HomeMy WebLinkAbout328256 07/31/18 Y i
a`! ,� CITY OF CARMEL, INDIANA VENDOR: 359366
ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****1,558.64* .
/a' CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 328256
�,��oN�. INDIANAPOLIS IN 46206-7137 CHECK DATE: 07/31/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138591352 1,172.01 FOOD & BEVERAGES
1207 4239040 138597905 386.63 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 359366
SYSCO FOOD SERVICES IN SUM OF$ 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
$1,172.01
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
138591352 42-390.40 $1,172.01 1 hereby certify that the attached invoice(s),or 7/19/18 138591352 Food $1,172.01
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,July 23,2018
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMERLS ORIGINAL IrNVMERRCE CONFIDENTE �PROPERaY OF SYSCO
Good things 7/19/18
BROOKSHIRE GOLF CLUB comefrom TRUCK sxOr 412940 138591352 8 1
12120 BROOKSHIRE PKWY �l/��O�SYSCO INDIANAPOLIS LLC /010
CARMEL IN 46033-3314 ROUTE PURCHASE ORDER
4000 W 62ND STr.I
317-846-7431
INDIANAPOLIS, IN 46268 7742 TERMS PAST DIrE'BALANCES ARE'SUBJECT'lb SERVICE ElARG k
DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 623357 NORMAL, DELIVERY ro
I MA: SN139 GARY LEVERENZ 0
CARMEL IN 46033 3314
QTY,• PACK. STZE ITEM:DESCkiIPT20N, T A V. INVOICE ADJir3TMENT$
C ,. , .. CCGS. CE' E PRICE 6 g r ConEl' �TY:<
:AMovNT:
CHICKEN SANDWICHES, ON MENUS UP 8� IN 5YRS A K YOUR FOR S SCO C SSIC CHI
..
. SK,_ i'OUR.MA AsOU, SYSCOAW6bNTCENTER COM..&. H W, YOCX EARN.'. Cl2EDI .._ON..YOUR OrrNT�... ...
**;t' DAIRY';,,***
:, .
,: ..: , 1. % .0
H
1S NL LB::: BRICLS CHEESEi AMERJ 120 SLI YEL 2'8131, . ,6697 9 ... 16 89 16 89
F 2 1 4 GT . LU SNY _ICE...CREAM CONE VAN,. SN ;1007064001;4122. X147466 .15„97, .,
r
31. 94 y
.... .': H
1 48 5 OZ LURBCL ICE CREAM SANDWICH VA!00070640310104 7666155 24 75` 24.75
I. 3 5....29 .5 OZ 1,U.BNY _10E CREAM SNDWCH CHY1� j.0007069.0310821 1595, 87 .,..25 2.T> 75 8.1.
... .. .. ....: N
GROUP TOTAL**** 149.39
0
*** -MEATS:: *** , .. »:,
;, r.':.,
.., .. 4 Y
r
1rrr
,;S . :60 ,3.;,OZ T._ BEEF. PATTY GRD SEA HS,';ERZ , : 7'X0,3003 6964;597 73 $6!. m. }.73:85
j.Ir S .,.
2. ,LB,;! BR7CLS Ff2AhTK..ALL MEAT ,5X1._6 IN ,. 798650,6792 1137:736 ..29 82 .. , 29 82
.. ;,
GROUP TOTAL**** 103 68 .
***" :POULTRY .*', lr
;:
„ ,::. m
0
,. ...,.2 .. .. 40. OZ SYS.:CLS CI3ICKEN.BRST GAU MRK SCK 024948-.- 5 I; 8666214 59, 95'; . .: 119 9;U F... ..».
0
C 1 S 4 5LB', BRI CLS 'Y 7RKEY', BREAST. SLX O/RSTD 2265594113,.',: 19.60934 58.95? , 58 95 .
_m:'.
GROUP TOTAL**** 178.85
,t,x* FROZETt. ,r*,�
0
I.
..S 4' SL8' ANTI,ZR ONION...RING1,111BEER_,:BTR.5 j8 .. .....•> ......, 30423 0855rr 296 ...:33....93.1 . 33 93..
a
:. .: :. .: ., ..
I r. 1 S b LB YS ,1MP, .P::OTATO,;:..my SKON:3/8 P:::., :473040:9594 .1998;90.7 37:31::
37.31 :,::.,
F 2' .S 6 5 L SIMPRST POTATO'REDSKIN HLV RS !;1007117977;6?72., .. 39.09.900 34 75'< 69. 50 ... .,
GROUP TOTAL**** 140 74 °
*** :CANNED. & DRY ***
..
1 NL 4 CT ERSHEY CANDY BAR PAY L1AY 80723 7030414 , 18 75 18 75
C 1S NL. 8 ,CZ'. SNICKER. CANDY .BAR ;SNICKER 1. 8:5. OZ ..... 25;6479.. 1793:837 ....36.50;; 3,6 .50 .. . . .. ,..0,,.,.; IHz
»' m
C 1S NL 8 CT; &M 1 CANDY M&M PEANUT.:1 74 =0Z .,, 4380788 . •34:70; 1. 34.7Q K
.;
.:
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT 'O
P .O:...BOX 7137. p
15 4 19 8.8 207 INDIANAPOLIS, IN SUB
46206-7137 TOTAL
1. TAX .
DRIVER'S NO. PCS CUST.sxee�cD m cE-I.-..-—xxrxv NO. PCS TOTAL
SIGN DELVD. SIGN X REC.
INVOICE '
TOTAL
1PRESENTATIVE
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST pAYABLE ON OR BEFORE
HORIEED BY SECTION 5 (CI OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 fV.S.C. 499EMI. THE SELLER OF THIS COMMODITYAINS A TRUST CLAIM OVER THESE.COMMODITIES ALL INVENTORIES OF FOOD OR OTHER RODUCTS DERIVED FROM THESE COMMODITIES
ANY RECEIVABLES OR PAOCEEDS.FROM THE SALH OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH CONT. ON PAGE 2
PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY .
CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE,
IIIIIII,IIIIIIIII I 111111 IIIIIIII IIIIIII11111 IIIII 3111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII 1111111 CUSTOMER LS ORIGINAL NvoRcE CONFIDrENTE UMHE
OF SYSCO
GoodAngs 7/19/18
BROOKSHIRE GOLF CLUB come from TRocR sToP1. 412940 138591352 8 2
12120 BROOKSHIRE PKWY �����®A /010
CARMEL IN 46033-3314 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST
INDIANAPOLIS, IN 46268 7742 TERMS —PAST DUE:BALANCES ARE,SUBJECT To'SERgTCE CfIARGE ,': 1
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
SHELLFISH SHIPPER ID: IN007RS MANIFEST 623357 NORMAL DELIVERY
BROOKSHIRE GOLF a
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ
CARMEL IN 46033 —3314
L a ITEM UNIT UNIT EXTENDED T p INVOICE ADJUSTMENTS y
C QTY 2 PACK,, SIZE; ITEM iDESCRIPTION CODE kRtCE ano'vHx PRICE z I conEi 47x...
_.
C" 15.. 1.N1.L 6 CT ESES .CANDY PEANUT BC7"rTER C7P 4:4000...., 5197769 27.38 27..38:
