HomeMy WebLinkAbout331830 10/30/18 J/ � CITY OF CARMEL, INDIANA VENDOR: 359366
® ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*******467.04*
9� ��� CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 331830
y��TON�, INDIANAPOLIS IN 46206-7137 CHECK DATE: 10/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 138694859 467.04 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 359366
SYSCO FOOD SERVICES IN SUM OF$ CITY OF CARMEL
PO BOX 7137 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.
INDIANAPOLIS, IN 46206-7137
Payee
$467.04
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
138694859 42-390.40 $467.04 1 hereby certify that the attached invoice(s),or 10/24/18 138694859 Food $467.04
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
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
IIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMER
FDELV;: UNVOMERCE CONFIDErvo T� EPOPERT� OF SYSCO
I N 4 1 2 9 4 0 7 3 B 6 9 4 8 8 90 0 /24/18
BROOKSHIRE GOLF CLUB oftc hmgsS` m��O� xs2oP 412990 138699859 8 1
12120 BROOKSHIRE PKWY7CARMEL IN 46033-3314 jSYSCO INDIANAPOLIS, LLC E PURCHASE ORDER
4000 W 62ND ST b
INDIANAPOLIS IN 46268'' 3343 TERMS'—PAST DUE',BALANCES ARE SUH�ECT TO SERVSCE CHARGE a
317-846-7931 ' DUE FRIDAY 4 WEEKS AFTER ORDER
BROOKSHIRE GOLF SHELLFISH SHIPPER ID: IN007RS JMANIFEST# 630959 NORMAL DELIVERY o
12120 BROOKSHIRE PKWY MA: SN139 GARY LEVERENZ z
CARMEL IN 46033 —3314 DRI
ITEM UI3IT vNIT EXTENDED'; T p I' INVQICE ADJUSTMENTS ~
QTY PACK':: SIZE:: ITEM':riESCRZPTTON." TAx � A• -: ,coDE; gTYs .. �
SIC.YOUR•MA. ABOUT. S'YSCOACCOU�T�CENTER_.COM & _H:,W, YOU; EA'EtN .CRED I ,ON YOUR ,. . 'OU1gT� :
PELEASE DELIVER;.TO 'T'HE DOUBLEWI• ., " ,.., .;' . :
HITE TRAILER DURING CONTST
. UCTION
THANKS
*** DAIRY *,t* .. r
H
C 1 CS 25 LB WHLFCLS CREAM SOUR CULTRO GRADE A 1003864 5020193 17.89 17.89 °z
a is Fal 2029,*.". GROUP TOTAL** .. 17 8 9
vk+k n
FROZEN ***" c
.: : ._.ly' M
F 5 S 45 LB Off CHILI TEXAS JACK S 43030 4871372 59.94 299.70 0
...CR.OUP., Tom#j# 112001201.19
*** CANNED & DRY ***
C 1S 60624 CT HERSHEY CANDY BAR PAY DAY 80723 7030414 19.65 19.65
4
1' C 1S ONLY48 CT SNICKER CANDY BAR SNICKER 1.86 OZ 256479 1793837 36-10 36.50. a
C 1S NL 6 CT REESES CANDY PEANUT BUTTER CUP 44000 5197,769 28.64 28.64 0
•-. 84.79 ..,.
*** PRODUCE ***
A
ti C 1 nS 15 LB IMPFRSH ONION DICED 1/4 YEL 4164760 10.99 MOST!
�a C 1 ZS 25 LB BBRLIMP SALAD CHICKEN 51071 2510717 47.77 47.77
****
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MISCORRGES CHGS FOR FUEL SURCHARGE 5.90
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CASES SPLIT OT.PCS CUBE GROSS WT. OPEN.11:00 AM CLOSE: 2:00 PM REMIT'TO
I
P.O. BOX 7137
8 3 11 3.2 148 INDIANAPOLIS, IN SUB
46206-7137 TOTAL 467.04
8 3 11 3.2 148 TAX
DRIVER'S NO. PCS CUST.sxse¢n n i svxnrnaas=,TO
PCS TOTAL
SIGN DELVD. SIGN v REC. INVOICE
A TOTAL 467.04
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE RY TRUST PAYABLE ON OR BEFOREOTAOAIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT1930 (U.S.C. 499E�C�. TBE ELLER OF THIS COMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DER D FROM THESE COMMODITIES ].1/'23/18 LAST PAGE
SPECT TOCEIVABAMY DDISPUR ARISINGSOUTOOFTHE ALE OF THEYOOR RECEIPT OFECOMMTHESEODITIES L%TIL PRODUCTS SERVIO S:PYDO AREENT IGIVINGIUPDYOURTRIGHTYT0 SER�11&WIT 11/23/18
PRESENTATIVE CAPACITY,OR TO PARTICIPATE ASA MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.