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HomeMy WebLinkAbout199695 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $2,808.51 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 199695 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION 1207 4239040 105200819 -29.67 FOOD BEVERAGES 1207 4239040 105261504 1,200.36 FOOD BEVERAGES 1207 4239040 107010323 756.38 FOOD BEVERAGES 1207 4239040 107071232 881.44 FOOD BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO 1. e -.1-1--l... I �,Xl'e IJIVIPI� I,, .1 ..,..�.,.,..,...�......�.I..,......... H *7701111 12120 BROOKSHIRE PKWY I-- 412940 107010323 7 1 T .T S s��►� /m CARMEL IN 4b033 4 00 0 0 W ND 62 ND POIS, 777775u.Ts:7-:,:-: I .1. ,,.,.,...77���� 7777�� 317 846 -7431 INDIANAPOLIS, IN 46268 m�.::TFRI;�X. UE FRID CITY OF CARMEL MA.- SM9 GARY LEVFRENZ 1 CIVIC SQUARE DRIVER: CARMpr, EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR GO -1.4. 60 250�4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. I I I-- I .-I.. .1.11. -.1 ..::,.,.,:.:r:-::,: ::m:;�:;:;l I..., 1 01 00�0,�:::::: ;.;,x-:.. v: 1. .1 I ITE m:,... I I. .1"... .-I. .N �:�:���:����S:IZE:�:::":::".:":.,:"�,��.:., �]:�,:i;:::�:�:��:� �:�:�:]:���:�ii:�:ITEM�i:��DE,S!'CRIP.Ti�O.N�:��:�����I .1 S.li� �::�,::i�::��i:�i]:!�::!� -ATY �.j CC) DE;m::::::!::;:: PRICE. -.1 N r .�.:..j :�V: PR I:CE�: :m;:m:�....w..m,..: -:-:]:r,; :X: m .1 I r .l..... I 11 .1. I 1.�.I..''..'�.......,...�,.�..-.I -.11 .-..-....l.,L-..- I.. I 281 669 I I .1 .....-l- .1.1., Iff IS' )NLY5 n 98RLM8 CHEESt' )NE9 YEL 120 'SLI 8l... 1.7. 1 1. J 51....97, 1 9 7' --l-I m. .1 ,:m I .1 -:::m.-.-. mom 1. .1.1 11 ...,......-..,...,.....,...,...��.I......,.,-..".��.... I I.. 1. I I 1. .1. GRO.U.P;:�TOTALt*:**:::::::�:::�::�:':�:�:::::::�::I 154:97 I .1 -...l..-: I 1, .1 I.... I I I .l....,.-.,.,-..-. I .-..-..---l. t -1., I.. I..... I I .1 z-� I .1 -.1.1- I I I 1. 1. ...l. I f 2 CS 110-LB JHN$VLZ.BRATWURST 5.Xl PRCK SKLS 3188 2199198 -.29-4.4..........58,88 ...p...-I I `ll..-:.,.w. I.. I I.. -1 I I I ..".".1- .........-l- V ...1-1.1 I, I ....-I..... ....L.. .1 I I-- I. -.1-1 11 -.1 I I I MEAT .-l'...."...l. I 377 I.. 1 C's 11 0 LB B BRLCLS FRANK A LL 5 6 N' -070 1137736 20.5.2"... .20.52 -1. .1 I...", j 1, ..l..... I -1.11-1. I.....", I.... 1. --:::m:!- -.1- -1 ...l. -.1-1.1 .1-1. -.1 I ......-I..- I I I -V I I I.. .11.1 1.1,"...... I I I -11.1- I-. I .1. 4 2' C M SLICED RNY WTR ADD FRESH 12736 8286429 42.,86 42 86 -.1 .-I.m. I C.$ .5 LUORL LS.'HA I tj V ...l...'' I. T I, I ..........,.............l. ...