HomeMy WebLinkAbout329270 08/27/18 CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******123.44*
r. a= CARMEL, INDIANA 46032 Po Box 88029 CHECK NUMBER: 329270
9''Irud:c� CHICAGO IL 60680-1029 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926111616 123.44 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 365677
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$123.44
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
926111616 42-390.40 $123.44 1 hereby certify that the attached invoice(s),or 8/15/18 926111616 Food $123.44
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 16, 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
Cordons P.O.Box1787 INVOICE
FOOD SERVICE STORE wwwWgffs.com MI 49501-1787INVOICE# DATE
1-800-968-7500 926111616 08/15/2018
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
6958211 2 EACH 24 heads of iceberg lettuce individually 10 1.49 2.98
3261351 1 EACH CHEESE BLND MEX SHRD FINE 45#GCHC 6 12.99 12.99
7646901 1 EACH CANDY M&M PNUT CHOC 6422 MARS 1
9.99 9.99
7671611 1 EACH CANDY PEPPERMINT PUFFS 6.46Z RED BIRD 1 10,49 10.49
1952201 1 EACH FOIL CAKE PAN HALF SHEET HFA 7
1.49 1.49
1952301 1 EACH DOME LID/FOIL CAKE PAN HALF SZ 7 1.89 1.89
3611701 2 EACH CONT FOIL 1#5.5X4.5"OBLONG 1M 7
0.49 0.98
3871911 2 EACH LID PLAS DOME FOR 1#OBLONG FOR 352126 7 0.39 0.78
6492510 1 CASE CAKE TRES LECHE 2-84Z GFS 2 26.00 51.99 51.99
8864501 1 EACH SALSA CHUNKY 6-702 GFS 1
5.99 5.99
2005821 1 EACH TOPPING CRML SOZ BTL 12-242 GFS 1
4.29 4.29
2409741 1 EACH GFS STRAWBERRY TOPPING 1
9.79 9.79
2429021 1 EACH PEANUTS XTRA LRG CANISTER 6-52Z PLNTR 1 9.79 9.79
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 123.44
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
$0.34 51.99 FREEZER COOLER I WAREHOUSE Misc. TOTAL TAX
5-POULTRY 6-DAIRY 7-DISPOSABLES 11-SANITATION
Customer's signature evidences receipt of all Items listed and Its promise to pay INVOICE TOTAL 123.44
12.99 5.14 the amount due to GFS.Customer agrees that if a check,draft and/or order of
9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment('Transaction")issued for payment of this invoice is dishonored,GFS
may re-present the Transaction and issue a draft against the account upon
which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00
2.98
TOTALS BY TAX CATEGORY Received By: SALE NBR 134
%RATE TAX %RATE TAX
LANE NBR 04
The perishable agricultural commodities shown on this invoice are sold subject to the �_ USER ID 49187
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 08/15/2018
these commodities,all inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale of these commodities until TIME(GMT) 15:15:00
full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature:
Inspection Fee in the pace.Meryland MDA Inspection Fees at a rate of$.08 per dozen
'Acceptance constitutes agreement to a timeorice differential of 1 1/2%per month on the unpaid balance after the due date ____________
PLEASE CUT ALONG THE DOTTED LINE PLEASE CUT ALONG THE DOTTED LINE
THEN RETURN BOTTOM PORTION. THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION.
VVV PLEASE ENCLOSE THIS STUB WITH PAYMENT.
Gordon Food Service,Inc.
P.O.BOX 88029
Chicago,IL 60680-1029
PAY THIS AMOUNT
CUSTOMER# INVOICE# DATE
123.44
100133245 926111616 1 08/15/2018
IIIIIIIIIIIIIIIIIIIIIIIIII IIIIII'IIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII VIII 100133245910926111616000012344800001234489