HomeMy WebLinkAbout331643 10/25/18 CITY OF CARMEL, INDIANA VENDOR: 365677
CHECK AMOUNT: $********67.98*
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC
CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 331649
CHICAGO IL 60680-1029 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926113789 67.98 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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,numberof units,price per unit,etc.
CHICAGO, IL 60680-1029
Payee
$67.98
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
926113789 42-390.40 $67.98 1 hereby certify that the attached invoice(s),or 10/12/18 926113789 Food $67.98
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 15,2018
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
GordonP.O.Box 1787 INVOICE
GrandRapids,MI 49501-1787
FOOD SERVICE STORE www.gfs.com INVOICE# DATE
1-800-968-7500 926113789 10/12/2018
TAIL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100133245 4040 73406 1905 Fishers Net 30 Days
Kdstoffer 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
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
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 67.98
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
FREEZER COOLER WAREHOUSE I MISC. TOTAL TAX
S•POULTRY 64DAIRY -DISPOSABLES 8-SANITATION
signature evidences receipt of all items listed and Its promise to pay
the am INVOICE TOTAL 67.98
the amountunt 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
67.98
TOTALS BY TAX CATEGORY Received By: SALE NBR 174
%RATE TAX %RATE TAX
1< LANE NBR 04
The perishable agricultural commodities shown on this Invoice are sold subject to the ivJ �� USER ID 68860
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 10/12/2018
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) 17:06:00
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$.08 per dozen
________•Acceetance constitutes agreement to a time�rice 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.
vv PLEASE ENCLOSE THIS STUB WITH PAYMENT.
Gordon Food Service,Inc.
P.O.BOX 88029
Chicago,IL 60680-1029
PAY THIS AMOUNT
CUSTOMER# INVOICE# DATE
67.98
100133245 926113789 8�]
IIII IIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII 100133245910926113789000006798300000679830