-l mm� i.:-...- .1 I .1 .-......l..."...... I. I... I I.. -.1 1. 1. I �i�1 1.11.1. GR OUP TO .-t, I -1-1 I Ir.r. ,::r:::,::::::;;�;::::;;�,;�,;,;;�::::�;,�:;;�::;::�:'';��;:;f;,i; I .11.1-1... 'POULTRY ,T OTAL* 1. .11 I I-. I.I.-I. .r 1"... 5�1.1 1 I I I... .1- ,j ....,.m.......l..j. -11 I I -:,-!-..l. .1 �1.1.�."..,..'r..''.r...�.I.I..r.l.l........r I 1. I I..... j mmi:--;.- --l'. r. .1 r.1 -1. -r-r 3.//4Z �.I........,.....,.........,.�.....''.".,.......,.....�...,.. .1 ..._-_.l_--- ..l. .....l.. .l.. I. ...l... S 42.5 LB3BRLCLS TURKEY BRST SLI MESQT 42.86 .....".1--m-.m.- .............r- I I .1 1.1.1 r -1 ..l. 11, .............,..,.e.�.I...,.�..,.�.....,.,......�..�...,%..."..'�.,�� I I I -.1 I. I.. .1 I r... ....r..-..-.--.. .1 .l......r.l. I.. I., `28 .r.- I i.;- r�. ml mt: X.: �4 GROUP :-.G _pr:: TTAL-* k...:.*::;�:::: ....1--.- .l....-.... I. X-1- -1- I 1.1.11 I I I I 1. I I I I. I I. I. PRO,zt9, .....-I I 1. 1 m -1- -1.... .1 ...,....-.l-l... I.- ...........l......' r.. ....l.... .1 1 I --.11-1-1 I I..." ...l....- I I.. I. I 1.1 .1- .....-r. -1-r-I.-r-1-1. ---l.l... I I I --.1- I.. I........".....,..... I I I I I I.., I. I I.. I. I I I I L ....,...,.........,r.....�..,..r,.�, I .!.:Y.:..-.--. -.1 ......-Il. I ............................."...�....�.......I I I r I r. I I 2.... 1. I........... I.... .....'�...,.�.............�I.I.�.I. 1. 1. 1. -.1.1-1. I I I I.. I.................�..................��....�.,........'.�rI I.. 1. ....�.,.,.".,,..,...,..�.I..''.�....,....,.�...............�,.1,�.I...�.I............ S 1. 1. I 42.5LB rANTLZR ONION 'RI9G­9E'ER­8TR"- 5- I 1 30423 0855296 26 71 26,71 1. 1. I. I I I 1. .....L.L'......, 1. -1- .l....--. 1. ..'...l..................... 9 ................r...l... ir-. r I ............,.r.l.....r.... r...r.......r.1 -.1-1 1.1-1-1.1 .-I... I I ,�.�.�'...�.........�.-I..�.,.......,. I...............................�.............................,..�....,.. Irr.r I -.1- I 11 Irl "I'll '""'"'I" "Ill 11 I'll "Ill 'Irl I I I 1-1 435 I Cl, S 65 L B S)YS IMP POTATO FRY 3/8 SKON PHANTM PLO' 5Y60 3 1 08 31.24 31.24 I... .rr r.,........ q �......�..,.,..........,.."..'.'...'.r..�."...'....rl..rl".. I I I 1.11 I... I.. 1. r I.-" 1-1.11. -1. I ...L'........ I........................... r... r...r....... 1.1-1.... I I 1 I.. I.. .l......L.l.'... ..l..,..l-.-.-.-. H S R O I S I W r11 29 41 r- I C8 243.4 482 5196 .2 9. 4 1 I i l.�..�.. �...,.........,...,...,..I I I -.1----l I�........,....,.....,.........,.