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Home My WebLink About326089 06/12/18 CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******274.32* CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 326089 9y�T0N `' CHICAGO IL 60680-1029 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926108793 55.05 FOOD & BEVERAGES 1207 4239040 926108873 219.27 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $219.27 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 926108873 42-390.40 $219.27 1 hereby certify that the attached invoice(s),or 6/1/18 - 926108873 Food $219.27 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 Saturday,June 02,2018 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 FOOD SERVICE STORE wwwgffs.com MI 49501-1787 INVOICE# DATE 1-800-968-7500 926108873 06/01/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days Kristoffer 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 6945801 1 EACH APTZR MOZZ STIR BRD BKABLE 6-2#GCHC 2 5.99 5.99 4372601 1 EACH FRIES RC 5116°STEALTH 6-5#G0171 2 7.49 7.49 2671001 1 EACH ONION RING BATRD 318"6-2.5#GCHC 2 5.99 5.99 7099701 1 EACH TOPPING OREO PCS MED 4-2.5#NAB 1 12.49 12.49 5535621 1 EACH NOVELTY FZ FRUIT VAR PK 4FLZ 3-24CT 2 14.29 14.29 2728110 5 CASE APTZR MAC JACK BREW BITE 4-2#BRWCT 2 7.87 31.49 157.45 2491110 1 CASE LETTUCE JAMMERS 5#MRKN 10 15.57 15.57 15.57 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 219.27 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 12.49 191.21TAX FREEZER COOLER WAREHOUSE I MISC. TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES &SANITATION Customers signature evidences recelpt 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 219.27 9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment(-Transaction-)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 15.57 TOTALS BY TAX CATEGORY Received By: SALE NBR 139 %RATE TAX %RATE TAX (\/�� LANE NBR 03 The perishable agricultural commodities shown on this Invoice ere sold subject to the \ �! V USER ID 49187 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a cost claim over DATE 06/01/2018 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these commodities uno TIME(GMT) 15:12:00 full payment Is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen 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 $55.05 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 926108793 42-390.40 $55.05 1 hereby certify that the attached invoice(s),or 5/31/18 926108793 Food $55.05 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 31,2018 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 FOOD SERVICE STORE wwwgffs.com MI 49501-1787 INVOICE# DATE 1-800-968-7500 926108793 05/31/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days Kristoffer 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 4514280 4 CASE HAMBURGER BUN 4"12CT GFS 1 2.00 2.00 8.00 6058910 4 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.50 2.50 10.00 5700951 1 EACH LIME 6-12CT P/L 10 3.29 3.29 6977901 1 EACH DOUGH CKY CHOC CHP 1.5Z 4-80CT GFS 2 18.49 18.49 6775581 1 EACH LEMON FCY 18-2# 10 3.99 3.99 6945801 1 EACH APTZR MOZZ STIR BRD BKABLE 6-2#GCHC 2 5.99 5.99 2821531 1 EACH ORANGE NAVEL 10-4#CAITO 10 5.29 5.29 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 55.05 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 18 24.48TAX FREEZER COOLER I WARERCUSE RIeC, TOTAL 5-POULTRY 6-DAIRY -DISPOSABLES 8-SANITATION customefs signature evidences receipt of ell 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 55.05 9•DISP.BEVG 10-PRODUCE 11-TABLETOP payment(Transaction')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 12.57 TOTALS BY TAX CATEGORY Received By: SALE NBR 8 %RATE TAX %RATE TAX � 1 1 ' ( � LANE NBR 01 The perishable agricultural commodities shown on this invoice are sold subject to the /\\ \Vj ~\J`J USER ID 22856 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities \V Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 05/31/2018 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sate of these commodities until TIME(GMT) 12:16:00 NII payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Meryland MDA Inspection Fees at a rate of$.08 per dozen