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HomeMy WebLinkAbout183952 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $497.02 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 183952 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 139 497.02 FOOD BEVERAGES C REDIT ONLY PLEASE GIVE CUSTOMER NUMBER AND INVOICE NUMBER LISTED BELOW ON ALL CORRESPONDENCE SYSCO Food Services of Indianapolis, Inc. 4w RELATIVE TO THIS CREDIT. P.O. Box 5100 Indianapolis, Indiana 46255- 5100 er No Phone (317) 291 -2020 Invoice No. Today's ate 1 NAME ADDRESS CITY /STATE 12 SPOILED 17 DAMAGED DURING DELIVERY 30 SHORT NOT ON TRUCK 58 CASE ORDERED, SPLIT SHIPPED 70 PRICE ADJUSTMENT 81 QUALITY ASSURANCE PROGRAM 83 WEIGHT ADJUSTMENT CASE SPLIT INVOICE CORRECT EXTENDED OTy OT Y. ITEM CODE PACK SIZE ITEM DESCRIPTION PRICE PRICE AMOUNT 7"e —2 '—r I r REQUESTED APPROVED BY B W 4) t 0 TA L EXPLANATION CUSTOMER SIGNATURE X TOTAL OFFICE COPY CONFIDENTIAL PROPERTY OF SYSCO 6 sco DEtYS dRTE .CUSTt7MER :JNV ICE.'<FVUMBER' :G BROOKSHIRE CLUB 24 1 12120 BROOKSHIRE PKWY TR cK s oP 412940 003240560 7 1 I SYSCO INDIANAPOLIS, LLC p %ARMEL IN 46033 4000 W 62ND ST 1' INDIANAPOLIS IN 46268 PAST DIJLA LANCES.sRE SuBJE£T 3 R 317- 844 -1415 30 DAYS FROM DATE OF INVOICE Y o CITY OF CARMEL 1 CIVIC SQUARE DRIVER ::PARKER, JEFF,,,. z o UNIT': EXTENID.Ep' P QTY ::a PRC 3I ITEM bESCR1PTfU1V.. o C r G�DE PRi.CE: PRICE X n DAIRY. T C S O NEM LB_ BRLCLS CHEE.5E.AMER YEL 120 SlI 28131 6697114. 12 99 12.99 C CS 39.Q3f8 OZ HLFARM CREAMER HALF CUPS ESL 3162400 909,5035 14.22 14 22 T MEATS 0 GROUP fiQAL A F C.S 112 #AVG ALC.BOX BEEF PRIME RIB BNLS CKD INJ 8725517.5 890 102 49 sm R CS.... 10 LB:- ..BRLC,JS. FRANC :ALL tiEAm 5 1..6..IN 377:36 07' 11377 6 :;.17.7! d T A C GS.....2 SLH RRICLS:HAM.SI1 2f3GZ 2065: 1:96:3289 !:'.39:29 3.9:2:9 GROUP TOTAL >POULTRY. 1 77 2 C CS :42 5LB BRL;CLS TURKEY BREAST SLI OVEN. RSTD 2064' 19:50434 .39.9'8 GROUP TOTAL 39 98 39 98 ;.FROZEN O F CS 12 2 C''< HRI;CLS BAN :HCT.DOG.i 6 5.367:; 474!8986 25..5:4 25 54 491.2.Q!Z YS :ZMP .CAKE LEMt3N BRY C;RM..., 8495;24037:: 581 5$1: 82:0';9.. $1.0;9 l F CS F.. ;5...243 C}Z KRS LMP DANiSH'ASST.:;RNB:IW 1591.!9 195:2597 18.7:2 :18 72 p F GS 7.2 :..LTQ ;:ROLL .HOAGZEI.BKD '>SLL 91> 777:1710 26.85 :'!.26.$!5 0 F:..> 2:45 140!Z NP:RIDE 'ANT3WTCH SAUS :EG CHS !MUFF IW H3 51.9!6591 24,94, 24. 94 CB GROUP TOTAL 198 �1 0 .I).RY o r-r� 11 D 37.6 CT: ELL0' -r B.R AKF`AST B AR AS:ST NUTRI GRAIN 3800: ©0587.: 4215893 26.45 26, 4:5 m 0: NL ,48 CT NICKER. CAN ;BAR.::S;N7~CKE;I2 2 Q7: OZ ;i Q1202 .434;8.389::. 29 30 29 3Q C S L 48 CT SAM C!AAIBY M &M :PEANUT..74 OZ 612:2 438:0788 28 6;2 m a wo A i REMR 7Q_ 1 3 16 11.5 176 INDIANAPOLIS IN SUB 4 6 206 -7137 TOTAL TAX DRIVER'S NO. PCS GUST, SSIIGNNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS, NO PCS TO TAL SIGN DELVD. SIGN i REC. INVOICE IMPORTANT PACA PROVISION' THE PERISHABLE AGRIC U TURAL COM TOTAL Tp 7HE STA'(U TRLIgT E ORI7 BY SECTION 5 C� MODITIES LISTED ON THIS INVOICE ARE SOLD SUBJECT OF T PERISHA�L¢ AGRICULTURAL COMMODITIES A�T 1u30bU S,C. PAYABLE ON OR BEFORE 495EIC11. THE SELLER OF TNtSE COOrnMODITIES RkTAIN A TRU CLAAIM OO EE nn THESE COMMODITIES, ALL INVE TbRIS F UNT ON PAGE 2 FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMOD R ITIES. AND ANY RECEIVA13LES O PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. I CONFIDENTIAL PROPERTY OF SYSCO DEt�I BROOKSHIRE,'GOLF CLUB... 24 1 12120 BROOKSHIRE PKWY C Ta 412940 003240560 7 2 R SYSCO INDIANAPOLIS, LLC o CARMEL a IN 46033 4000 W 62ND ST°�E INDIANAPOLIS, IN. 46268 R AST DLIF BAIANCES ARP suaeecT. O 44 -1415 317 8 30 DAYS FROM DATE OF INVOICE T E I VERY CITY CARMEL Z 1 CIVIC SQUARE DRIVER: PARKER, JEFF .ARMF.T. IN 46032 P G Y6. 4 PAC SIZt I ETEM D ESCRIPTION P o r GOt3 PRICE EED 3 D T T X60 CT: AXS;:... GHIP. TY SYSCO/FRF O. L'AY 3183> 6586721 26 '9,0 26. 98 3 n CS `,24 O..OZ ERYFTI JUIC.E CRNBR.Y CKTAIL PLAS 972: 7154222::; 19..:17 19.1<7 1 C D. CS 48` .LAN: EF.:P.:EANUT. SALTEI} 07.70' 9549374'::; 21:'9!8 21.9:8 s D CS 8 CT: AT.; VI,Y SNACK. ;BAR.. GRANOLA OATS :;HI !Y 3353_ 366;0370: 47..3:5 47 <.3!5 Z D D CIS 722 i�Z LAN SNACK...TRAII, MIX. F`RUI.T:I& NUT 937U00027::&:493 ;6698 35:1:0 3 l;a .5 m 24 3..50;2 RI GN1 STOCK TEA ICED. ;AF'dOLD.. ?ELM :Ft .LI T:E :740<`p .9&T.0494' UTf 5 0 :GROUP 'TOTAL: DISPENSER F C5 21 25LT OUWEGB COFFEE`LI 100 COLOMBIAN 3201 9388117 04 80 104 80 ROUP TOTAL 1 :04 .80<j ORD S RY 38916 o O A 9 rX s:f:... O b 6 c: XX m T m m P.O. BOX 7137 6 5.0 65 INDIANAPOLIS IN SUB 46206 -7137 TOTAL .33 1 3 22 16.5 241 TAX NO. PC$ CU ST. 51_ D INVOICE EY IOENCES RECEIPT OF ALL ITEMS, NC PC$ TOTAL DRIVER'S DELVD. SIGN j REC. INVOICE SIGN TOTAL 7 P 33 IMPORTANT PACA PROVISION: THE PERISHABLE AGRICU TURAL COMMODITIES LISTED ON THIS INVOICE ARE SOLD SUBJECT TpO y���EE STg7U7p RY TRUST q�7HORIZ�q gy gECTIBN S +C THE PERISHABLE q�RICULLTURA� COMMO�ITI�S A�T 19ObUES -C. PAYABLE ON OR BEFORE 499E(C)1. THE SELLER OF THESE COMMODITIES RETAINS A TRUST CLAIM OVER THESE COMM DITTIE, LL NVE TbRI FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCE FROM THE SALE OF 4/23/10 LAST PAGE THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $497.0 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 139 42- 390.40 ($100.73) 1 hereby certify that the attached invoice(s), or 1207 003240560 42- 390.40 $597.75 bill(s) is (are) true and correct and that the materials or services itemized thereon for i which charge is made were ordered and received except Thursday, March 25, 2010 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale Board of Accounts City Form No 201 (Rev_ 199' ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/23/09 139 Food ($100.7 03/24/10 003240560 Food $597.7 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 Clerk Treasurer