HomeMy WebLinkAbout328239 7/31/2018 �ai�c.1H,yf
CITY OF CARMEL, INDIANA VENDOR: 365677
j;® \; ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******266.37*
�: CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 328239
y,�TON��. CHICAGO IL 60680-1029 CHECK DATE: 07/31118
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926110620 32.63 FOOD & BEVERAGES
1207 4239040 926110680 134.85 FOOD & BEVERAGES
1207 4239040 926110828 98.89 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$98.89
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
926110828 42-390.40 $98.89 1 hereby certify that the attached invoice(s),or 7/25/18 926110828 Food $98.89
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
Wednesday,July 25,2018
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
Page;1 of 1
Gordon P•O.Box 1787 INVOICE
MI 49501-1787
FOOD SERVICE STORE wwww.gfs.com INVOICE# DATE
1-800-968-7500 926110828 07/25/2018
TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100133245 4040 73406 1905 Fishers Net 30 Days
Krisloifer 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
8321810 1 CASE DRESSING BTRMLK RNCH 60-1.5FLZ PMLL 1 19.73 19.73 19.73
8250010 1 CASE DRESSING ITAL CLSC PKT 60.1.5FLZ PMLL 1 17.78 17.78 17.78
8249200 1 CASE DRESSING BLEU CHS PKT 60-1.5FLZ PMLL 1 22.40 22.40 22.40
1967000 1 CASE ENERGY DRINK RED BULL 24-8.3Z 9 1.46 34,99 34.99
5054121 1 EACH EGG SHL LRG A GRD 10-30CT GFS 6 3.99 3.99
i
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 98.89
11-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
69.91 TAX
FREEZER COOLER WAREHOUSE MIaC, TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8SANITATION
Custamefs signature evidences receipt of all items listed and its promise to pay
3.99 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 98.89
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
34.99
TOTALS BY TAX CATEGORY Received By: SALE NBR 77
%RATE TAX %RATE TAX
LANE NBR 04
The perishable agricultural commodities shown this invoice are sold ol to the \f USER ID 22856
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities _ \
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 07/25/2018
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 KATHY TIME(GMT) 13:06:00
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$.O8 per dozen
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
$167.48
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
926110620 42-390.40 $32.63 1 hereby certify that the attached invoice(s),or 7/19/18 926110620 Food $32.63
1207 101 1207 101
926110680 42-390.40 $134.85 bill(s)is(are)true and correct and that the 7/21/18 926110680 Food $134.85
1207 101 materials or services itemized thereon for 1207 101
which charge is made were ordered and
received except
Monday,July 23,2018
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
• 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 926110620 07/19/2018
TAL 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
8470521 4 EACH Kool Pops Mesh Bag Bin 1 80c 2
2.79 11.16
7260791 1 EACH PEPPER MILL REGAL CAESAR DRESSING 1 14.49 14.49
7133701 2 EACH TORTILLA FLOUR 12"SFST 12-12CT GRSZ 1 3.49 6.98
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 32.63
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
21.47 11.16TAX
FREEZER COOLER WAREHOUSE MISC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION
Customers signature evidences receipt of all items listed and its promise to pay
the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 32.63
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 dravm for a fee up to the maximum permitted by law. PAID 0.00
TOTALS BY TAX CATEGORY Received By: SALE NBR 125
%RATE TAX %RATE TAX LANE NBR 03
The perishable agricultural commodities shown on this invoice are sold subject to the 1 \�\ USER ID 68860
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 07/19/2018
these commodities,ail inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale of these commodities until TIME(GMT) 17:23:00
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
r r Page:1 of 1
Gordon P.O.Box1787 INVOICE
GMI 49501-1787
FOOD SERVICE STORE WWW,gfs.com INVOICE# DATE
1-800-968-7500 926110680 07/21/2018
TAL ROUTING# STOP# I 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 QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT
1013461 5 EACH SOUP CRM OF MUSHROOM 1
4,49 22.45
2615641 4 EACH Hearthstone Chicken Broth 49oz 1
2,49 9,96
1647501 4 EACH TOMATO GRAPE SN/f 12-2#P/L 10
3.99 15.96
3261351 2 EACH CHEESE BLND MEX SHRD FINE 4-5#GCHC 6 12.99 25,98
3572201 3 EACH BACON CRUMBLES CKD 12-19 GFS 3
9.79 29.37
4573411 2 EACH CREAM WHIP 36%HW ESL 12-1 OT GCHC 6
4.79 9.58
4879611 2 EACH CREAMER HLF&HLF 12-1 QT GCHC 6
3.29 6.58
4171901 2 EACH MUSHROOM SLCD 1/4"SEL 6-24Z P/L 10 4.99 9,98
7485201 1 EACH CROUTON LRG SEAS 10-2#GFS 1
4.99 4.99
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 134.85
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
37.4 29,37 TAX
FREQER COOLER WAREHOUSE MIEC. TOTAL
5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION
Customer's signature evidences receipt or all items listed a its promise to pay INVOICE TOTAL 134.85
4214 the amount due to GFS.Customer agrees that its check,draft and/or order of
9-0ISP.BEVG 10-PRODUCE 11-TABLETOP
payment('Transaction")issued for payment ofthis 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
25.94
TOTALS BY TAX CATEGORY Received By: SALE NBR 116
%RATE TAX %RATE TAX
1 1 V � LANE NBR 03
The perishable agricultural commodities shown on this Invoice are sold subject to the ` "` USER ID 68858
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 07/21/2018
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) 09:58:00
full payment is received.Eggs delivered In the state of Illinois include an Illinois Egg Signature:
Inspection Fee in the price.Meryland MDA Inspection Fees at a rate of$.08 per dozen