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HomeMy WebLinkAbout189018 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,985.85 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 189018 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 008060513 1,035.80 FOOD BEVERAGES 1207 4239040 008130607 950.05 FOOD BEVERAGES Good things CONFIDENTIAL PROPERTY OF SYSCO comefrom aELV z AYE cusrv.r Vin. N BROOKSHIRE GOLF CLUB 51/���� 1 1 12120 BROOKSHIRE PKWY TR CK ;S o-P 412940 008130607 8 1 SYSCO INDIANAPOLIS, LLC A CARMEL IN 46033;t 4000 W 62ND ST R Dl INDIANAPOLI I N 46268 past OuE �aaNeES.. nay suR cf: Ta RV IC E�X 317 846 7431 30 DAYS FROM DATE OF INVOICE MANIFEST4 387068 NORMAL DELIVERY 0 CITY CIVIIC SQUARE DRIVER: PARKER, JEFF Z CARMET. IN 46032 P LIN SAX EXTBND£D P z GLTY f'AC S[ZE ITEM DESCRIPT.I ©11E I.T. li�M AMOUNT. PRICE X.t t r.' F?RICE. DAIRY C S ONLY S. LB BRLCLS CHEESE AME::YEL, 120 SL.I: 28131 6697114 14 63 14 63. MEATS GRQUP. Tfl`AL 14 6.3 F 6.05 33QZ AB BEEF PATTY GRND STKBRGR FRZN, 9 763151. 6703,049 56.79 113.58 z """S4 F GS. 110 LB. HN5V.LE BRATWURST.4X1 PRECOOKED 199 1611243 29 44 5$ 88 p m 0 LB BRLCLS FRANK ALL =MEAT 5XI 6 IN im, 37 36 '07D 20 09 60 27 y GRgP..TfJTAL 232 '73 o FROZEN A F I CS 12CT RCTYBK COOKIE CHOC CHNK DWNHM 3OZ IW..... 8349419 57.82 57 82 �i F CS 42'5LB ANTLZR ONION RING_ BEER BTR /8 1 30423 085525 25.24 25. F CS 5 LB Y5 IMP POTATO FRY 5/16 5KON PHANTM" PL 5 003109: 4356473 2&'24 56.48 0 F S. 484 560ZRSHETA SANDWICH PIZZA ITAL FLTBRD 3MT 78911 55 78. 55 78 0 F CS 243 9402 NPRIDE SANDWICH SAUS EGG CHS CROIS IW 482 5196581 27 20 27 20 0 2 22 5 2 CANNED DRY C 5 NL 35 CT ARS CANDY BAR MILKY WAY 01101 4367`363 24 41 24 41 .91 A �C S NL 4$ CT NICKER' BAR SNICKER OZ 012'02'4348389 29.30 29:30 m D CS 160 CT LAYS CHIP VARIETY_SYSCO /FRITO LAY 31831 6586721 26 98 26 98 C9 1`6 1 24OZ SE REC KETCHUP SQU EEZE BTL O UYA24 9617218 26 70 26 70` D CS 101 LB BRLCLS SNACK MIX SPICY CREOLE 91069 9960329 31 36 62 72 0 D CS, 2423 SOZ RIZONA TEA ED IC ARNOLD PALMER LITE.' 7400'9870494 21.59 107'95 Z PAPER DISPOSABLE m 'ir D CS 40 5 CT YSCO CUP FOAM 12` OZ Y12J16' 3291366 1 28 95' REMIT 70 m P.O. BOX 7137 2 3 26 25.8 490 INDIANAPOLIS IN SUB 4206 -7137 TOTAL TAX NO. PCs COST. SIGNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS, NO. ICS TOTAL DRIVER'S DELVO. SIGN REC. SIGN INVOICE I p M p P 77 O yy R EE TAN 77 T q 7PPA77CppAqq PROV61ON:�J H THE PERISHABLE IArRICIJ T�UFRALHCOMM�OSDITIELSE LISTED L ON THIS IINVCiCpE ARE S SUBJECT TOTAL 489EICp. SELLER R OF T THESE 6 Mop IT IES T VA IIN C A TRUST CL RM H MN TI�CSE INVENTORIES C PAYABLE ON OR BEFORE P FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF ONT. ON PAGE 2 THESE COMMODITIES UNTIL FULL. PAYMENT IS RECEIVED. Good things LINVOIC CONFIDENTIAL' PROPERTY OF SYSCO efrom MYA E cusTOr�: dc '6 BROOKSHIRE GOLF CLUB +t siisca 412940 008130607 8 2 1 12120 BROOKSHIRE PKWY rR eK s OP CARMEL IN 46033 40000 IND LLC A INDIANAPOLIS IN 46268 aAS flHE .BACANeES' AR Sr}KtCT .T0 317 846 7431 30 DAYS T FROM DATE OF INVOICE 0 CITY OF CARMEL Z 1 CIVIC SQUARE DRIVER: PARKER, JEFF ARMP.T. TM 460,12 C2TY �s P�1C Si2E: ITEM ©E.SCRIPTION o Xpa ��o x p D �J I9 S. E. SOOCT.! YSG4.. at, .SHEET 1D 9.X 7.N..SILVER F6937.2 b 38:500 Z2 9$ 25.96 3 '\j D CS 100 CT YS..0 CLOVE POLY. I3I.SI? .CAST POLX I`RG104 >FHC bGP5Y! 8 77978 :116..761': 33 52 m n 1.0 OIIIG ART: LEID P.LAS LOCK. W. STRAW !!12 '24pZ 1 <6FTL;5 'S '3'2 1$ 10 7 77!:: 18. GROUP TOTAL s. 20 ,I 0:;3947$:1 39478 3 98;' 4 7 98 ACKEA LEMON FRESH. m Y$ 3IMP. flid!LQN. RED FRESH..JUMBO i 1 39:49 >13 77`i' ;13. 77'; C CS 5 .LBRLIN4P.SALAT7 CHIGKEI4 S10.Z1.2 1.0:717 36.58 16 :73. GROUP TOTAL 94 91 ORD S ''R'... A 97;17 (n .:.::i: n a A D mi 0 O D C z mp m OPEN R�MtT .YO`J m P,0• BOX 7137 2 9 3.4 50 INDIANAPOLIS IN sus 4206 7137 TOTAL 950.05 3 q 5 35 29.2 540 TAX NO. PCS CUST. S O YOI E EY CE R Ell O LL ITEMS NO: PCs TOTAL DRIVER'S DEwD. SIGN X REC. SIGN INVOICE I 50, 05 IMPORTANT PACA PROVISION: THE PERfSHARLE AGRICU TURAL S INVOICE ARE SOLD SUBJECT TOTAL COMMODITIES LIS ED O I 9 Tpp ��yy S7gTU7pRY TRUST q�7HORIZ�p gY SECTIppN 5 C� THE PEBLE qq��RRICCUL7 LL CCp�MMMMO ITEMS qC7 1930bUFS.C. PAYABLE ON OR BEFORE 499E(I. THE SELLER OF THESE COMMODITIES RETAIN A TRUST RISHA CLAIM OVER THES£ CO ODITIES, ALL INVEtJTORIEESS 9/12/10 LAST PAGE FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT 15 RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $950.05 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 008130607 42- 390.40 $950.05 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, August 16, 2010 Director, Brooks ye 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)) 08/13/10 008130607 Food $950.05 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 Good things CONFIDENTIAL PROPERTY OF SYSCO come 5��� from L1ELV tA2E cUSTC3ttER IVV b P BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY T 6K;S T OP 412940 008060513 2 1 CARMEL IN 46033 40000 INDIANAPOLIS, LLC Rv.E D INDIANAPOLIS IN 46268 P�sr flue sac NOES. eRE s tRJEC TO ST 317 846 7431 30 DAYS FROM DATE OF INVOICE MANIFES 386366 NORMAL DELIV RY s CITY OF CARMEL Z 1 CIVIC SQUARE DRIVER: PARKER, JEFF .ARMFT. 46032 tlTY t.` SRE fTM DESCRIPTI ©1V., ITEM UNET TAX EXTEND &O o CODE: <..,PRLCE AMOUNT ...;.P..:RICE X DAIRY T C S NL 5 LB BRLCLS.CHEESE Amn YEL 12'0 :SLT ti'" 28131. 6697`114 14 63` 14 63 p GRQCIP TOTAL 1<4 63 m MEATS D F..:,.,.. C:S. 605 3302 AB BEEF PATTY GRND $TKBRGR FRZN. 9 763151.6703,049 56 79 170.37 F S.. 110 LB HNSVLE BRATWURST 4X PRECOOKED 199 1611243 29 44 58 88. m CL FRANK ALL MEAT 5XY: 6 IN L 37 36 070`1 37736 20,09 60,27 G CS. 42.5LB,; BRLCLS HAM SLI 2/3 02 HNY 20660.1963289 0 *'.:.POULTRY GROUP MTA L 39 29: 328 39 29 81 C S 42 5LB BRLCLSLTURKEY BREAST SLI OVEN RSTD_(/ 20643 1960434 39 98 39 98` GROUP TOTAL 39 98 FROZEN 0 F C S N 12CT RCTYBK COOKIE CHOC CHNK 1]WNHM 30Z IW 8349439 57.82 57.82 F .CS 244 25OZ KRSIMP MUFFIN ASST, BL /;BAN /CHOC CH,I /W 07347 021825 7 13 21 25 21 25 0 GRQUP TOTAL DRY C S NL 36 CT ARS CANDY BAR MILKY WAY 01101`4367363 24 24 41 D CS 230 CT' AYS CHIP VARIETY PK BAKED'BFY IX 32198 5581863 29 15 29 15 m D CS 160 CT 'JAYS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 26 98. 26 98 12 Z'' RENCHS MUSTARD`YELLOW CLS S UEEZE 415 075677 "4 36070 20.50' 20 50 n D CS 1 Q Q m CS 4106 OZ ELPASQ PEPPER JALAPENO SLI JUG PAC 466 0 7977150 52.55 52.55 m C PL_ 15 ,GAL CHWRTZ PICKLE CRS CUT K0. 2965 270756 10289L.. 34 00' 34 00' Z D CS. 135 LB PACKER' SHORTENING FR Y LIQ CLR t 5205661 22 43 44 86 m D CS lOJ'LB BRLCLS SNACK MIX SPCY CREOLE 91069 9960329 31 36 31 16` Z I P.O. BOX 7137 2 2 22 17.1 361 INDIANAPOLIS IN SUB 46206 -7137 TOTAL TAX NO. PCS cusT. SIGNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS. NO PCs TOTAL DRIVER'S SIGN DELVD. SIGN X REC. INVOICE IMPORTANT PACA PROVISION: THE PERISHABLE AGRICU TURAL COMMODITIES LISTED ON THIS INVOICE ARE SOLD SUBJECT TOTAL Tp 7H S7gTU7o RY TRUgT APTHO ftIZE� g CTION 5�C� O TH PERISHp� f CULTURAL ODITIES ACr R11930�UFS.C. PAYABLE ON OR BEFORE 499Efi' THE SELLER OF THESE COMMODI TES RETAIN A RUT CLAAIM u rc E CCOMMOODITIES ALL INVEE NNT EE SS FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF QNT. ON PAGE 2 THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED- Goad things GTOM�R'fi 0Rl ,IINAL A&Vdj CONFIDENTIAL PROPERTY OF SYSCO jim come from f7LY QATE CU5TCYMER C vM P GE BROOKSHI RE GOLF CLUB 12120 BROOKSHIRE PKWY T� ce :s oP 412940 008060513 2 2 SYSCO INDIANAPOLIS, LLC p CARMEL IN 46033 4000 W 62ND STaL�.E INDIANAPOLIS, IN 4626$ pnsr Due:sa aacES ARE suiLc:Ta. o 317 846 7431 30 DAYS FROM DATE OF INVOICE A� 386366 NORMAL DELIVERY 0 GARY LEVSR D 1 CIVIC SQUARE DRIVER: PARKER, JEFF Z .ARMEL TN 46032 v ;E TAX £XTENOED ITE ,i P a C2TY 4 PAC $ICE ItiHH DESCRIPT:IOiti! o CO 3*R AMQUPiT F:RIE. X .k GROUP TOTAL 263.81 T PARER gSSP05 BEE D s :l .NL 5:00C3': YSC.O 1; :'FO:IL SHEET 69372 3850D ::,'I2 98'< 25 96<€ m D 500 C. ORKADV..NAPKIN' IIiSI�ENSER.;XPRSNP 1f4FLD. '5X9 00 13: 30;687 59,'2'6;: 59.26:< CHEMI.CAL GROUP TOTAL 85,22 z :1 :I S A DU5...,43:20Z KEYS N CLEANER:.'DEGREASER<OVEN._:RTU 1D0057;.7.15446 38 15.... m HAZARD W XX o 3:2 .OZ YSCO< ".CLEANER OUEN'<GRII�L .LI.Q TID 16801:8 6.179.0 52.40; 52.40; T :.GROUP TOTAL**:* 52 0 PRODUCE A C CS 15: LB ACKER BANANA FRESH 64662 6 65: 6 65 0 I C 2S ONLY5 LB YS NAT LETTUCE SAL MIX TOSSED..F FRESH 6.75586.167 98 55$6 4 99: 9 A C CS, 112 C.T ACKER I;IME FRESH 1283787 8 78 78: o C C S O 1 LB YS IMP ONION RED FRESH JUMBO j 1039494 13 77 13 77': C ...._.....CS.. 25` LB BRLIMP SALAD_ CHICKEN 51071 2510717 36 5 73.16 A C S NL 10 LB' YS CLS SALAD POTATO MUSTARD DICED M 10501 39513 '13.87 27.74' C S 42 5 L_B YS IMP TOMATO SLICED 1 40451 6 13765 42 10 84.20 GRQtJP 'PQTAL *'�r o b ORDER 5 RY 44651 r m Z :i ..i: p yv I OPEN CLOSE 4 PM P. BOX 7137 6 15 7.1 145 INDIANAPOLIS IN SUB 4 206 -7137 TOTAL 108 0 2 8 37 24.2 506 TAX NO. PC5 COST, 51GNED INVOICE EVIDENCES RECEIPT OF ALL ITEMS. NO PCs TOTAL DRIVER'S CELVC. SIGN X REC. SIGN INVOICE IMPORTANT PACA PROVISION: THE PERISHABLE AGRICU TURAL COMMODITIES LISTED ON THIS o IN N V ,M OIC D E ARE SOLO SUBJECT TOTAL 8 20 7p 7yE S7g7UTp�Y TR gT AUT�{ORIZE� gy SECTIpN 5 C� THE P RlgHggLE q��I ULTURAL IT ES GALL IEN T 7930 S.C. PAYABLE ON OR BEFORE= 499E(C1Y THE SELLER �F THESE COMMODITIES RETAIN A TRUST CLVIM OVER THESE COMMODITIES, A Er�TORIEESS C� /O /1V LAST PAGE FOOD OR OTHER PRODUCTS DERIVE❑ FROM THESE COMMODITIES, AND ANY RECEIVABLE$ OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVE[). VOUCHER NO, WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $1,035.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 008060513 42- 390.40 1 $1,035.80 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, August 09, 2010 Director, Brooks We 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)) 08/06/10 008060513 Food $1,035.80 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