HomeMy WebLinkAbout319937 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $•" "" *408.15'
CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 319937
CHICAGO IL 60680-1029 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926102146 88.79 FOOD & BEVERAGES
1207 4239040 926102259 252.46 FOOD & BEVERAGES
1120 4355100 926102428 66.90 PROMOTIONAL FUNDS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ - 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
$252.46
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
926102259 42-390.40 $252.46 1 hereby certify that the attached invoice(s),or 12/7/17 926102259 Food $252.46
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,December 13,2017
/4
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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wo s c. Sour Cream 1=5 lb 6.99
N fD a =' 2852181
0 CL o `O _, Broccoli Florets B 7,79
v ' m 7324511
a ° m Cauliflower Bite S 10.00
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t Whole Baby Carrots 2,79
_ 5106371
rz =r Grape Tomatoes 1-2 5.49
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m No i 1847501
CL'` `' - BRIE ROUNDS 8oz 1.19
7993711
N� Celery Sticks 1-3 5.49
7815921
mco Fancy Mushrooms 1- 4.49 ,
o s c 4171801
Medley Crackers 1- 10.99
2052571
CD 0
Asst Crackers Entm 10.29
No 3 a 4656711
Sweet & Sour Sauce 9.79 r
Cn 0.o. 5 5348111
3 @ 6.29
N m Cup Plas Clear 9Z 18.87
0 0 7922201
2 @ 2.00
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o -Cucumbers Seedless 4.00
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N a < DOUGH CKY HS SNCKR 61 .99
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CD :? m, DOUGH CKY CARML AP 88.99
v 7549500
-i fD ° TAX 0.00
m a ° * * BALANCE 252.45 z
o GFS Charse 252,45 D
CHANGE 0.00 9
TOTAL NUMBER OF ITEMS SOLD = 18 z
12/07/17 03;18pm 1905 3 291 71600
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CO ITotal Due: 252,45
Customer acknowledges receipt of the
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$66.90
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
926102428 43-551.00 $66.90 1 hereby certify that the attached invoice(s),or 12/12/17 926102428 $66.90
1120 101 1120 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, December 13,2017
D40D
David Haboush
Fire Chief
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
Page:1 of 1
Cordon P.O.Box 1787 INVOICE
FOOD SERVICE STORE wwww.gfs.com MI 49501-1787 INVOICE# DATE
1-800-968-7500 926102428 12/11/2017
TAL 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
2 Civic Square
Carmel,IN 46032
ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT
6603911 4 EACH CUP FM 24Z WHT 25-20CT DART 7 2.49 9.96
5246910 1 CASE COFFEE CLSC RST 6-30.5Z FOLG 9 9,49 56.94 56.94
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 66.90
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
FREEZER COOLER I WARENOIlSE -SC. TOTAL TAX
6-POULTRY 6-DAIRY -DISPOSABLE 8-SANITATION
Customers signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 66.90
-
9.96 the amount due to GFS.Customer agrees that If a check,draft andlor order of
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
66.94 which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00
TOTALS BY TAX CATEGORY Received By: SALE NBR 233
%RATE TAX %RATE TAX
LANE NBR 04
The perishable agricultural commodities shown on this Invoice are sold subject to the USER ID 72116
statutorytrust authorized by section 5(c)of the Perishable Agricultural Commodities
Act.1930(7 U.S.0 499e(c)).The seller of these commodAes retains a trust claim over DATE 12/11/2017
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 MARK TIME(GMT) 19:57:00
NII 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$.09 per dozen