HomeMy WebLinkAbout326981 06/29/18 �'��p" CITY OF CARMEL, INDIANA VENDOR: 359366
j; ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,109.22*
:9 ;_�; CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 326981
M,i*oN,�o. INDIANAPOLIS IN 46206-7137 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138556015 1,109.22 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SYSCO FOOD SERVICES IN SUM OF$ 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
$1,109.22
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
138556015 42-390.40 $1,109.22 1 hereby certify that the attached invoice(s),or 6/14/18 138556015 Food $1,109.22
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,June 14,2018
t�
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
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMER'S ORIGINAL INVOICE CONFIDENTIALPAM
OF SYSCO
Gooc�th(ngs 6/14/18
BROOKSHIRE GOLF CLUB+++ come from TRUCK STOP 412940 138556015 4 1
12120 BROOKSHIRE PKWY S��sco� /010
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST 7742 TERMS -PAST DUE BALANCES:ARE SUBJECT TO SERVICE CHARGE
INDIANAPOLIS, IN 96268 -
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 620573 NORMAL DELIVERY ro
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ
CARMEL IN 46033
L ITEM UNIT UNIT EXTENDED T p INVOICE ADJUSTMENTS y
PACK: SIZE ITE M DESCRIPTION TAX
C CODE! PRICE AMODNT PRICE. z I CODE QTY t K
_,
*** GET SIZZLING SOLUTIONS FOR YOUR SUMMER NU AT COM
SY COFOOD E
............. . ............. . **...
SK YOUR:,'MA ABOUT ..SYSCOACCOUNTCENTER.COM' &..HOW,YOU C... EARN CREDI ON YOUR OUNT!
;DAIRY, �
S 48 lr OZ LU'BNY ICE CREAM BAR FUDGE 10070:,64030;:0096. 1669597 19 211 19.21;
V F 1 _.._,S 2 4 CT, LU ,BNY ICE CREAM BAR SUND ST .0 007.0 30`4110 `' 2277267 25 82 1 25.82: y
. . .
0
z
F 2 S 1 4 CT' LU ;BNY ICE. CREAM CONE VAN .SN 110070640014122 ;' 4147466 15.971 31.94:
�1 I 2 S 24 .5 OZ LU ,BNY ICE' CREAM SNDWCH 'CHIP_;00070;640310821 1595487 25.27' 50.54 N
GROUP TOTAL**** 127.51 0
*** :MEATS' ***
F 1 9 60 .3 OZ T " BEEF PATTY GRD SEA 149 FRZ 77;03003 " 6964.597 73.86' 73.86zz
,CS, 2 LB .; HNSVLE :BRATWURST CKD UTTIMATE. 5X1 'I 10155.8',. 2116860 43.32 43.32
0
F 2 CS r 2 LB BRLCLS FRANK ALL-MEAT 5X1 6 _IN 748650,6792, 1137736 29.30. 58.'60
GROUP TOTAL**** 175.78
*** :POULTRY ***
V F 1 40 OZ SYS ll CLS CFIICKEN BRST GAL
MRK PCK Q24948-0895 8666214 59.95` 59.95
GROUP TOTAL**** 59.95
*** IFRO
ZEN ***
0
\�; F 1 S 213. .5 _OPE'S ,
DOUGH:.-.COOKIE HEATH_.BAR_,CRUN 23.104_ 4745139 . 82 58 82.58:
V F 1 S 24 .2502 KRSIMP MUFFIN ASST'`BL/BAN/CHOC/CH I/W 75754, 7813114 26.02 26.02
GROUP.TOTAL****
....108.60
;CANNED. & DRY **:*.. n
V _ _ .
0
1 S 3 6 CT LLOGG BREAKFASTBAR, NVTRI-GRAIN 3800005872 : 4215.893 33.87: 33.8Z °
\
` C
1S.` NL 4 M
CT; HERSHEY: BAR PAY DAY 80723 7030414 18.75' 18.75
.
