HomeMy WebLinkAbout321163 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 365677
d 'h ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $"""***78 74'
?� CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 321163
CHICAGO IL 60680-1029 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926103640 78.74 FOOD & BEVERAGES
i.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$78.74
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
926103640 42-390.40 $78.74 1 hereby certify that the attached invoice(s),or 1/16/18 926103640 Food $78.74
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
Thursday,January 18,2018
f
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
F:isherss
9540 Masters Rd
Indianapolis, IN 46250
(317) 845-0712
Invoice
A/R Inquiries 1-800-968-6490
Customer Service 1--800-968-4164
ww41.9fs.com
Brookshire Golf Club
12120 Brookshire Pkroy
Carmel,IN
100133245
Invoice Number 92610:>640
Invoice Date (11/16/18
Terms: Net 30 Days
Cashier: JERRY
2 @ 4.00
Spring Mix Convtnl 8.00
4024811
Lettuce American B 5.99
4517201
Fine Shred Mex. Che 14.29
3261351
2 @.1 .29
LETTUCE: ICEBIIRG 1C 2.58
6958211
3 @ 2.59
TOMATO FRSH 12-ICT 7.77
7953521
Grape Tomatoes 1-2 5.49
1847501
ONION RED MED 5# P 4.99
7902201
Bacon Crumbles Ckd 11 .29
3572201
2 @ 3.99
Potato Chip Origin 7.98
5401621
2 @ 2.59
16ct. HAMBURGER BU 5.18
6058830
2 @ 2.59
1-16CT HOT DOG BUN 5.18
6058910
TAX 0.00
** BALANCE: 78.74
GFS Charge 78.74
CHANGE 0.00
TOTAL NUMBER OF: ITEMS SOLD = 18
01/16/18 02:08Pm 1905 2 73 22856
IT I IIIIIIIIIIIIIII 11111111111111111111111111111
80190500200731801161°108
Total Due: 78,74
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
Applicaiion Agreement _ -
11(L 1V > 1