HomeMy WebLinkAbout325089 05/09/18 oi�
CITY OF CARMEL, INDIANA VENDOR: 359366ONE CIVIC SQUARE SYSCO FOOD SERVICESCHECK AMOUNT: S*****1,70$.78*
CARMEL, INDIANA 46032 PO Box 7137 CHECK NUMBER: 325089
IINDIANAPOLIS IN 46206-7137 CHECK DATE: 05/09/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138501981 162.25 FOOD & BEVERAGES
1207 4239040 138504194 879.64 FOOD & BEVERAGES
1207 4239040 138513413 666.89 FOOD & BEVERAGES
:1
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ 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
$666.89
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
138513413 42-390.40 $666.89 1 hereby certify that the attached invoice(s),or 5/3/18 138513413 Food $666.89
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, May 03,2018
A(--W
t�
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
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PROPER
CUSTOR'S ORIGINAL INVOICE CONFIDENT
IIIIIIIIIIIIIIIIIIIIIII 4 IIIIIIIIIIIIIIIIII IIIIIIIIIII IIIIIIIIIII IIIIIII IIIIIIIIIII CONFIDEOICE NUMBER NTIAL PROPERTY OF SYSCO
IIIIIII IIII I III VIII VIIIA 3 O DELV.'DATE '. CUSTOMER
BROOKSHIRE GOLF CLUB... Goocthmgs 5/03/18
12120 BROOKSHIRE PKWY �� m�r�o� TRIIcx sl11 oe 412990 138513913 3 2
SYSCO INDIANAPOLIS LLC /009
CARMEL IN 96033 / 4000 W 62ND ST ROUTE PURCHASE ORDER b
317-846-7431
INDIANAPOLIS, IN 46268 4491 TERMS -PAST DUE BALANCES ARE SUBJECT TO SERVICE CHARGE
DUE FRIDAY 4 WEEKS AFTER ORDER
SHELLFISH SHIPPER ID: IN007RS MANIFEST# 617157 NORMAL DELIVERY 10
BROOKSHIRE GOLF 0
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y
CARMEL IN 46033 9z
ITEM UNIT ' vNiT EXTENDED T p INVOICE ADJUSTMENTS y
o "QTX ,PACK: SIZE ITEM DESCRIPTION TAx
c CODE: PRICE ANouNT PRICE ! x I CODE 4TY t K
GROUP TOTAL**** 127.19
MIS GE HUS.', FOR. FUEI,SURCHARGE 4.70
ORDER SU14MARY 42373b
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CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PMREMIT TO. z
P.O. BOX 7137
INDIANAPOLIS, IN SUB
46206-7137 TOTAL 666.89
18 1 19 13.2 308 TAX
DRIVER'S NO. PCS COST.s—x—evx°se°ss°F we xxexs NO. PCS TOTAL
SIGN DELVD. SIGN v REC.
A INVOICE
TOTAL 666.89 �\
1PRESENTATIVE
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
flORIZED BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 V.S.C. 499EN THE SELLER OF THIS COMMODZAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES ITIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH 6/01/18 LAST PAGE
PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY
CAPACITY.OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED zo
Vendor# 359366 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
$162.25
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
138501981 42-390.40 $162.25 1 hereby certify that the attached invoice(s),or 4/24/18 138501981 Plastic Bowls $162.25
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
Monday,April 30,2018
I�
C
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 IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN DELIVERY COPY EE. CUSTOMER CONFIDENTIAL E PROPERTY OF SYSC.
I N 4 1 2 9 4 0 1 3 8 5 0 1 9 8 1 0 0 1 F 4/24/18
BROOKSHIRE GOLF CLUB+++ Good�things
come from TRUCx STOP, 412940 138501981 3 1
12120 BROOKSHIRE PKWY
a% come
/000
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST M
INDIANAPOLIS, IN 46268 TERMSPAST nUE sALpNCEs ARE 'SUBJECT To SERVICE CHARGE [
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER �
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# DROP-SHIP m
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ 0
CARMEL IN 46033 DRIVER: I
O S2TY d PACK ,SIZE ITEM DESCRIPTION _ !9.. INVOICE ADJUSTMErrrs
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SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & H W YOU CAN EARNCREDI ON YOUR ACCOUNT!