1 C 1S NL, 8 CT; &M CANDY N!&M P.EANUT ;;1. 74 :OZ . 4380788 34.,7
0 34.70'
z
C 1S NL 6 CT' &M J' CANDY M&M PLAIN 1.69 OZ 31748 4055'945 28,50: 28.50 K
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11•00 AM CLOSE: 2:00 PM REMIT TO -
P.O. BOX 7137 M
14 3 17 7.1 156 INDIANAPOLIS, IN SUB
46206-7137 TOTAL
TAX
DRIVER'S NO. PCS CUST.sxeeam xervoxes svmexess oe n...xmu NO. PCS TOTAL
SIGN DELVD. SIGN X RFC.
INVOICE
TOTAL
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST pAYABLE ON OR BEFORE
UTHORIZED BY SECTION 5 (CI OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)I. THE SELLER OF THIS
COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, CONT. ON PAGE 2
D ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH
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.
IIIIIIIII IIIIIII 9 IIIIIIII IIIIIIII IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIII I IIIIIIIII CUSTOMER'S ORIGINAL INVOICE CONFIDENTINUMBERz
AL PROPERTY OF SYSCO
DELV. DATE CUSTOMER
1 2 4 0 1 3 5 5 6 0 2 6/14/18
BROOKSHIRE GOLF CLUB+++ oftGooc hangs
come from xRocx sxoP 412940 138556015 4 2
CARMEL
BROOKSHIRE PKWY bl�SC�� /010
CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC RovxE PURCHASE ORDER
4000 W 62ND STb
INDIANAPOLISIN 46268 7742 TERMS -PAST'DuE BALANCES ARE SUB TO SERVICE CHARGE
, a
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 620573 NORMAL DELIVERY
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ 0
CARMEL IN 46033 nR VER'
L
QTY H! PACK SIZE ITEM AESCRIPTION vNIT T INVOICE.ADJUSTMENTS:
ITEM UNIT EXTENDED p
c a: CODEI PRICE AHODNT: PRICE X I CODE: QTY
�D 1 ......... 12 2 Ot_ ZNGZANG MTX .cOdKTAIT BT,DY MARY `I 81422-5 8066474 98.36. 48.361
..
SYS 502053 414024.93 49.86.'
GROUP TOTAL**** 214.04 y
*** PAPER'& DISPOSABLE ***
\ .
V 1S S 10 00 C SYS CLS GLOVE POLY CAST DISP MED 303363112 8348245 49,74" 49.741 . y
.... .
GROUP TOTAL**** 49.74 °z
*** ..DISPENSER ***
F 1 S 12 2 OZ;; ISLDOAS DRINK. MIX MARGARITA FRZN 2,0040 ; 1956200 79 96 79.96' M
N
F 1 S 12 2 OZ; ISLD;OAS`;DRINK M2X STRAWBERRX FR 2Q025 1954502 79 76 79.76': 0"
\,
123ZOZ ISLDOAS DRINK NlIX WLD$RY FRZN 20056 6709400 7.g.:.:7 679.76:
D 1 S 1 GAL; .00ACOL SYRUP" COKE DIET 5X1 BIB.
0424;U010,. 427354.6 7.9 80 J 79.80'
r
SPRITE SYRUP SPRITE 5X1 :SIB 09560298 5960893 49.62 49 621
GROUP TOTAL**** 368.90 0
MISC GE. HG.S. FOR_..FUEL' SURCHARGE 4,70 *.
N
.. ... : ... ..:. ... ...': Ln
O
ORDER SUMMARY 80258 78468
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CASES
IT OT.PCS cueE GROSS WT. OPEN.11.00 AM CLOSE: 2:00 PM REMIT TO
P O. BOX 7137
9 9 6.4 260 INDIANAPOLIS, IN SUB
46206-7137 TOTAL 1109.22
23 3 26 13.5 416 TAX
DRIVER'S NO. PCS COST.sx=D INWIC6-D-S OF NO. PCS TOTAL
SIGN DELVD. SIGN v REC. INVOICE
kD
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST TOTAL 1109.22
HORIEED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(Cll. THE SELLER OF THIS COMMODITYPAYABLE ON OR BEFORE
AINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES 0£FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES ']/13/18 LAST PAGE
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WIT�1PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGhT TO SERVE IN ANY
RESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.