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248050 07/28/15
,_CSF , h<< CITY OF CARMEL, INDIANA VENDOR: 359366 ® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****2,894.94* �� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 248050 Y.{�,,TON,�`. INDIANAPOLIS IN 46206-7137 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 507161420 1,350.28 FOOD & BEVERAGES 1207 4239040 507231488 1,544.66 FOOD & BEVERAGES I I I . Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO .: come from ,... :....i-' .... I 7 ..-.-::DaV:::::t'A't.��-:'::::::::��i�i.:���i;!1.�.:?ME�Rii:iiiiii:iiiiiiiii�i�i]���i�:��:," I _ . , .... . +,+,+++,.....,-.1. ...".'.'..,...,. .. 2.. - : 1 ::: . I., ��/��®® :�:7.qq+�- ...... ............:.:.�.-fPf-�:.:.:.' 412940 507231488 2 3 . . :.. . /On -:-:-�::;::::R g ::;X-.. � CARMEL .....::.:;.:.......p .:..,:.... :1 WT..:.. ...:.:. +R�!JB94§;�_Q. RP.................._7 �.........�.. I...............I''.+++++......+.+..+....+..,+++-+-1 , i . 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AND ANY RECEIVABLES OR p ROCEEDS FROM THE SALE OF: THESE COMMODITIES UNTIL /21/15 LAST PAGE 0 FULL PAYMENT IS RECEIVED. 8 _ Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO x ::.,bEtV.;t7A'tE CUSFOkdEBROOKR.: 12120 HIREBROO GOLF CLUB... si/kG 412940 507231488 2 1 12120 BROOKSHIRE PKWY ;r:? eK s.ae,; SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST .. : «:>:>; <:>:::.........; > : ...............INDIANAPOLIS, IN 46268 . ; 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER 94 NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: THOMAS, DWAYNE CARMFL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-14 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. SIZE,, >"::.:';» ,:.; >...;:..;:. >;::;>:,;',::.;;;'.: :i ,::>.:::. >;:,: >;;;; ,k.TEA/k..;;:<.;: N. 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PCS TOTAL gSI7EGNp IZI gEHp gg�yE SgEGC �Jry p� ME pEI7 ESSH `g SL E7 DgpEGLRpV�ryO.0 IH�LJgR IgSLIGN Mp gE �Cg Eg C37p L�g7�{c' qg 8E7 �) R7HER7ESCEgL�E p INVOICE THESE COMM Ell JS�R�9I C�A FTRUSTOPC lAIMAOVER THESE TCOMMO D I0IE$��aLL?INVETN70RIESl OF'FOOD�OR�C07HER PRODUCTS PAYABLE ON OR BEFORE TOTAL I DERIVED FROM THESE COMMODITIES, AND AN V RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT• ON PAGE 2 o FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF. SYSCO come from BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY ilkor TR eK s oP'::. 412940 507231488 2 2 SYSCO INDIANAPOLIS, LLC AN CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 4 N 62 DIANAPO L 68 444 ..........:.....:::..:..:..:..:.....:::::::::.. 317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: TH MA , DWAYNE ARMFT. IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY PAC ::::::::'SIZE::::..'.:.>:.;:::;:: ESGRIPTION EX:TEIdOE© * CANNED & DRY Y -9 . : . ... .:. .. AY.. .... ..::. . 0TEREY7270304.14 17.,.99... . 1 S :.. ..:;::: ... : ......... ....Nli6 CT EE ES CANDY PEANUTBUTTER CUP 4400.Q5197769. .2.472.47.. 9 NL 3CTCANDY KITTLE FRUITCHEW217Z 70.09251 ...24.•.97 24.97 : „ .::::. .:: ..... D S 1 b 0 .CT AY:$ CHIP, VARIETY, SYSCO/FR.I TO .LAY„ ,,,,, 3,18.31...,6.58,6.7.21.. 25..6.2 25.62.: 5 1223 ,,OZ. . RIZONA„DRT.NK,.TEA...ARNO D PALMER. LITE, 0554968....14,94 5.9.76:. PL 15 GAL HWRTZ PI C CKLE CRS: CUT K0 296582707.5,610:.2891.:939..,:.92 39.: 9:2:: :::...:::.:.::::::...:.:::: D I C+S ..4138 OZ ASASOL SALSA...CHUNKY' .MILD AUTHENTIC 14068 703.9.266.....56.