• �
1 S 2 OCT YS,
CHIP P:OTATO.,KETTLE.VARIETY ;PAK 67550 ,';,4932390 39,.16! 34.16
H
D 1 16b C7 YS! % CHIL .9P VARIETY SY9.9 1SCO/FRI9 9TO `LAY 3.1831 6586721 27'. !: 511. r5
b
D 1 S 64 OZ OLGOLD PRETZEL TIN„Y TWIST CLS LSS:. 44391 : 6798845 ,_37.77; 37 77; ;, N
0
z
L 1.2 , :S 1 $ %LR" SYS REL SHORTENING FRY LIQ CLR ZTF 502:05'LL53 45184039. 24.93P !49.86:,
GROUP TOTAL**** 266.63 c
'•. . ***...,'PAPER S DISPOSABLE *yF�t .. .. .. ....._ N
1S `S YO QO C; SYS :CLS G.I'AOVE POLY EAST DISP",MED 303363112 :(•8348245 49.74„ 49.74! _,,,,
9 9 .. ., n
GROUP TOTAL**** 49.74
*** ;CHEMICAL ,*** "
t 1 3'0 9 966Zi. YST014 CLEANER DEGRSR HGH TMP GRL ;R 6100632 0658011 39.98: 39.98
M
GROUP TOTAL**** 39.98
*** ;':PRODUCE •L L�..
m
C 3 .::'S 2 LB IMPE'RSH BEAN GREEN FDSVCTRIMMED. FRS.1810910,, 1810;910 29.80 89.40 ... N
N
0
C 2 4 LB IMPFRSH LETTUCE SAL:MIX SEPARATE FRE 167;5602 ! 1675(602 .26.25': 52.5:U
C 1 5 2 LB BRLIMP SALAD CHICKEN : .510?1 is 2510717 47.77 47.77 g
GROUP TOTAL**** 189.67
***';DISPENSER *** .
A
..:: ......:.. :. ::, �: .. ,
.. .. .. a
D 1 S 1 .5 I9 9NMAID SYRUP LEMONADE BIB 16760298 8908832 `.48.63` 48.63
GROUP TOTAL**.** 48 63 „
MISC GE
HGS. FOR FUEL SURCHARGE. 4 70....'' * 0
.. o
0
ORDER S Y 21103 21128
0
.
.... z
CASES SPLIT OT.PCS cueE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT,::::
..
P.O..:; BOX 7137 ,
14 1 15 15.8 230 INDIANAPOLIS, IN, SUB
46206-7137 TOTAL 1172.01
29 5 34 24.6 437 TAX
DRIVER'S NO. PCS I CUST.SIGNED INVOICE EVIDENCES OF ALL ISEK 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 5j) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(Cd). THE SELLER OF THIS COMMODIT
TAINS A TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES,
ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH 8/17/18 LAST PAGE
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.
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
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
$386.63
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
138597905 42-390.40 $386.63 1 hereby certify that the attached invoice(s),or 7/26/18 138597905 Food $386.63
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
.ti
which charge is made were ordered and
received except
Thursday,July 26,2018
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
IIIIIIIIIIIIIIIIII 9 IIIIIIII III I IIIIII CUSTOR'S ORIGINVOICE DENTAL PROPERTY OF SYSCO
MEINAL CE CONFIIROPER
2 4 D IIIIIIIIIIIIIIIIIIIII 9 IIIIIIIIIIIIIIIIIIIIIIIII, DE> /2fi�18 CUSTOMER INVOICE NUMER PAGE
Gooa things
BROOKSHIRE GOLF CLUBcoe TR6cx sxoP
12120 BROOKSHIRE PKWY �� m�I�®�SYSCO INDIANAPOLIS, LLC /011
412940 138597905 7 1
CARMEL IN 46033— '3314 RouTE PURCHASE ORDER
4000 W 62ND ST b
INDIANAPOLIS, IN 46268 7742 TERMS -PAST DUE sALaxcEs ARE svBJECT To SERVICE CHARGE:', a
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS JMANIFEST# 623879 NORMAL DELIVERY ro
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ
CARMEL IN 46033 —3314
CQry N ITEM UNIT UNIT ' EXTENDED T p INVOICE ADJU3TMENT3 y
PACK SIZE ITEM DESCRIPTION ! TAx .
c CODE.. PRICE AMODNT PRICE.X I conE: QTr.
***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY.COM SIGN-UP AT YSCOFO DIE COM/ I
... ...
SK SCOUR.MA ABOUT SYSCOACCOUNTCENTER..0019 & H,.W YOC7;', C. .EARN...,;, CREDT .ON XOUR. OUNT!
61
,t 'DAIRY', ,t**
H
I 1 S 294.5.OZ LU BNY ICE CREAM SNDWCH'CHIP: 000706.4631;0821 ; 1595487 25.27' 25.27;
*** GROUP TOTAL**** . 25.27 ? .... b
yMEATM
.....
