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188540 08/03/2010DEPARTMENT 1207 1207 1207 CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 4239040 4239040 4239040 VENDOR: 359366 SYSCO FOOD SERVICES PO BOX 7137 INDIANAPOLIS IN 46206 -7137 007160621 007230504 007291072 Page 1 of 1 CHECK AMOUNT: $2,567.70 CHECK NUMBER: 188540 CHECK DATE: 8/3/2010 552.17 FOOD BEVERAGES 1,391.66 FOOD BEVERAGES 623.87 FOOD BEVERAGES BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY CARMEL IN 46033 317 846 7431 CITY OF CARMEL 1 CIVIC SQUARE ::u �C N C \;D PAc 2C DRIVER'S c SIGN GS 605 33Qz DNLY5 LB 26 1 CS 42.5LB F 1 CS 1441.0 OZ F 1 CS 612CT F I 1 CS 244 250Z DNLY36 CT KARS CANDY BAR MILKY WAY 1S ONLY48 CT SNICKER CANDY BAR SNICKER 2.07 OZ ONLY48 CT 1 &M CANDY M &M PEANUT 1 74 1S CT y &M CANDY SKITTLE FRUIT CHEW 2.17Z CS 230 CT'LAYS CHIP VARIETY PK BAKED BEY CS 160 CT LAYS CHIP VARIETY SYSCO /FRUTO LAY" 2 C:S 135 LB PACKER SHORTENING FRY LIQ CLR OPEN: 1:00 AM CLOSE: 4 :0D PM 17.9 DAIRY BBRLCLS CHEESE AMER YEL 120 SLI GROUP TOTAL I MEATS „AB BEEF PATTY GRND STKBRGR FRZN 319 Good things s come from SYSCO INDIIANA LLC 4000 W INDIANAPOLIS, IN 46268 NO. PCS DELVO. CUST. SIGNED INVOICE LVIDENCES RECEIPT OF ALL ITEMS. SIGN X I1 EI�1 D ESCRIPTION IMPORTANT PACA PROVISION: THE PERISHABLE TURAL COMMODITIES LISTED ON ACRICU THIS DITI IINVVM °OICpE E IV! gSCO7LO ORIISgU3BJECT T p 7�E S7AKK 7R T A4ITHOR d aP gY E SCTION 5�C) F SHE N RCM A EU EN RIN VENTES 4 99E THE R LR ft U TH DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. ITEM::: 28131 6697114 99,763151 6703049 1:9.9 ...37736070 11 37736 20660 1963289 NO. PCS REC. 7123/1Q 7fl CKFS OP /009 5053 412940 007230504 3NVDICE NUMBER PA'G'E< 8 1 PIIR(HASF nRFFR I:: T��MIS PP.5T DktE BA3:i1 ARE .SUSJECY' 70'S -RVIGE %CHARGE. 30 DAYS FROM DATE OF INVOICE MANIFEST# 385455 NORMAL DELIVERY MA: SN 3 GARY LEVERENZ DRIVER: GILLETT, BRAD 2 0643; 1 uNi ::LP..RfcE 5 110 LBJHNSVLE BRATWURST 441PRE000K.ED 11Q L5.13BRLCLS FRANK ALL MEAT 5X1 6 IN 2 5LB BRLCLS HAM SLI 2/302 HNY GROUP 'TOTAL POULTRY... BBRLCLS TURKEY BREAST SLI OVEN RSTD >..GROUP..TDTAL .,I FROZEN BKRSCLS COOKIE CHOCCHIP CLR I 231316 0231316 PRCTYBK COOKIE CHOC CHNK DWNHM30Z IW 8349439 BKRSIMP MUFFIN ASST BL /BAN /CHOC /CH I/W 0 7347302113 25 78I3114 GROUP TOT L* *'CANNED" DRY PAYABLE,ON OR BEFORE A31 UNT 56,79 29.44 19,55 39 29 960434 39.9 28 50. 57. 82` 21 0110 •4367313• 24.41 01202 434 01232 70 09251 32T'98' 5581863 `29:`15 31831 6586721 26 98 520'5'661 '22.43` P.O. BOX 7137 INDIANAPOLIS IN 46206 7137 CONFIDENTIAL PROPERTY OF SYSCO EXTENDED 2P..RICE slL: 27.96 113 58. 