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Home My WebLink About305296 11/14/16 (9, CITY OF CARMEL, INDIANA VENDOR: 359366 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECKAMOUNT: $**RMYk#5278Li CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 305296CJ INDIANAPOLIS IN 46206-7137 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 610270701 527.82 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) SYSCO FOOD SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 7137 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46206-7137 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $527.82 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 610270701 42-390.40 $527.82 1 hereby certify that the attached invoice(s),or 10/27/16 610270701 Food $527.82 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, October 31, 2016 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 Goodthngs CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO �l/��O® comefromBROOKSHIRE GOLF CLUB...12120 BROOKSHIRE PKWY 412940 610270701 2 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ::: INDIANAPOLIS, IN 46268 4446 317-846-7431 - DUE FRIDAY 4 WEEKS AFTER ORDER SHELLFISH SHIPPER ID: IN007RS IMANIrMyll Q1112Q BROOKSHIRE GOLF -IMAo SN139 GARY LEVERENZ 12120 BROOKSHIRE PKWY DRIVER: KIMBLE —IN 46033 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR ""A 60 2544 AND 6&7414 ARE INCORPORATED HEREIN BY REFERENCE. . .. ... ........... -T EM MO. .. .............................. ..... kSK YOUR MA ABOUT SYSCOACCOUNTICENTER.COM AN EARN A CREDIT 0 UR ACCOUNT! ... .... . ...... ... . ....... . ..... .. . ......... ... ........ ......... .. ...................... ............* . ... .. RY . ......... DAI oil "My! .............. OL CHE 18..... cis ESE CHEDDAR JACK FANCY ..SH 10 CS..' 2, C ------------ .... ...... ------ .51 00 WON A� looms 1 so 1111 Bonn -1071372-09-382:.:.: F ---CH ILI TEZA JA u -.2 7 too!issism ... ... .. . . EHNEN 1 No 1100!�: D 2 PK IEEBLMW��RACKER-SKLMNE 2 2 A-01-0-0 61"n'68, comma 0 am SHIS RQU ...... G ....... -ATH1§012MV-7932785 5......4.9...8L WK 12 Of . .... zooms 1 so JJZSBAR.-' -sim... ..... EXA:REL'..-COP"VE110111 A, LAN 9000nm MEMO; ------- VIM D a so sta�g Buono Rome ........... ........... ....... .. ........ HEMI AL MOZil 4::jRj§ .... . DAM9 . . . ............::..::.............GROUP-TdTXEWW .......... looms 111 gout mililiiii�� s . ..... .......... . ....... .. N. 111 all, C 9001105 1000A GROUP TOTAL'S*** ROE .......... .... ..... U L C . . . :::>>>::>:»> All Mm-= .. .. ......... .......... -------------- ------------ Mennen uomssssni�� Boom 1 MEN 00Y w ANEW, imus 111 OWN momm�iiiii 11 xxx Mi!0011 ............ ..... .......... MIAMI I ON looll: looms i��: OPEN: I:UU AN CLUbE: 2 u u PM P.O. BOX 7137 A 1 11 10.7 177 INDIANAPOLIS IN 2 SUB IMPORTANT: ODUCTS ARE NOT ELIGIBLE FOR RE 1. TOTAL --AFTER ECK TH18 INVOIC% OT RECEIVED E RE L 40206-7137 527.82 ON E ,�AFTEP v 1( 1 11 10.7 177 POELINEVY-SPHLOERMAEGIEC AFTER Y U HAVE I&NEEOMPLIECES RECEIV 0 M TAX ALBEL-Au NO. PCs ICUST A PCs TOTAL REC. DRIVER'S Mwil SO" SMN INVOICE J&P �gA TOTAL 527.82 A I fi�AATC CIL �O ffTl%§DA�t B OR BEFORE C PAYA LE ON I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 2,,ULL PAYMENT IS RECEIVED. 1 11/25/16 LAST PAGE