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Home My WebLink About329923 09/11/18 a�r-Cqq� J`/ � CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******162.01* �% ,ate; CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 329923 9'',�ssa'�'� CHICAGO IL 60680-1029 CHECK DATE: 09/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926112154 102.88 FOOD & BEVERAGES 1207 4239040 926112277 59.13 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GORDON FOOD SERVICE, INC IN SUM OF$ 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 $102.88 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 926112154 42-390.40 $102.88 1 hereby certify that the attached invoice(s),or 8/29/18 926112154 Food $102.88 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 30,2018 r i 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 Gordon P.O.Box1787 INVOICE GrandRaplds,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926112154 08/29/2018 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 GOV Club 12120 Brookshire Pkwy Carmel,IN 46033 ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 5413731 1 EACH CHIP POT KTTL VAR PK 1.382 2-30CT 1 12.99 12.99 8146401 1 EACH CHIP VARIETY PACK LSS 2-30CT FRITOL 1 12.99 12.99 5606341 1 EACH CANDY BAR SNICKERS 1.86Z B-48CT MARS 1 31.99 31.99 9622221 1 EACH TOMATO ON THE VINE 4-29 P/L 10 4.50 4.50 2355140 1 CASE Nueva Leon Flour 6"Tortilla 12ct 1 1.49 1.49 1.49 7133301 2 EACH TORTILLA FLOUR 8"SFST 24-12CT GRSZ 1 1.49 2.98 8239311 1 EACH Sour Cream 24 oz 6 3.49 3.49 6852310 2 CASE 1-1 LTR CANADA DRY TONIC 9 0,10 1,49 2.98 6958211 1 EACH 24 heads of iceberg lettuce individually 10 1.49 1.49 4351940 1 CASE DRINK ASST PK WM 24-20FLZ GATOR 9 0.58 13,99 13,99 6171420 1 CASE DRINK VAR PACK 24-20FLZ GATOR G2 9 0.58 13.99 13.99 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 102.88 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 62.44TAX FREEZER COOLER WAREHOUSE I IEC. TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 102.88 3.49 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 30.98 5.99 TOTALS BY TAX CATEGORY Received By: SALE NBR 104 %RATE TAX %RATE TAX LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the /'t ` V USER ID 49803 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 V DATE 08/29/2018 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) 18:40:00 full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Meryland MDA Inspection Fees at a rate of$.08 per dozen _•Acceetance constitutes agreement to a timeerice differential of 1 1/2°/q per month on the unpaid balance after the due date ____________ PLEASE CUT ALONG THE DOTTED LINE L��}� PLEASE CUT ALONG THE DOTTED LINE 4 THEN RETURN BOTTOM PORTION. /{ THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. J v PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 CUSTOMER# INVOICE# Chicago,IL 60680-1029 PAY THIS AMOUNT DATE 102.88 100133245 926112154 08/29/2018 IIIIIIIII IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100133245910926112154000010288900001028890 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 $59.13 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 926112277 42-390.40 $59.13 1 hereby certify that the attached invoice(s),or 9/1/18 926112277 Food $59.13 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 Wednesday,September 05,2018 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page:1 of 1 Gordon PO.Box1787 INVOICE FOOD SERVICE STORE wwwgffs.com MI49501-1787 INVOICE# DATE 1-800-968-7500 926112277 09/01/2018 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 8146401 1 EACH CHIP VARIETY PACK LSS 2-30CT FRITOL 1 12.99 12.99 7898601 2 EACH BEEF PTY 3/#80/20 HMSTYL 8-5#GFS 3 12.99 25.98 6467801 1 EACH CRACKER SAND CHS PNUT BT 12-16CT KEEB 1 5.99 5.99 6806131 1 EACH GFS DELISLCD CKD TKY BRST 3 8.99 8.99 7953521 2 EACH TOMATO FRSH 12-4CT P/L 10 2.59 5.18 i PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 59.13 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 18.98 34.97 TAX FREEZER COOLER WAREHOUSE MISC, TOTAL 5-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 59.13 the amount due to GFS.Customer agrees that If a check,drat)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 5.18 TOTALS BY TAX CATEGORY Received By: %RATE TAX %RATE TAX ` / SALE NBR� 03 LANE NBR 03 The perishable agricultural commodities shown on this Invoice are sold subject to the v USER ID 78448 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 09/01/2018 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) 18:26:00 full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Fee In the price.Meryland MDA Inspection Fees at a rate of$.08 per dozen 'Acceptance constitutes aLreement to a time Price differential of 1 1!2%per month on the unUpaid balance after the due date ____________ PLEASE CUT ALONG THE TE DOTD LINE PLEASE CUT ALONG THE DOTTED LINE THEN RETURN BOTTOM PORTION. THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. v PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 CUSTOMER# INVOICE If DATE Chicago,IL 60680-1029 PAY THIS AMOUNT 100133245 926112277 09101!2018 59.13 1111 1111�11 1111 1111111111111111111111111111111IIII II IIII 100133245910926112277000005913900000591395