The URL can be used to link to this page

Home My WebLink About330996 10/09/18 �� CITY OF CARMEL, INDIANA VENDOR: 365677 �� ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $*******182.82* �� CARMEL, INDIANA 46032 Po BOX 88029 CHECK NUMBER: 330996 q„�TON.�. CHICAGO IL 60680.1029 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926113316 68.69 FOOD & BEVERAGES 1207 4239040 926113441 114.13 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365677 GORDON FOOD SERVICE, INC IN SUM OF$ 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 $114.13 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 926113441 42-390.40 $114.13 1 hereby certify that the attached invoice(s),or 10/3/18 926113441 Food $114.13 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, October 03,2018 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 Gordon P,O.Box1787 INVOICE FOOD SERVICE STORE wwwgffs.com MI49501-1787 INVOICE# DATE 1-800-968-7500 926113441 10/03/2018 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 QTY DESCRIPTION CAT COST GUIDE SPECS UNITPRICE TAX AMOUNT 1914850 1 CASE 24-20FLZ COCA-COLA REGULAR COKE 9 1.42 33.99 33.99 1915070 1 CASE 24-20FLZ DIET COCA-COLA 9 1.42 33.99 33.99 9036361 1 EACH CHIP POT BKD VAR PK 230CT FRITOL 1 12.99 12.99 6725300 1 CASE 1-COOLER MARKDOWN 6 1.50 1.50 1.50 2163210 2 CASE 1-8CT MINI SUB BUNS MARKETPLACE 1 2.69 2.69 5.38 6058910 2 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.50 2.50 5,00 6806131' 1 EACH GFS DELISLCD CKD TKY BRST 3 9.29 9.29 6806051 1 EACH GFS DELISLCD CKD RST BEEF FRESH 3 11.99 11.99 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 114.13 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 23.37 21.28 TAX FREEZER COOLER I WAREHOUSE MISC, TOTAL 5-POULTRY 8-DAIRY 7-DISPOSABLES 8-SANITATION Customers signature evidences receipt of all items listed and Its promise to pay INVOICE TOTAL 114.13 1.5 the amount due to GFS.Customer agrees that it a check,draft and/or order of 9-0ISP.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 67.98 TOTALS BY TAX CATEGORY Received By: \ n SALE NOR 34 %RATE TAX %RATE TAX \ LANE NBR 03j 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 claim over DATE 10/032018 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) 12:02:00 full payment is received.Eggs delivered in the slate of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen 'Acceetance constitutes a reemenI 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. PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 Chicago,IL 60680-1029 PAY THIS AMOUNT CUSTOMER# INVOICE# DATE 100133245 926113441 10/03/2018 114.13 IIII IIIIIIIIIIIIIIIIIIIIIIIILIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII 100133245910926113441000011413200001141322 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,numberof units,price per unit,etc. CHICAGO, IL 60680-1029 Payee $68.69 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 926113316 42-390.40 $68.69 1 hereby certify that the attached invoice(s),or 9/29/18 926113316 Food $68.69 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 Monday, October 01,2018 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 Page:1 of 1 Gordon P,O.Box1787 INVOICE GrandRapidsFOOD SERVICE STORE wwwgffs.com MI 49501-1787 INVOICE DATE 1-800-968-7500 926113316 09/29/1018 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 QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 6171510 1 CASE DRINK ASST FIERCE WM 24-20FLZ GATOR 9 0.58 13.99 13.99 4351940 1 CASE DRINK ASST PK WM 24-20FLZ GATOR 9 0.58 13.99 13.99 2626100 1 CASE BREAD 100%WW ALL NAT 24Z KOEPPLINGER 1 2.59 2.59 2.59 6058910 3 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.59 2,59 7,77 2163210 1 CASE 1-8CT MINI SUB BUNS MARKETPLACE 1 2.99 2.99 2.99 6058830 1 CASE 1-16CT HAMBURGER BUNS MARKETPLACE 1 2.59 2.59 2.59 7953521 1 EACH TOMATO FRSH 124CT P/L 10 2.49 2.49 8146401 1 EACH CHIP VARIETY PACK LSS 2-30CT FRITOL 1 12.99 12.99 6467801 1 EACH CRACKER SAND CHS PNUT BT 12-16CT KEEB 1 5.99 5.99 6759000 2 CASE 1-GROCERY MARKDOWN(NOT TAXABLE) 1 1.65 1.65 3.30 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 68.69 1-GROCERY 2-FROZEN 3-MEAT 4SEAFODo 38,22 TAX FREEZER COOLER I WAREHOUSE MISC. TOTAL 5-POULTRY 6-DAIRY -DISPOSABLES 8-SANITATION Customers signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 68.69 the amount due to GFS.Customer agrees that if a check,draft and/or order of 9-0ISP.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 27.98 2.49 TOTALS BY TAX CATEGORY Received By: SALE NBR 463 %RATE TAX %RATE TAX � I \v) LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 75288 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 09/29/2018 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) 17:31:00 full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature: Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.O8 per dozen •_______ -Acceptance constitutes agreement to a time price differential of 1 1/2%er month on the unpaid balance after the due date ___________ T PLEASE CUT ALONG THE DOTTED LINE PLEASE CUT ALONG THE DOTTED LINE 6. 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 68.69 100133245 926113316 09/29/2018 IIIIIIIIIII.IIIIIIIIIIIIII''llllllllllllllll'lllll IIIIIIIIIIIIIIIIIILIII 100133245910926113316000006869200000686924