HomeMy WebLinkAbout329674 09/05/18 �,qM CITY OF CARMEL, INDIANA VENDOR: 365677
�/ ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********13.96*
�_� CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 329674
�'��iori�°' CHICAGO IL 60680-1029 CHECK DATE: 09/05/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 926112092 13.96 PROMOTIONAL FUNDS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$13.96
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
926112092 43-551.00 $13.96 1 hereby certify that the attached invoice(s),or 8/30/18 926112092 Supplies for CTC $13.96
1120 101 1120 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 30,2018
U®r _
David Haboush
Fire Chief
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
Page:1 of 1
Cordon P.O.Box1787 INVOICE
FOO® SERVICE STORE GrandRapids
Wwwgffs.com MI 49501-1787 INVOICE# DATE
1-800-968-7500 926112092 08/28/2018
TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100060884 1906 INDY-FISHERS IN MP153 OUT# 1905 Fishers 30 Days Terms-Prox
10th
SHIP TO: Carmel Fire Department
2 Civic Square
Carmel,IN 46032
ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT
4733591 3 EACH GFS CREAMER CANISTERS 9 1.99 5.97
1166371 1 EACH 12-CUP RT COFFEE FILTER 11 7.99 7.99
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 13.96
14ROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
FREEZER COOLER WAREHOUSE NSC. TOTAL TAX
5-POULTRY 5-DAIRY 7-DISPOSABLE 8-SANITATION
Customer's signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 13.96
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
5.97 7.99
TOTALS BY TAX CATEGORY Received By:
SALE NBR 315
%RATE TAX %RATE TAX
LANE NBR 04
The perishable agricultural commodities shown on this invoice are sold subject to the 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 dal over DATE 08/28/2018
these commodities,all Inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale ofthese commodities until MARK TIME(GMT) 13:09:00
full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature:
Insnenann Fee in Mn ndrP.M,mland MnA Insnen5on Fees ata rate of S OR ner dozen