HomeMy WebLinkAbout191853 11/10/2010 a CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES
CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $68.57
INDIANAPOLIS IN 46206 -7137
CHECK NUMBER: 191853
CHECK DATE: 11110/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 010220941 68.57 FOOD BEVERAGES
Good things DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO
come from OF,iv #apT cvsTO. MEn ,.a
BRQOKSHIRE GOLF CLUB
121'20 BROOKSHIRE PKWY TR 412940 010220941 8 1
SYSCO INDIANAPOLIS, LLC o
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46268 a
317- 846 7431 A I 30 DAYS FROM DATE OF INVOICE
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CITY OF CARMEL
1 CIVIC SQUARE DRIVER: 9
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OPEN M#
P.O. BOX 7137
1 1 I 1 .5 3 INDIANAPOLI462 TO TAL 06 -7137 68.57
TO
I I 1 .5 3 TAX
NO. PCs COST. IG D INVOICE EVIDENCES F EIPT OF ALL ITEMS, NO. PCs TOTAL
DRIVER'S DELVD.
II SIGN SIGN REC. INVOICE 66.57
x IMPORTANT PACA PROVISION: THE PERISHABLE ACMCU TURAL COMMODITIES LISTED ON THIS INVOICE ARE SOLD SUBJECT TOTAL
a Tp 77H S7 TRUST H ITHORIZ�p gy SECTI N 5 C THE PERI gHgqpI,EE q�RICULTLIRAL COMMO�ITIF�S Akj }8308U�S.C.
a99E11. THE SELLER OF THESE COMMODITIES RETAIN A TRUST CLAIM O�ER THESE COMMODITTIEESS LL NVE bRIEE SS PAYABLE ON OR BEFD /lO rL PAGE
R FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF
THESE COMMODITIES UNTIL FULL. PAYMENT IS REC EIVED.
F
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF
4000 r2)rd Sfreet
indianiapol IN `46268
$68.57
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 010220941 42 390.40 $68.57 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
Wednesday, October 27, 2010
Director, Brookshir 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
•,V "0, rates per day, rn.nrber of hcurs, 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))
10/22/10 010220941 Griddle Polish $68.57
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
2a
Clerk- Treasurer