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P.O. 10386910
SHIPPER 9
INVOICE #,. 142856098
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*** PAPER & DISPOSABLE *** ,9. A
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1 S 8100 C OMET BOWL PLAS FINESSE 1202 BLK VB12BK 0763874 162.2591. 162.25 b
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CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:1100 AM CLOSE: 2:00 PM •_,REMIT•To
.. I
P.O. BOX 7137 M
1 1 .7 31 INDIANAPOLIS, IN SUB
46206-7137 TOTAL 162.25
1 1 .71 31 TAX
DRIVER'S NO. PCS I CUST. ....—..sv —E.oz—as NO. PCS TOTAL
SIGN DELVD. SIGN v REC.
X
INVOICE
TOTAL 162.25
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
UTRORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMM0DITIES ACT 1930 (U.S.C. 499E(C11. THE SELLER OF THIS COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF MOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES,
SPECT TOCANY D SPUTE ARISINGIVABLES OR SOUT OFOM THE SiU YOUR RECEIPT OFETHESEODITIES PRODUCTS%SERVTIL ICES:LL PAYMENT YOU AREIGIVINGIUPDYOUR RIGATYOU
TO SERVE INANY
5/25/18 LAST PAGE
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
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
$879.64
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
138504194 42-390.40 $879.64 1 hereby certify that the attached invoice(s),or 4/26/18 138504194 Food $879.64
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 26,2018
did/
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
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111 CUSTMER'S ORIG
INAL olOMERCONFIDENTIAL PROPERTY OF SYSCO:CINVOICE
NIIIIIIIIIIIIIIGI4/26/18
O0441ngs
BROOKHIRE
12120 BROOKSHIRE
GOLF CLUB... ��come
�from
�O�4 W TRucx sTOP 412940 138504194 0 1 M
12120 BROOKSHIRE PKWY / /008
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
000 62ND ST 4455 TERMS -PAST DUE BALANCES ARE SUBJECT TO SERVICE CHARGE:-' 0
317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 616534 NORMAL DELIVERY °%
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ z
CARMEL IN "46033 DRIVE
ITEM, UNIT _ `• EXTENDED T p INVOICE ADJUSTMENTS "
° PACK; SIZE ITEMiDESCRIPTION TAx
o S`TY CODE PRICE nNouNx PRICE X,I coDE'i• QTY:
SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM & HOW YOU EARN CREDI ON YOUR OUNT!
7. .:
*** MEATS ***
. ..
F 1 S 605.3 OZ NT BEEF PATTY GRD SEA HS FRZ 7703003 6964597 73.80 73.80
.
y F 1 S 25 LB JHNSVLE BRATWURST CKD ULTIMATE 5X1 101558 2116860 43.32 43.32 b
\1 F 2 S 2 LB BRLCLS E'RANK ALL-MEAT 5X1 6 IN 7486506792 1137736 28.95 57.90 °z
GROUP TOTAL**** 175.02 n
*** CANNED & DRY ***
C 1S ONLY36CT MARS CANDY BAR MILKY WAY 255386 1771785 26.81 26.81
N
M
�J C 1S
ONLY 4 CT HERSHEY CANDY BAR PAYDAY 80723 7030414 18.75 18.75
�I C 1S NL 8 CT SNICKER CANDY BAR SNICKER 1.86 OZ 256479 1793837 36.50 36.50
0
%
V C 1S ONLY48 CT M&M CANDY M&M PEANUT 1.74 OZ 4380788 34.70 34.70
~ C 1S ONLY36 CT REESES CANDY PEANUT BUTTER CUP 44000 5197769 27.38 27.38 0
N
1 S 641.502 SUNCHIP CHIP MULTIGRAIN GRDN SALSA LSS 44428 6799136 36.25 36.25
1 CS 230 CT LAYS CHIP VARIETY BKD 92268 4830455 27.51 27.51
1 cS 160 CT. LAYS CHIP VARIETY SYSCO/FRITO LAY 3.1831. 6586721 27.51 27.51
