319829 12/21/2017 -
`� ".. '€ CITY OF CARMEL, INDIANA VENDOR: 365677
b 'r ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********44.48*
CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 319829
Fy_roN..`o CHICAGO IL 60680-1029 CHECK DATE: 12121/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926102745 44.48 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$44.48
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
926102745 42-390.40 $44.48 1 hereby certify that the attached invoice(s),or 12/19/17 926102745 Food $44.48
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, December 19,2017
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. 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 926102745
Invoice Date 12/19/17
Terms; Net 30 Days
Cashier: MARY ANN
Spring Mix Convtnl 4.00
4024811
2 @ 13.50
Lasagna W/Mt Sauce 27.00
6541831
Plain Breadsticks 4.99
2196101
Bag Rclsble Sandwc 8.49
4154901
TAX 0.00
** BALANCE 44.48
GFS Charge 44.48
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 5 .
12/19/17 12;01pm 1905 3 232 71600
IT I I III INIII I I 1111111111111111111111111111
80190500302321712191201
Total Due: 44.48
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