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187105 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00350198 Page 1 of 1 ONE CIVIC SQUARE ZESCO PRODUCTS s CHECK AMOUNT: $476.00 CARMEL, INDIANA 46032 640 N CAPITOL AVE PO BOX 6157 CHECK NUMBER: 187105 INDIANAPOLIS IN 46206 -6157 CHECK DATE: 6123/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 S0170645 343.00 FOOD BEVERAGES 1207 4239040 S0170655 133.00 FOOD BEVERAGES Page: 1 Invoice E nf I Vaur.# x �SourceFOrFOOd 'SArvrceEqurpmen[ &sr,Qpnes° Invoice Number: S100169056 Sold To Ship To BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB DEE BAILEY DEE BAILEY 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL, IN 46032 CARMEL, IN 46032 US US Customer No. Customer P.O. No. Taken By Order Date Type Date C00010701 PAM LISTER COUNTER1 06/11/10 Invoice 06/11/10 Order Number Shipment Method Shipped Via ype S0170645 Counter C Counter Salesperson Terms Phone No. Chad Johnson Net 30 3178467431 Item �O:rd Qty B Ord Qty Inv Unit Product Code Kit Item ]N. Description Unit Prioe Amount Tax 10000 1 1 BX 585DO01 10 FILTER CONES,50PK 13.60 13.60 N 20000 1 1 EA 113DO31 EASY GRILL SCRAPER 27.50 27.50 N 30000 1 1 EA 549DO34 24HR DGTL TIMER W14TMNG 51.00 51.00 N CYCLES 4 TIME OUT ALARMS 40000 1 1 EA 570DO01 -RH FRENCH FRY BAGGNG SCOOP,RT 29.90 29.90 N HND ALUMINUM 50000 3 3 EA 8- CP4250 DREDGE W /MEDIUM GROUND 2.00 6.00 N LID, POLYCARBONATE 60000 1 1 EA 0188049 BASTING COVER,ALUM,8 "DIAX2" 8.60 8.60 N H BAKELITE KNOB 70000 1 1 CS 623D105 SAF -T -SCP GUARDN 21.10 21.10 N SYSTEM,INCL 1- SAF- T- SCP,IGUA 80000 2 2 EA 519DO01 12X18 CUTTING BOARD,FLEXIBLE, 3.50 7.00 N OFF -WHITE 90000 1 1 CS 71OD140 -BK OVAL PLTTR 30.40 30.40 N BSKT, BLACK, 3DZPK/FD 10.5X7X1. 100000 21 21 EA 0188296 -BLK WIRE BASKET,ROUND 8 "DIA 2.90 60.90 N WIRMKN HOLDERS, BLACK Received By Please pay from this invoice, 1 112 added to past due invoices. Continued on next pang Back ordered items will be shipped as soon as possible and invoiced at that time. See warranties and important information at Zesco.com or in the front page of your Zesco c Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022 640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335 Indianapolis, IN 46204 Online Catalog www.zesco.com Customer Copy r Rage: 2 Invoice c Your- 1 Saurce'For Food Se 11 Egmpmen e a Supplies Invoice Number: S100169056 Sold To Ship To BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB DEE BAILEY DEE BAILEY 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL, IN 46032 CARMEL, IN 46032 US US Customer No. Customer P.O. No. Taken By Order Date Type Date COQQ1Q701 PAM LISTER COUNTERI 06/11/10 Invoice 06/11/10 Order Number Shipment Method Shipped Via ype S0170645 Counter CUSTOMER CUSTOMER Counter Salesperson Terms Phone No. Chad Johnson Net 30 3178467431 Item Qty Ord Qty B Ord Qty Inv Unit Product Code Kit Item No. Description Unit Price Amount Tax 110000 1 1 CS 277D243 -MX MARDI GRAS,20Z PLAIN RAMEKIN 32.70 32.70 N 40Z, ALL 4 COLORS 120000 2 2 EA 117D401 POLY RND STRGE CNTNR 40T 2.10 4.20 N GRDTD NATURAL WHITE 130000 2 2 EA 117D400 POLY RND STRGE CNTNR 2QT 1.80 160 N GRDTD NATURAL WHITE 140000 1 1 EA 713DO13 GRILL THERMOMETER,10-500F 2 33.30 33.30 N DIA DIAL 150000 4 4 EA 117D368 -CLR CMWR RND RIBBD BWL,6 2.50 10.00 N DIA,CLEAR 18.8 OZ CAP 160000 4 4 EA 117D408 POLY CVR FOR 2&4QT STRG 0.80 3.20 N CNTNR NATURAL WHITE Subtotal: 343.00 Total Sales Tax: 0.00 Order Pa yments: 0.00 R ec ved By Please pay from this invoice, 1 112 added to past due invoices. Total Amount Due: 343.00 Back ordered items will be shipped as soon as possible and invoiced g at that time. See warranties and important information at Zesco com n or i n t front pages of your Zesco cat alog. Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022 640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335 Indianapolis, IN 46204 Online Catalog www.zesco.com Customer Copy VOUCHER NO. WARRANT NO. ALLOWED 20 Zesco Products IN SUM OF 640 N Capital Avenue Indianapolis, IN 46204 $343.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 S0170645 42- 390.40 $343.00 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 Monday, June 14, 2010 Director, BrocNhire 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. 1 b95) 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)) 06/11/10 S0170645 Snack Bar Equipment $343.00 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 Page: 1 'm hn Inv I m 3 at il a Invoice Number: S100169058 =s.YOUr AFS Source For Food Service E u! ment S u ➢Pes Sold To Ship To BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB DEE BAILEY DEE BAILEY 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL, IN 46032 CARMEL, IN 46032 US US Customer No. Customer P.O. No. Taken By Order Date Type Date 000010701 COUNT 06/11/10 Invoice 06/11/10 Order Number Shipment Method Shipped Via ype S0170655 Counter CUSTOMER CUSTOMER Counter Salesperson Terms Phone No. Chad Johnson Net 30 3178467431 Item Qty Ord Qty B Ord [0�1-]vKnit Product Cotle FKittem No. Description Unit Price Amount Tax 10000 1 1 EA 658DO44 ECNMY S/S TABLE, 24 "x30 ",18GA, 133.00 133.00 N Subtotal: 133.00 Total Safes Tax: 0.00 Order Pa yments: 0.00 Received By Please ay from this invoice, 1 112 added to past due invoices. Total Amount Due 133.00 I (Back ordered items will be shipped as soon as possible and invoiced at that time. See warranties and important information at Zesco.com or in the fron pag of yo ur Z esco cata Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022 640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335 Indianapolis, IN 46204 Online Catalog www,zesco.com Control Copy VOUCHER NO. WARRANT NO. ALLOWED 20 'Zesco Products IN SUM OF 640 N Capital Avenue Indianapolis, IN 46204 $133.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 S0170655 42- 390.40 $133.00 I 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 Monday, June 14, 2010 Director, Brooks Ire 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. 1995) 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)) 06/11/10 S0170655 Snack Bar Equipment $133.00 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 1 20 Clerk- Treasurer