HomeMy WebLinkAbout196954 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
0 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $1,855.92
CARMEL, INDIANA 46032 PO BOX 7137
oN i o INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 196954
CHECK DATE: 4/26/2011
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1207 4239040 104150363 1,855.92 FOOD BEVERAGES
Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO 1.
co o�tu 'qat cusrneR
BROOKSHIRE GOLF CLUB
Sij sco
41294
12120 BROOKSHIRE PKWY T�czs °P. 0 104150363 0 1
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46268
317- 846 -7431 DUE FRIDAY 4 WEEKS AFTER ORDER
MANlt (190.5') NORMAL DELIVERY
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: WARD, SAM
EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE,
E T
C1TY RAC SIZE ITEM DESCi1PTIOf�f x RK GDED x mr, r TEfV1 LNET E
"CODE
DAIRY
NL 5 LB BRLCLS CHEESE AMER YEL 1,20 SL1
C 28131 6697114 15 97 15 97
MEATS_
GROUP TOTAL 15..97.:?.
5 6 3 AB BEEF PATTY GRND STKBRGR FRZN 997.63151,.6703Q49 63 40 63 4 0. I. F 5._ 3
F S 10 LB SVLE BRATWURST 5X1 PRCK SKLS 3188 2199198 29 44 88.32
F S 10 L>3 CAS FRANK ALL MEAT 5X1 6 IN 37736 070 1" 1 20 52. 82 08.: 1.
C S 2 5 L RLCLS HAM SLICED HNY ADD FRESH 72736 70,8286429 42 $6 42 86
.GR0UP`TOT-AL 27;5 66
POULTRY_
...l...............,... C 5 2' S B g j&:i�:::�::::
C LS TURKEY BRST SLI 3 MESQT MSTB940SL9 4860003 42 86' 42 86
GRQU TO:TAL:r >k,� 4:2 6..::.`
Kil F ROZEN
F .S 4 LB IM P APTZR PICKLE SPEAR BRD 41010154 9455999 49 92 ..49. 9
11. F S 1012 CT N CLS BUN HAMBURGER PLAIN 4" 1 72 OZ 51706 0124636 22 87' 22 87 1-11 1.
F S Y.. Y2 C. LCLS BUN HOT DOG .6 53612 4748986 25 54 25 5 1.
F S 12C- RCTYBK COOKIE'CHOC CHNK DWNHM`3OZ 1W 8349439 57.82 57 $2
F' �5 2 3 OZ KRSIMP DANISH" ASST 'RND 'IW 15919 1952597 "18 72'` 18 72 1.
F S Z 4: 25 KRSIMP MUFFIN ASST BL /BAN /CHOC /CH I /W 073473Q21825 7813114 21 67 21 67
F
5 2 5 LB X5 IMP ONION F2ING BATTERED 3/8" 41010044 9272469 36 24' 36 24
F
I
S 5 LB YS IMP POTATO FRY 5/16 SKON PHANTM PL SY003109 4356473 28 24: 28 24
F 5 2 5 14aZ AI
PRIDE SANDWICH SAUS EGG CHS MUFF IW 483 5196591 26 47 2b 47
CR tdP. TQTAL 2$7 49
z CANNED &DRY
C S NL_3 CANDY BAR MILKY WAY 01101'4367363 24 74' 24 74
6 I o
R�Gr rq;
N
Y P.O. BOX 7137
1 2 21 15.2 271 INDIANAPOLIS IN SUB
tMPORTANTI PER PRODUCTS ARE NOT ELIGIBLE FOR REETURN5��ggAFTE 4 206 -7137 TOTAL
E F?OR
DELIVERY SHORTAGE AFTER Y HAVE E$E NEO WIL ECES RECEIVED MUST TAX
I NO. PCS OUST. PCS TOTAL
DRIVER'S DELVD. SIGN REC. NO NvolcE
SIGN
1 gTHIEW pQ gg g��( E gq�GC I LT L O Op E LISE7E�GON LJTLHIgR INLVpC ICMEMApR OLD SUB�I C 0U THCEzgAE7UC�}ORYH E T RgU L p TOTAL
THtst MODITIE.S�R RU O TH T COMMODITIE S,D�ALSINVTNTOflE05 OF OR OTH PODUCTS PAYABLE ON OR BEFORE
1 DERIVED FROM THESE COMMODITIES. AND ANY REGEfVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2
a FULL PAYMENT 15 RECEIVED.
Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
LLC CUSTD4R BROOKSHIRE GOLF CLUB
S ii
TR CK, ;S OP
12120 BROOKSHIRE PKWY 412940 104150363 2
SYSCO INDIANAPOLIS,
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46268
317 -846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: WARD, SAM
,ARMEL TN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60- 1.4, 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE.
ITEM lJN: i EXTENDED
ITEM pSCRIPIOIV cpoE ::Pale pf?!CE
C NL: 4:$ C`.!'.. CRER .CANDY: BAR SN..ICKER 2 07: OZ 0120'2: 434.8389..:29 30. 29 30
CANDY &M PEANUT :1..7.4 ;02
0123:2 4380788 28 .62. :x:2 '6
D S ..4 CT: 3.1.831 658b!721 2 .98: 53.96
C}" P VARIETY; SYSGOf..FRI!TO LAY
D.:.`:.... S 12 T;..4: LAN'ER, CRACKER: PEANCJT BTR TOAST .RI?UND X513 7029:192 26 .43< 26.43:;:
D
5..1:.1:5 2 RO JUICE .C!RNBRY€ CKTA' OD864; 476p!062 15 70 15 70.
.JUI!CE ORANGE PET.:100�. 008.0 71'4;812 15, 70:; ..:15.7.0:::
D..... ':5...1:'2'.40 E :RE.C..KETCHUP::SQUEEZE.;)3'PL NOUYA2:4 9617:218 .26 76; 26 75?
D. 5. E: I2 0.. r.R.NCHS MUSTARD< YELh0.w; Ch'S 5 UEEZE 4150:07567:7: 473E070 50` ,,20 50<
D :5.., 4.1:. 75 L N_TER AN[ SALTED `:07708' 9549379
D S 1!0.6 ELP °SO .:PE:PPER JALAPENO::5. .JUG..PAC:: <460008$23Z 79577,150 52 5 :5'>
D 5 6 Ii 2..Ot SNACK hIIX..CH.EX ,CH:QC CARAMEL:;: 14;50100:0:: 6004?0$1 25: 25 25,!
D S 6. SNACK MIX CHEX TRDTNL iFLVR 124fl00;fl' 7592:348 s31 •.5.5 31.551
D S 1 1 LB LCLS, SNACK MIX SI?CY CREOLE 91069? 9960::329 31 36, 62 72!
23 RT ONA TEA ICED ARNOLD PALMER;�ITEi
7; 931 :98.70494
D ,S
UT STOCK.:.,... ...::10
GROUP .TOTAL 435.76
PAPER DISPOSABLE
D 100 SC0 GLOVE POLY DISP CAST ME' 104 FHCTI4CPSY 8477671 17.73 17:73
D S 181500 EORG TOILET CORELESS 2PLY WH 19378 6092605 59.05 177.15
D S 800 EORG: P TOWEL ROLL ENMO,OTAL TI LRG 4AUTO 89460 9627761 69. 99: 95'
GROUP T
D
S 3202 YTON CLEANER MULTI SURFACE RTU 6100063 7682802 29 58 29 58
o .I
N e
P.O. BOX 7137
2 2 25 30.4 400 INDIANAPOLIS IN SUB
n IMPORTANT: PERISHABLE PROD ARE NOT ELIGIBLE FOR RETURN g AFTE 4206 -7137 TOTAL
IV
v FFORANY SHOA�AOE AFTER YOU HA E $I GNE� I PIECES T RECE VEOOMUSTS TAX
DRIVER'S J/ NO' PCS SI CUSTF N0. PCS TOTAL
j SIGN /A /�J UELVD' GN So g REC. INVOICE
f A)�RPYM�T�IS S F ICS LT L €p O�EI�IES ALgL EDO�y TH ISINV 2 1 O C M E M A pp F �TIES L ACT E g C37p(�0U �STA C�)ORTRUgTR p TOTAL
MT RETAINA 7RL1ST r CLAIM FI OVERTHESE C`pMMO ALL INVENTORIEfi pF'FOOD PHOQUCTS PAYABLE ON OR BEFORE ONT, ON PAGE 3
f D FROHESE COMMODITIES, ANU ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL
AEN RECEIVED.
