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HomeMy WebLinkAbout197408 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,411.98 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 197408 CHECK DATE: 5/1112011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 104290610 794.67 FOOD BEVERAGES 1207 4239040 105060309 617.31 FOOD BEVERAGES Good My CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from 5uh- bAtE cusrflMeR. any; town not BROOKSHIRE GOLF CLUB Sl /�c�° 12120 BROOKSHIRE PKWY Tt3 cKS OP 412940 105060309 9 2 SYSCO INDIANAPOLIS, LLC 1 RMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 846 DUE FRIDAY 4 WEEKS AFTER ORDER MAXIEE,t 411013 NOR=. DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: WARD, SAM IN 4 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF W CFR 60 1.4 6%AW4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. CITY W ZE ITENk DESGRIPTION c OD PR`1eE, E P IC AT..YLY :5NACK ::IAR.:GRANOLA; OATS: &..HNY.... 3353:0 3660370. ;7..3.5,. :47.35 91059: 9.960329 3� 3'6 <62..7`2 D FIGS 193200042:6. .936698 ::35:1':0 35,.;10!. D t C ..7s 21 0200 .LAN:TER.. SI3ACK:::TRAI L:MiX FRUIT :3 NUTS: D 5..7.2 OZ.. LAN:TER SNACK::TRAIL;:'MIX:Z4UT C. 19320000 7 493:6686 MUM 01 5.10; GROUP MITI:: 287. 59 6. 100011 95 SARM MEW 6046 11 �I� tE��Eto MINIMUM N;pplt I �of fills iltwttt!: t MIT 1 TIC= tools,[ IS guff 1 stilts MA jwM 1008 1 yog 1111 qij� fif 1 fign 11;;yAlf stiI� 1ppil I VAII 11 12a gill f jjjj"i�' isightic RUN $toil 1111 Al 1 YRIIII!tt 1000 W 1 1 its TWI i it! 21 11 stout! of 0110 thiV it low of REMYX. TO P.O. BOX 7137 5 4.2 56 INDIANAPOLIS IN SNB a IMPORTANT: PER PROD ARE NOT ELIGIBLE FOR RE TE 41206 -7137 TOTAL 617.31 S5 TURN AF 1 3 19 20.2 230 u OR IV SHORTAGE AFTER V HAVE E $IGNF� I P IE CE$ R GEIVEPO IBTE y S TAX PIEC" R1,11, MS TOTAL I DRIVER'S No. PGS $IJGN DELVO. INVOICE SIGN C. TOTAL 617.31 TH PE A ftICULT R L C0 OpI7I S I5 E© RN T,yIS INV?jE ARE gpLD UBJ 70 E STA RY TRU T 7 gH7 M g g�y E l g T 0ry7 C� OF THE PERI�HA�L A�iR �TURAL COMMODITIES A I I7 U.S C. 49gg THE gE p PAYABLE ON OR BEFORE T ESE C E A RE A A TRRUST -LAIM V R HESE COMMODITIES ALL INV N'f0 OF FOOD O 7HER PRODUCTS 6/03/11 LAST PAGE I OERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PgYMENT IS RECEIVE.. Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come o�t� vATp ;,.cuSTO F. m BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY Sil TR cK s nP 412940 104290610 5 1 YSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ft ou:� 1. INDIANAPOLIS, IN .F 317 -846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF M i MA SN 9 GARY LEVERENZ 4103Y/ N MY 1 CIVIC SQUARE DRIVER: MAY, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE, 1. r amy. PAC SIZE ITEM I3ESCRIPTION x PR CE� x 11.1.1 ITSt1t 1-1. 1NIT E +CDD P:RIC6 MEATS F S. 605,3302 AB BE PATTY GRND STKBRGR'FRZN 997b315 63 40` b3 40 1 �F S......11 :0 LB HNSVLE BRATWURST 5X1 PRCK SKLS. 318 2 1991.98 29 44 29 44. 1. \+F S. 110 LB,.BRLCLS.FRANK ALL MEAT 5X1. 6 IN. 3773 070 1137736 20 52. 61,56 1. �C S 42.,5 LB HAM SLICED HNY WTR ADD FRESH, 72736 70 8286429 42 86 42 86. y GRQUP TOTAL 197 26 POULTRX x C S 2 5 LB BRLCLS TURKEY BRST.SLI, 3/4Z ME SMK MSTB940SLB 4860.003 42 86 42 86,.. I. GROUP T0:'I'AL 42 86 FROZEN ..