•90. .. 56.90 ------------- ✓D „ S 9624 OZ REZZIO SAUCE.'..MARINARA DIPPING CUPS „ 79545 6460380 29.87 29.87 .. S 13.5::..LB . Y5. REL 5H0RT ENTRYY4LR ZT10405 ¢5843 ;.88. 59.;.26 . .. . . ....... . ...>: :: :: : .. D. S 121 LB BRLCLS...SNACK,..MIX.,SYZZLIN.._ . ....40593...1:3.7255.6......4.2..19............. 84.38.... . ... .. . ......... ............ ....:.. ... ...........:....::. ... D S 24 LTR .5 URLIFE WATER P RIFIED V U 1147 6557 8108847 4 65 7 2 ..:. 4 ..................... ... . ... ** PAPER & DISPOSABLE *** «:> ...::.. :......:.:..::...::.. D 5 10100 CT YS CLS GLOVE POLY CAST DISP MED' 303363112 8348245 49.74.. 49`.74 ;GROUP.::TO.TAL**; *. 4 74 ........ ** CHEMICAL *** ** ::. ..... ...... ./ 3 35.30D 00.5 OZEYSTON DETER ENT GLASS BARM 6 100049 7 666250 5.3.. 35 . ..SUPPLY..&..E UI PMENT .... I ....., 5 124X6X3 M**... SCRUBBER BBER GGRIDDLE SCOTCHBRIC953764784938� 6 .36: .::: ::::. .: .RU ...... ........�.6.:...... ...... ......... .......TPTAL .................. .:...:.:.:. . PRODUCE * .::::::.:::: :::8 . . : . LB FRE S 5 YS IMP ONION RED SH JUMBO I UM 0 1 . . .4. .4.. 8 039 9 9.9 9.98 :.:.,.:..,::::::: <: i i +''4 >::i.:.: <: ;:isi%as:;:.........'i...... isi......... ....... :>. S 25 LB BRLIMp SALAD. CHICKEN '51:071 2510717 4T...08 41.08 l/e :.. . .... CLOSE `` P•0. BOX 7137 2 3 28 18.5 551 i INDIANAPOLIS IN SUB Ev a IMPORTANT: PERISHABLE PRODgUCTS ARE NO ELIGIBLE FOR RE�Tp URN $gAFTE 4206-7137 TOTAL ,OR ANV HORAGE AFTER VIOUI HVAOVIE ESIGNEO IP ECES RECEIVED MUSTE TAX DRIVER'S No. PCS OUST. N0. PCS TOTAL gSI7EGN IZI gEHp gg�yE gEGC I Ury 5L� ��7MME pEI7R Egg `gILE70 EGLORVD.uL I�JSRgSLIGN MEMp gEpg cg Eg C37p ugT�{c qS 9E7 �) R7'HEREgCEg`�E p INVOICE THESE COMMODITIES�R�ETLAI�CS��FTRUHS TOPCLAIM AOVER�TH SE COMMODCITIES��aLL INDAVETNTORIESI OF FOOD90R�CO7Ty PRODUCTS PAYABLE ON OR BEFORE TOTAL 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT• ON PAGE 3 0 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)) 07/23/15 I 507231488 I Food I $1,544.66 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 $1,544.66 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 507231488 I 42-390.40 I $1,544.66 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 23, 2015 Director, Brookshi olf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund . i. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO BROOKSHIRE GOLF CLUB+++ come from ASL;y;::.bA7�.:;::':;::::>:::cus q sEst::<:>;>.:::<:;>:;:::;::>:::;<:::<: .... ::i::i:>::»;.... 12120 BROOKSHIRE PKWY �)/SC®® rfl c6.:;>s',!r_;:: 412940 507161420 9 3 SYSCO INDIANAPOLIS, LLC oCARMEL ? >. INDIANAPOLIS, IN 46268 ,i _ 317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER; TH MA DWAYNE EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.460-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. .. .....::......... ... .. . ..... .. .. I ':::':::::::::::::......:::::::::::i::::is:::::::::i.:::i::::::::::i::i::::': .. ys _::::...::.:>::>:::: iii:::.:::.: .;:;:. .:.. ,:::<:.<:: : .::... :.1.T. :i:: EX'TNDED:':':':: ?i :iii::: E .::.:.;:.:.;:.:Ui�;f.T QTY::::>::::i+; PAC SIZE:.:::,:: >:: i>::>::>::>::i >:>:::i:::i:...'..::::::ITE >:DESCRIP:TIfON A. .. M:... . ..... ..... ..::>:::: ..::i:::::>:::. . :. :P .