� I., -.1 ...1-1 I I I-- I I q I I I I I. I ..l. I I 1. I-- r I.'. r. I.. 1. I -11'r GROUP I I I 1. �..,.�.....,.�l.:�::�:�::�:�:�:�i��.����:��:����i�: :3:6'��::: �......�,.�......�.�.'��.....'.".".'...'.r'...'....r... TOTAL I I......... I, I I I I I I r....r... k** I .-I I I. I I 1. I I -.1 i.....- I... I I I 1. I I.. 1. I....."....., 1.1-1- I r .1. 11, .1 I I I 1. I .1 -.11 .1-1 -.11.1-- .-.1-1 1.�.�..�.....,........,.........................�...''........... ...1.1-1-.1 ....l.r....... r. r..... r. ..'......'r........r.l.r.......r.1 I I I I .1. 1. 1. 2 I.. 1. --l-1-1-- r rl I 1- c5D I CS '31 BREAKFAST BAR ASST NUTRI M00005872 42 r -1. ..........'r r-1-1- I r...... ..,.,,.......---.,.---,.--,,-.-..r.,I.r.l..r.. r I I I I I I I I I 1. 1. I 1. I 1. I I.I..�.�..,......."..,..",..,...�..� I. I I .-I.............. 1. m. -.1--.-- .1 I ..........-d.....,... r.. r... I....., -.1 m m r: I.. 1. 1. I r. r 1. I I .1 I I -I... I I I.. I.. r. I r .l.. oflo I r .1 .1 cz 14MG CT �ARS C BAR MILKY WA Y 1367363 24.74 2 j m 1. i I rI.:::�:::�::::]r�::i:]:::]�:::i:,�:�.::�:�:��:,:::�.,:� I I 1. 1. I 1. I I... r .1 .1 .1 .1 -.1 I ....I.- I.. .1 .1-1. I ...l. .1.1 I r I ..r.r... -.�.:l..:.;.;.:,: I 1 1. r. Ir... -.1 .1 1. r.. r l r. ..r. ......r...r.l..' .1. .-.....l..... .....l...", .1 I... .....................r...... I 1. I 1- r-, DNLI24 CT iERSHEY CANDY BAR PAY DAY 62 15.62 1. I I.. r.. r.l.r... .1. I r I ........."......,...............I 1. 1. I. I r n -.1 ,l I :-:1 .-I.... S 1 9 8_ I S .i 6 0 CT .-,AY CH I P V ARIETY SYSC FR I fpo- LAY 3 I 6 5 8 67 I 21 26. 26 I 1. 1. I.... I.. I I.. r. 1.1 "I 1_1 _1, ,l I I.- I,, 2 402 SE I.. -.11- I .1 I .1 I.. I 1-1-1 I EC K BTL HOUYA24' 96 17 2 1$ 26. 53.52 I -.1... .-.r I-% rlr.-�-. "..'.�.1'r..�............"........,.........'�..'.r. .r. r l,- %-.1-- r I r I 11-r- .r... I.. v. wrr r I I ,.......r.l.. .mq. I .1, .....l.... I I -1 Pt 5 GAL 3C 1 r --r 29658`27 10 28 9 1 5 6 .34 .,......rl. r... I HWRTZ PICKLE CRS 'CUT KO 8 34� I 11 .1 j:::::: _l l, l _1 I _1 r l i:��]: I OATS I I I I I I .1 )LA l 1_1 I .1. r a- m.. I 47.3 jr 5 D I CS 1 1 OZ AT VLY SNACK BAP'ORARIc Y 3 35 �O 5 66 0 3 7 4�7 I m TOTAL* I I I -m I I A* r p r I.. 1.11 ....,......-GROUP�� .1 .1r. r 1. I r I r I a I REMIT .l....'.. l: P.O. BOX 7137 1 3 17 12.1 242 P RODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF -7 SUB IMPORTANT: PERISHABLE 4 2 I 0 N 6 137 TOTAL ff E ECK THI� INVOICE� WILL NOT BE R A� CH YON, E ELIVERY, PLE, �RL v F 0 OR ANY SHOR AGE AFTER Y U HAVE IGN PIECES RECE T TAX F r�Fl; R DRIVER'S <�4;10�,vv� NO. PCs ICUST. NO. PCs TOTAL SIGN 0 1 DELVD• I SIGN x I REC. INVOICE I rlfi�k� TOTAL %OA�1� S 11 �T r A' T lW NV-0 LEI IJ RY TRUg I HA IT T YX 8 PAYABLE ON OR BEFORE I fi� rl RAL CO �I 3S N'T 0 1 S Q F 0 D CT �:JL O Q�0§1,� U Y�L I I TA A U T LAM R S OMMODITO R A W M 'TH I DERI VEOY NT FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ME IS RECEIVED I ON PAGE 2 a FULL PA -1 I Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from oElu.;tfArE custalaett BROOKSHIRE GOLF CLUB 412940 107010323 7 2 12120 BROOKSHIRE PKWY s oP SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND STuE INDIANAPOLIS, IN 46268 317 $46 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL DRIVER: l CIVIC SQUARE EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60- 1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE, E QTY pAC SIZE ITEM DESCRIPTION A O N4 UNET EXTEND b qE PR4CE PR PAPER &DISPOSABLE NL 500C` I'SCO C L SHEET;9X10 75IN SILVER' W69372 6938.500 .12 25 9b, r. 100 CT YSCO GLOVE POLY DI SP CAST MED 104-FHCTI4CPSY 8477671 17 73. 17 73. :GROUP. TOTAL* 4!3.69:.... 1. *.;:CHEMICAL S 2 80Z EY5TON CLEANER. FR BOIL. OUT 6100055 7715420 42 95 42 95 r. 1 I Z...... .:PRODUCE GROUP TOTAL 42 95 I. ':5...:: LB i<: YS. IMR ONION ..RED TRFSH •JUMBO I 10.3:9494 8;716. 8 7 :G -.'S 5 LB BRLIMP., SALAD :CHICKE 1. 51071 2.51:x717 !:39 8;7 ''39.87:. GROUP' 'T OTAL;**** 4 8 .63 1. ;!DISPENSER 0 015 5 1 .25:I:T DOUWEGB COF.'FEE.<LI 1OOf :COLOMB>IAN. 320.:1 .9388117 116.56` 1?:16.66!. 11 FROUP 116 66 MIS RG S HGS FOR .FUEL •SURCHARGE 5 00. O Y 11237 1. RD S a -..i N 4 v P.O. BO% 7137 2 2 7 1.7 46 INDIANAPOLIS IN SUB q IMPORTANT: PERISHABLE PROD ARE NOT ELIGIBLE FOR REE gg AFTE 46206 -7137 TOTAL 756.38 E 1 5 24 13.0 2$$ FOR I ANY SHO g RTAGE AFTER Y HAV E $IGNE� PIECES RECEI BE 11 MU TAX v DRIVER N0. PCS UST. NO. PCs TOTAL �-yi vw p DELVO. SIGN REC. INVOICE SIGN 4 �V V TOTAL 75b. 38 I TH P@@ A CC� LT R L 0 0 7 g Igg cp TH� INV6ICE AR pLD UB 7 O E S A TORY RU T a U R Io E �E HA AGOR CULTURAL COMMpD�71 S i M 4 E 4�$ FCI) Tyy gE p PAYABLE ON OR BEFORE TH SE CpMMODITIE RETAINS A T♦iU CLAIM OV R TH SE COMMODITIES, AL V wo I S O OOD OTHER PRODUCTS /`Z9 /11 L A5T PAGE DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE $ALE OF THESE COMMODITIES UNTIL 0 FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from o8w DArE cusroME 1. BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY R T cK s OP 1 412940 107071232 6 AM CARMEL IN 