°z
F 1 S 2 LB HNSVLE•BRATWURST CKD'ULTIMATE 5X1 10,1:S 58 2116!860 43.32': 43.32 E
F 1 S 29 OZ "s OLTEN p;ORK E`RIT,TER BNIiS HM 210009 6583;710 47.27 y
GROUP TOTAL**** 90.59 0
*** CANNED & DRY *** s
r
C 1S ` NL...4 8 CT SNICKER, CANDY ,BAR SNICKER 1.86 OZ 25,6479 1793837 36.50 36.50
D 1 S 1215.2OZ ROPCNA JUICE CRNBRY CKTAIL PET 00864..:14760;062 22 75F: 22.75
1 S 12 2 OZZNGZANG MIX COCKTAIL BLDY MARY 81422-5 8U66474 48.481 48.48
m
0
- D 1 S 12 2 OZ: RENCHS•14USTARD YELLOW S.Q2 CLS 417557741 .47 6070 23 7.3 23.73 ^'
GROUP TOTAL**** 131.46
*** •'PAPER':: & DISPOSABLE,***
D 2S ' NL OOCT; SYSTENZ STRAW PLAS WRPD JMBO S YSTWJ77SSER24 i 0191516 5.42' 10.84 _ o
GROUP TOTAL**** 10.84
CHEMICAL
*** *** ,
. _
.:_ia ....._......:._............ - a
a
D 1 S 4 202 YSTON CLEANER GLASS BLUE RTU 6100067 : 7682790, 26.40 26.40
GROUP. TOTAL****
*** .;;PRODUCE
26 40 ,
0
C 1 S" 2 LB BRLIMP SALAD CHICKEN 51071 2510717 47.77 47.77
H
C is 1 S 2 LB BRL'IMP SALAD TUNA ALBACORE 5'1194 2511'947 49.60! 49.60 -•
GROUP TOTAL**** 97.37
MISCGE HGSI; FOR FUEL :SURCHARGE '4.70
.................... , z
K
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM ' REMIT TO z
P.O. BOX 7137
9 3 12 5.2 135 INDIANAPOLIS, SUB 46206-7137 TOTAL
TAX
DRIVER'S NO. PCS OUST.sxexsn xervoxce svroExcss oe wu xaans NO. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL
F
ACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUSTPAYABLE ON OR BEFORE
BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EtC)�. THE SELLER OF THIS COMMODITRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS_ DERIVED £ROM THESE COMMODITIES,ANY DISPUTE ARISINGS0 T00£TYOOR HE RECEIPT OFTHESETCOMMODITIESHESE TUNTIL FULL PAYM YOU NATE GI VINGIVPDYOURTRIG�ITER YTO SERVE INTCONT. ON PAGE 2
IVE UT
TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIII IIIIII IIII I IIIIIIIIIIIIIIIIIII4IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII CUSTOMER LS ORIGINAL INVOICE CONFIDENTIAL EPROPERATYB OF SYSCO
Good tfi"gs 7/2
BROOKSHIRE GOLF CLUBcome from ?R�? TOY 412940 138597905 7 2
12120 BROOKSHIRE PKWY �`���®'� /011
CARMEL IN 46033-3319 SYSCO INDIANAPOLIS, LLC AODT'L PURCHASE ORDER
4000 W 62ND ST b
INDIANAPOLIS, IN 46268 7742 TERMS -EPasT.DUE'BALANCES ARE sUBJECT To SERVICE :CHARGE Q
317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 623879 NORMAL DELIVERY m
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ °z
CARMEL IN 46033 -3314
a QTY x
o LAGK. SIZE ITEM UNIT UNIT EXTENDED• T p INVOICE ADJUSTMENTS y
T'� A x conE QTY: K
c CODE PRICE AMODHx! PRICE• x
ORDER S Y 26168
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CASES SPLIT OT.PCS CUBE GROSS WT. OPEN'11-00 AM CLOSE: 2 t 00 PM REMIT TO
P.O. BOX 7137
INDIANAPOLIS, IN SUs
46206-7137 TOTAL 386.63
9 3 12 5.2 135 TAX
DRIVER'S NO. PCS CUST. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL 386.63
kRESENTATIVE
ORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
HORIZED BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 tU.S.C. 499E((C))��. THE SELLER OF THIS CONAIODIAINS A TRUST CLAIM 0 R THESE COMMODITIES ALL INVENTORIES OF FOOD 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 WITH 8/24/18 LAST PAGE
PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY
CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE•