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Home My WebLink About325899 05/31/18 CITY OF CARMEL, INDIANA VENDOR: 359366 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,208.49* CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 325899 INDIANAPOLIS IN 46206-7137 CHECK DATE: 05/31/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138,534759 1,208.49 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $1,208.49 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 138534759 42-390.40 $1,208.49 1 hereby certify that the attached invoice(s),or 5/24/18 138534759 Food $1,208.49 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 25,2018 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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII CUSTOMER'S ORIGINAL CUSTOMR: CONFIDEoN�I�ER:: PAGE OF SYSCO Gooding 5/24/18 BROOKSHIRE GOLF CLUB+++ come from TRUCE STOP 412940 138534759 4 1 12120 CARMEL IN 46033 BROOKSHIRE PKWY �l/��O�SYSCO INDIANAPOLIS, LLC /005 CARME ROUTE PURCHASE ORDER 4000 W 62ND ST 4493 b 317-846-7431 INDIANAPOLIS, IN 46268 TERMS -PAST DUE BALANCES ARE SUBJECT To SERVICE'CHARGE a DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 618885 NORMAL DELIVERY °dd 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y CARMEL IN 46033 DRTVERw ° ITEM UNIT UNIT EXTENDED ; T p INVOICE ADJUSTMENTS y o QTY „_. PACK: SIZE ITEM DESCRIPTION, CODE PRICE Ai�"oDNx PRICE X. I CODE 4TY SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM & HOW YOU C EARN CREDI ON YOUR OUNT! xF** DAIRY aF ak xF ................. ... v C 1S NL LB BBRLCLS CHEESE AMER 120 SLI YEL 28131 6697114 17.26 17.2 6 C 1S ONLY5 LB VELVETA CHEESE SPREAD LOAF PA 10021000633309 3715679 17.28 17.28 m .. . . .. ... . ... n .F ` 1 H �F 1 S 1 4 CT LU BNY ICE CREAM CONE VAN SN 10070640014122 4147466 15.97 15.97 °z n I 3 CS 244.5 OZ LU BNY ICE CREAM SNDWCH CHIP 00070640310821 1595487 '25.27 75.81 GROUP TOTAL**** 126 32 N *** MEATS *** M F 1 CS 1602CAP BEEF PATTY CHUCK TNJ RND FRZ 12181 7202831 97.18 97.18 F 1 +ZS 605.3 OZ NT BEEF PATTY GRD SEA HS FRZ7703003 6964597 73.80 73.80 F 1 CS 2 LB JHNSVLE BRATWURST CKD ULTIMATE 5X1 101558 2116860 43.32 43.32 0 v F 2 ZS 2. LB BBRLCLS FRANK ALL MEAT 5X1 6 IN 748650.6792 1137736 29.30 58 60 0 F 1 CS 45: LB JTM PORK BBQ SHRED W/SCE 44020 4871356 82.76 82.76 F 1 CS 247 OZ HOLTEN PORK FRITTER BNLS HMSTY 20009 6583710 46.89 46.89 GROUP TOTAL**:** 4:02.55 ° o *** CANNED & DRY *** \VC 1S ONLY24 CT ERSHEY CANDY BAR PAY DAY 80723 7030414 18.75 18.75 _ v C 1S. ONLY48 CT, SNICKER CANDY BAR...SNICKER 1 86 OZ, 256479. 1793837 36 50.. 36.50 " C 1S ONLY36 CT_ REESES CANDY PEANUT BUTTER CUP 44000 5197769 27 38 27.38 . I n 0 1 ZS 128 CT ' MUNCHES CRACKER CHEESE PEANUT BUTR 19960 2 1.047805 2 6.2 0 26 20 : D 6 CS 12 3 OZ, IZONA DRINK TEA ARNOLD _PALMER LITE 0554968 16.91 101 46. H D 1 S 4135 OZCASACLS SALSA CHUNKY MILD AUTHEN 48549030211 7775693 50.07 50.07 to K D 1 S 722 Z.. PLANTER SNACK TRAIL.MIXCAJN 10029000.00,0251• 3259858 47.17. 47.17 CASES SPLIT TOT.PCS CUBEcross wT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO z P.O. BOX 7137 20 5 25 10.9 343 INDIANAPOLIS, IN SUB 46206-7137 TOTAL TAX DRIVER'S NO. PCS CUST.sxa v nrvoxca wi-s or A-im NO. PCS TOTAL SIGN DELVD. SIGN v REC. INVOICE X TOTAL FTAINS RTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE RIEED BY SECTION 5_iC) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EMI. THE SELLER OF THIS COMMODI A TRUST CLAIM Oven THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PPRODUCTS DERIVED FROM THESE COMMODITIESCT TOCANY DISPUTE ARISINGS OR SOUTOOFTHE S OF YOUR RECEIPT OFETHESEODITIES UNTIL PRODUCTS/SERVIFCE:PYOUENT AREIGIVINGIUPDYOURTRIGHTYOU TO SEA EE INTANYCONT. ON PAGE 2 SENTATIVE CAPACITY�OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS>IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII III CUSTOMER'S DATEORIGINAL tyle oMExCE CONFIDENTIAL PROPERTY OF SYSCO. I N 4 1 2 9 4 0 1 3 S 5 3 4 7 5 9 9 Q 0 2 0 5/24/18 BROOKSHIRE GOLF CLUB... G000 things comefrom TAvcH sxor ' 412940 138534759 4 2 CARMEL BROOKSHIRE PKWY S��sco° /005 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER 4000 W 62ND ST 4493 TERMS'—PAST DUE GBALANCES AitV.SUBJECT TO SERVICE CHARGE 1 [ 317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 618885 NORMAL DELIVERY ro 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ 0 CARMEL IN 46033 W. QTY a PACK:I SIZE ITEM.DESCRIPTION !' ITEM UNIT TA1cIT EXTENDED a p INVOICE ADJUSTMENTS K a: CODE PRYCE'- moUNT' PRICE - 1.:'_'. 