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Home My WebLink About322346 02/27/18 CITY OF CARMEL, INDIANA VENDOR: 365677 i{ ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******130.38* a. CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 322346 '•i;,�TON :�- CHICAGO IL 60680-1029 CHECK DATE: 02/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355100 926104449. 89.05 PROMOTIONAL FUNDS 1120 4355100 926104697 41.33 PROMOTIONAL FUNDS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365677 GORDON FOOD SERVICE, INC IN SUM OF$ 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 $130.38 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 926104449 43-551.00 $89.05 1 hereby certify that the attached invoice(s),or 2/13/18 926104449 $89.05 1120 101 1120 101 926104697 43-551.00 $41.33 bill(s)is(are)true and correct and that the 2/16/18 926104697 $41.33 1120 101 materials or services itemized thereon for 1120 1 101 which charge is made were ordered and received except Friday, February 16,2018 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 GordonP.O.Box 1787 INVOICE GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926104697 02/13/2018 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 CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 4374011 1 EACH Mountain Dew 2-12pk 9 4.00 4.00 4371691 1 EACH Pepsi 2-12pk 9 4.00 4.00 4371711 1 EACH Pepsi Diet 2-12pk 9 4.00 4.00 8422411 1 EACH NACHO CHEESE FLVORED TORTILLA CHIPS IN A 1 4.29 4.29 2419391 1 EACH NAPKIN DNNR 2PLY WHT 28-100 GFS 7 1.99 1.99 1453301 1 EACH PLATE MOLDED FBR 10.5"4-125CT GFS 7 14.79 14.79 7680201 1 EACH CHIP POT SWI"BBQ RIPPLED 6-19Z GFS 1 3.99 3.99 7734921 2 EACH CUP FM 16Z UPTOWN 40-25CT DART 7 1.69 3.38 2534931 1 EACH Faygo 2L Rootbeer 9 0.89 0.89 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 41.33 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 8.28 TAX FREEZER COOLER WAREHOUSE MIaC. TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature evidencesreceipt of all items listed and its promise to pay INVOICE TOTAL 41.33 20.16 the amount due to GFS.S.Customer agrees that if a check,draft and/or older 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 which the Transaction is drawn for a fee up to the ma>amum permitted by law. PAID 0.00 12.69 TOTALS BY TAX CATEGORY TAX Received By: I SALE NBR 461 %RATE TAX %RATE f LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the C / USER ID 66859 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 02/13/2018 these commodities,all inventories of food or other products derived from these commodfties and any receivable or proceeds from the sale of these commodities until MARK TIME(GMT) 16:47:00 full 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 rale of$.08 per dozen Page:1 of 1 G Cor on P.O.Box1787 INVOICE nd ,M149501-1787 FOOD SERVICE STORE www.gfs.cmINVOICE# DATE 1-800-968-7500 926104449 02/0812018 TAC 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 2415711 3 EACH CUP FM 16Z 40-25CT DART 7 2.29 6.87 1700891 2 EACH CUP FM 32Z 20-25CT DART 7 2.79 5.58 5246910 1 CASE COFFEE CLSC RST 6-30.5Z FOLG 9 7.99 47.94 47,94 1453301 1 EACH PLATE MOLDED FBR 10.5"4-125CT GFS 7 14.79 14.79 4733591 1 EACH GFS CREAMER CANISTERS 9 1.89 1.89 7855901 1 EACH SPOON PLAS MWT-HWT CLR 16-150 GFS 7 5.99 5.99 7908411 1 EACH FORK PLAS MED/HVYWr CLR 15-15OCT 7 5.99 5,99 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 89.05. 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD FREEZER COOLER WAREHOUSE tASC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLE 8-SANITATION Customer's signature evidences receipt of all items listed and its promise to pay 39 22 the amount due to GFS.Customer agrees that if a check draft andfor order of INVOICE TOTAL 89.05 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 which the Transaction is drawn for a fee up to the mabmum permitted by law. PAID 0.00 49.83 TOTALS BY TAX CATEGORY Received By: SALE NBR 215 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the _ USER ID 66090 statutory trust authorized by section 5(c)ofthe Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The seller ofthese commodities retains a trust claim over DATE 02/08/2018 these commodities,all Inventories of food or other products derived from these commodities and any receivable or proceeds from the sale ofthese commodities until MARK CROMLICH TIME(GMT) 08:54:00 full 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$.08 per dozen