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Home My WebLink About247496 07/15/1 5 �r Cqq« ;� CITY OF CARMEL, INDIANA VENDOR: 359366 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,031.84* a3 as CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 247496 aN a� INDIANAPOLIS IN 46206-7137 CHECK DATE: 07/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 507021511 1,031.84 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO �l®�rP' comefrom 015tv, DATE BROOKSHIRE GOLF CLUB...1210 BROOKSHIRE PKWY JRUCK S:'oP,,SYSCO INDIANAPOLIS, LLC 412940 507021511 5 1 CARMEL IN 46033 4000 W 62ND ST ROU El INDIANAPOLIS, IN 46268 ARF::&��FCT Rvlr�!: 317-846-7431 DUE FRIDAY 4 WEEKS AFTER QRDER -R=E5T# ('b!Rj/.5?h NORMAL DELIVERY CITY OF CARMEL MA! SN119 'A Y EVERENZ 1 CIVIC SQUARE DRIVER: THOMAS, DWAYNE ARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.460-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ITEM uN yj imvm PT PA N IZE::: ITEM DESCRIPTION PAC :: PRImz:::::: ?,FFECTIVE k7/01/15, SYSCO. INDIANAPOLISWILL NO LONGE F ACCEPT CAMAS A FORM OF RAYMENT. . .... ........SK+.::YOU. ::MA:::FO DET ....... ..... DAI RY ------ ..... .......... ...- ----- ----------...... - C .+.:::�:: S )NL15 L B 8 RLICLS:+:CHEE SE AMER::: :2 0 :.Stl 1EL:+-+ 2 :281:3i:::66,97.114:.1.1.9.+.*8:9. ............. 2$1971$ .:.:18:: C )NLY 5.LB 5&::�CHEDDAR:��:JACK: FAN .SASOL,:+.CHEE! HM.:...... 18 23':�: GROUP TOTA+L***i58. 1 MEATS .......... P� Y :HMSTYL ...... ....- F CS.� 605:41 OZ GRND: T... E 62 2 3 L��:8,16 0 l0++3:+++:+++::+7.9.:.2 6 1:58 'AQ :REIMP::BEEF, F. C S ...:.25:: L:B:::::::::: IHNSVLE......BRATWURST :PRCKULTIMATE5X+I+++ :::: 3.9.::9.8:;i': .......... +++..::::::::............ F 4 CS : :: 2 5 .:LB 3+BRLCLS-:-FRANK:;:::ALL 5Xl :,61. IN:+:+- 7 4 8 6.5 01:67 9 2::11:377 3 6 9 9:: 11T 9 6 GROUP TOTAL 310.46 FROZEN IF SYS. I.MP....CHEESE,:, Z BRD.. Z15: ....:::::41010108:,:19125.7.67...;:::24;.:56.::>::<::;:: 24:.::5.5: V:` F CS :E 5:LB:..—.::::SYS:.::::.I:MP: P0TATO::::TRY SKOlti;i;3 �.HANTK.T41 0 7 3 4 7:3:04:0:95.9 4 1958+9::07:::�: 3 3:::.�:1:2 9. 29 : 5 GROUP. TOTAL.,.*+*.* 7.65 . . . .. .............. -V II 'JAYS CHJ P: ARTETT BM$!&��i�iTOPPED 2 D::.:.:.,++:++:' T.CS-,-'-230.:-CT 24564 2591780: l:�26.4&�:; S ::::C I:P:�iii++VARIETY::�-:SYSC 7. 'D:::::+++:::::::::J C 16 0.��:�:C 'AY H 0/FRI 3.18.3:kiil 65:8:6.: :2:1:: ?5 4:::6+.2:::::::::::: 25::62:+ :+:.:.. +:.............. ..... .......... ........ ....... ... ..'...H0uYA24-961721:8+ 2:6.87 D 1: 0Z:,+::::+:::::iSE,:.REC,:KETCHUP:.+..SQUEEZE"BTL.+++ .......... D I C-S. 12 1:��;LTR�.4Jk:PTR MIX. COCKTAI:L:::BLD Y,MARY. 7 46 30 3Q� .4 7.00 60:8.7472-1— .0 *:,� ... .............. ......... ........... ..... .... CS 12 .DZ..FRENCHS: MUS.TARD:.,YETLOW.+:.::C:LS SQUEEZE.:: ........... D +.:+.:, I CS 642::::OZ...:,::,RoL.GOLD�;��iPRETZ:EL:::::::TINY,::.TWI S,7-:+CLS., ��1�144391 6 T9 68 4 R., 33.1;5;i�� 3. ...... :21 :CS I LB: BBPLCLS:.SNACK.Ml X ::SYZ'ZTl 4 . :::::13725 84+ 38 D;..... .0593: 56 CROUP TOTAL**** 264:.i2 ....... . ..... .......... ... A,, ........ .......... N �Pq rPI IT T Pnq I 1,pn� PEN: CLOSE PM + _CA S.F&_,P I I T ZcZ WT 2:00 P.O. BOX 7137 1E 4 20 275 INDIANAPOLIS IN SUB rt IMPORTANT- PERISHABLE PRODUCTS ARE NOT ELIG113LE FOR RETURN AFTEF H206-7137 TOTAL DELIVERY. PLEA�'E CHECK TH]a IN gOICE81 AV WE WILL NOT BE RE ON RECEIVED D M�FLE FOR ANY SHORTAGE AFTER YOU E GNED. PIECES RECE T TAX TT � _q R,— NOLV OUST. No. PCs TOTAL DRIVER'S DE SIGN - PC SD. SIGN NO. INVOICE L T I�%T .0 AC, C I Y I offl, 11 TOTAL A, �j .p.g _O# �&,R, F 7 H 4i�l S PAYABLE ON OR BEFORE I DERIVEDFROMTHESE COMMODITIES, AND ANY P FROM COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED. kNT. ON PAGE 2 Goodthings CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come f rom D�tiv.::0A1�`:. CUSTOMER BROOKSHI RE GOLF CLUB+++ l®�� ® 12120 BROOKSHIRE PKWY TR CK S F 412940 507021511 5 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST Rbu.E::_;:: INDIANAPOLIS, IN 46268 4441PA HIS f:ANCFR ARF:!Sii!]161 To will VICE CHARt'IF- 317-846-7431 D E FRIDAY 4 WEEK AFTER ORDER CITY OF CARMEL 39 GARY LEVERENZ 1 CIVIC SQUARE DRIVER: THOMAS, DWAYNE EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4. 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. IT UA3.tT EXTENDEl3:::::>. ':::::.;::>. An LJJTM�ENTA: PAPER & DISPOSABLE D S 2.. 50CT .;,, ,YS .CLS. CUP. PAPE,R, HOT WHT_.TALL. 120x D12THCWSYS. 19956.63796.;76 9670 ... D ,A CR "Too ,GT YS. REL CUPOLAS TRANS, 160.2 SOFT YE160S,YS_ 7.3.5,$304 76,_9:8 7,6.,9.8.. `. �.,;,;;.- D PLY P MED S :::1. .1.00 :.CT..YS:.CLS...GLOVE.; ;0 CAST. DIS 303.36311,2:.$34$.245 .::49..74. 49 .74 :.::. . _.......... . ... .. G OUP T T _... . O CHEMICAL *** D 5 j?qQ KEYJONCLEARWARSAI GREASELIPIT RTU. 6 Rp?A5 13§197 41180. 1 410 =.`. "TWO* DI SPENSER l,11G ROUP :..TO TAL' D::::::..::,:: S 5. GAL. ,OCACOL SYRUP, COKE CLASSIC 5X1. BIB an. GROUP;TOTAL** * 7:11 �2. 04250010 40.90593 71.].2 ::: MIS RG S HG5 FOR FUEL SURCHARGE 5.00 .................... q an :.:.:.. ......... ::..::...... . ... V VMS?j RE Ag WOO TV In 19: flo All 40"ov ... ...:::. P.O. BOX 7137 2 5 7.6 117 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PROOSSUCTS ARE NOT ELIGIBLE FOR RESSTURNSS��gAF7E 41206-7137 TOTAL 1031.84 2 4 25 25.5 392 FOR ANV SHOR>RAGE AFTER VIOU HAVE E$IGNED IP ECEST RECEIVEON MUBTE TAX DRIVER'S NO. PCS COST. NA PCS TOTAL SIGN DEwD. SIGN REC. INVOICE I TTH7EH pP�,%R�OgAggg�yE'gqq�GGCCRIICLry�LTT5L�E Lp F�O7n�,H.1MEOpEI7IIEggg LgI LSETEpGOR�ryC UTLH I�gI IgNLVOC ICMEMA�R gE LD Cg UB,7gE C3Tp Ou g7��{CE gg7gAETT`L��)ORYH E7RgUESLT�E p TOTAL 1031.84 THESE IZE MBDI SIES RETAI�S�OFTRUHST PC RAIM AOVER THESE TCOMMODITIES,D�AiL�INvETNiORIESI OF'FOb D90RCOTHER PRODUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 7/31/15 LAST PAGE o FULL PAYMENT IS RECEIVED. 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)) 07/02/15 I 507021511 I Food I $1,031.84 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ PO Box 7137 Indianapolis, IN 46206-7137 $1,031.84 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 507021511 I 42-390.40 I $1,031.84 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 Thursday, July 02, 2015 Director, Brooksh .Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund