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Home My WebLink About328798 08/14/18 J�% ��'''�� CITY OF CARMEL, INDIANA VENDOR: 359366 ® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******684.17* �_� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 328798 �'4TON�° INDIANAPOLIS IN 46206-7137 CHECK DATE: 08/14/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138606373 314.12 FOOD & BEVERAGES 1207 4239040 138606374 38.17 FOOD & BEVERAGES 1207 4239040 138613251 331.88 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $352.29 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 138606374 42-390.40 $38.17 1 hereby certify that the attached invoice(s),or 8/2/18 138606373 Food $314.12 1207 101 1207 101 I bill(s)is(are)true and correct and that the 138606373 I 42-390.40 I $314.12 8/2/18 I 138606374 I Food I $38.17 1207 101 materials or services itemized thereon for 1207 101 which charge is made were ordered and received except Thursday,August 02, 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 ION 111111 lZlllll 111411111 , 3 IIIII 111111 CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO IIII II II III IIIII II IIIIII IIII DELBV.oDA�18 CUSTOMER INVOICE NUMBER PAGE a s o s 'Good things BROKSHIRE GOLF CLUBcome from TRUCK STOP 412940 138606373 7 1 12120 BROOKSHIRE PKWY ��®� � a /011 CARMEL IN 46033-3314 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER 4000 W 62ND ST p INDIANAPOLIS, IN 46266 7742 TERMS —PAST DUE BALANCES ARE SUBJECT To SERVICE CHARGE b 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER BROOKSHIRE GOLF FE SHELLFISH SHIPPER ID: IN007RS MANIST# 624424 NORMAL DELIVERY 0 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ y CARMEL IN 46033 —3314 LUNIT INVOICE ADJUSTMENTS O QTY °� PACK SIZE ITEM DESCRIPTION ITEM UNIT TAX EXTENDED T p y CODE PRICE AMOUNT PRICE X I coDE QTY r ***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY.COM SIGN—UP AT YSCOFO DIE.COM/ I 0 SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU EARN A. CREDir ON YOURACCOUNT! v m *** DAIRY *** . Fj li CS 124 CT BLU BNY ICE CREAM CONE VAN SN 10070640014122 4147466 15.97 15.97 2� 1I ICS 244.5 OZ LU BNY ICE CREAM SNDWCH CHIP 00070640310821 1595487 25.27 25.27 H z 1 CS 244 OZ AREZCLS ICE ITALIAN CHERRY TUBE 22430 2560324 22.29 22.29 C: F 11 CS 244 OZ AREZCLS ICE ITALIAN LEMON TUBE 22410 2560316 21.58 21.58 N GROUP TOTAL**** 85.11 *** MEATS *** F 1, CS 605.3 OZTNT BEEF PATTY GRD SEA HS FRZ 7703003 6964597 73.86 73.86 II Fj 2 CS 25 LB BBRLCLS FRANK ALL—MEAT 5X1 6 IN 7486506792 1137736 29.82 59.64 I � GROUP TOTAL**** 133.50 *** FROZEN *** - I II F 1 CS 6 LB SYS IMP POTATO FRY SKON 3/8 P 10734730409594 1998907 37.31 37.31 II GROUP TOTAL**** 37.31 *** PAPER & DISPOSABLE *** I; CS 1280 CT SYS REL CUP PLAS TRANS 1602 SOFT YE160SYS 7358304 108.51 108.51 GROUP TOTAL**** 108.51 *** PRODUCECi *** II 1, CS 15 LB IMPFRSH ONION RED FRESH JUMBO 1039494 11.30 11.30 11 FC 15X6 IMPFRSH TOMATO 1 LAYER FRESH 1008630 23.50 23.50 0 GROUP TOTAL**** 34.80 b 0 ORDER I SUMMARY 33345 I I � I Z K CASES SPLIT TOT.PCS CUBE CROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM REMIT To z P.O. BOX 7137 �I 11 11 7.3 139 INDIANAPOLIS, IN SUB � I 46206-7137 TOTAL 23 11 11 7. 3 139 TAX DRIVER'S NO. PCS CUST.sxcmo imo:cc=or uL::ecus NO. PCS TOTAL SIGN DELVD. SIGN v REC. X INVOICE TOTAL 3 9 9 kMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUSTPAYABLE ON OR BEFORE HORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)). THE SELLER OF THIS COMMODIAINS A TRUST CLAIM OVER THESE COI940DITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIIVED FROM THESE COMMODITIES,ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER, Y00 AGREE WITH 8/3 1/18 LAST PAGE PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GMNG UP YOUR RIGHT TO SERVE IN ANYRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. IIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII III Illlill II IIIiI IIIIIIIIIII 3IIIIIII IIIIIII II 111111111 III CUSTOMER'S DELV ORIGINAL INAL INVOICE CUSTOMER CONFIDNEvo TE ro ffiEPROPERA E OF SYSCO GoodSth)ngs 8/02/18 BROOKSHIRE GOLF CLUB comefrom TRUCK STOP 412940 138606374 12120 BROOKSHIRE PKWY &v% come /�®R 5 1 (`+ /011 CARMEL IN 46033-3314 SYSCO INDIANAPOLIS, LLC ROUTE 4000 W 62ND ST p 317-846-7431 INDIANAPOLIS, IN 46268 7742 TERMS –PAST DUE BALANCES ARE SUBJECT TO SERVICE CHARGE ❑ DUE FRIDAY 4 WEEKS AFTER ORDER 9 • ___.r._._._ _.__._.. __ .