HomeMy WebLinkAbout187449 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES
r CARMEL, INDIANA 46032 PO sox 7137 CHECK AMOUNT: $640.24
INDIANAPOLIS IN 46206 -7137
�a� o CHECK NUMBER: 987449
CHECK DATE: 7/712090
DEPARTMENT ACC PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
1207 4239040 006250613 640.24 FOOD BEVERAGES
-1
-•I
Good things CONFIDENTIAL 4 iTY OF SYSCO
>}Ei-V DATE ji' .CUSTOMER A 4 C BER GE L �.I. -i BROOKSHIRE GOLF CLUBft+ S ii SC 2 ,II
12120 BROOKSHIRE PKWY 1 f C S °P 412940 006250613 4 1
SYSCO INDIANAPOLIS, LLC A
CARMEL IN 46033 4000 W 62ND ST RuE F
INDIANAPOLIS, IN 46268 PAS
:r Ot1E.DArANCES PI :l s'ci: is
317 -846 -7431 30 DAYS FROM DATE OF INVOICE
0
CITY OF CARMEL
1 CTVIC SQUARE DRIVER: PARKER, JEFF
O p $1 E: TIOI�E ITEIV£ ::LNET TAX:`,; EX.TENDED'31 v
QTY PAC ITEM DESGR]€?,.
::.GOf9Ei FRtCE A:M:bLltE7 PRICE '>:I' X I
r'
DAIRY m
a
C S„. NL 5 LB BRLCLS CHEESE AMER'YEL 28131 6697114...13 98 27 96 i
MEAT$
'GROUP.. TOTAL 2;:7.96.... m 1.
-i
F C.S b,Q 3302 AB BEEF PATTY GRND STKBRGR F ZN 9 763151 6703049 56.79 _56,79
Z
F C5 110 LB. HNSVLE BRATWURST 4X1 PRECOOKEp 199 1611243. .29 44 58 88: 11
E CS 110 LB.. BRLCLS FRANK ALL MEAT 5X1 6.IN 37 36 070 1 37736 .9.55 58 65 y
1. I I. GRI UP ::TOTAL* 17;. 1. 0
FROZEN. A
T
F CS __12CT RCTYBK COOKIE..CHOC..CHNK DWNHM 30Z IW 8349439 57 82 57 82. p 1.
0
E CS 244 2502 KRSIMP MUFFIN ASST BL /BAN /CHOC /CH I/ 7347 02182S 21 25 21.25 1. A
F CS 246 4 OZ BRLCL$ SANDWICH BISC SANEGG %CHS 1703 338I092 37 24 '37 24 0
:.GROUP T3'1AD* J l6.3_ N 1.
CANNED DRY o I. 1.
C TS NL 48 CT`_ NICKER CANDY BAR SNICKER 2 07. OZ 01202 4348389 29 30' 29 00 0
D ..5... 160 CT JAY S CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 26 98 '26 98 I.
D CS 12`01.4 OZ LANTER "CRACKER PEANUT BTR'TOAST ROUND 751`3 7029192 "24.95 24.95 a
f n I.
D CS 1 2402 SE' KETCHUP SQUEEZE BTL V OUYA24 9617218 26 70 26 70 m l
LB BRLCLS SNACK MIX SPCY CREOLE 91069 9960329 31 36 62 72
D CS ...101 GROUP TO;.. I 17.:0.65 0
PAPER DISPOSABLE i
D S .1-11 09
NL 500CT YSCO FOIL SHEET 9X10.75IN'S ILVER W69372 6938500 12 98 25 96 z
GROUP TCJTAL 2:5.96. m 1.
CHEMICAL m� i
D CS 4 2.2 OZ PC &SP CLEANER APC�PWDR BLCH NOPHO: 8 9591b5 5932470 36 95 36 95 p
GROUP TOTAL 3' 95 m
3
L_ _��L m
Z
RM4T T.O,
I m I P.O. BOX 7137
1 5 20 11.7 209 INDIANAPOLIS 206 =7137 TOTAL
SUB
4H
TAX
DRIVER' NO. PCs OUST. SIGN D INVOICE E;IDENCES RECEIPT DF ALL ITEMS. NO. PCs TOTAL
SIGN 5 DELVO. SIGN REC. NVOICE
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICU TURAL COMMODITIES LISTED ON THIS INVOIC A SOLD SUBJECT TOTAL
T pp 77HHg S77gqYYUTp RY TRUgT T ORIZEp gy gECTIIppN 5 C� TH P RIgHAgLE q��ICU`TUBAL C�pgMOpITIES qC7 1930bU�S. C.
499EICjI, T11E SELLER OF THS COMMODITIES RET.AIN� A TRUS�CL�IM OVER THESE COMMODITIES ALL INVEtJTORIEESS v PAYABLE ON OR BEFORE QN ON PAGE 2
FO OO OR OTHER PRODUCTS DERIVED PROM THESE COMMODITIES, ANO ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.
1.
VOUCHER NO. ,WARRANT N
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF
4000 W 62nd Street
Indianapolis, IN 46268
$640.24
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 006250613 42- 390.40 $640.24 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
l,l received except
h
4
ti Monday, June 28, 2010
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
06/25/10 006250613 Food $640.24
t 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