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Home My WebLink About258542 05/10/16 w.F±q 4�. CITY OF CARMEL, INDIANA VENDOR: 359366 j; .ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: S•"""•602.78` :. i' CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 258542 'M,«oN moo` INDIANAPOLIS IN 46206-7137 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 604280789 581.63 FOOD & BEVERAGES 1207 4239040 604290788 21.15 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. ALLOWED 20 SYSCO FOOD SERVICES PO BOX 7137 IN SUM OF$ INDIANAPOLIS, IN 46206-7137 $21.15 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 604290788 I 42-390.40 I $21.15 1 hereby certify that the attached invoice(s), or 1207 101 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 Tuesday, May 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 ✓hom, 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)) 04/29/16 I 604290788 I Food I $21.15 1207 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer Good things WApmmsfrom c®m BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST 317-846-7431 INDIANAPOLIS, IN 46268 CITY OF CARMEL SHELLFISH SHIPPER ID: IN007RS DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO VOUCHER NO. WARRANT NO. ALLOWED 20 SYSCO FOOD SERVICES PO BOX 7137 IN SUM OF$ INDIANAPOLIS, IN 46206-7137 $581.63 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course PO#/Dept. INVOICE NO. I ACCT#/Fund I AMOUNT Board Members 604280789 I 42-390.40 I $581.63 1 hereby certify that the attached invoice(s), or 1207 101 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, April 28, 2016 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 m invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered, by ✓hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc. Payee Purchase Order No. Terms Date Due ivoice Date invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/28/16 I 604280789 I Food I $581.63 1207 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance ✓vith IC 5-11-10-1.6 120 Clerk-Treasurer Good thingsCUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO �)/Sco come from WMWW�::i:2;;;;t ilumwBROOKSHIRE GOLF CLUB...12120 BROOKSHIRE PKWY 412940 604280789 8 1 SYSCO INDIANAPOLIS, LLC 766''''''4 CARMEL IN 46033 4000 W 62ND ST 317-846-7431 INDIANAPOLIS, IN 46268 4446 , DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL SHELLFISH SHIPPER ID: IN007RS IMANQJ�jj jb3b0b ORMAL DELIVERY ------- MA6 SN139 GARY LEVERENZ 1 CIVIC SQUARE DRIVER: THOMAS CARMET. IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4, 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. MEMO DAIRY Ron oil alone ......... 17-8 17"." 7 ...... ........ C!-.!!!!!! 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BOX 7137 2 1 6 17 9.4 256 INDIANAPOLIS IN SUB IMPORTANT: "A PROWCTS ARE NOT ELIGIBLE FOR REjURN AFTEF 4 06-7137 TOTAL DELIVERY.SHORTAGE THIa INVOICE OT B 0 E ON� 62 (PIECES E R f E M RTLE FOR ANY SHO.RTAGE AFTER Y U HAVE 8IrNEE?PIECES RECEIV 0 M TAX _T. 1-q DRIVER'S NO. PCs ICUST. NO. PCs TOTAL 11�OTHGgNP %OAffA TCI'R�'p FPffl�bA�%EDREYLVD. SIGN AX� t�L��r P.�T g� PR�ERCU. T a?"j INVOICE HfAA T R ' PJT� ' V0 OgqC 'T wRATOTAL EF 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL a FULL PAYMENT IS RECEIVED. CONT. ON PAGE 2 GoodthingsCUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO pm c me roms> <: .;:..: , ...:..:...:...::::::::::::.::•::•:••::::::::::•::::::::::::::::::::::::::::::. :::: ::::::::.:::. ....... .:. 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P.O. BOX 7137 2 INDIANAPOLIS IN SUB a IMPORTANT: PERISHABLE PRODUCTS ARE yyNyyOT ELIGIBLE FOR REgTpURNg�gAFTE 46206-7137 TOTAL - 581.63 E 1 6 17 9.4 256 FOR AENY SHORTAGE AFTER VOU HAVE E$IVWD.(PIECES RECEIVED ON LE TAX No. PCS CUST. NO. PCS TOTAL DRIVER'S OELVD. pSIGN 7EHOEg��p gg�yE SgEGCR1CLIN�r,I�f p�p7l��{�EI pEI7RIEggH gLTE DGpRII�uL RSLIGN MEMpR gE� gCgT gEC37p L�g7I{C gg7g77 R HER7EgC.EgL�E p INVOICE p THESERCOMMODITIESTROETAINCS�AFTRUS'fOPCLAIMA VERATHESE LO�MO0TIES,DTLLSL VENTORIESI OF IJE g3ggCf Y PRODUCTS TOTAL 51.63 PAYABLE ON OR BEFDRErJ�27�16 LAST PAGE 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL p FULL PAYMENT IS RECEIVED.