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Home My WebLink About327831 07/20/18 p1_CAq ® \�. CITY OF CARMEL, INDIANA VENDOR: 359366 l ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,029.99* =9� ,�� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 327831 y��TON�, INDIANAPOLIS IN 46206-7137 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138584701 1,029.99 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $1,029.99 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 138584701 42-390.40 $1,029.99 1 hereby certify that the attached invoice(s),or 7/12/18 138584701 Food $1,029.99 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,July 12,2018 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 IIII IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII CUSTOMER LS ORIGINAL_ INVOICE cE CONFIDNEPRO voNTE EPERTY OF SYSCO 7/12/18 BROOKSHIRE GOLF CLUB APOdcth4ingsomefrom TRUCH STOP 412940 138584701 5 1 12120 BROOKSHIRE PKWY c11 CARMEL IN 46033-3314!) INDIANAPOLIS, LLC ROS /009 PURCHASE ORDER 9000 W 62ND ST JEb INDIANAPOLIS7742 TERMS —PAST DUE:BALANCES ARE SUBCT To SERV , IN 96268 ICE CHARGE a 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 622813 NORMAL DELIVERY m 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 —3319 O BACK SIZE IT.M!DESCRIPTION , ITEM'. UNIT ' TVAxIt EXTENDED TAP INVQZCE ADJUSTMENTS C • :: CQDE' PRICE AMouNT PRICE X I CODE: 4TY HICKEN SANDWICHES ON MENUS UP 8% IN 5YRS ASK YOUR FOR S SCO C SSIC CHICKEN ... . 5 .,'7C0UR MA. ABOUT SYSCOAGCOUNTCENTER COM:..& H W.SCOU;C EARN.' CREDI QN. YOURi C1T7NT IAX *** C �1S NL. LB BRLCLS;CHEESE;TAMER;120 SLI YEZ 28131 669?114 17 28 h 17 26 F (' �2.,.„.,5 1 ..4 CT: LU ,BNY ;IGE..CREAM. CONE VAN SN 1007054001.4122 41474Gf 15 97 ! 31 94', y 0 z I ✓3 S 24 5 OZ LU;BNY ICE CREAM SNDWCH.:CHIP. 1;000.70.64031;0821 1595487 25 27 75 ,81,; n F S .. 29 OZ .... ZCLS YCE. : TAT,IAN ;CHERRY TLy1E 2.2430. 2560;324 22 29 22 29`, .. .. .. .........: : .. .. ...i N ARE Z.CA " MON, TUB , 10E ,ITALIAN;;LEE.;. 224,10, GROUP TOTAL**** 168.88 *,r* MEATS * r 01 F .... 1 S 60.... 3 OZ T...... r 0 SEES, PATTY. GRD SEA HS. 'RZ. .,; 7703003 6964:597 73. 86 73 _86;. _.. . F 2 S 2 LB '` 5`7LE BRATWURST CKD'''ULTIMATE 5X1. 101558 2116860 43.32 0 F 3 S 2 LB BRLCLS FRANK..ALL..MEAT 57{1 6 IN . ...748850..:6792 1137736 29.82 89. 46!.. .... 0 F : S 24 OZ OL'IEN PORK FRITTER• BNLS „HMSTY 2;0009, 6583710 97 27 47.2?: A GROUP TOTAL**** 297.23 F ............ 7'a ......: ., 5 .5 2. LB SOULES CY3ICKEN BREAST BTJLS WNG LT .BRD..64126 70524$7 46 95 F 5 S ”" '2 LB SOULES CHICKEN .BREAST'E1L„SOUTH, STXLE '6U426 .;.7052482 96.25 2':31.25,':' F :S 40. .OZ. YS CLS .CHICKEN BRST GRL:MRK• PCK.02494.8-;0895' ; 86.66219 59 95 ... 59 95' o GROUP TOTAL**** 525.95 FROZEN *,t* FSys, STICK MOZ108 . 37192576 25S ONLY LB 1MP ESE ; Z 3RD 3.25 41 4r g O F A. . "S . 