46033 4000 WND62NDPOTIS, LLC ROLL E INDIANAPOLIS, IN 46268 317 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: PULE TONY EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60- 1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. [2TY PAC SIZE; .1 1TEN1 DESCRIPTION ON CE FR 6DECf a r x TE�d E .CODE �PRI 1. MEATS... F 5 6 33OZ AB BEEF PATTY GRND STKBRGR FRZN 99.76315,1 6703049 63 40 63 40 1. C S 2,5LB, BRL. BEEF ROAST TOP RND SLL C /OFF 20614 1962859 56 67 56 67 F 10 LB. BRLCLS FRANK ALL MEAT 5X1.6 IN 37736 07.0 1137736 20 52 61 56 FROZEN GROUP ,TOTAL* 1:8.1 63 F S 2 4 2502 KR51.MP MUFFIN.ASST BL /BANjCHOC I f 73473021825 7$13.114 ;21,67 21,67 11 s: F S 2 5L$_ ANTLZR ONION RING BEER BTR 5j8" 30423 0855296 26 71 26 71 1. F S 5 LB___ YS I.MP_POTATO FRY 3 8.5KON .P.H.ANTM PLU SY003108 4356465 31 24 62 48 JJ CxROUF TO:TAL &DRY 110.8.6 1.I NL 48 CT' NICKER CANDY BAR SNICKER 2 07 OZ 01202 4348389 32,61 32.51 C C NL 48 CT M CANDY M &M PEANUT 1.74 OZ 01232 4380788 31.82 31.82 1. D S 6 1.5 OZ AYS CHIP POTATO REG LSS 44359 6725273 26:98 26.98 1. D 1 S 2 2302 RI�ZONA TEA ICED ARNOLD' PALMER LTTE. 71931 9870494 21 59 215 90 GROUP TTAL 307..31 1. PAPER DI SPOSA$LE D NI; 5OOCT' YS FOIL SHEET 9X10:T51N SILVER W69372 12.98 12:98 D ..S 100 CT YSCO GLOVE POLY I SP CAST MED 104 FHCTI4CPSY $477671 17.73 17.73 I. D S 800 FT EORG P TOWEL ROLL'ENMOTION LRG 4AU V 89460 9627751 69 99 139 98 a' ::GROUP TOTAL 170.. 59,: PRODUCE 1. C S 110 LB YS NAT LETTUCE ROMAINE CRO LEAVES 6640494 6640494 29 49 29 4J C S 5 LB BRLIMP SALAD CHICKEN 51071 25 10717 "39 87 "39 87 C S 5 LB YS IMP TOMATO SLICED 1/4" 40451 6113765 36 S9 `36 59: uu I RpMYf -0 1. ,AVPq P.O. BOX 7137 z 2 3 29 28.1 646 INDIANAPOLIS IN SUB I IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4 206 -7137 TOTAL E DELIVERY. PLEA E CHECK THI INVOICE WE WILL NOT BE RE PON {ggLE v FOR ANY SHOR�AFE AFTER Y U HAVE SIGNED. PIECE$ RECEEV M ST TAX DRIVER'S ND. PCS OUST. NO. PCS TOTAL SIGN DELVp, SIGN REC. INVOICE 7 Try p A RRI LT R L C O pD 77I g IS Ep T�{ IN` /p IC ARE pLD gUBJ 7 TOTAL I U7 S T F PE H LgL7E A d �JLT C ry�pDITI S ACT 1g (ji�0 $7�{CE 4g�gAE7UC ORTHETR L p PAYABLE ON OR BEFORE THESE CO M ITIEP RAIN$ A TRUST CLAM COMMODIIES, AL INVENTORIES O UAW �YHER ODUCTS 1 ❑ERIVED FROM14 THESE COMMODITIES. ANO ANV RECEIVABLES OR PROGEEtlS FROM THE SALE OF THESE COMMODITIES UNTIL ONT, ON PAGE 2 o FULL PAYMENT IS RECEIVED. Goad things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO comefrom DEty <Ar cusTOn�R�L BROOKSHI RE