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Home My WebLink About324237 04/18/18 CITY OF CARMEL, INDIANA VENDOR: 365677 T ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $""""*"*67.55' x. ,a CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 324237 CHICAGO IL 60680-1029 CHECK DATE: 04/18/18 �TpN F DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926106796 16.78. FOOD & BEVERAGES 1207 4239040 926106877 43.28 FOOD & BEVERAGES 1207 4239040 926106878 7.49 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $16.78 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 926106796 42-390.40 $16.78 1 hereby certify that the attached invoice(s),or 4/11/18 926106796 Food $16.78 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,April 11,2018 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 GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926106796 04/11/2018 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 TO: Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 8387401 1 EACH APPLE DELICIOUS RED WA 12-3# 10 3.79 3.79 6058830 1 CASE 1-16CT HAMBURGER BUNS MARKETPLACE 1 2.50 2.50 2.50 6058910 2 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.50 2.50 5.00 2591950 1 CASE SPICE PARSLEY FLAKES 2Z TRDE 1 5.49 5.49 5.49 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 16.78 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 12.99 FREEZER COOLER WAREHOUSE MISC. TOTAL TAX 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 if a check,draft and/or order of INVOICE TOTAL 16.78 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 dmf/against the account upon which the Transaction Is drawn for a fee up to the maximum permitted by law. PAID 0.00 3.79 TOTALS BY TAX CATEGORY Received By: SALE NBR 44 %RATE TAX %RATE TAX \ LANE NBR 04 The perishable authorized b commodities shown a this invoice Ag are sold subject to Ise \f USER ID 49187 statutory(rust eulhar¢ed 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 04/11/2018 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) 10:24:00 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 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 $50.77 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 926106878 42-390.40 $7.49 1 hereby certify that the attached invoice(s),or 4/13/18 926106878 Food $7.49 1207 101 1207 101 926106877 42-390.40 $43.28 bill(s)is(are)true and correct and that the 4/13/18 I 926106877 I Food I $43.28 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Tuesday,April 17,2018 UO 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 G FOOD SERVICE STORE WWWgffs.com MI 49501-1787 INVOICE# DATE 1-800-968-7500 926106677 04/13/2018 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 TO: Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 3572201 2 EACH BACON CRUMBLES CKD 12-1#GFS 3 9.99 19.98 2856841 1 EACH S/S SCRUB PAD HD GFS 7 1.59 1.59 5961081 3 EACH CLEANER OVEN 8 GRILL AERO 6-18Z ARRAY 8 4.49 13.47 7055911 1 EACH SPONGE SCRUBBING YEL/GRN 8-5CT ARRY 7 2.99 2.99 6725300 1 CASE 1-COOLER MARKDOWN 6 5.25 5.25 5.25 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 43.28 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 19.98 FREEZER COOLER WAREHOUSE MISC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customer's signature evidences receipt of all items listed and Its promise to pay 5.25 4.58 13.47 the amount due to GFS.Customer agrees that its check,draft and/or order of INVOICE TOTAL 43.28 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 TOTALS BY TAX CATEGORY Received By: SALE NBR 54 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this Invoice are sold subject to the USER ID 65122 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act,1"0(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 04/13/2018 Ihese commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these commodities unto TIME(GMT) 10:16:00 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 Page:1 of 1 Gordon P.O.Box1787 INVOICE Gwwd95G0drs,Mla95o,-1787 FOOD SERVICE STORE INVOICE# DATE 1-800-968-7500 926106878 04/13/2018 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 TO: Brookshire Golf Club 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 4372601 1 EACH FRIES RC 5116"STEALTH 6-5#G0171 2 7.49 7.49 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 7.49 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 7.49TAX FREEZER COOLER WAREHOUSE MISC. TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION am signature evidences receipt of all items listed and its promise to pay the the amount duo to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 7.49 payment(Transaction")issued for payment of this invoice is dishonored,GFS 9-DISP.BEVG 10-PRODUCE 11-TABLETOP may re-present the Transaction and issue a draft against the account upon PAID 0.00 which the Transaction is drawn for a fee up to the maximum permitted by law. TOTALS BY TAX CATEGORY Received By: SALE NBR 55 %RATE TAX %RATE TAX 44 ` LANE NBR 04 The perishable agricultural wmmodities shown on this invoice are sold subject to the 1 \v, USER ID 65122 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 04/13/2018 fl ese 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) 10:18:00 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 rale of$.08 per dozen