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Home My WebLink About331771 10/30/18 � `�;AM'� CITY OF CARMEL, INDIANA VENDOR: 365677 ONE CIVIC SQUARE GORDON FOOD SERVICE,INC CHECK AMOUNT: $*******344.84* :� ?�; CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 331771 9 i�r�N��O� CHICAGO IL 60680-1029 CHECK DATE: 10/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 926114143 48.00 FOOD & BEVERAGES 1207 4239040 926114233 27.10 FOOD & BEVERAGES 1207 4239040 926114317 9.49 FOOD & BEVERAGES 1207 4239040 926114318 260.25 FOOD & BEVERAGES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER - Vendor# 365677, GORDON FOOD SERVICE, INC IN SUM OF$ 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 $296.84 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 926114233 42-390.40 $27.10 1 hereby certify that the attached invoice(s),or 10/25/18 926114233 Food $27.10 1207 101 1207 101 926114318 42-390.40 $260.25 bill(s)is(are)true and correct and that the 10/27/18 926114318 Food $260.25 1207 101 1 materials or services itemized thereon for 1207 101 I 926114317 I 42-1090. 40 I $9.49 which charge is made were ordered and 10207 1 /8 I 9261 ,1 17 I Food $9.49 1207 received except Monday, October 29,2018 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 P.O.Box1787 INVOICE GrandRapids,MI 49501-1787 FOOD SERVICE STORE wWw.gfs.COM INVOICE# DATE 1-800.968-7500 926114233 10/25/2018 TAIL 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 4417080 1 CASE CRACKER SALTINE 500-2CT NAB 1 16.12 16.12 16.12 4133201 1 EACH MACARONI ELBOW 4-5#GFS 1 4,99 4.99 7265241 1 EACH CHEESE CHED MLD SLCD.75Z 6-1.5#GCHC 6 5.99 5.99 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 27.10 1-GROCERY 24FROZEN 3-MEAT 4-SEAFOOD 21.11TAX FREEZER COOLER WAREHOUSE I MISC. TOTAL 5-POULTRY 6-DAIRY -DISPOSABLES &SANITATION Customer's signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 27.10 5.99 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 TOTALS BY TAX CATEGORYReceived By: SALE NBR 416 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the �L � 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 ofthese commodities retains a trust claim over DATE 10/252018 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) 14:10:00 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 _____`Acceptance constitutes acrreem_nt to a timeo % nnv rice diff LINdifferential of 1 1/2er month on the uaid balance after the due date ____________ tPLEASE CUT ALONG THE DOTTED E 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 27.10 100133245 926114233 1 10/25/2018 IIII IIIIIIIIIIIIII III'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII 100133245910926114233000002710200000271020 Page:1 of 1 Gordon® P.O.Box1787 INVOICE GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926114318 10/27/2018 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 CITY DESCRIPTION CAT COST GUIDE SPECS UNIT PRICE TAX AMOUNT 1629060 1 CASE SHELL POT PIE CRUST 48-3.5Z PILLS 1 32.89 32.89 32.89 5729710 1 CASE SOUP POT RSTD YKN&CHDR HT&SRV 4-4# 2 56.90 56.90 56.90 8353500 1 CASE APTZR GRN BEAN BATRD ONTO TSTD 6-2# 2 7.10 42.57 42.57 4496430 1 CASE SOUP BROCC CHED 44#CAMP 2 45.53 45.53 45.53 8558120 1 CASE SOUP CHIX&DUMPLING FRSH 2.8#GFS 10 20.15 40.29 40.29 5272710 1 CASE SOUP CHIX POT PIE FRSH 2-8#GFS 10 42.07 42,07 42.07 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 260.25 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 32.89 146TAX FREEZER COOLER WAREHOUSE MIEO. TOTAL 6-POULTRY 6-DAIRY 7-DISPOSABLES 8-SANITATION Customer's signature evidences receipt of all Rem listed and Its promise to pay the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 260.25 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 PAID 0.00 which the Transaction is drawn for a fee up to the maximum permitted by law. 82.36 TOTALS BY TAX CATEGORY Received By: SALE NBR 276 %RATE TAX %RATE TAX LANE NBR 02 The perishable agricultural commodities shown on this Invoice are sold subject to the �� USER ID 79176 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 10/27/2018 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) 14:27:00 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 s.08 per dozen ________'Acceptance