249704 09/23/15 0.,
CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*****1,521.57*
CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 249704
CHICAGO IL 60680-1029 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926067129 32.86 FOOD & BEVERAGES
1207 4239040 926070037 19.98 FOOD & BEVERAGES
1207 4239040 926070038 19.98 FOOD & BEVERAGES
1207 4239040 926070230 17.91 FOOD & BEVERAGES
1207 4239040 926070452 65.66 FOOD & BEVERAGES
851 5023990 926070479 1,365.18 OTHER EXPENSES
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))
06/25/15 926067129 Food $32.86
09/07/15 926070037 Food $19.98
09/07/15 I 926070038 I Food I $19.98
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
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service, Inc.
IN SUM OF $
P.O. Box 88029
Chicago, IL 60680-1029
$72.82
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 926067129 42-390.40 $32.86 1 hereby certify that the attached invoice(s), or
1207 926070037 42-390.40 $19.98 bill(s) is (are) true and correct and that the
1207 I 926070038 I 42-390.401 $19.98
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, September 08, 2015
Director, Brooksh Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/11/15 I 926070230 I Food I $17.91
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
Gordon Food Service, Inc.
IN SUM OF $
P.O. Box 88029
Chicago, IL 60680-1029
$17.91
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 926070230 I 42-390.40 I $17.91 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, September 11, 2015
Director, Brooks, e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/17/15 I 926070452 I Food I $65.66
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service, Inc.
IN SUM OF $
P.O. Box 88029
Chicago, IL 60680-1029
$65.66
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 926070452 I 42-390.40 I $65.66 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
Friday, September 18, 2015
Director, Brooks Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Page:1 of 1
INVOICE
P.O.Box 1787
GrandRapids,MI 49501-1787
r Ce www
081 09968-7500 fsCorjri INVOICE# DATE
=!a
926070479 09/17/2015
TAIL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100060884 1906 INDY-FISHERS IN MP153 OUT 1905 Fishers 30 NET 10th
SHIP TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL,IN 46032
ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT '
4173500 20 CASE FRANKS BEEF 8/#2-5#GFS 3 12.99 25.98 519.60
1526810 1 CASE MILK CHOC FAT FREE 40-SFIZ TRUMOO 6 16.25 16.25 16.25
8371050 4 CASE COOKIE OREO SUPERCRTN 6-52.5Z NAB 1 8.99 53.94 215.76
4988831 2 EACH NAPKIN LNCH 1PLY 1/4 FLD 12-50OCT GFS 7 3.99 7.98
5426600 4 CASE COOKIE CHOC CHIP 8-54.6Z CHPAHOY 1 8.49 6792 271.68
7412701 3 EACH MUSTARD YELLOW CLSC 4-105FLZ FRENC 1 4.99 14.97
1182901 5 EACH KETCHUP HEINZ(JUG)POUR&STORE 1
5.99 29.95
1142780 / CASE PLATE PPR V'ECON WHIT 12-100 KE 7 2.50 29.99 29.99
6058910 100 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.59 2.59 259.00
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 1365.18
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
791.36 519.6 TAX
FREEZER COOLER WAREHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLE 8-SANITATION
Customer's signature evidences receipt of all items fisted and its promise to pay
the amount due to GFS Customer agrees that if a check,draft and/or order of INVOICE TOTAL 1365.18
16.25 37.97 payment(-Transaction-)issued for payment of this n-ce is dishonored,GFS
9-DISP.BEVG 10-PRODUCE 11-TABLETOP 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 by law PAID 0.00
TOTALS BY TAX CATEGORY Received By: SALE NBR 193
%RATE TAX %RATE TAX
LANE NBR 02
The perishable agricultural commodities shown on this invoice are sold subject to the USER ID
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 09/17/2015
these commodities,all inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale of these commodities until THOMAS TIME(GMT) 13:10:00
full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature:
Inspection Fee in the puce.Maryland MDA Inspection Fees at a rate of$08 per dozen
��o �roo Anf fn a time rice differential of 1 1/2%per month on the uapaid balance after the due date
a ------- ------------ -------
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))
926070479 $1,365.18
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service
IN SUM OF $
P.O. Box 1787
Grand Rapids, MI 49501
$1,365.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 926070479 120-851.00 $1,365.18 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
SEP 2 1 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund