HomeMy WebLinkAbout324662 04/25/18 -
�,�....'',,F CITY OF CARMEL, INDIANA VENDOR: 359366'
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® l ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******818.07*
CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 324662
f.oN INDIANAPOLIS IN 46206-7137 CHECK DATE: 04/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138495343 818.07 FOOD & BEVERAGES
1...3�.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts - City Form No.201(Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ 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
$818.07
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
138495343 42-390.40 $818.07 1 hereby certify that the attached invoice(s),or 4/18/18 138495343 Food $818.07
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
r
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
IIIIIIIIIIIIIIIII IIIIIIIII11111 IIIII 11111 Iiiii i(IIIIIIIII IIIIIIIII IIIIIIIII IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMERS ORIGINAL INVOICE CONFIDENTIALEPROPERAcYEc. OF SYSCO
. I N 4 1 2 9 4 0 1 3 8 4 9 5 3 4 3 4/18/18
BROOKSHIRE GOLF CLUB+++ Good things 1 K
S�m���O� TROCx ST0". .0 912940 138495343 4 1
12120 BROOKSHIRE PKWY i.611
CARMEL IN 46033 , SYSCO INDIANAPOLIS,, LLC, ROUTE PURCHASE ORDER
4000 W 62ND ST �'
INDIANAPOLIS, IN 46268 3343 TERMS• -EAST DUE SAIANCES ARE SUBJECT TO SERV CHARGE; a
317-846-7931 DUE FRIDAY 4 WEEKS AFTER ORDER F
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 615869 NORMAL DELIVERY o
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ 0
CARMEL IN 46033
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' QTY d HACK. SIZE? ITEM!DESCYtIPTION ITEM UNITT., EXTENDED n P INVOICE ADJUSTMENTS K
„COUP PRICE AHODNT' PRICK x x co 4Tx;
r' SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM 6 H W YOU C EARN CREDI ON YOUR OUNT! E
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*,t,t DAIRY *** ...
C 1S NL LB BRLCLS CHEESE AMER 120 SLI YEL � 28131 6697114 16 89 16 89
C iS NL LB ASASOL CHEESE CHEDDAR JACK FANCY S: 0999C 2819718 15 89 15.840
*** *** GRpUP.TOTAL* . 32 76. o
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• .:. ..... . ...
MEATS z
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n
C 2 S 4 .5LB BRLCLS HANi HONEY SMK SLI .6702 20660 1963289 45.09 90.18 c
": ... .
L,
F 1 S 4 LB JTM PORK BBQ SHRED W/SCE 44020 4 * ' * ' 82 76 82.76 0
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:: ': ;'< A
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F 1 S 24 OZ OLTEN PORK FRITTER BNLS HMSTY �O 20009 6583710 47.13 47.13
GROUP,. TOTAL*"�** , 0.07;; .
*** POULTRY
F 2 S 40 OZ SYS CLS CHICKEN BRST GRL MRK PCK4948 0895 8666214 60.17 120 34
C 2 S 425# BRLCLS.TURKEY,. BREAST...SLI MESQ 6 226559.411 4476455 59 .98. ... 119 96 0
<.... ,. ... ***.... .. GROYJP 'TOTAL****.. . ...I 2:4..0, .30.: o
CANNED & DRY
:. x : A
2 S 160 CT YS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 27 51 55 02 9
2 S 1223 OZ IZONA DRINK EA ARNOLDPALMER LITE 0554968 16.91 33.82
...,
.
1 S 16 40Z SRCCLS KETCHUP SQUEEZE BTL HOUYA24 9617218 27 25 27.25
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A
1 S 1212 OZ FT MAYONNAISE SQUEEZE RE�/1002,1000052933 3047749 39 79, 39 79 .,
4 S 24 5LTR PURLIFE WATER PURIFIED 12273782 8108847 5.99 23.96 4
GROUP TOTAL** 179 84.', `
**
* ,. PAPER 6 DISPOSABLE ***
OUT S 8100 C OMET BOWL PLAS FINESSE 12OZ BLK VB12BK 076:: , 162 25
OTE STOCK 1 -..'
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GROUP TOTAL****
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CASES SPLIT OT,PCS CUBE GROSS WT. OPEN:11:0 0 AM CLOSE: 2 00 PM P.O. REMIT T0
•" •, ""
BOX 7137 M
18 2 20 13.9 314 INDIANAPOLIS, IN SUB
46206-7137 TOTAL
TAX
DRIVER'S - NO. PCS CUST.sxuaeo n ..ays.-..oe•+...ruses NO. PCS TOTAL
'SIGN DELVD. SIGN v REC. INVOICE '
A TOTAL
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
UTHORIZED BY SECTION 5 (Cl OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 V.S.C. 499EN,. THE SELLER OF THIS COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER RODUCTS DERIVED FROM THESE COMMODITIESPROC CONT. ON PAGE 2
SPECT TO ANY DISPUTE ARISINGSFROM OUT OFTHE SALE OF YOUR RECEIPT OFETHESEODITIES PRODUCTS/SERVICES:TIL LL PYOU AREENT IGIVINGIUPDYOOUURRTAIGfiTYTO SERVE INREE TANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
I IIIIIII IIIIII IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII IIIIIIII IIII IIIII IIIII IIIIIIIIIIIIIIIIIIIII I IIIIIIII IIIIIIIIIIIIIII CUSTOMER LS ORIGINAL vNvMERcE CONFIDENIEPROPERT OF SYSCO
a 0 + 3 8 4 9 5 3 4Go,dAngs 4/18/18
BROOKSHIRE GOLF CLUB+++ TRUCK11
sxDP 412940 138495343 4 2
12120 BROOKSHIRE PKWY silko. /016
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC AOUTLr PURCHASE ORDER
4000 W 62ND ST b
INDIANAPOLIS, IN 96268 3343 TERMS -PAs�r nvEBALANCEs AAE SUBJECT To SERVICE, I'llCHARGE [
317-846-7931 DUE FRIDAY 4 WEEKS AFTER ORDER F
SHELLFISH SHIPPER ID: IN007RS MANIFEST# 615869 NORMAL DELIVERY °
BROOKSHIRE GOLF m
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ z
CARMEL IN 46033
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! SI2E ITEM;;DESCRIPTION ITEM I.UNIT �DxT EXTENDED, A = TMENT3
C... .. s ;, ..
CODE - RICE .AMoaN:: PRICE 'i. x. Co 802CE S QTY
*** PRODUCE ***
C 1 S 2 LB BRLIMP SALAD CHICKEN 51071 2510717 47 77 47.77 �"
GROUP TOTAL**** _11- 47.77,;
*** DISPENSER *** y
::iICS 1 5 INMAID SYRUP LEMONADE BIB 16760298 8908832 48 63 48 63 b
... ... .
Ei:
�' .... .: M
1 S i2;.5 LDPEAK SYRUP TEA CONC UNSWT BLK PRP02250298 7065776 43.98 43.98 °z
GROUP TOTAL**** 92 61 s
MISC GE % HGS FOR FUEL SURCHARGE 4.70 * a
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i/RDE $1. Y 2,75391.
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CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE 2 00 PM REMi7.' TO i
P O. BOX 7137 M
3 3 1.3 60 INDIANAPOLIS, IN SUB
46206-7137 TOTAL 818.07
21 2 23 15.2 374 TAX
DRIVER'S NO. PCS I CUST.Sl—xxvozca—DENMS Or:....x NO. PCS TOTAL
SIGN DELVD. SIGN X. REC. INVOICE
TOTAL 818.07
1PRESENTATIVE
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
NORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)I. THE SELLER OF THIS COMMODIAINS A TRUST CLAIM OVERTHESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, LAST PAGE
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH
PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGkT TO SERVE IN ANY
CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.