constitutes agreement to a timenrice differential of 1 1/2%Per month on the unpaid balance after the due date ____________ PLEASE CUT ALONG THE DOTTED LINE PL BE 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 260.25 100133245 926114318 10/27/2018 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'llllllllllllll llllllll 100133245910926114318000026025700002602575 Page:1 of 1 Gordon P.O.Box1787 INVOICE GrandRapids,MI 49501-1787 FOOD SERVICE STORE www.gfs.com INVOICE# DATE 1-800-968-7500 926114317 10/27/2018 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100133245 4040 73406 1905 Fishers Net 30 Days Kristdffer 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 4154601 1 EACH BAG RECLOS FREEZER GAL 6-90CT GFS 7 9.49 9.49 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 9.49 1-GROCERY 2-FROZEN 3-MEAT 44EAFOOD FREEZER COOLER WAREHOUSE MI50. TOTAL TAX 5-POULTRY 6-0AIRY 7-DISPOSABLES 8-SANITATION Customer's signature evidences receipt of all items listed and its promise to pay the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 9.49 9.49 payment('Transaction")issued for payment of this Invoice is dishonored,GFS 94)ISP.BEVG 10-PRODUCE 11-TABLETOP 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 TOTALS BY TAX CATEGORY Received By: SALE NBR 275 %RATE TAX %RATE TAX 1V LANE NBR 02 The perishable agricultural commodities shown on this invoice are sold subject to the 1�1 USER ID 79176 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 10/27/2018 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these commodities unfit TIME(GMT) 14:25:00 lull 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$.08 per dozen _'Acceetance constitutes agreement to a timeorice differential of 1 1/2%er month on thaid b e unpalance after the due date _____________ PLEASE CUT ALONG THE DOTTED LINE PLEASE CUT ALONG THE DOTTED UNE THEN RETURN BOTTOM PORTION. THANK YOU FOR YOUR ORDER. THEN RETURN BOTTOM PORTION. PLEASE ENCLOSE THIS STUB WITH PAYMENT. Gordon Food Service,Inc. P.O.BOX 88029 Chicago,IL 60680-1029 PAY THIS AMOUNT CUSTOMER# INVOICE# DATE 9.49 100133245 926114317 10/27/2018 IIIIIIIIIIIIII�IIIIIIII,IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100133245910926114317000000949800000094989 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts Uty Form NO.ZU1 (Kev.iwvo) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 365677 GORDON FOOD SERVICE, INC IN SUM OF$ 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 $48.00 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 926114143 42-390.40 $48.00 1 hereby certify that the attached invoice(s),or 10/23/18 926114143 Food $48.00 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 24,2018 9 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 FOOD SERVICE STORE wwww.gfs.com MI49501-1787 INVOICE# DATE 1-800-968-7500 926114143 10/23/2018 TAIL 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 2592610 1 CASE TEA ICED 8 LEMND 24-20FLZ AZ 9 21.02 21.02 21.02 2554161 2 EACH BOWL PLAS 12Z WHT 8-125CT GFS 7 13.49 26.98 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 48.00 14ROCERY 2-FROZEN 3-MEAT 4-SEAFOOD FREEZER COOLER WAREHOUSE I MISC. T TOTAL TAX 5-POULTRY 643AIRY 7-DISPOSABLES &SANITATION Customer's signature evidences receipt of all Items listed and Its promise to pay 26.98 the amount due to GFS.Customer agrees that If a check draft and/or order of INVOICE TOTAL 48.00 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 21.02 TOTALS BY TAX CATEGORY Received By: ySALE NBR 198 %RATE TAX %RATE TAX ��,^ V � LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the 1 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 10/23/2016 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) 10:33:00 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 timearice diff_erentjal of 1 1/20/Lp month c n the unpaid balance after the due date ____________ PLEASE CUT ALONG THE DOTTED LINE l��y� PLEASE CUT ALONG THE DOTTED LINE THEN RETURN BOTTOM PORTION. r{-= 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# DAE Chicago,IL 60680-1029 PAY THIS AMOUNT T 48.00 100133245 926114143 10/23/2018 IIIIIIIIIIILIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100133245910926114143000004800900000480095