HomeMy WebLinkAbout324625 04/25/18 `+or Cgq�f
�,r ,� _ CITY OF CARMEL, INDIANA VENDOR: 365677
® `j
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: S•"""'1,096.92"
,_� CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 324625
M_TON" CHICAGO IL 60680-1029 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 185215154 569.33 FOOD & BEVERAGES
1207 4239040 926107102 527.59 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
$569.33
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
185215154 42-390.40 $569.33 1 hereby certify that the attached invoice(s),or 4/17/18 185215154 Food $569.33
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
Tuesday,April 17,2018
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
®rdo Gordon Food Service Inc Page 1 of 2
GShipped From Shepherdsville Distribution Ctr
FOOD SERVICE 342 Gordon Industrial Dr.-Shepherdsville,KY 40165 Invoice 185215154
Corporate Phone#1-888-968-7500
www.gfs.com Purchase Order
Invoice Date 04/17/2018
RouteStop Customer Representative Terms
4645 099 100133245 BROOKSHIRE GOLF CLUB 2313:Cordney Horne 1(502)496-050311(502)496-0503 Net 30 Days
4040:Kris Miller 1(800)968-6597
Ship To BROOKSHIRE GOLF CLUB Bill To BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL IN 46033 CARMEL IN 46033
Itemv Qty Invent. x Extended
Code Ship Unit Item Description ° Value Unit Price 9 Price
208787 1 CASE 4-2.5#SAUCE BUTTER LEM WINE 11003424 GR 18.35 73.38 73.38
267,737 1 CASE 100^1Z CHEESE CREAM CUP PHIL 61119 r DY 0_39 M 38 91 38.97
726524 1 CASE 6.1.5#CHEESE CHED MLD 14161/29081 DY 4.31 25.85 25.85
242071 1 'CASE'4-5#LETTUCE SALAD SE_PARA 58712/92660 PR 6.92 27.67 727.67
249111 ' 1 CASE 1-5#LETTUCE JAMMERS 91938 _ PR 20.13 20.13 20.13
540061`', r 2 CASE 3 5#ENTREE,MACAR 8 CHEESE 357505 T_PR 10 79 32 38 64 76
_y___..u...S._3- _ NNT ._. _..._-_.._._ _ _
601570 1 PAIL 2GAL PICKLE STACKER C/C SLC 5408 PR 26.74 26.74 26.74
729010 2 CASE 4 5#POT_MATO MASHED YKN 71117 94501 PR ,7.40 29 60 59.20
_ .�.M -
7_86_535_ _ _1__ CASE 1.5#TOMATO SLCD1/4"P/L ------------------__ PR -- ---30.39___30.39 ___ __ 30.39
Totals: 11 Total Cooler Pieces
698510_ _ _2 1 46 ___52 65 ___ __1_05:30'
Totals: 2 Total Freezer Pieces
824940 1 CASE 60-1.5Z DRESSING RNCH CNTRY PKT 12538 GR 0.37 21.96 21.96
824970 1 CASE 60 1'5Z DRESSING VINAG RASPB 12533 GR 0 30 17 73 17 73
825001 1 CASE 60-1.5Z DRESSING ITAL CLSC PKT 12543 GR 0.31 18.49 18.49
825020 ,1, CASE 60 1 5Z DRESSING FREN RYL RD 12541 GR 0 31 1538 s 18.38
_ ._ _ .
825030 __ _1__ CASE160-11.5Z DRESSING SESAME TSTD FF 12537 GR __ 0.34 ___20.44 20.44
Totals: 5 Total Grocery Pieces
Page sub-total., 569.33
Group'Summary;
Cases Group Amount Tax Total
6x-Grocery .GR_.__ _ _. __.170 38 , - Q.DO 17,0 38
2 Poultry-PO 105.30 0.00 105.30
M 2 Dairy DY _ .. _ .._...64,76 ` _ ,R.Qo. r:_ _ ..64.76.:..