GOLF CLUB... 12120 BROOKSHIRE PKWY J TREKS ©P 412940 107071232 6 2 SYSCO INDIANAPOLIS, LLC RgE CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER I 416YI1 NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: PULE C, TONY EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60 -1.4 60 -250.4 AND 60 -741.4 ARE MCORPORATED HEREIN BY REFERENCE. QTY PAC SIZE ATE pESCRIPIION �1N E T r, CO E PR1 PRYCEED x GROUP TOTAL 1 5 50 F NOW wood A& 0 1 to !mill SUITS 1 shook MIS RG:... HGS; FOR FUEL, .SURCHARGE. psi V CLOSE smog 129 MW is Nil sit 1 T i sido 1 TH SHIA At 1 1 VOTH to o n I= 2 W Emit 2151111 li:;;l toutitt toolitil 11101 to to A 14111 lit to t of, Itylit of 1 zimnv 1 mr; as a 1 lit! "ygynny PEERI 2 to loop loss; 11 if 11 of 11 t ��i i too 1 114it� A 1111441 A outpos N Widitut W tNAZAT HE I to NEON N; is MAIN REEME� �itZ vivo! 1 off !soft 1; 11 Ul it 41001 ttt 11 TOWN R I lov�o folio 11 Nil till 11111 ttittlooll 5 H Of ithilititi 1= 4 of! 010 11 visit! it Wittl� W IT of off oil a 1 IT poo W of T T lot! A 11011 yd� i� !gifts kill it 4%, list 1 1 0111 11 WRITS to 1 ��OOZIZIIIII 1 psi 1111 w1T All:0,; RE To oil! a I sil 11 it W I only wn; 11 all to Mill is RE !shot littitzil Milo 1 1: 1 1 2 too, a wittEll 9 E vil 010011 lit S911� iiistio�i�i: glify US= a! T 1" EMEN 0 1 UNISM 0 of of folio! 19 1 Zito 10000 of 00"T itall2i VOIRMSEN Ims Us A u"No 0 i i qjpmpivq I FBI Nil AR 110, 11613 a loss, 1 REM47 TQ N P. O. BOX 7137 INDIANAPOLIS IN SUB n IMPORTANT: PER PRO�D ARE NOT ELIGIBLE FOR RE g AFTE 4 206 -7137 TOTAL $81. E 2 3 29 28.1 646 �OR SHORTAGE AFTER F Y6U HAVE E SIA a I PIECES T RECEIVE D MUST TAX DRIVER'S No. PCS CUST. NO. PCs TOTAL SIGN aAVD. SIGN REC. INVOICE p TH PEERRK� A NEW R L 0 Dp 7I 5 g7Ep pN p INVO IC p�ApRE g LO Cg UB 7 TOU gTHCE q S gA �)ORY ETR clip TOTAL 801.44 o qqU HORIZ T(�f� OF P LAM )V H, 'OMMODI IES, IPPvE I S� FO d�O T R ODO TS PAYABLE ON OR BEFORE v UE SEC CCCOV M I I A A T U T LAM V R H O 7H c 8/05/11 LAST PAGE I DERIVE❑ FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEtlS FROM THE SALE OF THESE COMMOtlIT4E5 UNTIL o FULL PAYMENT 13 RECEIVED. 003 'T1 BROOKSHIRE GOLF CLUB 5/20/11 12120 BROOXSHIRE PXNY 412940 105200819 8 1 x SYSCO INDIANAPOLIS, LLC /000 cn CARMEL IN 46033 4000 N 62ND ST CD INDIANAPOLIS, IN 46268 C 317 -846 -7431 CD K CITY OF CARMEL MA: GARY L8V8RENZ 1 CIVIC SQUARE CREDIT MEMO TERRITORY: SN139 CARMEL IN 46032 NOT FOR SHIPMENT OF PRODUCT 1 CS 612 CT BBRLCLS ROLL KAISER 4" SLI SEEDLS 1011SL4657696 29.67 29.67 REFERENCE 