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Home My WebLink About325486 05/23/18 4��'.c,q\ CITY OF CARMEL, INDIANA VENDOR: 365677 i{ ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*****""*93.57* x i" CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 325486 11"!. CHICAGO IL 60680-1029 CHECK DATE: 05/23/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926108242 67.39 FOOD & BEVERAGES 1207 4239040 926108275 26.18 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $26.18 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 926108275 42-390.40 $26.18 1 hereby certify that the attached invoice(s),or 5/17/18 926108275 Food $26.18 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 Friday, May 18,2018 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 Grand Rapids,Rcd ,Ml495o,-1787 FOOD SERVICE STORE INVOICE# DATE 1-800-968-7500 926108275 05/17!2018 TA L 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 2117821 1 EACH LETTUCE ROMAINE HRTS 7-6CT MRKN 10 3.99 3.99 7865350 1 CASE TOMATO SLCD 1/4"5#RSS 10 22.19 22.19 22.19 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 26.18 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD FREEZER COOLER WAREHOUSE MISC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature receipt of all Items listed and its promise to pay INVOICE TOTAL 26.18 the amount due to GFS. S.Gusto Customer agrees that Ile 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 represent the Transaction and Issue a draft against the account upon which the Transaction is drawn for a lee up to the maximum permitted by law. PAID 0.00 26.18 TOTALS BY TAX CATEGORY Received By: SALE NBR 232 %RATE TAX %RATE TAX l/ � LANE NBR 04 The perishable agricultural Commodities shown on this invoice are sold subject to the I USER ID 72116 statutory trust authorized by section 5(c)of the Perishable Agriculture]Commodities Act,1930 V U.S.0 499e(c)).The seller of these Commodities retains a cost claim over DATE 05/17/2018 these commodities,all inventories of food or other products derived from these Commodities and any receivable or proceeds from the sale of these Commodities unlit TIME(GMT) 18:35:00 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$.08 per dozen ♦♦________'Acceptance constitutes agreement to a time differential of 1 1 O/ month on the unuaid balance after the due date ___________ T PLEASE CUT ALONG THE DOTTED LINE �y/.r� PLEASE CUT ALONG THE DOTTED LINE THEN RETURN BOTTOM PORTION. f{' THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. v PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 CUSTOMER# I INVOICE# DATE Chicago,IL 60680-1029 PAY THIS AMOUNT �J_ 26.18 100133245 926108275 05/17/2018 IIIIIIIIIII IIIIIIIIIIII,IIIIIIII IIIIIIIIIIIIIII'llllllllllllll'I I IIII 100133245910926108275000002618700000261873 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 $67.39 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 926108242 42-390.40 $67.39 1 hereby certify that the attached invoice(s),or 5/17/18 926108242 Food $67.39 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 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page:1 of 1 Gordon P.O.Box1787 INVOICE FOOD SERVICE STORE www.gfs.com MI 49501-1767 INVOICE It DATE 1-800-968-7500 926108242 05/17/2018 TAIL 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 2424891 1 EACH LETTUCE SHRD TACO 1/8CUT 4-5#RSS 10 4.99 4.99 1967000 1 CASE ENERGY DRINK RED BULL 24-8.3Z 9 1.46 34.99 34.99 2671001 1 EACH ONION RING BATRD 3/8"6-2.5#GCHC 2 4.99 4.99 2670801 1 EACH APTZR MOZZ STIX 13ATRD 6-2#GCHC 2 5.99 5.99 4372601 1 EACH FRIES RC 5/16"STEALTH 6-5#G0171 2 7.49 7.49 6852310 6 CASE 1-11-TR CANADA DRY TONIC 9 0.10 1.49 8.94 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 67.39 1-GROCERY 2-FROZEN 3-MEAT 4-SEAF005 16.47 FREEZER COOLER I WAREHOUSE MIS.. 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 67.39 9•DISP.BEVG 10-PRODUCE 11-TABLETOP payment(Transaclion')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 43.93 4.99 TOTALS BY TAX CATEGORY Received By: SALE NBR 124 %RATE TAX %RATE TAX V, ` LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 75176 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The sailer of these commodities retains a trust claim over DATE 05/17/2018 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) 10:39:00 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 rate of$.08 per dozen _'Acceetance constitutes agreement to a tirr ice differential of 1 1/2a/------------------------------------------er month on the unaid balance after the due date PLEASE CUT ALONG THE DOTTED LINE PLEASE CUT ALONG THE DOTTED LINE THEN RETURN BOTTOM PORTION. THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. v PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 CUSTOMER# INVOICE# DATE Chicago,IL 60680-1029 PAY THIS AMOUNT 67.39 100133245 926108242 05/17/2018 III IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII:IIIIIIIIIIIIIIIIII I IIIIIIIII 100133245910926108242000006739700000673973