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Home My WebLink About329140 08/22/18 %'��'''�� CITY OF CARMEL, INDIANA VENDOR: 359366 ® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******796.58* ,a� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 329140 �'�IioN"`c�. INDIANAPOLIS IN 46206-7137 CHECK DATE: 08/22/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 138617579 796.58 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 359366 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SYSCO FOOD SERVICES IN SUM OF$ 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 $796.58 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 138617579 42-390.40 $796.58 1 hereby certify that the attached invoice(s),or 8/14/18 138617579 Food $796.58 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 Tuesday,August 14,2018 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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1111111111 IIIIIIIIII IIIIII 111111 (IIIIIIII(IIIIIIII IIIIIIII IIIIIIII CUSTOMER LS ORIGINAL C STOMR CONFIDENTE NAL�EPROPERTYE OF SYSCO ' I N 4 1 2 9 4 0 1 3 8 6 1 7 5 7 90 0 1 T 8/14/18 Goodthings BROOKSHIRE GOLF CLUBcome from TRgcx BTOP 412940 138617579 6 1 12120 BROOKSHIRE PKWY �� /009 CARMEL IN 46033-3314 SYSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER 4000 W 62ND STDMa INDIANAPOLIS, IN 46268 2233 TERMS —PAST DUEBALANCEs ARE SUBJECT To SERVICE CHARGE° c 317-846-7431 UE FRIDAY 4 WEEKS AFTER ORDER F BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS JMANIFEST# 625326 NORMAL DELIVERY 0 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 -3314 L ..QTY PACK SIZE ITEM.DESCRIPTION ITEH1 UNIT TWIT EXTENDED a p INVOICE ADJtISTMENT3 K C r CODE PRICE AMOUNT? PRICE CODE; QTY" ***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY COM SIGN—UP AT YSCOFO DIE COM/ I SK :YOUR MA ER ABQ.: SYSCOACCOUNTCENTCOM "& H' W YOU C EARN '?' CREDI ON YOU12 OUNT! . V C H 1S ONLY LB BRLCLS.,CHEESE AMER'.120 SLI YEL., 28131 ' 6597114 ]6.89 16.$9 F 2 S 1 4 CT': LU SNY ICE CREAM CONE VAN. SN 10Q706400 '4122.(, 4147966 15 97 31,94 y I 3 5 24 5 OZ LU ENY IGE, CREAMGROUPC OTAL**OOO7U640310821 ;! 1595:487 25.27: 75..81 124.64 a x N F 1 C.S, 60 .3 'OZTNT• SEEP PATTY GRD SEA,HS770!3003 6964;597 73,$6 73:86 0 F 2 . :5 2 LB HNS.S7LE BRATWURST CKD ULTIMATE 5X1 : 10:1558 12116860 43.32,'; 86.64 . o _CS 2 LB BRLCLS ,FRANK ALL-MEAT 5Xl 6 .IN._ 748650;6792,,. 1137736 . 29...82;1 89.46 " c' 1 ` '.S 4 .5LB' BRLCLs HAM HONEY SMK SLI .670z 20660 1963289 47.a r: 41:1 0979 A GROUP TOTAL**** 297.03 0 ,,.. F1 ' S 6 LB YS ;IMP P,OTAxO': FRY FSK 318 P '10739730409594 1998907 37.31' 37.31 GROUP TOTAL**** 37.31 *** CANNED DRY *** o rt \, a C ,! 1 S NL . 6CT . 5. CANDY :BAR„MILKY....WAY ..2.5.5386 1771785...26..81,; 26:81 a C 1S NL 4 CT, ERSFEY CANDY BAR PAY DAY 80723. ', 7g304I4 18:75 ;18.75 C . : 15.; NL 8 CT. SNICKER CANDY :BAR SNICKER 1.86 OZ 25;647.9 :: .1193837 . 36 50:. ;36.5Q �>:•', o V D 1S 2 0. CT: YS CHIP VARIETY BKD 92268, 4830:455 27.51' 27.51 .. �D 1 160 CT'; YS CHIP VARIETY SYSCO/FRITO .LAY 31831` 6586721 27-.51': 27.51 D 6 :.S 24.5LTRPURLIFE WATER PURIFIED 12273782 ;' 8108;847 6.37.'; 38.22 GROUP TOTAL**** 175.30 w K CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE: 2:00 PM FYEMIT TO P.O. BOX 7137. .........._._......