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Home My WebLink About325294 05/15/18 Coq... CITY OF CARMEL, INDIANA VENDOR: 356366 4: ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: S"*"""607.38• CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 325294 INDIANAPOLIS IN 46206-7137 CHECK DATE: 05/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138520486 607.38 FOOD & BEVERAGES 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 $607.38 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 138520486 42-390.40 $607.38 1 hereby certify that the attached invoice(s),or 5/10/18 138520486 Food $607.38 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 10,2018 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 IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII DELV DATE IIII CUSTOMER'S ORIGINAL UNVRCE CONFIDEDNT�2EPROPERT OF SYSCO 9 4 0 1 3 B 5 2 O 4 8G 60cIngs 5/10/18 BROOKSHIRE GOLF CLUB+++ rom TAvcE STOP ' 412940 138520986 0 1 12120 BROOKSHIRE PKWY SiltCaS4 /010 CARMEL IN 46033 YSCO INDIANAPOLIS, LLCROUTE PURCHASE ORDER000 W 62ND ST b 317-846-7431 INDIANAPOLIS, IN 46268 4491 ;.TERMS11 -PAST DUE,SALA kC ARE sU JECT"To SERVICE CHARGE 1 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RSMANIFEST# 617746 NORMAL DELIVERY ,a 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 a ITEM UNIT , vRIT EXTENDED T .P "i INVOICE ADJUSTMENTS y QTY a PACK SIZE' ITEM DESCRIPTION :: tAx K C ', 1. CODL PRICE AMODNT PRICE z 'i '! :CODE. ;QTY SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM & H W YOU EARN CREDI ON YOUR ACCOUNT! ,. 1. *** DAIRY *** _.. \J V C 1S NL LB BRLCLS CHEESE AMER 120 SLI YEL 28131 6697114 15 99 -15 99 H 11.11,11.111, GROUP TOTAL**** X.L1. 15 99 ,_ \ *** MEATS ***. :'€, ll� V F 1 S 60 3 OZ NT BEEF PATTY GRD SEA HS FRZ 7703003 6964597 73.80 73.80 zz *** CANNED & DRY GROUP lw— , : ..„ . ., :.,. a TOTAL**** 73".80" \, 11 y v C 1S NL 6 CT STLES CANDY BAR BUTTERFINGE 00028000643621 7001847 25.98 25.98 . . ' . \ C 1S NL 4 CT' HERSHEY CANDY BAR PAY DAY 80723 7030414 18.75 18.75 �r C 1S NL 8 CT I. SNICKER CANDY BAR SNICKER 1.86 OZ 256479 " 1793837 36.50 36.50 1. _, C 1 NL 6 CT S CANDY BAR 3 MUSKETEER 42208 17605-1 —11131 29 41 29 41I . e , :, CI. .... 1S NL 6 CT &M CANDY SKITTLE FRUIT CHEW 2.174 7009251 25..20„ 25 20 0 iq. : N 1 S 21.5 EINZ KETCHUP FANCY POUCH D 10013000515501 7449051 35.73 35.73 I. a -; N C 1 1 GAL SCHWRTZ PICKLE CRS CUT KO 29658270756 1028919 40.20 40.20 1 1 . 5009 GM SRCCLS RELISH.SWEET PKI. 78000588 1609064 31 O1 31 O1. ., ... si, ._.. . .. ..: .. ,. ....:i.... ., ...... .. .. a ..`.' 4 S 24 5LTR PURLIFE WATER PURIFIED 12273782 8108.847 5 99 23 96 a GROUP TOTAL**,k* 266. 79 \ 4 .: *** „PAPER. & DISPOSABLE *** Y J. ,', 'r: is .:' _ .. n 1 S 4100 C SYS CLS GLOVE LATEX FDSVC .PWDRFREE 30475.0022 8347841 48 85 48 85 1. GROUP TOTAL**,** 4d-$5 ! °rob *** CHEMICAL *** z 1 S 4 20Z YSTONyCLEANER ALL PURPOSE ORANGE R 6100063 7682802 31 31 31 31 ,; > ,. O GcROUP :TOTAL**;**.” 31, 31. IHzw *** PRODUCE *** -:�l-��:-i:�—�:��:!i �-�-�....-..�.i�"i"i.[�' C 1 S 2 LB,; BRLIMP SALAD .CHICKEN 51071 2510717 47, 77 47 77 . ,II4 , CASES SPLIT OT. Cs CUBE GROSS WT. OPEN:II:OO AM CLOSE: 2:00 PM REMIT TO:' , NI >.. :.. .. ...:.................................I'll. P.O. BOX 7137 M 11 6 17 7.1 275 INDIANAPOLIS, IN SUB -- - 46206-7137 TOTAL TAX DRIVER'S11 0. PCS CUST.sxm�sn nry .-.—-.....— NO. PCS TOTAL ' SIGN DELVD. SIGN REC. INVOICE TOTAL IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE UTHORIZED BY SECTION 5 C) OF THE PERISBABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C�� THE SELLER OF THIS COMMODI TAINS A TRUST CLAIM OV�R THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES IND ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES IL FULL PAYMENT IS RECEIVED.FORTAER Y00 AGREE WITIi CONT. ON PAGE 2 SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY PRESENTATIVE CAPACITY,OA TO PARTICIPATE ASA MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SOCA DISPUTE. IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 1111111 IIIIIIIIIIIIIIIIIIIIIIIIIIII 111111111 IN CUSTOMER'S ORIGINAL vr'" RcE CONFIDENTIAL EPROPERT E OF SYSCO GoodAingS 5/10/18 BROOKSHIRE GOLF CLUB+++ come from TRocE sxoP 412940 138520486 0 2 CARMEL BROOKSHIRE PKWY �,��®� /010 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC gpUTF, PURCHASE ORDER 4000 W 62ND ST b INDIANAPOLIS, IN 46268 4491 TERMS —PAST DUEIBAS AF ARE SUBJECT TO SERVICE CHARGE q 317-846-7431 � DUE FRIDAY 4 WEEKS AFTER ORDER SHELLFISH SHIPPER ID: IN007RS MANIFEST# 617746 NORMAL DELIVERY o BROOKSHIRE GOLF ro 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 QTX a PACK' SIZE ITEM'DESCRIPTION ITEM UNIT TAXIT EXTENDED AT p INVOICE.-ADJUSTMENT3 K \ c _ CODE PRICE AMOUNT: PRICE x I CODE: 4TY•' V C 1 S 2 LB BRL.IMP°_SAY.AD51199. 1' 2511;947 99.60' 49..60 v C-11 1 1 X6 IMPFRSH TOMATO;l LAYER FRESH 1008630 19.99; 19:,99 GROUP TOTAL**** 117 36 ** DISPENSER *** 1 .5GAL BARQS ... SYRUP ROOT BEER 8I8 1540:0298 6665467 48,JS.3 48.63 y .. GROUP TOTAL**** 48.63 ox MISC GE HGS;. FOR ;FUEL SURCHARGE y ORDER SUMMARY 48788 492090 .. _ ,. .. X. a m 0 i 0 a ... c yyap n 0 0 H O K LLLLL . .. ,. CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO`. . z P.O. BOX 7137 M 3 3 1.3 49 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 607.38 141 6 20 8.4 324 TAX DRIVER'S NO. PCS CUST.sxsssn xxvoxcs svmsses or ux.xxsxs NO. PCS TOTAL ' SIGN bELVD. SIGN REC. INVOICE TOTAL 607.38 IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE UTHORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 fU.S.C. 499E(Cll. THE SELLER OF THIS COMMODI TAINS A By CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER RAUCTS DERIVED FROM THESE COMMODITIES MD SPECT RECEIVABLES DISPUTE ARICEEDSOFR M THE S RECEIPT OF TOF HESE ETCOMMODITIES UNTIL SERV ICES:PAYMENT IGIVINGIUPDYOURTHERRIGA YOU AGRVE INTANY 6/08/18 LAST PAGE PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.