� :. ...., r...: : >: ...::.. :>.>;:. ..:...I .......; :.::,. ...: .::::::. ......... C. E.: .::. .PR I CE;i%z:`ii:, :: ..,.R.,C,E. .. :..:..:..........I....:.... ::9iiiiiiii: i i:'+:i> ... ..... ...... .. ... .;. U':: Y' ., .. ORD S RY 22322 18073 ............. _........ ....... ............................... ......_.. . . ......I.. ..... ......... .. ........... .. . .... .................................., .... ...... ... ...... ................ .. .... ................. .................................... .. ....................: .............. ......... ........ .... . .. . ... . ........ .:::iii:;i:;:;:;::;.. .:::_:;::'::;:;::;:;: ::: ... :..:..,:::::.''....I...."",.....".......",..."..... .....:....::i: .::::i:iii::..ii::::.:::....:i::: iii:;....:::::.:.:::.:::::.:..:.::::.....::.......:;.>:;:;:;:.:.::>::.... ., . >: .::. :. . . ......::.:. . . ........ . ... ........ ..... ... .... ......................................................................................................................... ..............,, ......,........................:::::........ ... ... .... ....................... .:. :....:.:..:.:..:...:::::.:.:::::. .:.::::.::.;:.::.:: .... :: ._. .:.:i., ... . >:..: N . . :i'i::::: ::i: :::::::R@kryStT:;:TO,.;' ;::? `'r.i:;: ....:. ... .... ... .:,.: P.O. BOX 7137 INDIANAPOLIS IN SUB e IMPORTV T: PERIE CHECKPTOOSSU,NVOICEE NOT WILLINOT BERREE$PONNSIgALEE 4 206-7137 TOTAL 1350.28 3 2 38 32.9 609 FOR ANV SHORAGE AFTER V6U HAVE SIGNED. PIECES RECEIVED MUST TAX No. PCS COST. NO. PCS TOTAL i DRIVER'S DELVD. SIGN REC, INVOICE , SIGN - TOTAL 1350.28 TH P A lT RqL O O I E T INV IC A L UB O HE A O Y RU T gUg��p gg�yE ggEGC�����UJryJ 55uUC) Q�7MHME �ElalALgIrgK7 �GRp�ryC�JLff�UJggRR Iqq �Q �g��TI � � al� CC �$�G � b R i 11THESE COMMODITIES RETAI�S A TRUST CLAM ODER THESE COM�ODI I AL I v INTO S O 'FO'O 7H UC S PAYABLE ON OR BEFDR /14/15 LAST PAGE I DERIVED FROM THESE COMMODITIES, AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S1�SC® comefrom ::XBROOKSHIRE GOLF CLUB... :X�., 12120 BROOKSHIRE PKWY ..... 412940 5071614209 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, i+�q F RVI C 444 IN 46268 i5ii 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER �MM§�l EST� 543441 NORMAL QEfJVERY CITY OF CARMEL NJIQ GARY LEVERENZ 1 CIVIC SQUARE DRIVER: THOMAS, DWAYNE ARMPT, IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60-14 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. --w ... ..... .....- . . ..... ......... b:+' x, IT X.: QTY PAC SIZE ...... -X` X ............ ............... ..... ....... X, ............... ESCRIPTION: ... ....... .............. ... ...... ............. FFECTIVE 7/01/15 SYSCO INDIANAPOLIS WILL NO LONGE, ACCEPT CASH AS A FORM OF RAYMENT. ... :::: � X.* :: , + - I I............ . ..................... - . ......... . ....... ... .... ... ................ .....- .... ... ... .... . ... ...... ....... .. .....:+ .....I......... ... .... kSK::::YOUR:+:.:M :.FOR :DtTA+�l:LS:.:!��������: ........ ++�+ . . ............ . .. ............. .................... ......... . . ..... ........ ........ ..... ..... ............... .......... ....... .+.',..,.--'+ J.+- ............ ...DR RY`:� ...... .... ............ .... ....... .. .... .:- ........... ...... . . ......... . ...... ....... .......... ........ ::B 11. '::>: :. ...... ... -3 ............ -+++++--.,..+'+...'--+-- ............................ ..... .............. ............. .....-++++:::::::::2:l:9.+l:0: 111:: 80: :::::::::.2: -0� .................... ....... F, VIF C:S::.:.:::.:,::2 2 4:::::::.C:T::::::BLU::,:,.: N.Y:,:,.:..: :CE:::CREAM* BAR HOMEMAD :.+:. AN+:+.+....."...�+,++++++.......".............++++++.+.....:::: q QS .�::�.224 CT.:: 8L :33.: +.6:6: :12:77 :2 4 1&iiii i+:�:�i U::::BNY ICE..�:�CREAMBAR:,.::::S.UND::::::STRAW...KRNC]i+�+:::: :::....:,.:.:::,:+:+:+.: . ....... ...... ... ... vf C:S �:::::::::::2 2 4 :CT :BLU,+,:BN:.Y:::::::+I+:C:E:::::..::.CR8A:M::::**C+ONE SUNDAE 4 OZ 455804 2:4:93872:!��i!�!:!�2.7i�+i+++1:9:9 : . .............................. ... ...... ....... ........... , ............. S .:.0 N lC&:TR A 15 Q. 83 :5. z8LU::::::8 Y REAM`:JSANDWTICKNAN 1 2 w: ... ... .3 :4:9 A 54:66:13 L5954:87 `::.24 0: :21:: ..... :C NDWCH: :CHI:P.&:::::::.GAL ORE C S 244.5 0 Z BLU::: N:Y::::I: E:::::CR9AM.:::S GROUP TOTAL**** 176.51 . ................. .... ... .. ... .............. .......... ........ ....................... . .......... ................ ... ....... ... ......... ....... .............. ......... :X-6 /F.: Q 5:.::I�DZ FlRElMP::::BEEF::�GRND`: PTY HMSTYLE TJ 8 .:��::62231 8: 6010K.... 58.5 ...... ....... C:S::::. 25 LB BBRLCLS +:F.RANK:...:ALL:"MEAT5XI� 6: 1 N + .::::::::::::�7:4:865067:92;: . : :::::I::I37:736::::: 2:7.9: GROUP TOTAL**** 214.50 . . ...... . .. . .... ........- ....... ...................... .... ........ ............. .... ............. ......... .....I... ....I.... ... ...... ........ .. .... ....... ... ... .............................»...::,>:.::::.; .............. ...... ........ .... . ...... ... ........ . ..... . ... . ..... ... ..... ..... ............ .... .. ....... .... b ............ .249 8.�8,9� 8:6.66 2 14 ::::55. :9: 6:5. ..:+ Vf ICS : .4,Q 4.::.: Z:::; S:Y S:,:;:;.,:L.S::..:.CHI:.CK-EN:::::::BRS.T.,.+::�+:GRL�:i:iiMRK P. 9:_8...8:9:5...5 5�: :9 8:: :::::I CS: PRCK . 1021 44A,:9 +44:: +0:9: 25LB:: SYS .CLS CHICKEN .Fkd,`::i�BRST:�::STRIP'.. 1: :2::::1:6 473 5 3 .:.... �+ ++ � ::. .. .... ...... ........ ..... ...... GROUP TOTAL* 100.67: X., .......... :X - :::X...... ............................. ...... ......... C:S::::::::::I::212 ,,CNTSYS..CLS*..'.�*B.UN.:.:::HOT:::::::::D.C)G+:::WHI:::TE ::6::!!:::+:Hl::NGD.::: :0.:::2: 9:6- 24:::::::3 5 ........... .2. 4: .6: . .4:9:::* .5.0: . ........... ......... .....- ...... .. . . ................. ........... ...... ...... 1`0 E -+F,..:..:..: T-I...-.++-+K:::MQ :8.:�iZ9257 +.,. ......................� .NI: ........................ ...... ........... ............ w ................... ....... ..... . ......... ... ................I .......... ............. ................. ............... .......... VIFCS :::::�612CT PRCTYBK::::: O0KI::E::.CHQC..:..CHNK::DWNHM::::30Z::,I+W::::: :'+: :: :::c 83,!943 9 ... .... ......... X 9::. ...........<::':>>::::>:::<:='. QS 14 4�i:2 5.OZ 5KR IM: <: BA :3:4::7:3: 2:1.$:2:5::fa.: . ....... ................:><:>.. HOC: :CH::::: c .................................. ........ .......................5 ...... ...... . ... ... ...... ...................... ........ ---- - ...... ... .. R -5/.: ....... ........ ...... .... ....... ......... V� CS :: TANTL:Z+R0.N: NGBEE+ ...... 3.04.23..0$.5.5.296......29., X R B T R.. I ++-++--:::::,:,: :.+::: : : : : : : 9:,::: w ......- ................ ...... T * X T vv CS 5LB::::: 5, ::::PHAN.TM:::.::PLI:0:7:34:7-3+.04:0: :5.9: 1: . . ........ _:9 4:i: 9.9 8. i:2 9:i .... ......TO...FR ... X%+........... . .......... ........ ........... /:UU AM CLOSE 2:UU PM IZ-11 wl. CC CPI ITITQT Pr' �11-c �rDn A P.O. BOX 7137 2 is 1 20 114.11 264 INDIANAPOLIS IN SUB IMPORTANT:PLEA IE E PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTER H206-7137 TOTAL RIIRQp4$E.QRDCR L DELIVERY. PLEA�, CHAK THla INVOICE WE ELIGIBLE BE RES N�RLE FOR ANY SHO I OM v RAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED T TAX --rq R11 Pn DRIVER'S NO. FC- US T. NO. PCs TOTAL 0 EVREC. INVOICE I: SIGN SIGN I TOTAL T P 8 IAN TO I - pk%OA OP 'I%U� I T RL�Mu,l R 70p-vUlFc?TTWll QH LA S T g; S�qg '0,�5 NPA FTOAT 4R AL NTo I PAYABLE ON OR BEFORE NAME Wwoc?�l I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2 o FULL PAYMENT 15 RECEIVED. Good things CUSTOMER'S I ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO ................. &vm come from .............. BROOKSHIRE GOLF CLUB... ZZ16 Z15 12120 BROOKSHIRE PKWY :))/Sco. :T ...... oP 412940 507161420 9 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 444A 317-846-7431 UE FRIDAY 4 WEEKS AFTERORDER _ 4LLVN0RMAL DELIVERY CITY OF CARMEL MA: N CA Y E ERENZ 1 CIVIC SQUARE DRIVER: T OMAS, DWAYNE CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ....... ... .......... RIPTION:* T:: EXTENDS D: ITEW DESC . ............... :. .... :: - . T. ... ............ ....... ..... .. .... . .................... 2 ...............:::. :: IF 1 Q:: 9.6-llil�ZT::::: .. .... 2 w -X. X .. .... ...... ......... .....................X .... .. Z2..... ..53 6_ ........... 'VC ............. Rffl HTI:0:410:5. ........ 8 .��:19:: 87 G ::...:,1::2 1 2:::::::.C:T R.MART: :::::TORT:I:.L.LA..:*F:LOUR:::..8:!!:�:��::PRE:S:S�������FRS:H::::::::::...... .6 :S:. ...... ::: : : : .......... ...... AL**** ...... ...GROUP TOT .......... .... ....... ..... ........ ........ .................... . ........ .... ... .......................................... ...... ................ . .............. ........... ....... ................ ................ ------ . .............. ................ ................. ................... ?..,.9.9:::::::. .:::17.:..9.9. ... .. -::x.:-: : -.0. 4.:Ml DNL' tRsA :Y..::::::::: Ago ':.:I s::.:.: '124:1 CV14 : : cfil:p::: ... ........... .... .......... .......... ............. .......... 9 ... . . . - .................. : ... . ... AYS:.... ::::::POPPEa ::::24 :6::::;'::4::8:::**11 ******** ............. 9 .................. ................... ... ... ...... ........... ............... .......... ...... ................. . ....... ... ... CS:::::::::2.4 LTR PURL::I::P-E:: .............. . ........................... RE FIE5: 7 :4: GROUP...TOTAL...... 63.07 ............................ ............. .. ...... .. ........... ....... ......... ........ ... ..PAPER &*."... SPOS .. ....... ................. ...... ....... ............... .................. ........ ............ . .. ................. ------ ......... . 