GoodUngs CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
re come Rom DELV.;PATE CuSfQtrfER
BROOKSHIRE GOLF CLUB...
12120 BROOKSHIRE PKWY ysco Tfi cK$ °P 412940 1 104150363 0 3
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST PWT
INDIANAPOLIS, IN 46268 '''R
317 -846 -7431 DUE FRIDAY 4 WEEKS AFTER ORDER
JUJQQ 409035 NORMAL DELIVERY
CITY OF CARMEL RENZ
1 CIVIC SQUARE DRIVER: WARD, SAM
EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE.
C2TY PAC SIZE f7E urNrr
T ExfENDED
1T�M DESCFi1PTION PRICE
CO1E PRICE
GROUP TOTAL
29.5
iml;tl oil; pill PRODUC;E
C
C loom 1 IDS H ill MOW A FIR ...I EMON FRESH 1:03947::8 039478 ::!:.7.9.'8:
C..:..... S L 5: AT.T,ETTUC> ROMA!TNE CROWNi;;Et�VES 6164049;:4.. 660:494 1;29 .4:9: 29..9.;.
C S litil. 12 CT I{ER... I II�1; RESH
128.3787 a4, 5:0; 14 5
GROUP TOTA 5107;1 251:0:717 39.87;. !39.87;;
L 101.11
tozmt Th 11 spot i:i A402010111 too so it 201 1119a scovinvin AM
COLOMBIAII PUMP 9388!1179116 166119 MOM
R TOTAL 116.66
MOM, it !got 1 off Ell?A A Wool astaggaill Trott ails thiiiti;itotli 1 am 11 My! 0 A of I �!i��IIA1911 �llitioNst 190 H 111311911 of hi ERR E �;�i to 1 lt�i is ilu!21 �i�
Iwo; i�iij 11%1 sit
inquo a as Mom Small;
�I�
still& IT sm 1 fou 0:�' IS I
to 1� rim
il;Nlg sill issis itiollill vision T? vans 11
c C.
volly 110 OUT=
OPEN: 1:QU AM CLOSE: Quu PM
�s'REMtT TQi
P.O. BOX 7137
z 6 2.6 50 INDIANAPOLIS IN SUB
IMPORTANT; PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR R'TURNgg��ggAFTE 4 206 -7137 TOTAL 1855.92
u 4 4 48 2 721 E R I ANY $HOR AGE hFTER Y IN HAVE E SIGNEL) PIECES RECEIVED MUTE TAX
NO. PCS NO. PCS TOTAL
DRIVI_WS Dew6. SIGN REC.
NVOICE
SIGN y A
1 TH E q RIC LT R L C M Op 7I S IS ED pN THt$ INVpICE A pLD SUBJECT 7O THE 7A7U O Y R T p TOTAL 1855
9 "F PpR }{p G CT O S pF p 7H P RI L,7E AGRICI�LTU RAL C0V1r A ?MT1 5,,4C�T 193017 LJ_S 9$EIC� I P R T
+NESt O(7NM I IS RETAINS A TRUT MA 5 IM OVeR THES COMMODI I AL IrvV NTORRIEEES OF K'O R O7H C S PAYABLE ON OR BEFORE 13 11 LAST PAGE
f DERIVED FROM THESE COMMODITIES. AND ANY RECEIVA8LE5 OR PROCEEDS FROM THE SALE OF THESE COMMODITIE$ UNTIL
o FULL PAYMENT IS RECEIVED.
VOUCHER NO. WARRA NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF
4000 W 62nd Street
Indianapolis, IN 46268
$1,855.92
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 104150363 42- 390.40 $1,855.92 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
Tuesday, April 19, 2011
Director, Brooks re 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. 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))
04/15/11 104150363 Food $1,855.9
f 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
1 20
Clerk- Treasurer