24; 250.2 KRS:IMP. MUFFIN;:ASST BL/BANJCHO..0/CH T/W T5754 .;,_7813114 26 02.'; 25 02..' ` . z F l S 6 LB SYS....IMP P6TAT0 FRY SKON 3/8 P 10'734730409594 ' 1998907 3,7.,31 37.31 K CASES SPLIT TOT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PMEM RIT TQ:'=' P.O. BOX.:.7137..:; 27 3 30 14.9 305 INDIANAPOLIS, IN SUB 46206-7137 TOTAL TAX DRIVER'SNO. PCS CUST.si—o—im svr—Es or.....:rens NO. PCS TOTAL SIGN DELVD. SIGN X REC. INVOICE TOTAL IMPORT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE UTHORIZED BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 193D `U.S.C. 499E((C . THE SELLER OF THIS COMMODI TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DEATD FROM THESE COMMODITIES RNDANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITHCONT. ON PAGE 2 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. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII3II IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII CUSTOMER LS DATE ORIGINAL I�NVORCE T CONFIo EIAEPROPERTY OF SYSCO BROOKSHIRE GOLF CLUB Gooc�thmgs 7/12/18 12120 BROOKSHIRE PKWY �� m��O� TRncE stop 412940 138584701 5 2 /009 SYSCO INDIANAPOLIS LLC CARMEL IN 46033-3314 4000 W 62ND ST RotITE PURCHASE ORDER b INDIANAPOLIS, IN 46268 7742 TERMS —PasT DUE BALANCES ARE supgpcT TO SERVICE CHARGE [ 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 622813 NORMAL DELIVERY ro 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 3314 o ITEM UNIT TAX EXTENDED T p INVOICE ADdt73TMENT3 y ,QTY ;. PACK SIZE ITEM DESCRIPTIOIJ CODE. PRICK PRICE ! x I conB±. {2TYi; GROUP TOTAL**** 113.67 CANNED & DRY *** 11 Fri CHIP VARIETY SYSCO/FRITO LAY 3:1831 65$6:721 27.51 27,51 D ✓4 S 3 OZ IZONP, DRINK. TEA'ARNOLD.PALMER LITE 7300 ' 0554196$ 16.9]; 67.64'. D ✓1 S 48 ,754ZPLANTER PEANUT SALTED q' . .... X0029;000077086 3259928 27:56' 27.56 . .. .. ..z.... H O 2 S 1 5 LB` SYS REL SHORTENING FRY LIQ CLR ZTF.; 5020553 4518,403 24.93?: ;49.86 n .. ....: y D 24.5LTR': PURIIFE WATER PURIFIED € 11.476557 8108847 6.37 38.22, N GROUP TOTAL**** 210.79 O *** RAPER; & DZSPOSA$LE *** N D 2S ONLY 00CT SYSC..O FOIL SHEET :9X10.752N SILVER W6072 6938500 18 51j 37,.02 n 00, 1 . 'S 4 OOCT', SYS.,.,CLS GLOVE ,LATEX FDSVC PWDRFREE ;30475,0023 8345811 54.14,E 541.4, GROUP TOTAL**** 91.16 ~ *** ;PRODUCE *** 0 C S 1 LB IMPFRSH ONION RED FRESH JUMBO 1039494 11.30: 11.30 0 C 1 S 2 LB BRLIMP SALAD CHICKEN 6107111.i;2510717 47.77' 47.77 C 1 15 X6 IMPFRSH TOMATO.';1 LAYER FRESH 1008':630 24.54! 24.54 _. o GROUP TOTAL**** 83.61 M...ISC GE HGSFOR FUEL' SURCHARGE 4.70 ........ A ORDERS . Y 14812 10181 i .. z _ f; ... ..... ... .... .. ... .... z W CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM .REMIT TOI P ..O B0X.::.7137 18 2 20 11.7 376 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 1495.99 45 5 50 26.6 681 TAX DRIVER'S NO. PCS CUST.sxcsen xervoxes—.DE—.or PCS TOTAL SIGN DEI,VD. SIGN X EC. INVOICE IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST TOTAL -� 95.99 UTHORIZED BY SECTION 5&) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)). THE SELLER Of THIS COMMODI PAYABLE ON OR BEFORE TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, L 9a SPIq ECT TOANYDISPUTE ARISINGEEDSOUTOOFTYOUR RHE ECEIPT OFOF ETHESEODITIES PRODUCTS%SERVTIL ICES:LL PYOUAREIGIVINGIUPDYOURTRIGATYTO SERVE OU AGREE INTANY $/1O/18 LAST PAGE U PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.