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Home My WebLink About303717 09/30/16 (9, CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECKAMOUNT: S********21.75* CARMEL, INDIANA 46032 PO Box 88029 CHECK NUMBER: 303717 CHICAGO IL 60680-1029 CHECK DATE: 09/30/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926084630 21.75 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. $21.75 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 926084630 42-390.40 $21.75 1 hereby certify that the attached invoice(s),or 9/22/16 926084630 Food $21.75 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 Thursday, September 22,2016 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 Gordon" 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.sfs.com Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 100133245 Invoice Number 926084630 Invoice Date 09/22/16 Terms: Net 30 Days Btrmlk Ranch Drsg 4.99 1073511 French Red Drss l- 4.99 1073711 LETTUCE ICEBURG 1C 1 .19 6958211 Pot N Pan Jewel 1- 7.99 3294361 1-16CT HOT DOG BUN 2.59 6058910 TAX 0.00 *** BALANCE 21 .75 GFS Charge 21 .75 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 5 09/22/16 12:23pm 1905 2 115 68860 IIII IIIIIII II III II�IIIIIIIII I�IIIIIIII 80190500201151609221223 Total Due: 21 .75 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 Customer agrees that if a check draft and/or order of payment (Transaction) issued for payment of this invoice is dishonored, GFS may re-present the Transaction and issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum Permitted bg law. The,aperishabiv „ IcUltural commodities shown on t' :s invoice are sold subject to fhe statutory trust authorized,,;,bu section 5(c) of the Perishable 'Aericultural Commodities Act, 1930 (7 U,S.C. 499e(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 (9 CITY OF CARMEL, INDIANA VENDOR: 367937 ONE CIVIC SQUARE GORDON FLESCH COMPANY CHECK AMOUNT. Ill CARMEL, INDIANA 46032 9200 KEYSTONE CROSSING STE 100 CHECK NUMBER: 303716 INDIANAPOLIS IN 46240 CHECK DATE: 09/30/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 IN11673510 18.89 EQUIP -Wu4'ZWT CONTR- VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) GORDON FLESCH CO., INC. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER P.O. BOX 73288 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CLEVELAND, OH 44193-0002 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $18.89 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 IN11673510 43-515.01 $18.89 1 hereby certify that the attached invoice(s),or 9/26/16 IN 11673510 $18.89 1120 101 1120 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 26,2016 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 GORDON F L E S C HO Customer Number 290546 C. O M P A N Y. I N C G F C LEASING Invoice Date 09/22/2016 A DIVISION Or 111E GORDON rIESCH COMPANY Invoice Number IN11673510 DUE DATE 11121/2016 TOTAL DUE $18.89 Carmel Fire Department 2 Civic Sq Federal Tax ID:39-0993125 Carmel,IN 46032-2584 Invoice Summary Illinois #of Total Base/ Images Over Use Tax Base Period Items Misc.Charges Base Amount Recovery Sales Tax Late Fee Total Due 1 $0.00 $18.89 $0.00 $0.00 $0.00 $18.89 Terms:Net 60 Days Important Messages Overdue accounts will be charged a past-due fee of 1.5%per month. B Information Update? Customer Service Contacts: Customer Name Account Payment Inquiries:608-441-1850/877-366-9874; gfc.ar@gflesch.com Address Contract or meter inquiries:614-734-6800/877-457-5877; City State Zip gfc.contracts-d@gflesch.com Contact Phone General inquiries:614-789-5700/800-756-1174 Email Address Pay online at www.gflesch.com Receive your invoice electronically. Contact us at gfc.ar@gflesch.com GORDON FLESCHO INVOICE C O M P A N Y , I N C . " G F C L E S I N G Invoice Number: IN11673510 A DIVISION OF THE GORDON FLESCH COMPANY Page 2 of 2 Contract Number AC45B-GPQ10116-01 PO Number n/a Item Description Serial ID# Location/Site PO 1 Canon iR ADV C5045 GPQ10116 T7653 Carmel Fire Department Upstairs 2 Civic Sq Carmel,IN 46032-7543 Base/Misc.Charges Image Total Service Images Images Description Total Meter Begin Meter End Meter Images Credit Included Over Hate Total Base S0.00 Black Images#109 Meter 112412 113032 620 0 0 620 0.011310 $7.01 08/18/2016 09/16/2016 Color Images#124 Meter 77869 78046 177 0 0 177 0.067120 $11.88 08/18/2016 09/16/2016 Use Tax Item Base/Misc.Charges Images Recovery Tax Total $0.00 $18.89 $0.00 $0.00 $18.89 B