8 Produce-PR 228.89 0.00 228.89
Gordon Gordon Food Service Inc Page 2 of 2
Shipped From Shepherdsville Distribution Ctr
FOOD SERVICE 342 Gordon Industrial Dr.-Shepherdsville,KY 40165 Invoice 185215154
Corporate Phone#1-888-968-7500
www.gfs.com Purchase Order
Invoice Date 04/17/2018
Route Stop Customer Representative Terms
4645 099 100133245 BROOKSHIRE GOLF CLUB 2313:Cordney Horne 1(502)496-050311(502)496-0503 Net 30 Days
4040:Kris Miller 1(800)968-6597
ustomefs signature evidences receipt of all items listed and its promise to pay the amount due to GFS.Customer agrees that if a check,draft SubTotal $569.33
r any other order of payment(each,a"Transaction")issued for payment of this invoice is dishonored,GFS may re-present the Transaction
nd issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. All unpaid invoices
re subject to a time price differential of 1 1/2%per month on the unpaid balance after the due date. -The perishable agricultural Fuel Surcharge $0.00
ommodities shown on this invoice are sold subject to the statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities -
cl,1930(7 U.S.C.499e(c)).The seller of these commodities retains a trust claim over these commodities,all Inventories of food or other .Ir1VOICe Total,,.
f $56,9:33
roducts derived from these commodities and any receivable or proceeds from the sale of these commodities until full payment is received. -
Marine Stewardship Council:MSC-C-63810
GUa f GFS DRIVER
Received By Print Name
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ,
Vendor# 365677
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$527.59
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
926107102 42-390.40 $527.59 1 hereby certify that the attached invoice(s),or 4/18/18 926107102 Food $527.59
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
Thursday,April 19,2018
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
FOOD SERVICE STORE wwww.gfs.codm,M149501-1787 INVOICE# DATE
1-800-968-7500 926107102 04/18/2018
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
2009050 1 CASE BACON CANAD WHL 2-5.5#AVG HRML 13.39 lb 3 4.79 64.14
1424920 1 CASE WRAP PPR/FOIL 10.5X13"YEL 4-500 7 24.44 97.76 97.76
2624211 2 EACH BROWNIE DBL CHOC DECADENCE 4-55Z 2
15.99 31.98
1890511 3 EACH BURGER VEG BLCKBN CHPTL 4-12CT MSTARF 3 19.99 59.97
1199971 5 EACH JUICE ORNG CONC 3+1 12-32FLZ GRDNACRE 9 5.99 29.95
6936710 1 CASE JUICE ORNG 100%4-1 GAL HV 9 4.49 17.96 17.96
6936711 1 EACH JUICE ORANGE 4-1 GAL HV 9
4.49 4.49
2317621 1 EACH SMOOTH MARINARA SAUCE 1
5.99 5.99
6736091 3 EACH RSTD PORK GRAVY HEARTHSTONE 1
3.79 11.37
7723611 2 EACH MARGARINE WHPD 6-3.5#GFS 1
4.49 8.98
7485201 2 EACH CROUTON LRG SEAS 10-2#GFS 1
3.99 7.98
3572201 2 EACH BACON CRUMBLES CKD 12-1#GFS 3
9.99 19.98
3261351 1 EACH CHEESE BLND MEX SHRD FINE 4-5#GFS 6
14.99 14.99
5105521 6 EACH MIX LEMONADE 15-2GAL CNTRYTM 9
4.29 25.74
1847501 2 EACH TOMATO GRAPE SWT 12-2#P/L 10
2.99 5.98
1648101 1 EACH ROMA TOMATOES 10
6.99 6.99
2554161 3 EACH BOWL PLAS 12Z WHT B-125CT GFS 7
12.79 38.37
7679210 1 CASE CREAMER HLF&HLF 384CT COFF HSE 6 22.99 22.99 22.99
2262401 1 EACH BROWNIE CHOC DECADENT 4-12X16 SIENNA 2 24.99 24.99
5418501 1 EACH BROWNIE FUDG TRTL 4-12X16"SIENNA 2
26.99 26.99
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 527.59
1-GROCERY 2-FROZEN 3-MEAT 4•SEAFOOD
34.32 83.96 144.09 FREEZER COCLER WARENCUSE 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 INVOICE TOTAL 527.59
37.98 136.13 the amount due to GFS.Customer agrees that if a check,draft and/or order 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 maximum permitted by law. PAID 0.00
78.14 12.97
TOTALS BY TAX CATEGORY Received By: SALE NBR 76
%RATE TAX %RATE TAX
11 / ,,11 LANE NBR 03
The perishable agricultural commodities shown on this invoice are sold subject to the I I 1/1 ` J �'I� USER ID 49187
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 04/18/2018
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) 13:33:00
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 rale of$.09 per dozen