105191200 MISPICK RETURNED J r N N O r r (D Cn (D W J a 3 'd a N O O WP x cn m K c cD P.O. BOX 7137 ►.S 1- 1- 2.6 10- INDIANAPOLIS, I 46206 -7137 29.67- 29.67- Good things DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO from DEIv DAZE CuSraETetT x GOLF CLUB 12120 BROO KSHIRE PKWY S �f crS 412940 1 105261504 2 2 En 12120 HROO SY 0 INDIANAPOLIS, LLC CD CARMEL IN 46033 40 W 62ND ST INDIANAPOLIS, IN 46266 P T og a Y C 317 846 -7431 CITY OF CARMEL 1 CIVIC SQUARE TAO NC 1 rARMEL IN 46032 AND Ari MMATI A 'I c CITY A SIZE ITEM DESCRIPTION ExTrEO T A R1 C& pfilCB na C L GAL 3YS CLS DRESSING RANCH 71361 00367 15.96 15.96 D CS 1 4O3 fSE REC KETCHUP SQUEEZE BTL HOUYA24 961721E 26.76 53.52 D g C S 1 2 OZ FF RENCHS -MUSTARD YELLOW CLS SQUEEZE 4150075677 4736070 20.50 41.00 D CS 101 L8 BRLCLS SNACK MIX SPCY CREOLE 91069 9960329 31.36 62.72 N D E CS 2423OZ RIZONA TEA ICED OLD PALMfft JITE 71931 987049 21.59 107t95 0 UUP 'DOTAL 373.3 PAPER III YTS D 1 5 4100 C YS CLS GLOVE LATEX FDSVC PWDRFREE ICED 304750022 3347841 39.96 39.96 S 41DO C YSCO GLOVE POLY DISP CAST MED 104- FHCTI4CPSY 9477671 17.73 17.73 co S 25033 GA YSCO LINER TRASH 33X39 5ML HLK H6639HES 4075958 38.78 38 78 w GROUP TOTAL 96.7 CHEMICAL Y D I CS 1000,5 O COLAS DETERGENT GLSWSH BAR KMUAL 10372 5624420 32.70 32.70 3 00 C TERAMN SANIT33ER TABLET Q UA jABlQQCT 6 —Q 82698 39.15 39 15 I ti GROUP TOTAL 71.65 Y PRODUCE a 5 I.B HRLIMP SALAD CHICKEN 51071 2510717 39.87 79.74 C 2.5 LBSYS IMP TOMATO SLICED TOTAL 40451 611376 36.59 11 6 9 0 GROUP MIS ;)i kRGE S HGS FOR FUEL SURCHARGE 0 ORD Y 75731 w x Ln rn REMIT TO. mmo 1 1 20 13.4 r 358 !jQ y[ 1200.36 Ir WT INDIANAPOLIS I N sus K IDMPLLORTgANI PERISHA P70 U A NOT EptlaLT BE�RLSPO SI@ 4�20b -7137 OTAI 3 4 39 27. 599 plF vTl EE T 4 HALE $IGNEC PiECE1 RE EIVEU MU555� AX NO U$T n0 PCs OTAL ORI VER'S OELVD I SIGN SIGN REC NVOICE t ��pL oh !b M 1 a OrAL 1200.36 1 a9A3' 2 Gtr��i'i► (S� C6 k,o l� Ai I �rn l 4 �o �$K`tlT b43i,�f's R 6/24/il LAST PAGE PIIV!O FROM THESE COMMODITIES INC ANY RECEIVAfiLE6 O PROCEEDS FROM TNi BAIT Oi MGSi COMMODITIES UNTIL FULL .AYMeWT IS RECEIVED 1Z. DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO Good things W KDIANAPOLIS, Ottv oATF cusro►tEx I X 12120 BROOKSHIRE BROO GOLF CLUB 12120 BROOKSHIRE PKWY 412940 105261504 2 1 Cn CARMEL LLC 400 W 62ND ST IN 46033 INDIANAPOLIS, 1N 46268 o. T N es CT r C 317- 846 FRIDAY WEEK AFTER RDER K CITY OF CARMEL 1 CIVIC SQUARE ER: pr CARMET, IN 46032 FOUAL OP-OR TUNflY AAD AFFIRMATNE I Q TY PAC SIZE ITEM DESCRIPTION ITEM UNIT Com EN D PRICE PRICE t4w DAM If* C IS )NL tB OGPC&SCCHSHOWCASE YEL 120 SLI 00010636$ 6/114 15:570 15.50 MEATS GROUP TOTAL 15.47 y f3 5 r F S =6 .330 OLF C C BESHOWCASB' S TKBRGR FRZN 00010637'1 6706049 63.48 121.