�"F S 1 12 CT BRLCLS BUN HOT DOG 6" 53612 4748986 25 25.54 F `5 12 CT' BRLCLS ROLL KAI SER `4" SLI SEEDLS 1 4857696 29 67` 29 67 :GROI7P TOTAL 5'5 21 CANNED &DRY C NL 36 CT ARS CANDY BAR MILKY WAY 01101 4367363 24 74 24 74 C., NL 48 CT: NICKER CANDY BAR SNICKER`2 07 :OZ 01202 4348389 29 30 29.3 I C PL; 15° GAL CHWRTZ PICKLE CRS CUT K0 29658270756 1028`919 36 34' 36 34 D 1 S 242302 RIZONA TEA ICED ARNOLD PALMER LITE 71931`9870494 21 59 215 90' GROUP TOTAL *�a* :306.28 PAPER &DISPOSABLE i. 1. D 5 4700 CT.YS C. LS GLOVE LATEX FDSVC PWDRFREE'MED 304750022 8347841 39 96' 3 9". 9 6" 11 D S 25D33 GAL YSCO LINER TRASH 33X39 5ML BLK H6639MBS 4075958 38 78 38 78 GROUP TOTAL* 78 7 4 CHEMICAL \D S, 32OZ EYSTON CLEANER MULTI SURFACE RTU 6100063`76828 02 29 58 29 58 1. CROUP TOTAL 2:9 58 R�Mrr Ta U P.O. BOX 7137 2 2 25 20.4 584 INDIANAPOLIS sus q I MPORTANT PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RE 4 2 1N 06 7137 TOTAL e FOR ANY SHORTAGE AFTER V "AV C r $IGNEO IPIEC NOT RECEIVE O MUST TAX v DRIVER'S NO. PCS CUST. IJ NO. PCs TOTAL SIGN SIGN pi REC. INVOICE PE A L R C LT R L CO ry�p TIES !I Ep pN T�{I5 IN ARE goiD gUB TO HE g7ATU ORY RU T p TOTAL I T u U RSEHp g yE S S of 7�E PERISHAB� A�RICU�TURAL Co MMgD171ES P,CT 4s �F�l c Ti PSIpUCTS PAYABLE ON OR BEFORE THESE COMMODITIES RETAfNS A TRUST CLAIM O R HES COMMODITIE ALL INVE o 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL OD 7H ONT. ON PAGE 2 SLE 0 FULL PAYMENT IS RECEIVED. Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO cusTOtFx S ii 4 12940 104290610 5 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 4b033 4000 W 62ND ST INDIANAPOLIS, IN 46268 F 31'7 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER .ARMEL TN 46032 CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60 -1.0. 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY PAC SIZE ITEM RESCRIPT.ION I o E I icE E pRIC x C PRODUCE �'C S 5 IT 8MMP SALAD CHICKEN 51071.2510717 39 $7 75. 74 GROUP TOTAL* 79 74 MI RG S.. HG FOR FUEL SURCHARGE 5.00 1. X4:636 f QRD S RY I >REMkT TQ; i P•0. BOX 7137 2 •8 22 IMPORTANT: ESHABLE P INDIANAPOLI 7137 SUB 794.67 E PRI THIaS I V I ARE NOT ELIGIBLE FOR RE AFTE TOT S5 TURN gAL E 2 2 27 21.2 606 �OR ANY SHORTAGE AFTER Y HAVEESIGNE� WIL ECESTRECEIVE00MUSTE TAX RII Fn. V DRIVER'S NO. PCS COST, N0. PCs TOTAL I OLVD SIGN REC. INVOICE SIGN TOTAL 794. I TH P R A L ULT R L COMMOp T I g I Epp pN T�{Ig IN 11 A SO LD gUB1 O THE S7 ATU ORY 7RII T p q 7 IZISEHp g y E gI N 5 of 7HE.P RI HA�L A N L CO f�gDITIES ACT 1 I I�.S C. a9$E(CC THE tOI. EUCTS PAYABLE ON OR BEFORE THESECOMMODITIES��EIAIN TRUST LAM V R HESE OMM001 ALL INV NrfO k O K OD R YHE D F J/27/11 LAST PAGE I DERIVE❑ FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $1,411.98 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 104290610 42- 390.40 $794.67 1 hereby certify that the attached invoice(s), or 1207 105060309 42- 390.40 $617.31 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, May 09, 2011 Director, Broo hire 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 199E 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)) 04129/11 104290610 Food $794.6 05/06111 105060309 Food $617.3 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