HomeMy WebLinkAbout315769 09/06/17 (9-
CITY OF CARMEL, INDIANA VENDOR: 365130
ONE CIVIC SQUARE MARK CROMLICH CHECK AMOUNT: $#######152.55#
CARMEL, INDIANA 46032 12685 LANTERN RD CHECK NUMBER: 315769
FISHERS IN 46038 CHECK DATE: 09/06/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 REIMB 152.55 OTHER EXPENSES
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Gordon: PO.Box1787 INVOICE
GWWwgffs.com MI 495011787
FOOD SERVICE STORE INVOICE# DATE
1-800-968-7500 926098534 09/04/2017
TAIL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100060884 1906 INDY-FISHERS IN MP153 OUT# 1905 Fishers 30 Days Terms-Prox
10th
SHIP TO: Carmel Fire Department PAID IN FULL
2 Civic Square
Carmel,IN 46032
Master Card
ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT
4372890 1 CASE Coke Diet 2-12pk 9 3.33 6.66 6.66
4372911 1 EACH Coke Classic 2-12pk 9 3.33 3.33
6497021 1 EACH CUPCAKE RED VLVT.75Z 12-24CT 2B1TE 2 6.99 6.99
5401711 2 EACH CHIP POT RIPPLED 6-20Z GFS 1 3.99 7.98
7680201 1 EACH CHIP POT SWT BBQ RIPPLED 6-19Z GFS 1 3.99 3,99
6496421 1 EACH BROWNIE FUDGE 1Z 8-32CT 2BITE 2 6.99 6.99
5098101 2 EACH ANGUS STKBRGR PTY 4/#FZ 8-5#PAB 3 22.99 45.98
3049131 1 EACH GFS CLASSIC FRANKS 8/#3 MEAT FRESH 3 9.99 9.99
1642161 1 EACH CHEESE AMER 120CT SLCD 4-5#GFS 6 13.29 13.29
7855811 1 EACH CUTLERY KIT KFS HVY CLR 14-150 GFS 7 5.99 5.99
5200981 1 EACH BAKED BEANS 1 6.49 6.49
1637701 1 EACH PLATE PPR 10"ASPIRE 4-125CT GFS 7 18.29 18.29
4988831 1 EACH NAPKIN LNCH 1PLY 1/4 FLD 12-50OCT GFS 7 4.29 4.29
2340871 1 EACH CUP FM 20Z TAL 20-25CT DART 7 2.29 2.29
6058830 2 CASE 1-16CT HAMBURGER BUNS MARKETPLACE 1 2.50 2.50 5.00
6058910 2 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.50 2.50 5.00
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 152.55
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
28.46 13.98 55.97 TAX
FREEZER COOLER WAREHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY -DISPOSABLE 8-SANITATION
Customer's signature evidences receipt of all items listed and its promise to pay
13.29 30.86 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 152.55
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
which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 152.55
9.99
TOTALS BY TAX CATEGORY Received By:
SALE NBR 136
%RATE TAX %RATE TAX
LANE NBR 04
Paii G hg.
Ekch�de sisnaeve utcartuet.
The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 64856
statutory trust authorized by sedan 5(c)of the Perishable Agricultural Commodities
Ad,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 09/04/2017
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 MR TIME(GMT) 15:55:00
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
________'Acceptance constitutes agreement to a time rice differential of 1 1l2%er month on the un2paid balance after the due date ____________
PLEASE CUT ALONG THE DOTTED LINE l/J��rr� PLEASE CUT ALONG THE DOTTED LINE
THEN RETURN BOTTOM PORTION. c!' THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION.
V PLEASE ENCLOSE THIS STUB WITH PAYMENT.
Gordon Food Service,Inc.
P.O.BOX 88029
CUSTOMER# INVOICE# DATE
Chicago,IL 60680-1029
PAY THIS AMOUNT
100060884 926098534 09/04/2017 0.00
IIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100060884210926098534000000000000000000005