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Home My WebLink About302589 08/31/16 1+ur.C4gMf CITY OF CARMEL, INDIANA VENDOR: 365677 �b ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $•a r a ***38.55` =q. CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 302589 CHICAGO IL 60680-1029 CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 122135 —19.98 FOOD & BEVERAGES 1207 4239040 926083300 58.53 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) GORDON FOOD SERVICE, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 88029 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60680-1029 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $38.55 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 926083300 42-390.40 $58.53 1 hereby certify that the attached invoice(s),or 8/19/16 926083300 Food $58.53 1207 101 1207 101 122135 42-390.40 bill(s)is(are)true and correct and that the ) ($19.98) 8/25116 122135 Food ($19.98 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday,August 25, 2016 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer I Goedoln. I FOOD SERVICE STORE Fishers 9540 Masters Rd Indianapolis, IN 46250 (317) 845-0712 Invoice A/R Inquiries 1-800-968-6490 Customer Service 1-800-968-4164 www.gfs.com Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 100133245 Invoice Number 926083300 Invoice Date 08/19/16 Terms; Net 30, Days Cookies Peanut Btr 9.99 - 11524?11 2 @ 9.9> Cookie Obl Cho, CI, 19.98 6105101 2 @ 9.99 ' Co;k.it: Chocoia�ie C 19.98 2L -1'-� Pomjine Hearts Let 8.68 2117821 I Ili. 0.00 x<** BALANCE 58.53 GFS Charge 58.53 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 7 08/19/16 06:41pm 1905 2 189 69397 IT1111111111111111111111111111111111111111111111111111 80190500201891608191841 Total Due: 58,53 Customer acknowledges receipt of the goods referenced above and promises to pay to the order of GFS the total due pursuant to the Customer's Account Application Agreement usto er a ees that if a check draft Pr of payment = t of 011U/U[ ui ... (Transaction) issued for p37 this invoice is disho ored, GFS may re-present the Transaction and issue a r+raft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. The perishable agricultural commodities shown an this invoice are sold subject to the statutory trust authorized by section 5(c) of the Perishable Agricultural Commodities Act, 1930 (7 U,S.C. 999e(c)). The seller of these commodities retains a trust over 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 full payment is received. Store 1905 Lane 2 Transaction 189 Operator 69397 You could win $500 in FREE groceries! Please visit www.sfssfore.com/survey and tell us how we are doing. Survey must be completed within 72 hours. No Purchase Necessary. Open to all legal residents of MI, WI, IL, IN, OH, PA, KY, TN, MO and FL who have the ase of majority in his or her state of residence at the time of entry. See website for Official Rules. See the latest offers and promotions www,GoFindSave.com NOW HI ING Apply online gfs.c®m/careers Cut along dotted line and return bottom portion with payment Remittance Slip Gordon Food Service, Inc P. 0. Box 88029 Chicago, IL 60680-1029 I www.sfs.com A/R Inquiries 1-800-968-6990 Customer #100133295 Brookshire Golf Club Invoice Date 08/19/161 Invoice No. 926083300 Total Due 58.53 08/25/16 zz:se Credit Detail Report 1 Store :'1905 Fishers rnt/czeu_rpt.n Create Last Sent cr°u Corp o"��v�� z�rvi�� c��uit zo o^t� q�t� v� ic # Tvnro�ioi� uemv # ouit - ___-______- _ ___ __ ___ � _ __ __ _ _ _ �_________ 1ooz3s24s oc"oxsuice aozc 926083300 zeuzzs 08/25/2016 0e/25/2016 o uoor ar u Unit v Ext $ p Actual smp rvne : Item neaczinuuo Qty Weight vazma Value aem o Item zu Edits _____ _______________-_—______---_________________________--________-_ u z 6105101 ewLx cooxzo. DBL cunc co 2.00 0.00 /9.99 19.98 oo o o 49381 | / / / / | | � / | � | | | i | |