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Home My WebLink About326920 06/29/18 y W-C�Fb �/ ,� CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********75.47* :\ �a CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 326920 9+;j�TON�`0 CHICAGO IL 60680-1029 CHECK DATE: 06/29/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926109452 63.18 FOOD & BEVERAGES 1207 4239040 926109461 12.29 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $75.47 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 926109452 42-390.40 $63.18 1 hereby certify that the attached invoice(s),or 6/16/18 926109452 Food $63.18 1207 101 1207 101 926109461 42-390.40 $12.29 bill(s)is(are)true and correct and that the 6/16/18 926109461 Food $12.29 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Monday,June 18,2018 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page:1 of 1 Gordon P.O.Box1787 INVOICE FOOD SERVICE STORE G�ww.gfs.com MI 49501-1787 INVOICE# DATE 1-800-968-7500 926109461 06/16/2018 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 4348210 1 CASE JUICE PINEAP CAN 24-6FLZ DOLE 9 12.29 12.29 12.29 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 12.29 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD FREEZER COOLER WARENOUSE I ISC. I TOTAL TAX 6-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customer's signature evidences receipt of all hems listed and Its promise to pay INVOICE TOTAL 12.29 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 paymenlof Nis 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 12.29 TOTALS BY TAX CATEGORY Received By: r SALE NBR 2311 %RATE TAX %RATE TAX LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 68860 statutorytrust authorized by section 5(c)of the Perishable Agricultural CommoditiesAct,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 06/162018 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) 19:45:00 full payment is received.Eggs delivered in the slate of Illmois Include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of§.08 per dozen _____-*Acceptance constitutes agreement to a timenrice differential cf 1 1/20/gper month on the unpaid balance after the due date ____________ PLEASE CUT ALONG THE DOTTED LINE l�J��7� PLEASE CUT ALONG THE DOTTED UNE THEN RETURN BOTTOM PORTION. r{ THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. v PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 Chicago,IL 60680-1029 PAY THIS AMOUNT CUSTOMER# INVOICE# DATE 100133245 926109461 06/16/2018 12.29 III IIIIIIII IIIIII III I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIII 100133245910926109461000001229400000122948 Page:1 of 1 Gordon P,O.Box1787 INVOICE FOOD SERVICE STORE wwwwgffs.com MI 49501-1787 INVOICE# DATE 1-800-968-7500 926109452 06/16/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE Mpg 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 OTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 4084300 1 CASE WATER SPRNG 35-16.9FLZ ABSOP 9 3.99 3.99 3.99 8470521 3 EACH Kool Pops Mesh Bag Bin 180ct 2 2,79 8.37 7133701 4 EACH TORTILLA FLOUR 12"SFST 12-12CT GRSZ 1 3.49 13.96 7357871 1 EACH LETTUCE ROMAINE CHOP 6-2#RSS 10 3.69 3.69 4218121 1 EACH CHEESE MOZZ 2%SHRD FTHR 4S#PG 6 12.99 12.99 6977901 1 EACH DOUGH CKY CHOC CHP 1.5Z 4-80CT GFS 2 18,49 18.49 5323121 1 EACH CUCUMBER SDLSS 1 C PA. 10 1.69 1.69 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 63.18 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 13.96 26,86 FREEZER COOLER WAREHOUSE I MISC. TOTAL TAX 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature evidences receipt of all items listed and its promise to pay 12.99 the amount due to GFS.Customer agrees that its check,draft and/or order of INVOICE TOTAL 63.18 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 bylaw. PAID 0.00 3.99 5.38 TOTALS BY TAX CATEGORY Received By: SALE NBR 351 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this Invoice are sold subject to the / USER ID 72116 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 06/16/2018 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 ATHY TIME(GMT) 14:46:00 full 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 --——— 'Acceptance constitutes agreement to a time price differential of 1 1/2%er month on the uUUpajd balance after the due date ____________ ---- — — ------ PLEASE CUT ALONG THE DOTTED LINE PLEASE CUT ALONG THE DOTTED LINE THEN RETURN BOTTOM PORTION. THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 Chicago,IL 60680-1029 PAY THIS AMOUNT CUSTOMER# INVOICE# DATE 63.18 100133245 926109452 06/16/2018 III III IIIIIII �I I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100133245910926109452000006318000000631805