HomeMy WebLinkAbout332153 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 365677
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********27.97
CARMEL, INDIANA 46032 PO BOX
O802 0680-1029 CHECK NUMBER; 332153
CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926114615 27.97 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ 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
$27.97
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
926114615 42-390.40 $27.97 1 hereby certify that the attached invoice(s),or 11/6/18 926114615 Soda $27.97
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
Tuesday, November 06,2018
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
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page:1 of 1
Gordon P.O.Box1787 INVOICE
d
FOOD SERVICE STORE wwwwgffs.com, M149501-1787
INVOICE# DATE
1-800-968-7500 926114615 11/06/2018
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
4351940 1 CASE DRINK ASST PK WM 24-20FLZ GATOR 9 0.71 16.99 16.99
4372691 1 EACH Coke Diet 2-12pk 9 5.49 5.49
4372911 1 EACH Coke Classic 2-12pk 9 5.49 5.49
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 27.97
1-GROCERY 2fROZEN 3-MEAT 4SEAF60D
FREEZER COOLER WAREROOSE I MISC. TOTAL TAX
6-POULTRY 6-DAIRY -DISPOSABLES 8-SANITATION
Customers 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 27.97
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 daft against the account upon
which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00
27.97
TOTALS BY TAX CATEGORY Received By:
SALE NBR 154
%RATE TAX %RATE TAX y Jt ^
\\ LANE NBR 03
The for trust authorized
b commodities shown a this invoice are sold subject to the USER ID 49803
� statutory trust authortzed by section 5(c)of me Perishable Agricultural Commodities
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 11/06/2018
these commodities,all Inventories of food or other products derived from these
commodties and any receivable or proceeds from the sale of these commodities until TIME(GMT) 11:15:00
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 ate of$.08 per dozen
________•Acceptance constitutes ac,Lreement to a timeorice differential of 1 1120/ month on the unl3aid 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.
v PLEASE ENCLOSE THIS STUB WITH PAYMENT.
Gordon Food Service,Inc.
P.O.BOX 88029
CUSTOMER# INVOICE# DATE Chicago,IL 60680-1029
PAY THIS AMOUNT
100133245 926114615 11/06/2018 27.97
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