319308 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 365677
b °l ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $**.....*31.13*
f ,4 CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 319308
9M�rnN�°' CHICAGO IL 60680-1029 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926101742 31.13 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL
PO BOX 88029 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.
CHICAGO, IL 60680-1029
Payee
$31.13
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
926101742 42-390.40 $31.13 1 hereby certify that the attached invoice(s),or 11/24/17 926101742 Food $31.13
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 27,2017
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
r
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
100133295
Invoice Number 926101742
Invoice Date 11/24/17
Terms: Net 30 Days
Cashier: ADRIENNE
MARGARINE WHPO 3.5 4.49
7723811
3+1 Con Orange Jui 5.99
1199971
Canadian Style Por 7.29
1676611
Hot Cocoa Mix 1-2 6.79
4121551
Apple Red Deliciou 3.99
8387401
2 @ 1 .29
Bananas 1-31b. 2.58
6444821
TAX 0.00
# BALANCE 31 .13
GFS Charge 31 .13
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 7
11/24/17 03:49pm 1905 4 136 73419
IIIIIIIIIIIIIIIIII IIIIIIIII IIIIIIIIIIIIIIIII
80190500401361711241549
Total Due: 31 .13
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