114 �i�TRA H:�:� 3X'3.9:::::*'*::5:::::ML BLK 9M9 S::::::110: :59:5:8::::::3:9:':38:: ::::::::::::3: :::38 A ..I.:.:C::S: 25033 GAL S.YS::::CLS.:::L-: : Ek-::' .) S.. .3 :7 ... ................... ... ... ..... ......................... .. ........... ....... ............. ............... CT rORKADV.:::::::NARK:I::N.-.::::D:I:::S::P::::::XPRES:SNAP::::::::WHT X ........... D 90;&i��1'3�3.0.:.6.87:::::::::::::5:9: 5 9..2.6 ......... ....... ........... ..................... ............... .......... :2 ........... CS ::::l81:50:0CT3EORG: P:::::TI:S.*SU.ZT.0.1:::LET: :.CORELESS:::::..: PLV�MH;� ::: :2 ................ 15 ........ . ......... ... ... 7 1` 4:8: ME :2 D :094601::66: GROUP TOTAL" 231.33: .. ......... .......... CE ...... ...... .......... ........................... ......... ...................... ...... ....... ... S::::::NAT :LETTUC :::R ............ ............ . :y ... .�A,: :N..E:�l��G.OU.RM::::�:SNGLS ....... .. ............:.::.2.$:.:64:.:..... 15 L B S.:YSI:MP:::::::::QN.I:.QN::*:::.RE ::::F.R :S JUMBO...,.,...,.F. ........ E H . .. ....... ...... .......... ... ... ... ...... ...................................... ......... ...... ... .............. ................... .......... ... 1'...2:51 :71 4:1::*'lv'.08.::.. 08 ......... . .... B H: :KEN:::::::::: :::::: - I :::: .::-C T-C .......... 7 :.0 Z. A 25.::LB,....,.,:..R RL: .MP:.::::SAL .......................... lQ0 8:6 ............ .......... ... ........ ..... FC 1546 ., SYS:..::::,IMP::i�i��T.OMATO������il-������:LAYER�;i�i�FRESH ................. ........... .......... ............ .. .............. .... . ........... . ..... .... ........... . . ...................... ....G90UP TOTAL***** ... 94.�8 ... .... ........... ... . ......... ......... . . ........ ........ . .... .. .......... .... ... AD .1 -C5 15::::: AL '0 ACQL S...Y...R...0......:WK 11J4ET 5�5 Xl..:B.L& 0 4240 427354:: 1:_ : _ ............. ..... ............,........,.''............. ....... ................................................ C ...... 'S .. ............. D GA L BEER: Bl B 154::0:0 2:98: 6'6654:67 3 9i::'i:: 7.: :.::i: ....... ...... GROUP TOTAL**** 110 . . .... ...... ....... ..". ... ............... ............. . ............ SC :: CHkRGES `HG5::FQR::�::�::FUE UR 4A Ml u:::S C .......... ........... ....... ... ..... ...... . ..... .............. ..... ..... :*ix ...... .X:.X rpnlz(z V11T OPEN: /:UO Alq CLOSE: 2:UU PM ..: P.0. BOX 7137 1 1 18 18.8 345 INDIANAPOLIS IN B IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 41206-7137 TOUTAL E DELIVERY. PLEA�,E CHECK THla INVOICE E W I L L CNEOST RECEIVED IN I M�RLE v FOR ANY SHOR AGE AFTER Y U HAVE SIGNIED. PIE T TAX DRIVER'S NO. PCs C ST. NO. PCs TOTAL SIGN DELVD. SIGN REC. INVOICE T Pk%oAgt'�j SA IC T TOTAL Sjqgg eg RC ,ffLOQH�OP 'L� gPl,� V TI V,�UB ft��JO CT 0 j4g� _T�Y I A T U T LA hA�q DI L V�R� WLI �Slt7;7 10 M , OR BEFORE 1o DERIVED FROM THESE COMMODITIES. AND i PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL . PAYMENT I$ RECEIVED. ONT. ON PAGE 3 FULL 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)) 07/16/15 I 507161420 I Food I $1,350.28 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 $1,350.28 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1207 I 507161420 I 42-390.40 I $1,350.28 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 Monday, July 20, 2015 Director, BrookshireQVf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund