HomeMy WebLinkAbout327759 07/20/18 %��,q��, CITY OF CARMEL, INDIANA VENDOR: 365677
® 1• ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********66.66*
i? ��_. CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 327759
94j��7tiri�°' CHICAGO IL 60680-1029 CHECK DATE: 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926110256 66.66 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$66.66
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
926110256 42-390.40 $66.66 1 hereby certify that the attached invoice(s),or 7/9/18 926110256 Food $66.66
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,July 10,2018
r
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•Box 1787 INVOICE
GrandRapids,MI 49501-1787
FOOD SERVICE STORE www.gfs.com INVOICE# DATE
1-800-968-7500 926110256 07/09/2018
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
2163210 3 CASE 1.8CT MINI SUB BUNS MARKETPLACE 1 2.64 2.64 7.92
6852310 6 CASE 1-1 LTR CANADA DRY TONIC 9 0.10 1.49 8.94
7953521 2 EACH TOMATO FRSH 124CT P/L 10 2.29 4.58
2483801 1 EACH NUTRI-GRAIN BAR STRAWBERRY 1 8.29 8.29
4372601 2 EACH FRIES RC 5/16"STEALTH 6-5#G0171 2 7.49 14.98
4600951 1 EACH CHEESE FARM SHRO FCY 10-2#PG 6 9.99 9.99
8470521 4 EACH Kool Pops Mesh Bag Bin 180ct 2 2.99 11.95
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 66.66
1-GROCERY 2-FROZEN 3-MEAT 4SEAFOOD
16.21 26.94 TAX
FREEZER 101LE0. WAREHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8SANITATION
Customefs signature evidences receipt of all items listed and its promise to pay
9.99 the amount due to GFS.Customer agrees that if a check,draft and/or order o1 INVOICE TOTAL 66.66
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
6.94 4.58
TOTALS BY TAX CATEGORY Received By: SALE NBR 86
%RATE TAX %RATE TAX y \ / LANE NBR 03
The perishable agricultural commodities shown on this invoice are sold subject to the l \ \Ll USER ID 66520
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities l
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 07/09/2018 -
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) 15:35:00
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