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250861 10/21/15 *f� CITY OF CARMEL, INDIANA VENDOR: 359366 ® "s; ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $****"**636.18* CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 250861 INDIANAPOLIS IN 46206-7137 CHECK DATE: 10/21/15 truth i�' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 510081611 636.18 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO oft :::.:.. ;';'pE�V>�A7:E.':!' C31SibAQI;R!:;! y:%'.:;ir.....::'"i ) :r': :`:`tBiiR:;is5:;r.1: BROOKSHI RE GOLF CLUB+++ ®�r�®® 10 8 12120 BROOKSHIRE PKWY �„ r>; eK..s::aP:::>:: 412940 510081611 4 1 SYSCO INDIANAPOLIS, LLC ' CARMEL IN 46033 4000 W 62ND ST4 lack INDIANAPOLIS, IN 46268 tFS :.:...:::::::.:::..: 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: TH MA , DWAYNE CAREL 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 r: ... ....::::::::i..;:.; "i Y P.A. SIZE:::J::..... .. EXTENb.ED.. ITE .DE CRIRTION::>::::::::>::::::>::»::::»».: ,:.: A �:::W,RI;��;i;i�i; FFECTIVE 7/01 1.5 SYSCO..INDIANAPOLIS. 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INVOICE I TH P RVA LT R L O I I E T NVpIC Ap gE LpqCgrUBEgCg7p 0 E A O Y RU T TOTAL H� >� ��� ���°0� p�d A� �� �� ge C0o1�S,�AIIL�INVEIfTO�RiES(o� Q �� Cy b �C�s H S M I I A A T U L M R S ODI I PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEE05 FROM THE SALE OF THESE COMMODITIES UNTIL CONT. ON PAGE 2 0 FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO owm come from 4G ::::MV, OAV� BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY ®sc®® .;::zR.eK'STOK:::::: 412940 51008161 42 .. SYSCO INDIANAPOLIS, LLC zans — CARMEL IN 46033 4000 W 62ND ST ... INDIA NAPOLISN ..... , I46268 4446 ... F: RAi: 317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER NORMAL DELIVERY CITY OF CARMEL MA9 SN ERENZ 1 CIVIC SQUARE DRIVER: TH MA , DWAYNE CARMEL EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60-1.4. 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. .... ... ... ...... . . .... ........... .. .... 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BOX 7137 2 1 1 .81 26 INDIANAPOLIS ' IN SUB IMPORTANT' PERISHABLE PRODUCTS ARE NOT ELIGIBLE F RETURN AFTEF 4206-7137 7137 TOTAL 636.18 DUE FRIDAY 4*WEEKW DRIVER: TH MA , D DE ERY.Sl Er AFTER INVOICE OR HVRA WE WILL NOT RECEIVED ON RIVANY SHORTAGEIAFTER Y U HAVE SIGN CES IVV TAX OL 0 M�RLE �v 1E 15 14.41 203 F �A E ED. PIE RECE T A rpFF WITH PIPrFq R I DRIVER'S No. PCs ICUST. NO. PCs TOTAL SIGN DELVD. SIGN REC. INVOICE T HP R�R�OA TqI INV ICO AI�6 E Y ZJRW8T,60C�, TOTAL TC - I�? 0 ,5; r, AA R TAU T LA R AL PAYABLE ON OR BEFORE 636.18 THESE40 CIL F'� DERIVEDFROMTHESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM 11/06/15 LAST PAGE o FULL PAYMENT IS RECEIVED. HESE COMMODITIES UNTIL M . 11 S S 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)) 10/08/15 I 510081611 I Food I $636.18 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 $636.18 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 510081611 I 42-390.40 I $636.18 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 Monday, OcAober 19, 2015 -'l r Director, Brookshire o Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund