HomeMy WebLinkAbout332519 11/21/18 ^'V ��p''• CITY OF CARMEL, INDIANA VENDOR: 365677
® ',• ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $********14.89*
-•i3 �so. CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 332519
CHICAGO IL 60680-1029 CHECK DATE: 11/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926114685 14.89 FOOD & BEVERAGES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 365677
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
,
GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL
PO BOX 88029 An invoice or bill to be properly itemized must show:kind of service,where perforated,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
$14.89
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
926114685 42-390.40 $14.89 1 hereby certify that the attached invoice(s),or 11/8/18 926114685 Paper Towel $14.89
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 13,2018
1 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.Box 1787 INVOICE
FOOD SERVICE STORE GrandRapids
Wwwgffs.com M1 49501-1787 INVOICE# DATE
1-800-968-7500 926114685 11/08/2018
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
7144501 1 EACH TOWEL ROLL KITCH 4-8CT ARRAY 7 6.99 6.99
8282301 10 EACH TISSUE TOILT WHT 2PLY 48-400 ARRAY 7 0.79 7.90
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 14.89
1•GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
FREEZER COOLER WAREHOUSE I IaC. TOTAL TAX
6-POULTRY 6-DAIRY 7-DISPOSABLES &SANITATION
Customers signature evidences receipt of all items listed and its promise to pay
14.89 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 14.89
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 CATEGORY Received By: SALE NBR 289
%RATE TAX %RATE TAX
LANE NBR 04
The perishable agricultural commodities shown on this Invoice are sold subject to the USER ID 79061
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities 1
Act,1930(7 U.S.0 499e(c)).The seller ofthese commodities retains a trust claim over -1\ DATE 11108/2018
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 TIMEIGMT) 11:41:00
NII 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$.0e per dozen
________'Acceetance constitutes agreement to a timeorice differential of 1 1/20/L month on htpaLiLbjlpaptafterjhe due at ____________
PLEASE CUT ALONG THE DOTTED LINE Lys.s� PLEASE CUT ALONG THE DOTTED LINE
THEN RETURN BOTTOM PORTION. 7{' 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
14.89
100133245 926114685 11/08/2018
IIII IIIIIIIIIIIIIIIIIII IIIIIII IIIIIIIIIIIIILIIIIIIIIIIIIIIIIIII) 100133245910926114685000001489400000148945