246809 06/30/15 +�r_CggM
CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******218.71*
a c
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER CHECK NUMBER: 246809
9�,TON. DEPT CH 10490 CHECK DATE: 06/30/15
PALATINE IL 60055-0490
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926066893 218.71 FOOD & BEVERAGES
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 fora fee up
. to the maximum Permitted by law.
The perishable agricultural
commodities shown on this invoice are
sold subject_ to the statutory trust
authorized bg 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
derived from these commodities and any
receivable or
i
I
Gordon
FOOD SERVICE STORE
Fishers
9540 Masters Rd 1
Indianapolis, IN 46250
(317) 845-0712
Invoice
A/R Inquiries 1-800-968-6490
Customer Service 1-800-968-4164
www.sfs.com
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL,IN
100133245
Invoice Number 926066893
Invoice Date 06/19/15
Terms; Net 30 Days
3 @ 5.99 17.97
Roll Yeast Sweet 2
7036601
2 @ 14.99
Carrot Cake 1-46oz 29.98
4244921
2 @ 6.79
Riviera Vegetables 13.58
1640601
2 @ 4.99 9,98
Salad Hearts & Hea
5730611 9.99
Bacon Crumbles Ckd
3572201 7 85
Rosemary Leaf 1-6
1383100 3,99
Lemonade Mix 1-29a
5105521
2 @ 6,99
Pasta E99 Noodle A 13.98
1209021 4 99
7 French Red Drs9 1-
1073711
Thousand Island Dr 4.99
5251501 q 99
Balsamic Vinaig Or
5251701
2 @ 2.99
Butter Prints 1-11 5.98
1912051
Plastic Bowl 12 oz 10.49
2554161
q @ 5.99 23,96
Potato Baby Baker
6979901
ENTREE BF TIPS BRN 55.99
2125400 0.00
TAX 218.71
*** BALANCE
GFS Charge 218.71
CHANGE 0,00
TOTAL NUMBER OF ITEMS S{{IOIILDII II= 25
06/19/15 10:13am 1905 3 19 41189
III�II��III��IIIII�I�IIIIIII1II�flilll���ll
II 1190500300191506191013
Total Due: 218.71
Customer acknowledges receipt of the
goods referenced above and Promises to
Pay to the order of GFS the total due
pursuant APpI cAccount
ation Agreement
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service, Inc.
IN SUM OF $
P.O. Box 88029
Chicago, IL 60680-1029
$218.71
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 926066893 I 42-390.40 I $218.71 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 19, 2015
kI
Director, Broo ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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.
i
i
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/19/15 I 926066893 I Banquet Food I $218.71
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
20Clerk-Treasurer