HomeMy WebLinkAbout323376 03/23/18 o
CITY OF CARMEL, INDIANA VENDOR: 359366ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: *****416.68*
CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 323376
INDIANAPOLIS IN 46206-7137 CHECK DATE: 03/23/18
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER'i%: AMOUNT DESCRIPTION
1207 4239040 138454716 416.68 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ CITY OF CARMEL
PO BOX 7137 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.
INDIANAPOLIS, IN 46206-7137
Payee
$416.68
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
138454716 42-390.40 $416.68 1 hereby certify that the attached invoice(s),or 3/8/18 138454716 Food $416.68
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
Friday, March 09,2018
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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
I IIIIIIIIIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIII IIIIIIIIII IIIII IIIII IIIIIIIIIIIIIIII III IIII DELIVER ELVV..ODATE CUSTOMER CONFIINVVO CCEIr MBEPROPERTAGE OF SYSCO
I N 4 1 2 9 4 0 1 3 8 4 5 4 7 1 6 0 0 1 F 3/08/18
GoocPthings
BROOKSHIRE GOLF CLUB+++ come from TRUCE STOP 412940 138454716 0 1
12120 BROOKSHIRE PKWY ��®�� O° /009
CARMEL •IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST 4434 TERMS- -PAST DUE BALANCES ARE SUBJECV TO SERVICE CHARGE M
317-846-7431 INDIANAPOLIS, IN 46268 F
DUE FRIDAY 4 WEEKS AFTER ORDER F
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 612796 NORMAL DELIVERY o
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y
CARMEL IN 46033
O QTY PACK SIZE -. - ," ITEM DESCRIPTION :_ .. ._ -ITEM UNITTAX 1'.T EXTENDED A INVOICE ADJUSTMENTS
P
C - CODE - PRICE..: AMOUNT PRICE :. g I ,:,CODE Tx..
SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU CAN EARN A cREDir ON YOURCOUNT!
*** MEATS ***
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F 1 CS 25 LB CASASOL BEEF FAJ STRIP FC MAR SW 1/2X3 11413 6471413 71.94 71.94
GROUP TOTAL**** 71.94 c�
*** CANNED & DRY ***
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1S ONLY36 CT NESTLES CANDY BAR BUTTERFINGE 00028000643621 7001847 25.98 25.98 Oz
1S ONLY36 CT MARS CANDY BAR 3 MUSKETEER 42208 1760531 29.41 29.41
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l .CS 230 CT LAYS CHIP VARIETY BED 92268 4830455 26.98 26.98 0
1 I 160 CT LAYS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 27.51 27.51
1 IS 642 OZ ROLGOLD PRETZEL TINY TWIST CLS LSS 44391 6798845 34.65 34. 65
GROUP TOTAL**** 144.53
*** PAPER & DISPOSABLE ***
a
ISCS 10100 CTSYS CLS GLOVE POLY CAST DISP LG 303363113 8346538 54.95 54.95
1S ONLY500CT SYSTRNZ STRAW PLAS WRPD JMBO S YSTWJ77SSER24 0191516 5.32 5.32
1S ONLY100OCTBROWN WRAP DRY WAX SANDWICH 12X12 7B4 5479217 14.23 14.23
GROUP TOTAL**** 74.50 0
** CHEMICAL ***
1 S 4320Z KEYSTON CLEANER ALL PURPOSE ORANGE R 6100063 7682802 31.31 31.31 a
GROUP TOTAL**** 31.31
*** PRODUCE *** H
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0
C 1 S 25 LB BBRLIMP SALAD CHICKEN 51071 2510717 45.72 45.72 p
GROUPTOTAL**** 45.72 0
*** DISPENSER
1 CS 12.5GAIBARQS SYRUP ROOT BEER BIB 15400298 6665467 43.98 43.98
GROUP. TOTAL**** 43.98
MISC ZHARGES FOR FUEL SURCHARGE 4.70 * z
CASES SPLIT rOT.PCS CUBE GROSS WT. OPEN: 7:00 AM CLOSE: 2:00 PM REMIT TO
P.O. BOX 7137
8 4 12 10.9 110 INDIANAPOLISUB
46206-7137 TOTAL
TAX
DRIVER'S - NO. PCS COST.sxcrrm xNvoxca Svxn S OF n...:xexs NO. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL
�mPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
I
HORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (O.S.C. 499E(CII. THE SELLER OF THIS COMMODIAINS A TRUST CLAIM OVER THESE COMMODITIES ALL.INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COtMODITIES, CONT. ON PAGE 2
ANY RECEIVABLES OR PROCEEDS FROM THE SAL. OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREPECT TO ANY DISPUTE ARISING OOT OF YOURRECEIPTOFTHESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGhT TO SERVRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIII IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111111111111111111111111111111 DELIVERELCOP DATCUSTOMER CONFID VO CCEIN�EPROPE FA E OF SYSCO
I N 4 1 2 9 4 0 1 3 8 4 5 4 7 1 fi 0 0 2 G 3/08/18
Goodthings
BROOKSHIRE GOLF CLUB+++ come from TRUCK STOP 412940 138454716 0 2
CARMEL
BROOKSHIRE PKWY ��®��O° /009
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 ROUTE' PURCHASE ORDER
4000 W 62ND ST o
317-846-7431 INDIANAPOLIS, IN 46268 4434 TERMS -PAST DUE BALANCES ARE.SUBJECT To SERVICE CHARGE
DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS IMANIFEST# 612796 NORMAL DELIVERY m
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y
CARMEL IN 46033
L `" UNIT - INVOICE ADJUSTMENTS
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,. - -CODE, PRICE. AMOUNT PRICE. g I =CODE QTY -
ORDER Y 80559 80638
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CASES SPLIT rOT.PCS CUBE GROSS WT- - OPEN: 7:00 AM CLOSE: 2:00 PM REMIT TO - z
P.O. BOX 7137 M
INDIANAPOLIS, IN SUB
46206-7137 TOTAL 416.68
81 4 12 10.9 110 TAX
DRIVER'S NO. PCS CUST.sxceam—im svNOEzsss or NO. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL 416.68
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
TITHORIZED BY SECTION 5 (C1 OF THE PERISHABLE AGAICOLTORAL COMMODITIES ACT 1930 V.S.C. 499E(CII, T8E SELLER OF THIS COMMODI
TAINS A TAOST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES 4/06/18 LAST PAGE
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED,FORTHER YOU AGREE WITH
SPECT TO ANY DISPOTE ARISING OUT OF YOUR RECEIPT OF THESE PRODOCTS/SERVICES: YOU ARE GIVING UP YOUR RIG6T TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.