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Home My WebLink About327906 07/20/18 J`.%��p''°� CITY OF CARMEL, INDIANA VENDOR: 359366 \' ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,292.03* �; CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 327906 9�Qt�N'L�'` INDIANAPOLIS IN 46206.7137 CHECK DATE: 07/20/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138578341 1,211.53 FOOD & BEVERAGES 1207 4239040 138579617 80.50 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $80.50 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 138579617 42-390.40 $80.50 1 hereby certify that the attached invoice(s),or 7/7/18 138579617 Food $80.50 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 Monday,July 09,2018 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 IIIIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIillllllllllll lllllllllllllll CUSTOMER'S OREGINAL INVOICE;CUSTOMER NE TIAL PROPERTY OF SYSCO . I N 4 1 2 9 4 0 1 3 8 5 7 9 6 1Good7 things 0 0 1 N 7/07/18 $`�" - BROOKSHIRE GOLF CLUB... from TRUCK STOP 412940 -138579617 0 1 12120 BROOKSHIRE PKWY �)come/SC(Y /314 CARMEL IN 46033 v SYSCO INDIANAPOLIS, LLC ROOTS PURCHASE ORDER 1 0 4000 W 62ND -ST b 317-846-7431 INDIANAPOLIS, IN 46268 01F TERMS -PAST DUE BALANCES ARE SUBJECT TO SERVICE CHARGE C DUE FRIDAY 4 WEEKS AFTER ORDER _ BROOKSHIRE SHELLFISH •SHIPPER ID: IN007RS MANIFEST# 622389 CUSTOMER WILL CALL_� 10 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y CARMEL IN 46033 DRIVER: z ' UNIT T p INVOICE ADJUSTMENTS ITEM UNIT y o QTY PACK SIZE ITEM DESCRIPTION CODE PRICE AM EXTENDED NT PRICE X I CODE QTY K c HICKEN SANDWICHES ON MENUS UP 8% IN 5YRS. ASK YOUR FOR S SCO CLP.SSIC CHICKEb SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU CAN EARN A CREDI -ON YOURACCOUNT' � HE SIGNER BELOW AGREES TO TRANSPORT THE PRODUCTS ON HIS 2 OICE ("PRODUCT") IN AN jENVIRONMENT AND IN A MANNER THAT PROVIDES ADEQUATE SAFETY CONDITION AND -TEMFE TURE PROTECTION FOR PRODUCT AND TO COMPLY WITH ANY APPLICABLE LAW OR REG LATION DURING RANSPORTATION. THE SIGNER RELEASES SYSCO FRCM ALL CIJ.IMS RELATED TO THE TRANSPORTATION O y PRODUCT TO PRODUCT'S DESTINATION, AND IN DOING SO, THE SIGNER ACCEP S_ AND AS S, FULL H SPONSIBILITY FOR THE INTEGRITY OF PRODUCT. PRODUCT OBTAINED FROM ILL-CALL I-3-'NOT °z LIGIBLE FOR RETURN. L FIRMANTE SE COMPROMETE A TRANSPORTAR LOS gR6DUCTOS DE ESTA FACT (EL "PF ON CTO") , EN c UN AMBIENTE Y-DE.UNA MANERA QUE PROPoRCIONE'CONDICIONES ADEC ADAS DE SEGURID N PROTECCI4N DE LA TEMPERATURA PARA EL PRODUCTO, Y CUMP IR CON CUALQU ER LEY O ULACI(�N o PLICABLE DURANTE EL TRASPORTE. EL FIRMA14TE RIBERA A 3YSC6 DE TODA3 RECLAMACI- 0tES Y DE a ODAS DEMANDAS RELACIONADAS CON EL TRANSPORTE DEL PRODUCTO AI, DEST NO. DEL PTODUCTO, Y AL CERLO, EL FIRMANTE ACEPTA Y ASUME TODA LA IMSPONSABELIDAD - OR LA NTEGRID L . PRODUCTO. EL PRODUCTO OBTENIDO DE LA AREA DE ENTREGA (WILL-C L) NO ES- ELEGIELKE PARA EVOLVER. Y CUSTOMER SIGNATURE: ATE: USTOMER PRINTED NAME: i N N *** FROZEN *** F 2f CS 4 LB BREWCTY APTZR CHEESE & MAC JACK B 1000000516 1955451 40.25 80.50 GROUP TOTAL**** 80.50 0 ORDS SUMMARY 10314 ' M � o 0 o .. x r1 z Edn M CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO - z P.O. BOX 7137 2 2 1.0 18 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 80.50 2 2 1.0 18 TAX DRIVER'S NO. PCS COST.s—xevo:cs—S OF NO. PCS TOTAL SIGN DELVD. SIGN v REC. INVOICE