The URL can be used to link to this page

Home My WebLink About326193 06/12/18 �%c'�� CITY OF CARMEL, INDIANA VENDOR: 359366 h; ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,257.94* 3 o PO BOX 7137 CHECK NUMBER: 326193 S. a: CARMEL, INDIANA 46032 '�;,�ioN�` INDIANAPOLIS IN 46206-7137 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138541023 1,257.94 FOOD & BEVERAGES -VOUCHER'NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $1,257.94 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 138541023 42-390.40 $1,257.94 1 hereby certify that the attached invoice(s),or 5/31/18 138541023 Food $1,257.94 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, May 31,2018 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer - IIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIII CUSTOMER LS ORIGINAL �N�toRcE CONFIDrEoNTEIEPROPERTY OF SYSCO I N 4 1 2 9 4 0 1 3 8 6 4 1 0 2 3 GoodAQ ngso s 5/31/18 BROOKSHIRE GOLF CLUB+++ �_come from TRncx 4p;, ' 412940 138541023 6 1 12120 BROOKSHIRE PKWY / /010 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER 4000 W 62ND ST b INDIANAPOLIS, IN 46268 4491 TERMS -PAST DUE;BALANCE§ ARE SUHJECT•TO SERYZCE CHARGE ❑ 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER F SHELLFISH SHIPPER ID: IN007RS MANIFEST# 619417 NORMAL DELIVERY ro BROOKSHIRE GOLF m 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ z CARMEL IN 46033 I a': ITEM UNIT UNIT EXTENDED " T p INVOKE ADJUSTMENT$ y -0 Y s. PAC[C SIZ?� ITEM;DESCRIPTION CODL. PRICE ;, ae"'ovNT,i' PRIG ' .„ ',,:. lll SK YOUR MA ABOUT SYSCOACCOUNTCENTER COM & HOW YOU EARN CREDI ON YOUR OUNT! 1. •..ii ': .. .. . :i 11 ... .... .. *** DAIRY-*** s C 2S NL LB BRLCLS CHEESE AMER 120 SLI YEL 28131 6697114 17 26 34 52I. 2 F 2 S 1 4 CT LU BNY ICE CREAM CONE VAN SN 10070640014122 4147466 15 97 31 94 n H F 1 .......S 483.5 OZ LU BNY ICE CREAM SANDWICH VA 00070640310104 1666155 24.75 24.15 °z ".,' I 3 S 24 .5 OZ LU BNY ICE CREAM SNDWCH CHIP 00070640310821 1595487 25.27 75.81 a „ _. Ln GROVp T0' AL**'** ... 1;67 02 ?'. . y *** MEATS *,t* D ..' .5: .. A F 1 S 2 50 C SYS CLS BACON PRECOOKED THICK SLICE 1451 5857679 65.76 65.76 F 3 S 60 3 OZ NT BEEF PATTY GRD SEA HS FRZ 7703003 6964597 73 86 221 58 0 F 3 S 2 LB BRLCLS FRANK ALL-MEAT 5X1 6 IN 7486506792 1137736 29.30 87."90 GROUP TG}TAI.*,,kyr* : 375.24. „ �11 ,,, . - *** POULTI 1111-RY *** 1.Z. o N.: ,. ... , F 1 S 40 OZ SYS CLS CHICKEN BRST GRL MRK PCK 024948 0895 8666214 59 95 59.......9..5 0 GROC3P TOTAL****. :.': 59 95 *** CANNED & DRY *** .. : 11 I i 11 . 11 m . p C 1S NL 8 CT SNICKER CANDY BAR SNICKER 1.86 OZ 256479 .117337 36.50 36.504. 5 .. 1. ., .:. % .. - . 1. .. .. :.> .. ... .::. . . .. .. 1 S 641.502 SUNCHIP CHIP MULTIGRAIN GRDN SALSA LSS 44428 6799136 36.25 36.25 11X. 1 CS 641 5 .OZSUNCHIP CHIP MULTIGRAIN HRVST ,CHDR _LSS. 44427 6744090 :.:.:::3:I-:i�,'zz:-:,��:-zI..�-q.-,,-' 3 82. 33 82, ' '.i 17 n :: 1 230 CT YS CHIP VARIETY BKD 92268 4830455 27 51 27 51 � 1 S 160 CT_ YS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 27 51 27.51 6 ,S 223OZ IZONA DRINK TEA ARNOLD PALMER LITE 0554968 16.91 101.46: . . 