HomeMy WebLinkAbout196116 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
1J ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $457.95
v, CARMEL, INDIANA 46032 PO BOX 7137
INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 196116
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 103160435 457.95 FOOD BEVERAGES
I
I CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
L Good things
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i CUSI.DtYER
BROOKSHIIREi GOLF CLUB S ii SC
12120 BROOKSHIRE PKWY Ta cres OP 412940 103160435 6 1
SYSCO INDIANAPOLIS LLC
CA IN 46033 4000 W 62ND ST aou,F
317 =846 -7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 AFTER ORDER
CITY OF CARMEL
CARM L TN 46012 1 CIVIC SQUARE DRIVER: PARKER, JEFF
EQU OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 .60 -250.4 AND 60 741.4 ARE INCORPORATED HEREIN BY REFERENCE.
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i
E ITEllyl UNfT EX,7ENDE0
(2TY PAC SIDE ITEMI RESCRI,PTION A
CODE ..PRIG.....: PRICE
x
DAIRY 1.
C,�'rr.. NL„ 5� LB: :.BRLCLS::::CHEESE TAMER YEL SLIT 28131 6691114 15 97 15 97 L"a
C, S 39.3./8 OZ.HLFARM..CREAMER..HALF HALF. CUPS ESL 31.62400. 9095035 14,94. 14 94 a
GROUP ..TOTAL 30..1
MEATS..
F S 10 LB HNSVLE BRATWURST 5X1 PRICK SKLS
88 2199198 29 44. 29 4 4 LLL
F S 1,0 L BR....— FRANK ALL MEAT 5X1 b: IN. 3773:6 070; 1137..36 20 52` 41 04.. a. GROUP..TOTAL 7;0 �8
FROZEN
F S 1 12 CT BRLCLS BUN HOT DOG 6
..536.12. 474.8986 25. 54_. aL' 51 08
F,.. S 7 7" TTO ROLL HOAGIE BKD SLI 916 7711710 29 54 29.54 I.
>:...a GROUP: TOTAL 0. F, 2
CANNED DRY
"La D S.... 6 CT. ..AYS ,.CHIP VARIETY 8YSCO /FRITO LAY 31831 6586721 26 98 26 98
GROUP TTAL LIL
&DISPOSABLE
D S 2 50 CT OL0 CUP PAPER HOT 12 OZ BARE 4T2RCN 18484' 7833963 85 90 85 90:. 111.
D S :..2. SOOT OL0' CUP PAPER "HOT 8OZ" BARE 378RC 18484' 6945222 68.69 `68.69 a.
D S 00' CT OLO LID PLAS DOME WHT 12116120/24 TLP316' -0001 6447534 49 50 49 50
Yeir wlw.a *:PRODUCE
GROUP .T:O:TAL 2:04 U9
C :may S 5 LB BRLIMP S ALAD CHICKEN 51071 2510717 39 87 `39 87
I
MIS CHARGE 5 HGS FOR FUEL SURCHARGE 5 10
4RA S Y ?1.4;00...
0 .al:::. ::::+::::::::::-:-::::;-:;-::::-::::::W::
I OPEN T
`REMIT Q
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P.O. BOX 7137
2 1 1 13 19.1 187 INDIANAPOLIS IN SUB
p IMPORTANT: PER PROD ARE NOT ELIGIBLE FOR RETURN 4 -7137 TOTAL 457.95
e 1 1 13 19 18 �OR ANY SHORTAGE AFTER Y HVAVIE WE GNEO WILL EC RECEIVED MUST
TAX Al
w NO. DRIVER'S DewD.s CUST. NO. PCS TOTAL
SIGN SIGN REC. INVOICE
Z 1 T PP gEHpAgg�yEgAGC I I LJryLTSU'R L p OTMHMEO E I IE FTE GoRIN H INVOIC A LD SUBJ TO A O Y RUT p TOTAL 457 .95
TH OD T ES�R�ET IN R ST �C� �THES MMODI I ��AL �INV 1 (7 �b0 7 PAYABLE ON OR BEFORE
I DE
RI VED M I I A T U LAM V R O ��g THE SALE OF I o��THE UNTIL
c 7H Ic 5 4/15/11 LAST PAGE
RIECEIVABLES OR PROCEEDS FROM THE THESE COMMODITICS
I FULL PAYMENT I THESE COMMODITIES, AND ANY R IS RECEIVED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF
4000 W 62nd Street
Indianapolis, IN 46268
$457.95
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 103160435 42- 390.40 $457.95 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, March 16, 2011
A,/
Director, Broo hire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199;
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))
03/16/11 103160435 Food $457.9
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