—__.._._.___.__.__..._.___.._—____._.._......�_.�...—.�_..---.._—.__.v�_ 0 BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS MANIFEST# 624424 NORMAL DELIVERY b 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ 0 CARMEL IN 46033 –3314 O QTY PACK SIZE ITEM DESCRIPTION ITEM UNIT TAT EXTENDED TA p INVOICE ADJUSTMENTS K CODE PRICE AMOUNT PRICE g I CODE QTY ***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY.COM SIGN–UP AT SYSCOF6DDIE.COM/TAIN SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU EARN CREDI ON YOUR ACCOUNT! v I I I *** CANNED & DRY *** 1 CS 41 GAL BBRLCLS PICKLE SLI DILL HAM SC, 1 12722890185 4521621 33.47 33.47 II GROUP TOTAL**** 33.47 MISC CHARGES HGS FOR FUEL SURCHARGE 4.70 Oz ORDER,i SUMMARY 33388 ' M I I I li o i II I I � i II I II o J I II a O 0 li m 0 z K CASES SPLIT OT.PCS CUBE GROSS WT. OPEN-11:00 AM CLOSE: 2:00 PM REMIT TO P.O_ BOX 7137 M 11 1.0 37 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 38.17 1 1 1.0 37 TAX DRIVER'S NO, PCS CUST.sicxcu servoxce cv:osNces ar nxa.isms NO. PCS TOTAL SIGN DELVD_ SIGN V REC. INVOICE X TOTAL 38.17 MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COIMfODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE UTHORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E fC)). THE SELLER OF THIS COtMiODIT TAINS A TRUST CLALESIM OVER THESE COMMODITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DER VED FROM THESE COMMODITIES, SPECK TOAN RECANY DISPUTE AROR ISINGSOUTOOFTYOUA RECEIPSALE OF T OFETAESEOPRODOCTDITIES S%SERVICIL IES:PYOU¢ARENT IGIVINGIUPDYOURTRIGNTYTO SERVE INANY WITH 8/31/18 I'A`ST PAGE PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $331.88 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 138613251 42-390.40 $331.88 1 hereby certify that the attached invoice(s),or 8/9/18 138613251 Food $331.88 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,August 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 IIIIIIIIIIIIIII1111111111111111111111111111111111111111111111111Ill 11111111111111111111111111111111111111111111111 DELIVERYCOaATE ; cvsxot4 zt CONFIDENTIALEPROPERT OF SYSCO Gooc�things 8/09/18 BROOKSHIRE GOLF CLUB come from TxvcE sxoP 412940 138613251 6 1 12120 BROOKSHIRE PKWY Sl�seo� /006 CARMEL IN 46033-3314 SYSCO INDIANAPOLIS, LLC RotTmE PURCHASE ORDER 4000 W 62ND ST 7744 TERMS PAST DOTE BALANCE§ ARE SUBJECT To SERVICE CHARGE'" a 317-846-7431 INDIANAPOLIS, IN 96268 DUE FRIDAY 4 WEEKS AFTER ORDER SHELLFISH SHIPPER ID: IN007RS MANIFEST# 624995 NORMAL DELIVERY 10 BROOKSHIRE GOLF V 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ p CARMEL IN 46033 3314 L a ITEM' UNIT �'IT EXTENDED T p INVOICE ADJUSTMENTS y ,QTY „: PACK SIZE ITEM DESCRIPTION TAX A I conB 4xY CODE! PRICE .: AMovNr: PRICE. X ***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY COM SIGN—UP AT YSCOFO DIE COM/ I SK YOUR MA ABOUT SYSCOACCOUNTCENTE,R COM 4 H W YOU:; EARN. CR Dx ON YOUR, . . OITNT! .. H M F 1S 60 3 OZ T BEEF PATTY GRD SEA HS FRZ 7703003 G6964597 73. 86 !; 73 $6I. b SALE SRATWURST CKD ULTIYfiATE 5X1 10155$ 2116';$60 43, 32 'P 43.32: H 0 z F 2 S 2 LB BRI,CLS FRANK•ALL—MEAT 5X1 6 IN • 748650`,6792 '',1137736 29.82 59.64;' GROUP TOTAL**** 176.82 N ii,t** CANNED S DRY *** N 160 CT' YS CHIP. VARIETY SYSCO/FRITO• LAY, 31$31 65$6721 ' 27:'51 2.7 ............! _.. D 4 S 24.5LTR PURLIFE WATER PURIFIED 122737$2 d 81Q$,$47 6 37; 25'.48' GROUP TOTAL**** 52.99 ** PRODUCE **:* o C 1 S 2 LB BRLIMP SALAD CHICKEN 5071 2510717 47.77 47.77! . C 1 ' S BRI,IMP ,SALAD .*TUNA ALBACORE 5;:1194.... 2511947 49. 60 `i. 49.60. o GROUP TOTAL**** 97.37 NlISC GE HGS' FOR:FUEL SURCHARGE , 4.70 : ORDS SUMMARY39368 .:: .. a yya ... ... .... : ::: .. ... .. .. .. ., : N .: 0 H pSOM�p :: ... .. .... + N K h1 CASES SPLIT OT.PCS CUBE GROSS NT. OPEN:11:00 AM CLOSE: 2.00 PM011 .0. B REMIT To' P OX 7137 11 11 7.7 193 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 331.88 11 11 7.7 193 TAX DRIVER'S NO. PCS CUST.s—D I-DICE—DENCES OF IrExS FNOPCS TOTAL SIGN DELVD. SIGN X INVOICE TOTAL 331.88 IRESENTATIVE 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 (U.S.C. 499EN,. THE SELLER OF THIS COMMODIAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES9/07/18 LAST PAGE PECT OCEIVABLES OR ANY DISPUTE ARISINGSOUTOOFTHE YOUA RECEIPT OFOF ETHESEODITIES PRODUCTS%SERVTIL ICES:LL PYOUENT AREIGIVZNGI PDYOURTRIGHTYOU TO SERVEINTANY CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.