58:88 117 .30. S9:29 39 98 28.50 57,82 21,25 24 29.30 28 62 24.41 29.15 53,96 44.86 SUB TOTAL TAX TOTAL INVOICE TOTAL X P. CONT. ON PAGE 2 N BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY CARMEL IN 46033 317 846 7431 CITY OF CARMEL 1 CIVIC SQUARE Good things SY C SYSCO NDIANAPOLIS, LLC 4000 W 62ND ST INDIANAPOLIS, IN 46268 pay, DATE 7/23/10 TE9t]CKS OP /009 .:RO11 E 5053 CiJS7f}MER 412940 007230504 I'NVOICO>NVMBFW 8 2 PI IRI HA CF QRrIE17 TERM'S PAST DUE-BA A SUB JEST TO SERVICE .:CHARGE. 30 DAYS FROM DATE OF INVOICE MANIFEE1 385055 NORMAL DELIVERY MA: SN139 GARY LEVERENZ DRIVER: GILLETT, BRAD CONFIDENTIAL PROPERTY OF SYSCO NLY500CT: 1280 CT 6I GAL!: 43202 13 CT .:1�...LB. 42 5 LB A D C C EORG P..TQWEL:ROLL ENMOTION.'LRG 4AUTO GHEMI:CAL. GROUP TOTAL YS REL BLEACH'<iCHLORINE :EIQUII)S: 2.5'% JR57!Q 4000:147 EYSTON CLEANER' MULT >I SURFACE RTU GROUP TOTAL**** 6100063 7b 2 2 m:SUPPLX! .EQUIPMENT YSC:O :MOP?..HEAB. CTN< CUT:.END �ATU E #24 M8224SYS 4 G TOAL *T P.RODUCE ITEMI D BRLOT SNACK. MIX..5 C12OLE .....I RI2ON'A TEA I CED ARNOLD >P:ALMER� I TE GROUP TOTAL *.:PAPER .DISPOSABLE.. YSCfl CUP,.PLA;S TRANS &OZ .S�F'T FOIL y:SHEET .9X10.75IN.:SILVER ACKER AP PLE. RED.:DEL .ECYr.F ESCRIPTION RESH AOKER BANANA` :FRESH YS NAR LETTUCE .ROMAINE CROWN »LE'AVES YS CLS. LETTllCR! SPRING MINX. COI!IV PLPW YS IMP ONION :RE70 .FRESH. JUMBO; UT /STOCK 1 BRLIMP CHICKEN YS IMP TOMATO SLICED 1L4" NO. PCS DELVD. CUS7. IGNEO INVOICE EVIDENCES RECEIPT OF ALL ITEMS SIGN R PCS DRIVER'S NEE C. SIGN IMMoP��O��REETAN77Tgq77PA77COoA� yVISSI ON qq�� HH I �UFRLH O �CMEEMODIITqTggIESEE LISTED LON THIISC IINMVMOICpE AERgE kg S 9U8JIET 4 3BEICII S THE U SELLER PPRO OF TN: T SE I C T TR PM LOr i VE`R THESE INV E NTbRI ES O Q U E SC.C. F000 OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. .:UN1F TAX COD PR3C� dMOE:1NT ;9106 :9 9960 :329 :.74OU 987049.4.. 160SYS.7358 F169372 6938500 8946G'. 96.2:7761 X344 :092. 646:6`:221 64 0.4'94!.: 66404 94 0E3 :94 51071 51O712510717 40451 6113765 P.O. BOX 7137 INDIANAPOLIS PAYABLE ON OR BEFORE 36.58 43.65 206 713 EXTENDED PRICE f? 513.33 59: 98:;i >12 .:98 141 90 2958:: 41.97 7 215:9OE 14.7 2:6. 65 73 16 43 65` Y7503, X P .'sINUC71C 'AO.J'JS� IVIEpF7 S CODE 3:r.:; QTY SUB TOTAL TAX TOTAL INVOICE TOTAL CONT. ON PAGE 3 BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY CARMEL IN 46033 317 CITY OF CARMEL 1 CIVIC SQUARE Good things siomefrom sco SYSCO INDIANAPOLIS, LLC 4000 W 62ND ST INDIANAPOLIS, IN 46268 CtJSt�.M CONFIDENTIAL PROPERTY OF SYSCO 7/23/10 W13. E /_209 5053 412940 007230504 8 3 PIIRrITRC :..TERMS:-. ...p DuE•..BANcs S3.JECT1Y SERVICE CHARGE:.::.:.: 30 DAYS FROM DATE OF INVOICE vAMIROMEMMENVUUMERMMULMLUOIVONV MA: SN GARY LEVERENZ DRIVER: GILLETT, BRAD 161 tellENIMMINPRI 1 11 "v CITY 4 52 41.8 923 mW1352,fl$A4MtVggEWde0M. CUST.X SIGN O INVOICE EVIDENCES RECEIPT OF ALL SIGN ITEMS. NO PCS DELVD. NO, PCS NEC. DRIVER'S c SIGN IMPORTANT PACA PROVISION: THE PERISHABLE ADRICUI-TURAL COMMODITIES LISTED0N THIS INVOICE ARE SOLO suei,EcT. T aSsRa s TAME Y EFi rR a T TFIR I T8aPorgiciff c auFA Q r F Ru T s U r F fi-ME E Foot) OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF c _atESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. P.O. BO INDIANA X 7137 POLIS q2 IN 06 PAYABLE ON OR BEFORE 8/22/10 01CF II IRTIVIFNITS SUB TOTAL 1391.66 TAX TOTAL INVOICE TOTAL 1391.66 LAST PAGE 'VOUCHER NO. WARRANT NO. Sysco Indianapolis LLC 4000 W 62nd Street Indianapolis, IN 46268 PO# Dept. 1207 $1,391.66 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club INVOICE NO. 007230504 ACCT /TITLE 42- 390.40 Cost distribution ledger classification if claim paid motor vehicle highway fund AMOUNT $1,391.66 ALLOWED 20 IN SUM OF Board Members 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 6 Director, Brooks hife Golf Club Title Friday, July 23, 2010 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) Invoice Date 07/23/10 Invoice Number 007230504 Payee 20 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. Description (or note attached invoice(s) or bill(s)) Food Purchase Order No. Terms Date Due Clerk- Treasurer Amount $1,391.66 I 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 Good things 12120 BROOKSHIRE PKWY Salk BROOKSHIRE GOLF a LF CLUB+++ SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 F F F F D D QTY is 1 2S S 1 CS CS CS CS CS CS CS CS es DRIVER'S S I G N 'S P 0 0 z DAIRY Nt 5 'BRLCLS AMER YEL 6697114 13..98 1:3.98 MEATS A 110 LB HNSVLE BRATWURST 4X1 PRECOO 199 1611243 29 44 58 88 :iggWEEM r cl ffrggP4 (i4 2 2 0 P, g CITY OF CARMEL 1 CI VI C SQUARE u B :BRLCLS FRANK ALL 5X1 6 IN 37 36 'effi9.79EWH FROZEN 57 82 62 5 LBYS IMP ONION RING et000Ve. 4 0 04469 36 24 72 48 Z45.140Z NPRIDE SAUS EGG CHS 1411FT 3151; 9:21 ;K..._ '24 :94 GROUP TOTAL**** 94 155 24 CANNEDCDRY*** 4M0. NICKE BAR SNICXER 2 07 OZ 010 43000 29 30 $8 0 NT.!Y0 &M 1); oz 01231 4364774 28 93 213;93 160 CT AYS CHIP VARIETY SYSCO/FRITO EIAY 31831 6586721 26 98 26 98 TUTE GROUP TOTAL**** TnutiTtltil'APW4gPANAYAITREZICP=Wa4WW:404WYkftrgONIPX 665 KUMW IMSWrACKERVLEINUCE'ft5PRING2MTUFRTSW=MUAtVVORI R6ffifflat2020;A2 g4§IPV ■WI$RgWWWPEMligqgPgaglINTI1MNqm nm'MPJ9494MaM7 MN1 13W TOT Cc 18 C*1 IRF 12.4 C;RCICS. WT 171 NO. PCS DELVD. OPEN: 7 CFO AM C U S T. Ian, ED INVOICE EVIDENCES RECEIPT OF SIGN CLOSE: 4:00 PM AL I TE MS NO, PCS REC. 4:IP9t7tviliVEYPERNTT:ivigfirirMili"91,P,INEATIVRIc'ERNig LISTED ON THIS INVOICE ARE SOLD SI FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. NO ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.' 7/16/10. 7008 50E3 412940 007160621 um BE 4 1 Pi iNi ZEZDEP TERMS PAST otie BALANCES ARE .SNEJECI TO SERVICE CHARGE. 30 DAYS FROM DATE OF INVOICE MANIFEST# 384400 NORMAL DELIVERY MA: SN139 GARY LEVERENZ DRIVER: PARKER, JEFF P.O. BOX 7137 INDIANAPOLIS, IN 46206 PAYABLE ON OR BEFORE CONFIDENTIAL PROPERTY ,OF SYSCO SUB TOTAL TAX TO I AL INVOICE TOTAL CONT. ON PAGE 2 Good thi ngs come from BROOKSHIRE GOLF CLUB Sl/SC® 12120 BROOKSHIRE PKWY CARMEL IN 46033 4000 WND62NDPSTIS, LLC INDIANAPOLIS, IN 46268 317 846 7431 CITY OF CARMEL 1 CIVIC SQUARE r�LSTQNIER CONFIDENTIAL PROPERTY ,OF SYSCO 5051 EUST6MER I )ItitVOICE NUMBER �I�PAGE 412940 007160621 4 2 f?ELY L M 7/16/10 TR CK,:S OP (00 ROLL .J I C 1A F nRn TERMS PAST: DUE.BA.LaNCES.ARE:SLBJECTiro SERVICE`CHAI�GiE` 30 DAYS FROM DATE OF INVOICE MANIFEST 384 NORMAL DELIVERY MA: SN GARY LEVERENZ DRIVER: PARKER, JEFF DRIVER'S SIGN PA Ci� SIzE. 1 4 20 13.2 LB `.<BBRIAM1' SRI,AI CRI CKEN GROUP TOTAL 2 .8 193 22 ESCRIPTION NO. PCS DELVE. COST, SIGN 0 INVOICE EVIDENCES RECEIPT OF ALL ITEMS SIGN NO PCS REC. IMPORTANT q 7PPAT7CppAqq PROVIS H THE PERISHABLE IApGRISCU T S LISTED L ON THIS INVOICE ARE SOLO SLJ JECT 49 THE R OF T n W Oa MODITIES RET NS TRUST CLARIM ROV R nEu roM�j�}piTIES OAL I NVEtJTOR)IESIFS,C. FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. 510 7'1 210!717 P.O. BO INDIANA PRICE AMOUNT: s::REMtT ra X 7137 POLI 4E.206 7137 PAYABLE ON OR BEFORE 8/15/10 EX:TENDEp i:P!RICE' :.:73% 106:34' P LAST PAGE SUB TOTAL 552.17 TAX TOTAL INVOICE TOTAL 552.17 PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT 1207 007160621 42- 390.40 $552.17 VOUCHER NO. WARRANT NO. Sysco Indianapolis LLC 4000 W 62nd Street Indianapolis, IN 46268 $552.17 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club Cost distribution ledger classification if claim paid motor vehicle highway fund ALLOWED 20 IN SUM OF Board Members 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 Wednesday, July 21, 2010 Director, Brooks re Golf Club Title Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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. Invoice Date 07/16/10 Invoice Number 007160621 Payee ,20 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Purchase Order No. Terms Date Due Description (or note attached invoice(s) or bill(s)) Food Amount $552.17 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 Clerk- Treasurer BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY CARMEL IN 46033 317 846 7431 CITY OF CARMEL 1 CIVIC SQUARE PT IN 46032_ Good things siome from SYSCO INDIANAPOLIS, LLC 4000 W 62ND ST INDIANAPOLIS, IN 46268 Ct' §T O N ER O R ICINA I .I'NV E HOU7E 4054 CONFIDENTIAL PROPERTY OF SYSCO a_VsI a PAG_ 7/29 1 412940 007291072 013 TER PAST OUE RA3ANCES ARE StSRJEC TO StRVICl; CHARGE 30 DAYS FROM DATE OF INVOICE MA: SN GARY_LEVERENZ DRIVER: MAY, JEFF 2 1 5,33.02 04 60 CT 240Z 5 GM 1 LB 23.502 500CT 100 CT 20 12CT 5 LB 5 LB DRIVER'S SIGN 3 23 16.8 408 DAIRY •B RLCLS CHEESE AMER YEL 120 SLI GROUP TOTAL MEAT$ AB BEEF PATTY GRND $TKBRGR FRZN 9 •BRLCLS FRANK ALL MEAT 5X1 6 IN 37 G TOTAL I'R CTY,BK CINNAMON BIG IW CANNED,& DRY AYS CHIP VARIETY 5YSCO/FRITO LAY S E R EC KETCHUP SQUEEZE BTL SE REC RELISH SWE LBRLCLS S SPCY CREOLE RIZONA TEA ICED ARNOLD PALMER LITE GROUP TTAL PAP ER &rDI O ►Y SCO FOIL SHEET 9XI0.751N SILVER` .YSCO GLOVE POLY DISP CAST POLY LRG104 FHC ►YSCO. LINER ROLL 4X33 6MIC Z483 .GROUP TOTAL PRODUCE PACKER APPLE RED DEL FCY FRESH 'ACKER BANANA `FRESH ►YS IMP ONION RED FRESH JUMBO '763151. 6 36 560 3 W6917'2 °6 16CPSY 8 .RNSROI 5 697114 703049 3773 5 26.98 26.70 28.25 31.36 21.59 1.70.37. 39.87 6.98 26.70 28.25 62.72 107 252 60.:> 13.77 a ETitM D E SCRIPUON. I M o P O yy RTAN TT T q TPPATTCppARR PROVISION: �J H THE Z PERISHABLE I A p GRICU TURAL ECOMMODITIES S L ON T 5 STTED L INVOICE ARE SOLO 5U_BJECT 499EE I. OF THESE RETAINgCA p TRUST CLARM THESEL H D F000 OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT 15 RECEIVED. UfEN1: UNET TAX EXTENDED COL?E;. PRECE AMbUNT PRICE PAYABLE ON OR BEFORE ONT. ON PAGE 2 2 BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY CARMEL IN 46033 317 CITY OF CARMEL 1 CIVIC SQUARE Good things A SYSCO INDIANAPOLIS, LLC 4000 W 62ND ST INDIANAPOLIS, IN 46268 -ClicTONIEITSORIGINIALANVOICEI CONFIDENTIAL PROPERTY OF SYSCO IN RI E ULi 7(29/10' 412940 007291072 2 2 :TERMS 'BALANCES ,ARE...,SUBjECT"Tra SERVICE CHARGE. 30 DAYS FROM DATE OF INVOICE MA IMIIIIMISILMNIAMMS161111111111M lhalfilf I 4094 DRIVER: MAY, JEFF RD3R DRIVER'S SIGN i] 21 23 16.8 408 NO. PCS DELVE]. ITEM DESCRIP11ON GROUP TOTAL**** CUST. SIGNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS SIGN NO. PCS REC, IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SOLO SUBJECT 91 Q r F Ru T sq C *ENE u Vo Vivtgo EIrs FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVEO. 28.70 P.O. BO INDIANA X 7137 POLIS, IN 46206 PAYABLE ON OR BEFORE 8/28/10 SUB TOTAL 623.87 TAX TOTAL INVOICE TOTAL 623.87 LAST PAGE 0 0 0 3, 2 2 ID 5 0 2, c 0 0, 2 CI 0 0 0 A A 2 2 0 3, 0 ID m 2 2 PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT 1207 007291072 42- 390.40 $623.87 VOUCHER NO. WARRANT NO. Sysco Indianapolis LLC 4000 W 62nd Street Indianapolis, IN 46268 $623.87 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club Cost distribution ledger classification if claim paid motor vehicle highway fund ALLOWED IN SUM OF Board Members 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 Friday, July 30, 2010 Director, Brookhhire Golf Club Title 20 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. Invoice Date 07/29/10 Invoice Number 007291072 Payee 20 Description (or note attached invoice(s) or bill(s)) Food Purchase Order No. Terms Date Due Amount $623.87 I 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 Clerk- Treasurer