HomeMy WebLinkAbout325588 05/23/18 ,�j'�,q,,f. CITY OF CARMEL, INDIANA VENDOR: 359366
e '�. CHECK AMOUNT: $*******603.89*
ONE CIVIC SQUARE SYSCO FOOD SERVICES
:. : CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 325588
9.y�TON.�` INDIANAPOLIS IN 46206-7137 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138527466 603.89 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ 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
$603.89
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
138527466 42-390.40 $603.89 1 hereby certify that the attached invoice(s),or 5/17/18 138527466 Food $603.89
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 17,2018
�J
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
IIIIIIIIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMERLs DATEORIGINAL CUSTOMER CE CONFIDENTIAL PROPERTY OF SYSCO
Goodsthmgs 5/17/18
BROOKSHIRE GOLF CLUB+++ come from 'TRUCK..STOP : 412940 138527466 5 1
S-/SC0
12120 BROOKSHIRE PKWY /014
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND STb
INDIANAPOLIS, IN 46268 4449 TERMS PAST DUE'BALANCES ARE SUBJECT TO SERVICE CHARGE:.%. q
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 618303 NORMAL DELIVERY
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ Oz
CARMEL IN 46033
ITEM UNIT UNIT: EXTENDED T p INVOICE ADJUSTMENTS y
ITEM DESCRIPTION CODE PRICE AMo RT PRICE X.I CODES; QTx.
SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM & HOW YOU C EARN CREDI ON YOUR OUNT!
..
*** DAIRY ***
C 1S ONLY5 LB BBRLCLS CHEESE AMER 120 SLI YEL 28131 6697114 15.99 15.99
GROUP TOTAL**** 15.99 '
*** MEATS ***
F 2 CS 605.3 OZ NT BEEF PATTY GRD SEA HS FRZ 7703003 6964597 73.80 147.60 z
F 2 CS 25 LB JHNSVLE BRATWURST CKD ULTIMATE 5X1 101558 2116860 43.32 86 64
F 2 CS 25 LB BBRLCLS FRANK ALL-MEAT 5X1 6 IN 7486506792 1137736 28.95 57.90
GROUP,TOTAL**:** 292,14 O'
***~ CANNED & DRY ***
1 S 2 0 CT YS CHIP VARIETY BKD 922684830455 27.51 27.51
D 2 S 160 CT YS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 27.51 55.02 a
OUT CS 1223 OZ ARIZONA DRINK TEA ARNOLD PALMER LITE 0554968 o
OUT STOCK 4
1" S 200 /„1602 FT MA]CONNAISE :REAL PACKET. 214006648500 ; 3718'533 25.39 ;25.39
0
Y
1 S 1 5 LBiSYS REL SHORTENING :ERY LIQ CLR ZTF ; 5020553 ( 451$403
D 4 24 5LTA: PURLIFE WATER..PURIFIED. 12273782 8108,847 5.99; 96
GROUP TOTAL**** 156.51
***
ER ',& DISPOSABLE ***”
V 2S NL;. OOCTSYSCO FOIL SHEET:'.9X10.75IN. SILVER W6;9372 16938500. 18.49;
36.98 0
D ZS i10 00 C SYS. CLS GLOVE POLY CAST DISP MED 303363112 8348245 99.741 49.74`
0
GROUP TOTAL**** 86.72
**,t PRODUCE.**,k
V C. LB'„it IMPFRSH ONION D..FRES
1 -S 1 REH:
j!:! 10394948.9..7 0
x
�C
is S ..:2 1 LB! SYS..CLS .•SALAD• COLESLAW ORIG DIXIE 201534 5457975, 38.80: 38.80 K
CASES SPLIT OT.PCS CUBE GROSS NT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO
P.O. BOX 7137 i
18 3 21 16.4 306 INDIANAPOLIS, IN SUB
46206-7137 TOTAL
TAX
DRIVER'S NO. PCS CUST,sxexco nrvoxce eVincses or n....xxses NO. PCS TOTAL
SIGN DELVD. SIGN v REC. INVOICE
X
TOTAL
FTAINS
PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIESRALCOMMODI LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRSTPAYABLE ON OR BEFORE
D BY SECTION 5 C) OF TEE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (II.S.C. 499E(C��. TEE SELLER OFTHISCOMMODI TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIESOCANY DSPUTE ARISINGEIVABLES OR SOUT OFFROM TYOUR RECEIPT OFHE SALE OF ETHESEOPRODUCTDITIES SSERVIIL Cg5:PY0U NAREIGIVZNGIUPDYOUR RIG�TYOU TO ERVE INTANYCONT. ON PAGE 2
ATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIIIIIIIIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IN CUSTOMER LS ORIGINAL UNVORCE CONFIDNEvONTe rEPROPERAGY OF SYSCO
a 1 2 9 a 0 1 3 8 s 2 7 a 6 s o 0 2 0 5/17/18
BROOKSHIRE GOLF CLUB+++ GoodAngs
S COrn���O� xxncx sxoe 412940 138527466 5 2
12120 BROOKSHIRE PKWY \!!!/ /014
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST p
317-896-7431 INDIANAPOLIS, IN 46268 4449 TERMS –PAST DUE BALANCE. ARE SUBJECT xo SERVICE CH.11ARGE1 [
DUE FRIDAY 4 WEEKS AFTER ORDER F
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 618303 NORMAL DELIVERY ro
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ oz
CARMEL IN 46033 �
o QTX a ITEM UNIT vNir EXTENCIED•;i x p "INVOICE ADJUSTMENTS y
PACK STZE ITEM DESCRIPTION TAx
's .: "• ,' .- .. „ :CODE PRICE. 'AMODNT .'PRIC,E' ,' z ? ','CODE: 9.1 r QTY=
1. GROUP TOTAL**** 47.77
MISC GE . HGS E'OR..FCJEL. SURCHARGE
9. :,4.70, * i. . .
ORDE S Y 55654 , 2
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CASES SPLIT, OT PCS,�b CUBE cross wT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT To', z
K r ..... ........9.:, ........,I.........
% " P O. BOX 7137 M
INDIANAPOLIS, IN SUB
46206-7137 TOTAL 603.89
18 3 21'` 16.4 306 TAX
DRIVER'S NO. PCS I COST.si—o 1rv0—evmeo0ss 0r.,...xxre+s N0. PCS TOTAL
SIGN DELVD. SIGN REC.
INVOICE
TOTAL 603.89
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST pAYABLE ON OR BEFORE
UTAORIZED BY SECTION S (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)l. THE SELLER OF THIS 00 ST
TAINS 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 UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITfi LAST PAGE
SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGAT TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SOON DISPUTE,