HomeMy WebLinkAbout323485 03/29/18 CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********73.94*
x ?�: CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 323485
sy_TON CHICAGO IL 60680-1029 CHECK DATE: 03/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926106118 73.94 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$73.94
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
926106118 42-390.40 $73.94 1 hereby certify that the attached invoice(s),or 3/22/18 926106118 Food $73.94
1207 101 1207 101
0 42-390.40 bill(s)is(are)true and correct and that the 3/22/18 0
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Thursday, March 22,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page:1 of 1
Gordon P.O.Box1787 INVOICE
G
FOOD SERVICE STORE wwwgfMI 49501-1787
s.com INVOICE# DATE
1-800-968-7500 926106118 03!22/2018
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
8503571 2 EACH CHEESE ASST PARTY TRAY SLCD 6-2#GFS 6 10.00 20.00
4714611 1 EACH CHEESE COLBY JK CUBED 6-1#GFS 6 3.99 3.99
4714961 1 EACH CHEESE CHED MED CUBED 6.1#GFS 6 3.99 3.99
5513931 1 EACH CHEESE MONTRY JK JALAP CUBED 6-1#GFS 6 3.99 3.99
8260110 1 CASE Cored Pineapple 10 2.99 2.99 2.99
6977901 1 EACH DOUGH CKY CHOC CHP 1.5Z 4-80CT GFS 2
17.99 17.99
7077801 1 EACH DOUGH CKY WHT MACD 1.5Z 4-80CT GFS 2 20.99 20.99
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 73.94
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
38.911TAX
FREEZER COOLER ARE
WHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION -
Customer's signature evidences receipt of all items listed and Its promise to pay
I 31 97 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 73.94
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
2.99
TOTALS BY TAX CATEGORY Received By: SALE NBR 182
%RATE TAX %RATE TAX
{{1 LANE NBR 04
The perishable agricultural commodities shown on this Invoice are sold subject to the 1 �/
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities USER ID 65122
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 03/22/2018
these commodities,all inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale o1 these commodities until TIME(GMT) 11:06:00
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