVILLE,OH
100133245
Invoice Number 926066496
Invoice Date 06/09/15
Terms: Net 30 Days
3 @ 5.99
Fries RC 3/8" Slth 17.97
4372401
2 @ 3.79
Flavor Ice 1-36ct 7.58
7783611
2 @ 1 .99
24Z WHITE RND TOP 3.98
W, 2160970
TAX
x 0.00
BALANCE ',953
rt GFS Charge 29.53
CHANGE 0.00
` TOTAL NUMBER OF ITEMS SOLD = 7
06/09/15 03:59pm 1905 4 256 50024
1111111 illi 1111111111111111111111111111111111
80190500402561506091559
Total Due: 29.53
Customer acknowledges receipt of the
goods referenced above and Promises to
Pay to the order of GFS the total due
Pursuant to the Customer's Account
Application Agreement
Customer agrees that if a check draft
and/or order of Payment
(Transaction) issued for payment of
this invoice is dishonored, GFS may
re-present the Transaction and issue a
draft against the account upon which
the Transaction is drawn for a fee up
-- —to the maximum Permitted bg law.
The Perishable agricultural
commodities shown on this invoice are
sold subject to the statutory trust
authorized by.section 5(c) of the
Perishable Agricultural Commodities
Act, 1930 (7 U.S.C. 499e(c)). The
seller of these commodities retains a "
trust over these commodities, all
'inventories of food or other Products
8e'rived from these commodities and any
''receivable or Proceeds from the sale
"of these commodities until full
payment is received.
' Store 1905 Lane 4 :
Transaction 256 Operator 50021
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service, Inc.
IN SUM OF $
P.O. Box 88029
Chicago, IL 60680-1029
$29.53
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 926066496 I 42-390.40 I $29.53 1 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
Friday, June 12, 2015
Director, Broo 'hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1�
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
e 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))
06/09/15 926066496 Food $29.53
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
0