72 OZ PLANTER SNACK..TRAIL MIX FRUIT ,10029,0000.0;0268 3259879 45 _85.j \ .. :4:":::. PLANTER SNACK TRAIL MIX 'lM:,6&..CHO 290000'0027 3259860 45.85'1 i;45 ,85„ GROUP TOTAL**** ;PRODUCE 399 23 N ... .. - H ..,S 2 LB !, BRIIMP SALAD CHICKEN 51071 :;^2510717 47,77 47 77;, „ . o C 15 8 " 2 1 LB, SYS SALAD COLESLAW ORIG ,DIXIE 20;153A 5457975 38.80' 38`.8Q. NT \� C 1S ;: 2 2 LR, SYS :CLS SALAD :POTATO MttST 20;1001 : 6733166 16 91' 46 9I: v C 1 S 2 LB BRLIMP SALAD TUNA• ALBACORE 5:1194 ,< 2511;947 49.60' 49.6.0, GROUP TOTAL**** 183.08 *** DISPENSER *** Is. 1 5 INMAID SYRUP LEMONADE BIB, , 16760298 18908832 A8.. 63 48 63 1 S 1 �5 LDPEAK SYRUP TEA CQNC UNSWT BLK PR 02250298 ; 7065776, 43.98 :43:98 GROUP TOTAL**** 92.61 0 MISC GE ... FOR ;FUEL ;SURCHARGE ..; ^' 4.70... 0 ORDE SUMMARY 61912 62144 ...... o a a 0 0 . �n .. .... , .. , ..... ... .... .... .... ., H rL K CASES SPLIT OT.PCS CUBE GROSS WT. OPEN•11•00 AM CLOSE• 2.00 PM REMIT TO: P.O. BOX 7137 M 8 8 4.5 141 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 1208.49 28 5 33 15.4 484 TAX DRIVER'S NO. PCS CUST.szrra+en xervoxcs svzuvsss oe nzx.xr�vs NO. PCS TOTAL SIGN DELVD. SIGN X REC. INVOICE IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST TOTAL 1208.49 OTHORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E R] THE SELLER OF THIS COMMODI PAYABLE ON OR BEFORE PIETAINS A TRUST CLAIM OVER TRESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES SPECT TOCANY DISPUTE ARISINGiv SOUTOOFTYOUR RECEIPT OFOF ETHESEODITIES PRODUCTS SERVICES:LL PYOU AARREIGIVINGIUPDYOURTRIGATHER YTO OU SERRVVEE INANY 6/22/18 PAST PAGE PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. I i 41��,Cgq�f I ,�>/ << - CITY OF CARMEL, INDIANA VENDOR: 369915 ® `I• ONE CIVIC SQUARE QUENCH CHECK AMOUNT. $****j****44.00* s. ?�; CARMEL, INDIANA 46032 P.O.BOX 781393 CHECK NUMBER: 325885 9,,��TON � PHILADELPHIA PA 19178 CHECK DATE: 05/31/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 INVO1262886 44.00 OTHER MAINT SUPPLIES i I I VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts. City Form No.201(Rev.1995) Vendor# 369915 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER QUENCH IN SUM of$ CITY OF CARMEL P.O. BOX 781393 - An invoice orbill-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. PHILADELPHIA, PA 19178 Payee $44.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 INVO1262886 42-389.00 $44.00 1 hereby certify that the attached invoice(s),or 6/1/18 INVO1262886 $44.00 2201 2201 2201 2201 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 Wednesday, May 30,2018 Huffman, Dave Director 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 quench INVOICE Quench USA, Inc. q 780 51h Avenue, Suite 200 water-as•a-Service King of Prussia, PA 19406 Invoice: INVO1262886 Inv Date: 06/01/2018 Account: D062495 Due Date 06/11/2018 REMIT PAYMENT TO: PO# SubTotal: $44.00 PO BOX 781393 Pmt Type Check Tax: $0.00 PHILADELPHIA, PA 19178-1393 Contact: Amy Lunn Inv Amt: $44.00 Terms: Net 10 Amt Paid $0.00 TOTAL DUE BY 06/11/2018 $44.00 Carmel City Street Dept Interested in Single Cup Coffee? Amy Lunn 3400 W 131 St Check out all the Quench Coffee Service Options at: Westfield, Indiana 46074 https://ciuen dhwater/g uenc h-office:-coffee-service/ i Equipment Address 3400 W 131 St,Westfield, IN 46074 s �- • o •- -� •- • •• Total •- 1 CHILLER3-Uv-HC-CT-U I N000068489 06/01/2018-06/30/2018 $44.00 $44.00 Subtotal: $44.00 Tax: 1 $0.00 Total: i$44.00 i Please reference your invoice number on your remittance. EIN: 26-3264642 Website: https://quenchwater.com WHEN YOU PROVIDE A CHECK AS PAYMENT,YOU AUTHORIZE QUENCH EITHER TO USE THE INFORMATION FROM YOUR CHECK TO MAKE A ONE-TIME PAYMENT ELECTRONIC FUND TRANSFER FROM YOUR ACCOUNT OR TO PROCESS THE PAYMENT ASA CHECK TRANSACTION. Billing Questions: billing(@guenchonline.com I Service:guenchservice _Quenchonline.com