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Home My WebLink About305158 11/14/16 y pt-C�q� CITY OF CARMEL, INDIANA VENDOR: 365677 I ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********33.86* CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 305158 MitoN CHICAGO IL 60680-1029 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926086227 16.94 FOOD & BEVERAGES 1207 4239040 926086411 16.92 FOOD & BEVERAGES Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. GORDON FOOD SERVICE, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 88029 IN SUM OF$ 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. $16.94 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 926086227 42-390.40 $16.94 1 hereby certify that the attached invoice(s),or 11/1/16 926086227 Food $16.94 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 Tuesday, November 01,2016 t 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 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.gfs.com Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 100133245 Invoice Number 926086227 Invoice Date 11/01/16 Terms; Net 30 Days 4 @ 1 .99 HOT DOG BUNS 6' 12 7.96 4514360 Hamburger Buns 4" 1 .99 4514280 Fries RC 5/16" Slt 6.99 4372601 TAX 0.00 * ** BALANCE 16.94 GFS Charge 16.94 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 6 11/01/16 11 :40am 1905 3 108 65122 IT 111111111111 111111111 ��Iill IIIII III 80190500301081611011140 Total Due: 16.94 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 �e�, V,(A I 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—Transact-ion`is drawn- for a-fee up to the maximum permitted by law, The Perishable agricultural commodities shown on 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, 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 payment is received. Store 1905 Lane 3 Transaction 108 Operator 65122 Please visit 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. $16.92 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 926086411 42-390.40 $16.92 1 hereby certify that the attached invoice(s),or 11/6/16 926086411 Food $16.92 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, November 07,2016 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer urdo(Y 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 926086411 Invoice Date 11/05/16 Terms: Net 30 Days 2 @ 2.49 WW Natural Koeppli 4.98 . 2626100 2 @ 1 .99 Hamburger Buns 4" 3.98 4514280 4 @ 1 .99 HOT DOG BUNS 6' 12 7.96 4514360 TAX 0.00 * BALANCE 16.92 GFS Charge 16.92 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD 8 11/05/16 05:06pm 1905 3 408 64856 1111111111111111111111111111111111111111111111111 80190500304081611051706 Total Due: 16.92 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 Transaciion.and.-issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. The perishable agricultural commodities shown on 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. 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 Payment is received, Store 1905 Lane 3 Transaction 408 Operator 64856"