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185438 05/11/2010
CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 0 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,196.69 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 185438 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 004291252 539.88 FOOD BEVERAGES 1207 4239040 005050674 656.81 FOOD BEVERAGES Good things 11 1. 11��r= r ORIGINAL IN1lDIC CONFlUNTIAL• PROPERTY OF SYSCO come from f�E1Y bA7E cUSTO.ME33 }..N C A'GE BROOKSHIRE GOLF CLUB �l/�® 1 1. 12120 BROOKSHIRE PKWY TH cK s 412940 005050674 0 1 SYSCO INDI CARMEL ANAPOLIS, LLC IN 46033 4000 W 62ND ST° INDIANAPOLIS IN 4626$ PP STD E.6{ AN ES:ARE 'SU9JECT'70 0 u 317 846 7431 30 DAYS FROM DATE OF INVOICE 0 x l SQUARE DRIVER: PARKER, JEFF Z Gl. S PAC SIZE: ITEM DESGRI:P.TEON 3TBEV1 UNIT T AX' EXT£fui7£[� c T CDD£ 1 E AMOL1tuT PRICE 1 MEATS T 1. F S 605 3302 AB BEEF GR9b STKBRG'`PTY FRZN 9 763151 6 03049 55 110 62 M F C.S 110 LB, HNSVLE BRATWURST 4X1 PRECOOKED 199 1611243 '25'.44.....-...-58,,88 n 1. 11 F ,CS 110 LB BRLCLS FRANK ALL MEAT 5X1 6 IN 37.36 070 1 00 17 75 71, z 1. C CS 42 5LB BRLCLS HAM St! 2/3.OZ. HNY 20660 1963289 39 2`9 39 29 sm GRC7UP .T(3TAL 2;79 79' m POULTRY N o C C 5LB BRLCLS. TURKEY BREAST SLI OVEN RSTD 20643 10434 39 39 98 A 1. GROUF TOTAL ..I: ;:39.98:: 9& 98 FROZEN I F CS 243 OZ KRSIMP DANISH ASST RND IW 15919 1952597 18 72 1$ 72 rte V 1. F S 243 94OZ NPRIDE SANDWICH SAUS EGG CHS CROIS IW 48 5 95581 27 2'0 `27 20 F �CS 245 1402 NPRIDE SANDWICH SAUS EGG CH.S MUFF IW 4$3 5 9'6591 24 24.94 0 >..aUP 'PQTAL 7 0 8 b,.. A 1. CAPINED &DRY o 1. Im IN C S. NL.36 CT ARS CANDY BAR MILKY WAY 01101 4367363 24 41 2. 41 1. A C S NL 48 CT`' NICKER CANDY BAR SNICKER 2.07 OZ 0120`2 4348389 29.3'0 29.30 p 1. C S.>:. NL 48 CT &M C ANDY� M &M PEANU 1.74 'OZ 012 "32 4380788'' 28'.'6 28.62 D CS 160 CT AYS CHIP VARIETY SYSCO /FRITO LAY 31831 6586721 26 98 26 98 0 0 D,.. C5 101 LB.„ BRLCLS SNACK MIX SPCY C REOLE 91069'996 '0329 31 36 31 36 1. 0 D CS 722 OZ CANTER SNACK TRAIL MIX FRUIT& NUT 193 4936698 35 10 35 10 D CS 722 O z.. CANTER SNACK TRAIL "MIX NUT 'CxOC.. 193 000027 493:6686:33 82 33 82 Z GROUP. TTAL 209::5 11 Jr. PAPER DISPOSABLE I. m t7 CS 4500 C YS CLS WRAP DRY WX_DLIl 75 REG WT EZ 12SYSP 0 43473 89 29- 89 M REMIT 7c1 m P.O. BOX 7137 1 3 21 12.6 219 INDIANAPOLI4�206 -7137 TOTAL TAX SIGNED NVOIlZ WEN ES RECEIPT O ALL IT MS. TOTAL NO. PCS OUST. NO. PCS DRIVER'S DELVD. SIGN ROC. SIGN INVOICE IMPp RTANT PACA PROVISION: THE PERISHABLE AGRICU TURAL COMMODi TIES LISTE❑ THIS INVOICE ARE SOLD SUBJECT TOTAL 7 H S7p7U7pRY TRUST qq��T ORIZE� gY gECT N 5(C� THE PERISHA� A.GRICU U q CC��MMMMOpiTIES A 7 tg,'30 U S.C. PAYABLE ON OR BEFORE 4$gl}, THE SELLER OF THES COMMODITIES RETAINS A TRUST CLAIM O T�ESEE C MbDITIES, ALL iNVEf�TORIE OF ONT, ON PAGE 2 FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT I$ RECEIVED. Good things CONFIDENTIAL PROPERTY OF SYSCO efrom OkLV DATE cusTtMER ;I V I c u B cc 1 s oP 412940 005050674 0 2 5YSGO INDIANAPOLIS, LLC 0 CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 A�sT bUE .enLANCes`ARE SURjPCr Ta. 0 317 846 -7431 30 DAYS FROM DATE OF INVOICE 0 z CITY OF CARMEL I I 1 CIVIC SQUARE DRIVER: PARKER, JEFF 4 QTY 4 :N PAC. SIZE: STEM DESCRIP..TI ©N 0 G r AIViOU[VT EXPRNDED P 1.T�4lI LNfT :C4bE RtCE.' GROUP TOTAL 29,89 T_ 1. b :CS ..:I12GT ACKER .AP IA RED: :DE 'CY TRESH 1 4 092 7..9:4. 7.9i4 m C CS 1'S LB ACRER BANANA':: GRN ::`T'I p .1?RESH ::..:REPACK 15$5`4:2.'.1 ;0'0965 6. _9 6. :319 0 1. z C S ML:: S LB.: YS IIAT. LE'PTUC;E $H DDE 1/ 4 N..FR:ESx :67.554 <5 .1.7;5545 4.98 4.9: 1. C CS ..8$ 5..AQKR, RANGE;I.iESH. 1. G .TOTAL 26 ?70� 1 29855: 7 39 r. /^��y�ry A 69<934 I T I: I 11 ........1. :.:...:l: m N U O Z A A r. I n 1. Z n O n O ;i Z m I :i m OPEN REt�tT.:7o m P•0. BOX 7137 1 4 1.3 29 INDIANAPOLIS IN SUB 4206 -7137 TOTAL 656.81 2 4 25 13.9 248 TAX DRIVER'S NO' PCs OUST. SIGNED INVOICE EVIDENCES .11011 OF ALL ITEMS, NO PCS TOTAL o ELVD. SIGN X REC. INVOICE SIGN TOTAL 656.81 IMPORTANT PAOA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTE❑ ON THIS INVOICE ARE SOLD SUBJECT T 7yE S7g7U7pgY TRU T AUT ORI2ED BY SECT pN 5�C O THE PERISH COMMOOL`IEN 1O�UPS.C. PAYABLE ON OR BEFORE F O 9EI O THE SELLER 0 TH C R RETAIN A R CL IM OMM D A I �r� S 6/04/10 LAST PAGE FOOD OR OTHER PRODU DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF 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 $656.81 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 005050674 42- 390.40 $656.81 1 hereby certify that the attached invoice(s), or 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 Thursday, May 06, 2010 Director, Brooks re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev 1W 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)) 05/05110 005050674 Food $656.8 1 hereby certify that the attached invoice(s), or bili(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer i