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Home My WebLink About319937 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 0 ,y. N d V fA AM 0 G .n (d -aft CL N N N FOOD SERVICE STORE O -+ N 0 N , fU 0 a Fishers N 9540 Masters Rd Indianapolis, IN 46250' a (317) 845-0712 o Invoice o � _ OD A/R Inquiries 1-800-968-6490 00 Customer Service 1-800-968-4164 CD V =r (0 www.gfs.com ro _ Brookshire Golf Club 0 ? w m 12120 Brookshire Pkwy = m s Carmel,IN FL a = N � 100133245 d N O O W Q ° m Invoice Number 926102259 =� y 22 3 Invoice Date 12/07/17 0 m m of a Terms: Net 30 Days CD m w °a m CD 3 o d I CD m Cashier: MARY ANN 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 o !.,. . 7324861- t Whole Baby Carrots 2,79 _ 5106371 rz =r Grape Tomatoes 1-2 5.49 Q. 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 y c o -Cucumbers Seedless 4.00 �- 5323121 N a < DOUGH CKY HS SNCKR 61 .99 n d7099100 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 CL llIillllllillllillllllllllllll111111111111111 1l 500302911712071518 PO V �J 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