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HomeMy WebLinkAbout303385 09/26/16 %'�AA,F. - CITY OF CARMEL, INDIANA VENDOR: 365677 6 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*****1,380.07* ,. � CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 303385 vM, � CHICAGO IL 60680.1029 CHECK DATE: 09/26/16 ��UN� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926084133 13.73 FOOD & BEVERAGES 851 5023990 926084384 1,366.34 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) GORDON FOOD SERVICE, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 88029 IN SUM OF$ 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. $13.73 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 926084133 42-390.40 $13.73 1 hereby certify that the attached invoice(s),or 9/10/16 926084133 Food $13.73 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, September 12,2016 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) GORDON FOOD SERVICE, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 88029 IN SUM OF$ 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. $1,366.34 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 926084384 50-239.90 $1,366.34 I hereby certify that the attached invoice(s),or 9/20/16 926084384 $1,366.34 1120 851 1120 851 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 Wednesday, September 21,2016 U'a '2S_ David Haboush Fire Chief 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 Page:1 of 1 Gordon P.O.Box1787 INVOICE MI 49501-1787 FOOD SERVICE STORE wwww.gfs.com INVOICE# DATE 1.800-968-7500 926084384 09/16/2016 TAL 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 CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 4087420 1 CASE MILK CHOC FF 50-8FLZ TRUMOO 6 16.99 16.99 16,99 6058910 100 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.59 2.59 259.00 4173500 20 CASE FRANKS BEEF 8/#2-5#GFS 3 12.99 25.98 519.60 1182901 3 EACH KETCHUP HEINZ(JUG)POUR&STORE 1 5.99 17.97 7412701 2 EACH MUSTARD YELLOW CLSC 4-105FLZ FRENC 1 4.79 9.58 3866600 1 CASE PUMP#10 CANS 4-1CT HNZ 11 10.70 42.80 42,80 4988831 1 EACH NAPKIN LNCH 1PLY 1/4 FLD 12-50OCT GFS 7 3.99 3.99 5426600 4 CASE COOKIE CHOC CHIP 8-54.6Z CHPAHOY 1 8.49 67.92 271,68 1142781 3 EACH PLATE PPR 9"ECON WHT 12-10OCT KE 7 2.99 8,97 8371050 4 CASE COOKIE OREO SUPERCRTN 6-52.5Z NAB 1 8.99 53.94 215.76 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 1366.34 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 773.99 519.6 FREEZER CooLER I WAREHOUSE I MISC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES &SANITATION Customer's signature evidences receipt of all Items listed and its promise to pay 16.99 12.96 the amount due to GFS.Customer agrees that If a check,draft andfor order of INVOICE TOTAL 1366.34 9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment('Transaction')issued for payment of this invoice is dishonored,GFS may re-present the Transaction and Issue a draft against the account upon 42.8 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 47 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 64970 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 09/16/2016 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 KEITH TIME(GMT) 11:24:00 full payment is received.Eggs delivered in the state of Illinois Include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen