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Home My WebLink About256340 03/15/16 .. CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******178.63* CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 256340 .@, . CHICAGO IL 60680-1029 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239099 926073657 39.47 OTHER MISCELLANOUS 1207 4239099 926074023 3.99 OTHER MISCELLANOUS 1207 4239099 926074924 23.26 OTHER MISCELLANOUS 1207 4239099 926076760 115.78 OTHER MISCELLANOUS 1207 4239099 926076885 104.35 OTHER MISCELLANOUS 1207 4239099 CK1301034 -108.22 OTHER MISCELLANOUS 'rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL \n invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Date invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 03/04/16 I 926076885 I Food I $104.35 1207 101 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 GORDON FOOD SERVICE, INC PO BOX 88029 IN SUM OF$ CHICAGO, IL 60680-1029 $104.35 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 926076885 j 420-101 390.99 $104.35 1207 I hereby certify that the attached invoice(s), Or I bill(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, March 04, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund Gordon", FOOD SERVICE STORE Fishers 9510 Masters 8d Indianapolis, IN 16260 (317) 845-0712 Invoice A/R Inquiries 1-800-968-6490 Customer Service 1-800-968-1164 www.afa.cnm BROUKSHIRE GOLF CLUB 12120 8R8OKSHIRE PKWY CARMEL,IN 100133215 Invoice Number 926076885 Invoice Date 03/01/16 Terme: Net 30 Days Black 8wmno 1-10 G 4.19 5577111 G @ 0.99 Tortilla Flour 6" 6.91 7133201 Beef Fajifo Meat 1 22.99 1006821 Taco/Mex Beef Fill 13.99 7765481 Taco Filling Chick ` 11.99 5003811 2 @ 11 .49 Fine Shred Mex Che \ 22.98 3261351 ` J @ 5,99 Taco Lettuce Shred 11 .98 2121891 Diced Onions 1/4" 6.99 1983071 TAX 0.00 e** BALANCE 104.35 GFS Charge 101.35 CHANGE 0.80' TOTAL NUMBER OF ITEMS SOLD ~ is 03/01/16 09;69am 1906 3 69 64856 IT � UU|1111111111111111111 ��11111111� U 80190500300691603040959 Total Due: 104.35 Customer acknowledges reroipf of the goods referenced above and promises to puy to the order of OFS the total due pursuant to the Customer's Account Application Agreement Customer asrees that if o check draft and/or order of payment (Tran saction) issued for payment of this invoice is dishonored, GFS may re-present the Trunauo+/qn and issue a draft aoo1nst the account upon which the Transaction is drawn for u fee up to the maximum permitted by 1aw. The perishable agricultural commodities shown on this invoice are subject to the t t t ry trust of the VOUCHER NO. WARRANT NO. ALLOWED 20 GORDON FOOD SERVICE, INC PO BOX 88029 IN SUM OF$ CHICAGO, IL 60680-1029 $74.28 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members CK1301034 420-390.99 ($108.22) 1 hereby certify that the attached invoice(s), or 1207 101 Prior Year 926073657 420-390.99 $39.47 bill(s) is (are)true and correct and that the 1207 101 Prior Year 926074023 420-390.99 $3.99 materials or services itemized thereon for 1207 101 Prior Year which charge is made were ordered and 926074924 420-390.99 $23.26 1207 101 received except 926076760 420-390.99 $115.78 1207 101 Thursday, March 03, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL m invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by ihom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due nvoice Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 09/17/15 CK1301034 Food ($108.22) 1207 101 12/07/15 926073657 Food $39.47 1207 101 12/15/15 926074023 Food $3.99 1207 101 01/08/16 926074924 Food $23.26 1207 101 03/03/16 926076760 Food $115.78 1207 101 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 Gordon Food Service . Go - oh PO Box 1787 ` Grand Rapids, M149501-1787 Credit Memo CK1301034 FOOD.SERVICE Phone: 1-800-968-6490 Fax: 616-717-9047 -Date 9/17/15 Email: cheri.zokoe@gfs.com Customer Accounts Receivable Representative 100133245 BROOKSHIRE GOLF CLUB Cheri Zokoe 1906/90 BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY KIRKERSVILLE, OH 43033 In applying your check# 1301034, received on 9/15/15, we noticed the following discrepancy: ® Invoice #926069688 was overpaid by $108.22. We have left a credit memo of $108.22 on your account as reference number CK1301034. Please indicate that number when deducting. Thank you.