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Home My WebLink About200128 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES 1 CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $2,668.99 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 200128 OM CHECK DATE: 8/3/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 107150387 658.47 FOOD BEVERAGES 1207 4239040 107220559 1,225.08 FOOD BEVERAGES 1207 4239040 107290349 785.44 FOOD BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO D�Ekv DATE m m IV C 14T.OME Rc mm: BROOKSHIRE GOLF CLUB... ZZ2.9zii 12120 BROOKSHIRE PKWY 412940 107290349 3 1 Sii SYSCO I NDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 F� Ml�l p 317 IDUE FRIDAY 4 WEEKS AFTER ORDER IMANIFEST� 418967 gnPMAT. DELIVERY CITY OF CARMEL LMA GARY LEVERENZ I CIVIC SQUARE DRIVER: STRAMBRO,RICHRD -ARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4. 60-250,4 AND 60-741.4 ARE INCORPORATED HEREIN SY REFERENCE T CO .-Y' ITEM m;;-FlRi:CE O�Ty DA IRY 2 8 Ntv 5 8 98RUtS'CHEE'SE AMER YEL 120 SLI 28131 6697114 16" 48 32 96 C ..r. OUR T GR pmq.mp MEATS_ F CS 6 05--3302 ZAB ..BEEF PATTY GRN.b.,'.$.T.K.BRGR FRZN 99163151 00A49 4 1 0. 2 0 qilqpq-... F 4 CS 110 LB BBRL L FRANK 'ALL 'MEAT X 6 IN 37736 1137736 21 '51' 86 04 C 1 42 1 5 L BB 8 9 1 L C L S H AM SLICED, HNY WTR A I D D FRESH' 72736 82.8.6429,.'.'j.2 '92' 42 92 i8 1.9 �i I% POULTRY T C 1 S 2 5 LB B RLC,LS.. TURKEY BRST SILT. 3./4Z MESQT SMK MSTB940SLB 4860003 4 4 8. GROU.P� t0t 2 :6 'FRO�Eli F S 2 44 .11.1. 2 5MKRSM IP MU F I N ASST B L /)3'A'N'/(HC/CH W 73MO2182 7813114 21 5' 67 2 1 b7 7 0 I V 0 1-1- F OUq CS 65 LB 3YS IMP P FRY 3 SKON PHANTM PLU SYO 3108 4356465 F C-S 5 l 5/ :k KOM PHANTM: PL SYQD 310:9 31. 2.4 GROUP TOTAL 5 2 §1 NEI DU C DNL 2 4 -.,,�:,iE�RSHE:Y:".. CANDY �..�::BA-R� �PAY �":�80723 1: 7 0104 11 6 C D .:98.. -REG: US S:� 3. :YS HI Pm::J?OTAT-T� S 6 G 1: ::c 4 3:59 5725 2 7 26 9,8 D C S I HI P VAR ETY;'� S. 0_F l T 1 -Q C C. 10 9 :3 8:: 2965 2 7. .7 �3. 8:. :1 G AL m. :L:' :6 2 5..' AL...:.50HWRTZ -3. �3 6: 'CLS'm-:�m i- MIX m :0 6 6 C EOLE' 9 .1 9 9a 0329t 3 31.36: 1 1R�;i;:��; 31IRL :::SPU:�:�:CR: GROUP TOTAL 166.28 PR CE V-D ::.;F FR 1 2 .PL ;;RED-':: EL:':' C: ?ACKER 7 0 AM CL=: 4 U U Pm REMIT :jo. rA g p i IT T Pr(Z I rl fRr lr.RQ cZcZ WT P.O. BOX 7137 2 1 3 20±.1 275 INDIANAPOLI PERI S IN SUB rt IMPORTANT: S E3LL PRODUCTS ARE NOT EG U LI AR RU AFTEW 4�206-7137 TOTAL DELIVERY.SP SHO RTAGE THI U IN r IL N HIL H W L ED F R AN AG AFTER Y IC E� PI ES RECE Mt RT A E I I3E v NO. PCS CUST. PCs TOTAL DRIVER'S CELVD. SIGN SIGN INVOICE I T THI� I S U IHE Y R U41 TOTA ,p T LAM -R 4&'C9A -DI I Al I NV �lrs N A T U '7HP PAYABLE ON OR BEFORE THESE AIN �LJTV V 1 0 0 1 DERIVED FROM THESE COMM ODITIES, AND ANY RE CEIVABLES OR PROCEED'S FROM E S LE NT. ON PAGE 2 OF THESE COMMODITIES UNTIL 4 FULL PAYMENT IS RECEIVED. FO Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO oft come from DC1V ',iDATC C-USTDMER BROOKSHI RE GOLF CLUB ysco 12120 BROOKSHIRE PKWY TR K c o" 412940 107290349 3 2 CARMEL IN 46033 4000 WND62NDPOTIS, LLC flpU E cc INDIANAPOLIS, IN 46268 317 846 7431 i tMA: SN13� GAEY LEVEEF,NZ DUE FRIDAY 4 AFTER ORDER .ARMET, TN 46032 CITY OF CARMEL 1 CIVIC SQUARE DRIVER: TRAMBRO,RI HRD EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1,4 60 -250,4 AND 60 -741.4 ARE INCORPORATED HEREIN $Y REFERENCE. 11 [1TY PAC 512E I t iIl UNIT EX7.".. T ITEM C?ESCRIPTION CoiiE .R C� ....RICE A x. C 5 ID„ LB S FIAT I E:.TTUCE' RO1 AI,NE CROWN !LEAVE:S b4049? 564: 494 2 4 >9! 29 4,g I. C. S LB YS.;ZMP.ONION.:RED:: :RESH :JUMBO 103; 494 8 T6 7:b C S 5 LB BRLINIP .Sk °LAD.::C`HL�CKEN 51071. 2510717 `::41.0!8: :$2.1:5:. C.. .5... .IB YS T MP TQI�ATa.<SLICEI3 l .4;" 4:045.1 ...65 >3.. 59 36:59 GROUP TOTAL 166.27 MT S RGE 5 RG,S :FO.R F.U,t S IRCHARGE .I 5.0 0 11.1.1 OR 5 RY 31.4: 0 I -.-1 �[�i :�:�:�]�:�:�:�:�z�:�:i:�:: �:�j: mis ri:� I :i.REMk7TQ P.O. BOX 7137 5 3.0 50 INDIANAPOLIS 1 I N SUR IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g AFTE 4b206 -7137 TOTAL 785.4 E 2 3 25 22.1 325 �OR ANY SHORISAG CHE TER Y HAVEE E $IGNEO 1 33 E ES RECEIV GN a TAX BE V NO. PC S COST. PCs TOTAL I DRIVER'S OELVD- SIGN I SIGN INVOICE I T PE �{A LT R L cO M Op 7I I ED T oN THI INVpIC p OL SUB TO TH A Y 3 "RU T 4. a pU HpR g Ep g g�y E 5 TIO�Jx Su TOTAL 78 �C) pF 7H pE Lgc�L 7 E q RICULT RAL COIEMpplTlgES AcT I Qi7 uS 9 TFi g LEER p PAYABLE ON OR BEFORE TjSE COMM ODI71� RETAINS Q TRUST CLAM HESE OMMODITIES ALL INVENTO I OF Fp O E PRODUCTS 8/26/11 LAST PAGE 1 DERIVE❑ FROM THESE GO MMOOITIES. AN0 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 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #1TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 107290349 42- 390.40 $785.44 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, August 01, 2011 Director, Brooks We Golf Club Title Cost distribution ledger classification it 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)) 07/29/11 107290349 Food $785.4 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 Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO 9i 12from D�LV [3AT�' CUSFDtelER BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY TR CKa UP 412940 107220559 2 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R °'E INDIANAPOLIS, IN 46268 317 846 -7431 DUE FRIDAY 4 AFTER ORDER 1 `9 4183 NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: DIALLO, THIERN ,ARMEL TN 46032 EQUAL OPPORTUNITY AND AFFIR1d ATIVE ACTION CLAUSES OF 41 CFR 60- 1.4. 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. mwr [1TYipAC SIZE ITEM.DESCRIPT;ION EIV UNE� EjC7 ENDED a r:. x .T COG1E PRICE '.PRICE h. n r D.. S 1 15 ..20% .ROPCNA UICE ;ORANGE; SET. 00�. I: 0086.Qi 47:141812 1b 33' J 6 33<; D S .50, 7:/16.42 SE REC MAXONNAISI;:;PACKET'. FOIL :...::16!06854! ]:606$54.:.:;:4.1..25': .:?41 25 D S 1. 12..OZ FiENCHS' M(1STARD YELLOW CI;'S' SQUEEZE 4150:0`75677: 4736070 :20...50 50 D S 4 1;,.750:2 CANTER .PE'ANUT ::SALTED.. ;;07708;. 