X TOTAL 80.50 1PPRESENTATIVE RTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE ORIZED BY SECTION 5 (CI OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EN,. THE SELLER 0£THIS COMMODITYINS A TRUST CLAIM OVERTHESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, 8 O3/18 LAST PAGE ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITNPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGGT TO SERVE IN ANY CAPACITY,OR•TO PARTICIPATE AS A MEFIDER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPITE. 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 $1,211.53 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 138578341 42-390.40 $1,211.53 1 hereby certify that the attached invoice(s),or 7/5/18 138578341 Food $1,211.53 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 Friday,July 06,2018 d-1 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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII(IIIIIIIIIIIIIIIII IIIIIIII IIIIIIIIII IlliilllllllllIIIIIIIIIII111111111IIII CUSTOMER'S ORIGINAL INVOICE CONFIDtENT�INUMBER AL PROPERTY OF SYSCO DELV. DATE -"CUSTOMER - I N 9 a H 5 7 H 3 4GoocPth4n 0, 7/05/18 BROOKSHIRE GOLF CLUB+++ TRUCE STOP 412940 138578341 8 2 sijk(Y400012120 BROOKSHIRE PKWY /011 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER W 62ND ST M INDIANAPOLIS, IN 46268 4453 TERMS -PAST DUE BALANCES ARE SUBJECT TO SERVICE CHARGE.;' a 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER p BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 622218 NORMAL DELIVERY 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ °z CARMEL IN 46033 DRIVERv L °! PACK SIZE; STEM;DESCRTPTION ITEM UNIT T�AxIT EXTENDED I.T p INVOICE ADJUSTMENTS y QTY _. CODE( PRICE AMouNT: PRICE s 2 CODE 1 S 160 CT LAYS' CHIP VARIETY SYSCO/FRITO LAY 3,1831 6586721 27.51; 27.51' . D 5 S 12 3::6zIZONA,DRINK TEA"ARNOLD PALMER LITE 7300 10554968 ,.1'C 9184.55 � y D 1 S 16 40Z SRCCLS KETCHUP SQUEEZE BTL HOU7tA24 9617218 27.25 '1 . 27,25' v OUT S 48 4750ZPLANTER PFANUT SALTED 10029000077086 3259!928 n .. ....... .. ... .... ......... ....... ..............: M UT/STOCK 1 °x 6 CS 24.5LTR PURLIFE WATER PURIFIED 11476557 8108847 6.37 38.22 c GROUP TOTAL**** 287.10 y *** PAPER & DISPOSABLE *** o M 1 CS 1280 CT SYS REL CUP PLAS TRANS 160Z SOFT YE160SYS 7358304 104.47 104.47 1 ICS 4100 C SYS CLS GLOVE LATEX FDSVC PWDRFREE 304750022 8347841 48.92 48.92 .. .. .. .. ... .. .. m D 1S S 10100 C SYS CLS GLOVE POLY CAST DISP MED 303363112 8348245 49.74 49.74 1 CS 4125CT SYS IMP PLATE PLAS BLK IMPACT 10.25. PI10ESYS . 2818110 158.47 158.47 . a . .. , 2S ONLY50OCT SYSTRNZ STRAW PLAS WRPD JMBO S YSTWJ77SSER24 0191516 5.4210.84 GROUP TOTAL**** 3.72,.44 . *** CHEMICAL *** r D 1 CS 4320Z KEYSTON CLEANERALL PURPOSE ORANGE._R 610.0063 .. 7682802 31 .31 31.31 ** GROUP TOTAL .* :::31.31 0 *** PRODUCE *** A C , 1 CS 112 CT_. IMPFRSH APPLE RED DEL. FCY. FRSH, 7410608 12.58 1.2.58 z C 1 CS 15 LBIMPFRSH ONION RED FRESH JUMBO 1039494 11.01 11.01 GROUP 'TOTAL**** 23.59 D MISC CBARGES CHGS FOR FUEL SURCHARGE 4.70 .;. QRDE ::S Y 7089 ._,.. . _ z K CASES SPLIT OT.PCS CUBEGRoss WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO z P.O. BOX 7137 z 20 2 22 15.8 387 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 1211.53 32 7 39 24.8 543 TAX DRIVER'S TWO. PCS CUST.sxcssn xxv°xcs evmsscss°r ncc xxsxs �NOS TOTAL SIGN DELVD. SIGN X INVOICE 1PRESENTA ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST TOTAL 1211.53 HORIZED BY SECTION 5 (C1 O£THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EMI. THE SELLER OF THIS COMMODZ PAYABLE ON OR BEFOREAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FODOR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, 8/03/18 LAST PAGE ANY RECEIVABLES OR PROCEEDS FROM THE SALI<OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY TIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. IIIIIIIIII Illilllllllllllllllllllll IIIIIIIIIII IIIIIIIIIIillll IIIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIII Ilill CUSTOMER L . DATE ORIGINAL INVOICE CONFIDENTIALVOEPROPE PAGE OF SYSCO Gooc�th)ngs 7/05/18 BROOKSHIRE GOLF CLUB... TRUCK STOP : 412940 138578341 8 1 12120 BROOKSHIRE PKWY Sijk04000 CARMEL IN 46033 SYSCO INDIANAPOLIS, LLCROUTE PURCHASE ORDER W 62ND ST b INDIANAPOLIS, IN 46268 4453 TERMS -PAST DUE.';BALANCEs AME SUBJECT To SERVICE CHARGE 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 622218 NORMAL DELIVERY b 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 L ITEM UNIT UNIT: EXTENDED ! T p INVOICE ADJUSTMENTS y o QfiY, _d PACK' SIZE ITEM'DESCRIPTION TAX—, CODE PMTCE AMooNx: PRICE x I CODE' QTY K HICKEN SANDWICHES ON MENUS UP 8% IN 5YRS ASK YOUR FOR SYSCO C SSIC CHICKEN SK ::YOUR MA ABOUT SYSCOACCOUNTCENTER.EOM & H FT YOU C EARN CREDI ON YOUR OUNT! .._ . *** DAIRY..*,t* H C LS ONLY LB BRLCLS CHEESE',AMER 120 SLI YEL 28131 ' 6697?114 17.26;' 17.26 v C 1 S 8 5 L BRLIMP CHEESECHDR MLD SLI INT ," SYS354!6369" 3546369 40 96' 40.96 H .. x C 1S NL:,. LB '; SAIMP CHEESECHEDDAR JACK FTHR SHR 10997CS 891:9086 16.93 16:93 F1 5 :2 4 CTLU;BNY ICE CREAM BAR HOMEMAD x1007064030,10241719;806 24.12 24.12 y F 2C S 1 4. CT: LU BNY ICE CREAM CONE VAN SN 110,070;640,01;4122. I; 4147:466 15,97' 31.94' GROUP TOTAL**** 131.21 *** MEATS *** F 1 S 16,0 OZ BEEF :PATTY CHUCK RND FRZ 1.2181 7202831 1,01.57: 1.01.52 Y F 1 S 60 ,3 OZ T " BEEF PATTY ,GRD S.EA HS ;FRZ 770';3003 6964597 73.86 73.86 A F 1 S 2 LBrr"; HN$ 7LEBRATWURST CKD ULTIMATE 5X1 101558 2116860 .,.:43,32 43..32 . N W F 9 2 S 25 LB BBALdIS FRANK 'ALL=MEAT 5X1 6 IN 7486506792 'i 1137736 29.30 =58.-60 F 1 <S 160 CTI ORRELL rFRANK :BEEF iMINI KIT W/BUN 7 99 010,00:2809 0423'923 .90.: 90 0 GROUP TOTAL**** 327.25 *** ;FROZEN ***' �yay . .:: ... ... .. M F 1 4 .5LB ANTLZRONION RING`'BEER-BTR 5:/8 3.0423' 0855296 33.93; 33..93 GROUP TOTAL**** 33.93 „ *** .CANNED. & DRY n '. ..:..._: .... O C 1S NL 6CT S;, CANDY BAR MILKY WAY 25'5386 1771785 26.81 26.81'' 0 C 1S ! ONLY 4 CT' ERSHEY._CANDY BAR PAY DAY 8:0723 703.0414 18.7.5' 18.75 C 1S NL:. 8 CT; SNICKER ,CANDY" :BAR SNICKER 1.8;6 OZ 256479 l 179383rL 7 36.50,: ;; 36,50 z D 1 S 2 0 CT' YS CHIP VARIETY BM:! 92268 } 4830455r.27.51' 27.51` K r CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT TO .. : .................... P.O. BOX 7131 M 12 5 17 9.0 156 INDIANAPOLIS, IN SUB 46206-7137 TOTAL TAX DRIVER'S NO. PCS COST.sx——im wx—Es oe xxm xxsess NO. PCS TOTAL SIGN DELVD. SIGN X REC. INVOICE TOTAL MPORTANT 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 1930 (U.S.C. 499EW),. THE SELLER OF THIS COMMODITY TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF£POD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITk CONT. 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 CAPACZTY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.