1 S 483..750ZPLANTER PEANUT SALTED 10029000077086 3259928 27.56 27.56
GROUP, TOTAL****:' 262.97
*** PAPER, &_DISyPOSABLE *** „
1 S 1 50CT SYS CLS BAG PLAS RECLOSE GAL XX HE 304985530 7863634 49.95 49.95 7tl
1 S1000 T YS CLS FORK PLAS BLK MEDHVY MDLNGT YMWFESYS 8003370 62.86 62.86
0
"GROUP" TQTAL 12.81.:1:
*** SUPPLY &. EQUIPMENT ***
v D 1 CSI 24 HR SYSCO FUEL CANNED. CHAFING WICK 4HR 10324 4783678 66.99. 66.99 m
ROUP :TOTAL
„ ., ,
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11•00 AM CLOSE: 2:00 PM REMIT To
P.O. BOX 7137 M
11 5 16 11.9 138 INDIANAPOLIS, IN SUB
46206-7137 TOTAL
TAX
DRIVER'S NO. PCS COST.sxcseo 0. PCS TOTAL
SIGN DELVD. SIGN v REC. INVOICE
A TOTAL
IPRESENTA
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
HORIZED BY SECTION 5 (CI OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 V.S.C. 499EN,. THE SELLER OF THIS COMMODIAINS A TAUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTER RODUCTS DERIVED FROM TESE COMMODITIES,PECT TOCANY DISPUTE ARISINGS OR SFROM OUT OFTHE SM OF YOUR RECEIPT OFETHESEODITIES PRODUCTS%SERVIL IC S:LL PAYMENT YOU AREIGIVING UPOYOUR RIGATYOU TO ERVE INTANYCONT. ON PAGE 2
TIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
�' llIII llllllll111111l 1111 Ill IIIIIIIIIII11111111111111111Ill 111111111111111111111111111111111111Ill CUSTOMER LS ORIGINAL UNVMERCE CONFIDE TE NU�tffiEPROPI.•'RAAGEE : SYSCO
• I N 4 1 2 9 4 0 1 3 S 5 0 4 1 9 40 0 2 C 4/26/18
Good ingS
BROOKSHIRE GOLF CLUB+++ come from T"C STOP 412940 138504194 0 2
12120 BROOKSHIRE PKWY S��sco� /008
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER M
9000 W 62ND ST 4455 TERMS---PAST DUE BALANCES ARE•SUBJECT TO SERVICE CHARGE .: p
317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 616534 NORMAL DELIVERY ro
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ
CARMEL IN 46033 n VER:
QTY n PACK SSZE LTEMDESCRIPTION ITEM UNIT SIT ; EXTENDED A p INVOICE ADJUSTMENTS
x CORE PRICE AMovNx; PRxCE x I QTY•:
*** PRODUCE ***
-N (C 1 CS 25 LB BBRLIMP SALAD CHICKEN 51071 2510717 47.77 47.77
C 1 CS 25 LB BBRLIMP SALAD TUNA ALBACORE 51194 2511947 49.60 49.60
GROUP TOTAL**** 97.37 !
*** DISPENSER *** n
H
1 S 1 GAL OCACOL SYRUP COKE CLASSIC 5X1 BIB 04250010 4090593 79.89 79.89 °z
1 S 15 GAL COCACOL SYRUP COKE DIET 5X1 BIB 04240010 4273546 79.89 79.89 c
.
*10k* y
GROUP TOTAL: ..::: „ `i y
MISC GE HGS FOR FUEL SURCHARGE 4.70 * O
ORDE SUMMAY 35797 35816
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CASES I SPLIT k OT.PCs CUBE GROSS WT. OPEN•11•00 AM CLOSE 2:00 PM REMIT TO z
P.O. BOX 7137
4 4 2.5 120 INDIANAPOLIS, IN SUB
46206-7137 TOTAL 879.64
15 5 20 14.4 258 TAX
DRIVER'S NO. PCS CUST.sxceaso xervoxce evxnsxces oe n..,.xm�s NO. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL 879.64
UTAINS:A:TRUST
:-
THORIZED
VISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
ION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EN,. THE SELLER OF THIS COMMODIAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES5/25/18 LAST PAGE
S OR PROCEEDS.FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WIT�3PUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY
ACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.