_.._._.,. 21 4 25 15.4 354 INDIANAPOLISUB 46206-7137 TOTAL TAX DRIVER'S NO. PCS CUST.sxcxso xervoxce--s or.....xxsxs NO- PCS - TOTAL SIGN DE LVD. 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 HORIZED BY SECTION B (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(CI). THE SELLEROF THIS COMMODI AINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES PECT TOCEIVABLES OR ANY DISPUTE ARISINGSOUTOOFTHE YOUR RECEIPT OFOF ETHESEODITIES PRODUCTS%SERVTIL ICES:LL PYOUNAREIGIVINGI PDYOURTRIGATYO E To SERVE INTCONT. ON PAGE 2 CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE. IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111I IIIIIIIIIII CUSTOMER LS DATE f ORIGINAL INVOICE CONFI�NTE�EPROPERT E OF sYscO GoodAingS 8/14/18 BROOKSHIRE GOLF CLUB come from TRUCK Sxop 412940 138617579 6 2 12120 BROOKSHIRE PKWY �1,��®�SYSCO INDIANAPOLIS LLC /009 CARMEL IN 46033-3314 ROUTE PURCHASE ORDER 4000 W 62ND ST 2233 TERMS -PAST DUE'MLANCES ARE SUBJECT TO SERVICE CHARGE 0 317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER � SHELLFISH SHIPPER ID: IN007RS MANIFEST# 625326 NORMAL DELIVERY 0 BROOKSHIRE GOLF ro 12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ CARMEL IN 46033 -3314 L vext INVOICE ADJUSTMENTS y c QTY PACKi. SIZE' ITEM'DESCRIPTION ITEM UNIT TAX EXTENDED a p CODE PRICE AMOUNT; PRICE X I ConE'i QTY *** PAPER & DISPOSABLE *** .... 1 IS 4100 C SYS CLS GLOVE LATEX FDSVC PWDRFREE "304750022 8347841 48.92 48.92 �i 1SCS 10100 C SYS CLS GLOVE POLY CAST DISP MED 303363112 8348245 49.74 49.74 GROUP °TOTAL**** 98 66', r5 .. ....... *** PRODUCE *** y . H C 1 CS 15 LB IMPFRSH ONION RED FRESH JUMBO 1039494 11.17 11.17 °z C 1 S 25 LB BBRLIMP SALAD CHICKEN 51071 2510717 47.77 47.77 c GROUP TOTAL**** ... ,' 58.94 M ..... .. .. ..:: .... ...... y MISC GE HGS FOR FUEL SURCHARGE 4.70 '¢ o ro ORP E S UIM4A RY 43852 _.... ..._.. ..... __ ..... . ....... . ......... ....................... ...... .. .. .., <: ..::: ....... O N .::: .:......: ...:. -:.....: : ....:..:: ..:..::.:. .... ..:::.. .._: ..:. .. :..:.. .. ..: .:: ... ..... .. ............... .... ..._ .. In O .... ... ... _ .. ......_ ..... .. ......... .. _ .._ ......... ...... ......_ ............ .. ... ..,.__.... _._. a i A ...... .. ..... .., .. .... .... .. .... ..... ............ _ .. ... ... .......... ..... H a .... o 0 . .. .. z . . K �n CASES SPLIT OT.PCS CUBE GROSS WT. OPEN:11:00 AM CLOSE:" 2:00 PM REMIT TO P.O. "BOX 7137 M 4 4 1.5 28 INDIANAPOLIS, IN SUB 46206-7137 TOTAL 796.58 251 4 29 16.9 382 TAX DRIVER'S NO. PCS CUST.-xxvotts cvmwess or w.c:rws NO. PCS TOTAL SIGN DELVD. SIGN X REC. INVOICE TOTAL 796.58 FPRESEN PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE BY SECTION 5 C) O£THE PERISHABLE AGRICULTURAL CO[MIODITIES ACT 1930 (U.S.C. 499E(C��. THE SELLER OF THIS COMMODITTRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DER )D FROM THESE COMMODITCEIVABLES OR PROCEEDS FROM THE SAL9 OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH 9/14/18 LAST PAGE ANY DISPUTE ARISING OUTOF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UPYOURRIGHT TO SERVE IN ANYTIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.