1 S 64 OZ.,, OLGOLD PRETZEL TINY TWIST CLS LSS ... 44391 6798.845 37 77 37.77 K p 1* 2 1 5 11 LB, SYS REL SHORTENING FRY LIQ CLR ZTF 502.0553 4518403 24 69 49 38 N . : % CASES SPLIT OT.PCS CUBE cross WT. OPEN.11:00 AM CLOSE: 2:00 PM REMIT TO? , 4 •?: '. % P.O. BOX 7137 M 27 3 30 23.8 411INDIANAPOLIS, IN SUB 46206-7137 TOTAL TAX DRIVER'S NO. PCS CUST.sxcx®nrooxce-..-..-aur xxe'sv NO. PCS TOTAL - SIGN DELVD. SIGN v REC. INVOICE A TOTAL IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE wpspREsEuTATivs HORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (O.S.C. 499E 1CI1THE SELLER OF THIS COMMODITl AINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER RODUCTS DERIVEDFROM THESE COMMODITIES ANYRECEIVABLES OR PROCEEDS FROM THE SALT OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WIT�3CONT. ON PAGE 2 PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIG�IT TO SERVE IN ANY CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. IIIIIIIII CUSTO IIIII(IIIII IIIIIIIIII IIIIIIIIIIIII,IIIIIII IIJIIIII IIIIIIIII I(IIIII MER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DELV. DATE CUSTOMER INVOICE NUMBER PAGE ZGood Ings z 5/31/18 BROOKSHIRE GOLF CLUB+++ come from xRocx,sxoP 412940 138541023 6 2 12120 BROOKSHIRE PKWY S�/sco� /010 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC RouTE PURCHASE ORDER 4000 W 62ND ST N INDIANAPOLIS, IN 46268 4491 TERMS .—PAST DUEfBALANCES ARE SUBJECT To SERVICE CHARGE a 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER SHELLFISH SHIPPER ID: IN007RS MANIFEDELIVERY o ST# 619417 NORMAL BROOKSHIRE GOLF '% 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y CARMEL IN 46033 LO QTY °v ITEM, UNIT DNIT : EXTENDED T p INVOICE ADJUSTMENTS y c PACK SIZE ITEM!DESCRIPTION CODE•• PRICE AMOA'oNT PRICE g I, CODE'' 4TY K z .. ... D 6 S 24.5LTR; PURLIFE 'WATER PURIFIED 122T3.782 ! 8108(847 5.99'; 35.94 " GROUP TOTAL**** 438 08 1S S 1Q100 C SYS.,CLS. GLOVE POLY CAST DISP LG 303363113 $346538 49.951 ;49:95 M .. . GROUP TOTAL**** 49.95 °z ***'PRODUCE *.** a C 2 ,:;S 1 LB...}: IMPFRSH ONION ICED FRESH JUMBO 1039494 8 .97: 17..9;4 M y C 1 ' S 2 LB, :' $BLIMP-SALAD.CHICKEN 5'1071 2510717 47.77: 47.'77 " C 1S .S 2 1 LB SYS CLS SALAD COLESLAW ORIG DIXIE 20.1534 54579 .5 38.80'.. 38.8,0 C 1 .S 4 ..5 L„ IMPFRSH TOMATO.;:SLICED 1/4 4;0451.; 6113765 38.50;: 38,.50 : o C 1 1 X6;,, IMPFRSH TOMATO;:1,,LAYER FRESH ', 1008630 19.99> 19.99 GROUP TOTAL**** .. 163.00 MISC GE HGSFOR FUEL ,SURCHARGE 4.70 ; a n ORDER SUMMARY 67751 0 rla a 2 O O H O . .. .. x K CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11•00 AM CLOSE 2:00 PM REMITZTQ A P.O. BOX 7137 14 14 8.0 254 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 1257.94 41 3 44 31.8 665 TAX DRIVER'S NO. PCS CUST.-xervoxee svroeNces ae ncn xreHs NO. PCS TOTAL SIGN DELVD. SIGN BEC. INVOICE TOTAL 1257.94 MPORTANT 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 (U.S.C. 499E(C11. THE SELLER OF THIS CO IEODI 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 WITH 6/29/18 LAST PAGE 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,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.