HomeMy WebLinkAbout326751 06/29/18 �u!.k±ny
CITY OF CARMEL, INDIANA VENDOR: 365677
/ ;• ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********75.67*
:9 /a`, CARMEL, INDIANA 46032 Po Box 88029 CHECK NUMBER: 326751
M,iioN.,�. CHICAGO IL 60680-1029 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926109502 75.67 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$75.67
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
926109502 42-390.40 $75.67 1 hereby certify that the attached invoice(s),or 6/18/18 926109502 Food $75.67
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
Tuesday,June 19,2018
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 4 95 01-1 787 INVOICE# DATE
1.800-968-7500 926109502 06/18/2018
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
REM CODE CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT
5846490 1 CASE PORK FRTTR 2/#BRD 18-8Z GFS 3 23.99 23,99 23,99
4084300 2 CASE WATER SPRNG 35-16.9FLZABSOP g 5.99 5.99 11.98
6945801 3 EACH APTZR MOZZ STIR BRD BKABLE 6-2#GCHC 2
5.99 17.97
2671001 1 EACH ONION RING BATRD 3/8"6-2.5#GCHC 2 5.99 5.99
7953521 2 EACH TOMATO FRSH 124CT P/L 10
2.29 4.58
8470521 4 EACH Kaol Paps Mesh Bag Bin 180ct 2
2.79 11.16
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 75.67
1-GROCERY 24FROZEN 3-MEAT 4-SEAFOOD
36.12 23.99 TAX
FREEZER COOLER I WAREHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION
the amount
due to G S.Gusto receipt of all ftems listed and Its promise to pay INVOICE TOTAL 75.67
the amount due to GFS.Customer agrees that if a check,draft and/or order of
9-0ISP.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
11.98 4.58
TOTALS BY TAX CATEGORY Received By: SALE NBR 104
%RATE TAX %RATE TAX 5` LANE NBR 02
The perishable agricultural commodities shown on this invoice are sold subject to the \ l v USER ID 75176
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities
Act 1930 1930(7 U.S.0 499e(c)).The seller of these Commodities retains a trust claim over DATE 06/18/2018
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) 15:15:00
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