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Home My WebLink About323141 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: 5*******177.86 CARMEL, INDIANA 46032 PO Box 88029 CHECK NUMBER: 323141 CHICAGO IL 60680-1029 CHECK DATE: 03/21/18 DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926105763 73.35 FOOD & BEVERAGES 1207 4239040 926105904 66.99 FOOD & BEVERAGES 1207 4239040 926105944 37.52 FOOD & BEVERAGES 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 $73.35 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 926105763 42-390.40 $73.35 1 hereby certify that the attached invoice(s),or 3/13/18 926105763 Food $73.35 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, March 14,2018 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 Gordon P.O.Box1787 INVOICE MI 49501-1787 FOOD SERVICE STORE wwwgffs.com INVOICE III DATE 1-800-968-7500 926105944 03/17/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days KRIS MILLER#73406 SHIP T0: Brookshire Golf Club r 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 1971911 1 EACH SHELL TACO CORN WGRAIN 8-48CT GFS 1 5.99 5.99 7133301 4 EACH TORTILLA FLOUR 8"SFST 24-12CT GRSZ 1 1.49 5.96 1861200 1 CASE WHEAT SANDWICH BREAD 1-22 OZ. 1 2.49 2.49 2.49 6058910 1 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.59 2.59 2.59 6755041 1 EACH BULK COOKIE;CHOC CHNK 6-40CT SIENNA 2 11.99 11.99 1983071 1 EACH ONION DCD 1/4"2-5#RSS 10 8.50 8.50 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 37.52 1-GROCERY 2-FROZEN 3-MEAT , 4-SEAFOOD 17.03 11.99 TAX FREEZER COOLER WAREHOUSE MISC. TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION customer's signature evidences receipt of all items listed and its promise to pay the amount due to GFS.Customer agrees that its check,draft and/or order of INVOICE TOTAL 37.52 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 maximum permitted by law. PAID 0.00 8.5 TOTALS BY TAX CATEGORY Received By: SALE NBR 179 %RATE TAX %RATE TAX 1 LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the l \ / USER ID 72116 statutory bust 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 03/17/2018 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 TIME(GMT) 14:00:00 full payment is received.Eggs delivered in the slate of Illinois include an Illinois Egg Signature: Inspection Fee In the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen Page:1 of 1 Gordon® P•O.Box1787 INVOICE GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926105904 03/1612018 TAIL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days KRIS MILLER#73406 SHIP TO: Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 2142201 1 EACH DRESSING CAESAR CRMY 6-.5GAL PEP MLL 1 6.99 6.99 1848101 1 EACH ROMA TOMATOES 10 8.79 8.79 2147951 3 EACH ROSE'S LIME JUICE PLASTIC 9 6.49 19.47 4154601 1 EACH BAG RECLOS FREEZER GAL 6-90CT GFS 7 9.49 9.49 5795231 25 EACH PAN FOIL 1/3 SZ 200CT HFA 7 0.89 22.25 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 66.99 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 6'99 FREEZER COOLER WAREHOUSE MISC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES B-SANITATION Customer's signature evidences receipt of all items listed and its promise to pay 1 74 the amount due to GFS.Customer agrees that if a check,draft and/or order or INVOICE TOTAL 66.99 31.74 payment(Transaction•)Issued for payment of this Invoice is dishonored,GFS 9•DISP.BEVG 10-PRODUCE 111-TABLETOP may re-present the Transaction and issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00 19.47 8.79 TOTALS BY TAX CATEGORY Received By: SALE NBR 223 %RATE TAX %RATE TAX LANE NBR 04 1C The perishable agricultural commodities shown ona this invoice Agr are sold subject to the USER ID 72116 statutory(rust authored bysection 5(c)of the Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The seller of(hese commodities retains a bust claim over DATE 03116/2018 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 TIME(GMT) 16:51:00 full payment is received.Eggs delivered in the stale of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen •e,•,—tm—,.nn,fih,f—nnroor,iont to n time nricp diffprpntial of 1 117%ner month on the unpaid balance after the due date VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $104.51 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 926105904 42-390.40 $66.99 1 hereby certify that the attached invoice(s),or 3/16/18 926105904 Food $66.99 1207 101 1207 101 926105944 42-390.40 $37.52 bill(s)is(are)true and correct and that the 3/17/18 926105944 Food $37.52 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Tuesday, March 20,2018 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 Gordon FOOD SERVICE STORE Fishers 9540 Masters Rd Indianapolis, IN 46250 (317) 845-0712 1nvoicc 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 926105763 Invoice Date 03/13/18 Terms; Net 30 Days Cashier: KRISTEN 2 @ 6.79 Rstd Pepper&Onions 13.58 8472081 LP Black beans 6/6 4.99 7582611 Honey Mustard Drss 4.99 1073611 Corn Taco Shell 1- 5.99 1971911 Taco/Mex Beef Fill 14.29 7765481 Taco Filling Chick 16.29 5003811 4 @ 1 .49 Tortilla Flour 8" 5.96 7133301 3 @ 1 .79 Belladoro Tomato D 5.37 2012631 Yellow Onions 1 .89 6930781 TAX 0.00 *** BALANCE 73.35 GFS Charge 73.35 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 15 03/13/18 03:10pm 1905 4 408 68860 Stay Stocked Between Deliveries Save time - place your next order online, and pick it up in store, Log in at sfs.com to order online. 11111111111 IIIIIIIIII 80190500404081803131510 Total Due: 73.35 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 11 n