$¢ uU 0 F CS 110 LB OLF S ALL -MEAT 5X1 6 IN 81UJ86 369 113773 2.0 P/tS 6 2 0 1 10.00 S 42,5 L BRLCLS'HAM SLICED HNY WTR ADD FRESH 72fl 6 -70 28642 42.66 42.¢6 OLF CC,SHOWCASB 0001 6372 CS 3, 0 3.00- v, GROUP TOTAL 255.26 CD POULTRY W C I S 42.5 L BRLCLS TURKEY BRST SLI 3/4Z MESQT SMK M Q4H106S72 805003 43.5{_ 43. Q OLF It .CC SHOWCASB u GROUP TOTAL 39.9 3 *2 FROZEN F I CS 2CT tR RTLZR CTYBK COOKIE CHOC CHNK DWNHM 3OZ 1W 34943 57.82 57,82 a F S "2 .250 RSIMP MUFFIN ASST BL /BAN /CHOC /CH I/W 073473021825 81311 21.67 21.67 0 rrI F S .5LE ONION RING BEER BTR 5/8" 30423 085529 26.71' ':'26,71 F S LB' RLCLS PORK BBQ PULLED W`/SAUCE 09634 769114 88.85 88.85 F S 4B S IMP .POTATO FRY 3/8 SKON PHANTM PLU SY003108 35646 31.24 31 24 0 GROUP TOTAL 226.19 0 CANNED &`DRY, C, IS ^')NL136 CT 4ARS CANDY BAR MILKY WAY 01101 4367363 24.74 24,74 C IS DNL124 CT iERSHEir CANDY BAR PAY DAY 80723 7030414 13.98 13,98 0 CT "AYS CHIP VARIETY SYSCO /FRITO LAY 31831 658672 26.98, 53.96 w REM17 TO. C P.O. BOX 7137 CD 11 3 19 14.1 241 pp�� 55 INDIANAPOLIS IN sue 'S IMPIVEpYNTP PE I E M M PTRMI ARE NOTy LIGIB FOR P Nry, 4 206 -7137 IOIAI Q r I �b rdu =9'Mf�C% &tl FP' 0 NIt,ST x N NO FCS TOTAL OAWER'S aatw ,SIGN NEC INVOICE I IS�I{G�INg M o qC{� �j�ja nCe i g pnnTTT E( U iQ_ R T V �E i �t�Eq TOTAL 7t+E SE I RETAIN; A€ u OP �1� A R�7 ESE eO� v OU1nE TI S IMVEMORIES I 5 i00A PROOUCrS PAYABLE ON OR BEFO OEp,VEO fROM iNESE CO U MOCITIE$ ANO ANT RECEIVABLES OR PROCEE05 FROM THE SALE OF THESE COAM901TIE5 UNTIL ONT ON PAGE 2 e FULL PATMEl1T IS RECENEO 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)) 05/26/11 105200819 Food ($29.6 05/26/11 105261504 Food $1,200.3 07/01/11 107010323 Food $756.3 07/07/11 107071232 Food $881,4 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $2,808.51 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 105200819 42- 390.40 ($29.67) i hereby certify that the attached invoice(s), or 1207 105261504 42- 390.40 $1,200.36 bill(s) is (are) true and correct and that the 1207 107010323 42- 390.40 $756.38 materials or services itemized thereon for 1207 107071232 42- 390.40 $881.44 which charge is made were ordered and received except Tuesday, July 12, 2011 l Director, Brookshil-Plolf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund