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308668 02/28/17
+W.C�NM J�/ ;F• CITY OF CARMEL, INDIANA VENDOR: 359366 *,,,,,,,,� ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $ 959.30 =a CARMEL, INDIANA 46032 O BOX 713 S IN 46206.7137 CHECK NUMBER: 308668 ,,«oN CHECK DATE: 02/28/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138086997 905.43 FOOD & BEVERAGES 1207 4239040 138089395 53.87 FOOD & BEVERAGES Prescribed by State Board of Accounts City Form No.201(Rev.1995) VOUCHER NO. WARRANT NO. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 359366 SYSCO FOOD SERVICES IN SUM OF$ CITY OF CARMEL PO BOX 7137 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46206-7137 Payee $905.43 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 138086997 42-390.40 $905.43 1 hereby certify that the attached invoice(s),or 2/13/17 138086997 Food Banquet $905.43 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, February 13,2017 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 '20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. 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N • • • • .......................................:::::::.. p P.O. BOX 7137 2 1 11 5.5 178 INDIANAPOLIS IN SUB , IMPORTANT: PERSSISHABLE PRODgUCTS ARSE yNyOT ELIGIBLE FOR REEgTURN$�gAFTE 4 206-7137 TOTAL 905.43 1 11 5.5 178 FFOR VANY SHORTAGE AFTER YIOU HAVE SIGNED(PIECES RECEIVEOO MS BTE TAX DRIVER'S NO. PCS CUST. NO. PCS TOTAL SII7EGHNppE g��p gg�yEgp�GCRICIry r,I�, p�pTN�1{1.E1 pEITgEggH g[E7 DpgEGLRpVIIDC.u7LH RIpSLIGNMEMgpRE gEo' RR7ECCEgI.I� p INVOICE qTUESERCOMMODITIESTROETAINAFTRUS7OPCL�IMA�C/EF2 THESETLOMMODOITIESDIALL$ItJVENT'ORIS�OF'FO'OD90C7HER PURODUCT TOTAL 905.43 TH PAYABLE ON OR BEFOR 3�17�17 LAST PAGE 1 DERIVE❑ FROM THESE COMMODITIES, AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL - FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ CITY OF CARMEL PO BOX 7137 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46206-7137 Payee $53.87 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 138089395 42-390.40 $53.87 1 hereby certify that the attached invoice(s),or 2/15/17 138089395 Food $53.87 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 Wednesday, February 15,2017 1 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. 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