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Home My WebLink About326362 06/15/18 CITY OF CARMEL, INDIANA VENDOR: 365677 I ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: S*******144.91 CARMEL, INDIANA 46032 Po Box 88029 CHECK NUMBER: 326362 °M'gTON�p CHICAGO IL 60680-1029 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926108993 26.96 FOOD & BEVERAGES 1207 4239040 926108994 8.37 FOOD & BEVERAGES 1207 4239040 926109196 109.58 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 $109.58 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 926109196 42-390.40 $109.58 1 hereby certify that the attached invoice(s),or 6/10/18 926109196 Food $109.58 1207 101 1207 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for r which charge is made were ordered and received except Monday,June 11,2018 C� 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 GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926109196 06/10/2018 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 2852110 1 CASE CHIX BNLS WNG FRTTR CKD 25#GFS 5 16.50 32.99 32.99 2852111 1 EACH CHIX BNLS WNG FRTTR CKD 25#GFS 5 16.99 16.99 1967000 1 CASE ENERGY DRINK RED BULL 24-8.3Z 9 1.46 34.99 34.99 7628611 2 EACH EGG SCRMBD LIQ MIX W/MILK 15-2#GFS 6 2.99 5.98 6852310 2 CASE 1-1 LTR CANADA DRY TONIC 9 0.10 1.49 2.98 2117821 1 EACH LETTUCE ROMAINE HRTS 75CT MRKN 10 3.79 3.79 6320101 1 EACH NAPKIN DNNR 1 PLY 15X17 12-250 GFS 7 3.49 3.49 8470521 3 EACH Koo1 Pops Mesh Bag Bin 180ct 2 2.79 8,37 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 109.58 1-GROCERY 2-FROZEN 3-MEAT 4SEAFOOD 8.37 FREEZER COOLER WAREHOUSE MIS., TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES 8SANITATION Customers signature evidences receipt of all dims listed and Its promise to pay INVOICE TOTAL 109.58 49.98 5.98 3.49 the amount due GFS.Customer agrees that if check,draftand/or order of 9-DISP,BEVG 10-PRODUCE 11-TABLETOP payment('Transaa ction")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 37.97 3.79 TOTALS BY TAX CATEGORY Received By: SALE NBR 405 %RATE TAX %RATE TAX 4 I LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the Y 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 trust claim over DATE 06/10/2018 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) 13:42:00 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 $35.33 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 926108993 42-390.40 $26.96 1 hereby certify that the attached invoice(s),or 6/5/18 926108994 Food $8.37 1207 101 1207 101 926108994 42-390.40 $8.37 bill(s)is(are)true and correct and that the 6/5/18 926108993 Food $26.96 1207 1 101 1 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday,June 07,2018 � nn �J 1 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 GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926108993 06/05/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days KrisloHer 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 2671001 1 EACH ONION RING BATRD 3/8"6-2.5#GCHC 2 5.99 5.99 6945801 1 EACH APTZR MOZZ STIX BRD BKABLE 6-2#GCHC 2 5.99 5.99 4372601 2 EACH FRIES RC 5/16"STEALTH 6-5#G0171 2 7.49 14.98 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 26.96 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 26.96 FREEZER COOLER WAREHOUSE MISC. 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 am INVOICE TOTAL 26.96 the amountt due to GFS.Customer agrees that(fa 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 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 TOTALS BY TAX CATEGORY Received By: SALE NBR 243 %RATE TAX %RATE TAX L\V� 1VJ1 // LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 65122 stalulory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act.10 (7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 06/05/2018 /hese 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) 10:23:00 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$.09 per dozen Page:1 of 1 Gordon P.O.Box1787 INVOICE MI 49501-1787 FOOD SERVICE STORE wwwWgffs.com INVOICE# DATE 1-800-968-7500 926108994 06/05/2018 TAIL 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 8470521 3 EACH Kool Pops Mesh Bag Bin 180ct 2 2.79 8.37 J PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 8.37 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 8.37 FREEZER COOLER WAREROUSE I MISC. 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 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 few. PAID 0.00 TOTALS BY TAX CATEGORY Received By: SALE NBR 246 %RATE TAX %RATE TAX 1 V � � / LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the (�\/ USER ID 65122 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 trust claim over DATE 06105/2018 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these Commodities unit TIME(GMT) 10:27:00 full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Foe in the price.Maryland MDA Inspection Fees at a rata of$.08 per dozen