Loading...
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 m ._ o .. ., .. .... _. .. ... N e z, n. f •: a . .......:: .......i::.' ......:... :..:.:: ....': .....::.: ::.:: ................ .. ........: .. ...... .. yya i z ro .: 0 t z �n 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.