954.9.!379 21 98 :...16:09064' 1609!064 28.251: D !5.50. GM SE :REC 'RI;LISH.SWEETi: PKT D 5 1 Y' LB BRLCI;S SNACK M;ll SP:CY.. CREOLE €910:69.996'0<329 31.36:;..... b2 72; D OU S 2 2!302 RI ONA TEA ICED ARN.OLD I?ALMER <<L.1fiE 71931:: 9870:494 UT /STOCK 5 ROUP TOTAL*. 38b 13 PAPER DISP05ABLE D S 1 200CT` YSCO ''CUP'PLAS PRTN TRANS 202 Y5200SY5.7790239 42: 42 90 D OU S NL 50 C YSC0 FILTER GREASE CONE 10 IN AFC J0 50 2970457 16. TE..'STQCK 1 S D S 1:00. CT Y5Ca1:....GLOVE POLY DI SP CAST.MED. 104 8477,:671 l7 73 ;17.73 D S 25 33 GAI` YSCO Ll.NER TRASH.:33X39 SML BLK H6639MBS 38 78 77:45 6 GROUP 'TOTAL 13'8:19 D S 4 2>. 2 OZI PC &SPN CL',EANIaR APC PWDR:B.L,CH. NOPHOS <02.0.10: 5:932470 36 9.51::..... 36..95 GROUP TOTAL 36.95 PRODUCE C S ...112 0!3 CT ACK.ER ..LEMON. FRESH 19 478:. 1 3 '478 i 7.98< 7.98:; fi/ C 12 rYT: ACKER L111�IE FRESH (283;787 10 92 10 92 S 5: LB.; BLIMP SALAO :CHTCK EN 59 5107i> 2510:71.7 39 87. 39 R C S 45 5 LB XS T;MP TOMATO :SLICED 1/4" 40451 6113'765 ;36 59;6 4. N P.O BOX 7137 1 16 9.2 156 INDIANAPOLIS IN SUB q IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELk GIBLE FOR RETURN gg gg AFTE 4206 -7137 TOTAL e FFOR V ANY SHORTAGE AFTER YOU HAV E SIGNED PIECES RECEIVED MUS TAX v NO. PCS SIG, NO. PCS TOTAL DRIVER'S ❑E SIGN REC. INVOICE I SIGN TOTAL TH PEE HAg,E q�RV T R L COM O g I ED oN HI INVpICE ARE pL llBJ 7 70 THE TA �1 ORY TRUF�,T� g7 gy SE T S� pF 'ER PE AGRCIJLTRA COtfl�ypDITISiT 1017�.99 Ti U JQ PAYABLE ON OR BEFORE THESE CQMMOOITIE INS�A TRUST CLAIM OV R TH�$E COM CD[ AL I V WO I S O O 7H S ONT. ON PAGE 3 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES L a FULL PAYMENT IS RECEIVED. Goad things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO COTY'IP pi<LV DAF"c -.:;i CUSTD3ihER i; i` BROOKSHIRE GOLF CLUB... S 9 12120 BROOKSHIRE PKWY 412940 10722055 2 1 SYSCO INDIANAPOLIS LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 846 7431 DUE FRIDAY 4 AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO A MEL IN 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. myn u- 7 N4 I k T QTY_ PAC SIZE I`FEM DESCRIPT PRICE .x UN T E cogE PRICE DAIRY C NL 5 LB BRLCL5 CHEESE AMER YEL 120 SLIT, 28131'6697114 16. "32.90 C S 39 318 OZ HLFARM CREAMER.HALF.& HALF CUPS E L 3162400 9095.035 J4 94 14 94. GROUP..TOTAL* 47. 4 is, MEATS ,f F S 6 S 33OZ AB BEEF PATTY GRND STKBRGR FRZN�/.. 99763151 6703049 63.40 '126 80 F S 110 LB. HNSVLE BRATWURST 5X1 PRCK SKLS 3 188 2199198 29,99.. 59,98 F S 110 LB 885LCLS FRANK ALL MEAT 5X1 6 IN 37736 070 1137736 20 52 61 56 GROUP. ..TO'T'AL 24$ 34 "POULTRY C 5 4 2.5 LB BRLC FROZEN TURKEY BRST SLI 3J4Z ME SMK,�MSTB94OSLB 4860003 42.86' '42.86 GROUP TO..TAL :..4 2 8 6 ZEN F S 612CT PRCTYBK COOKIE CHOC DWNHM 30Z IW 8349439 r 57. 57 82 F ...........5 7 KRSCLS COOKIE CHOC 694 __CHUNK DARK BKD 41940 7568 38 70 77 77 40 F S 42' LB r ANTLZR ONION RING BEER BTR 5/8 30423 0855296 26 71 26'.71 F S 5 LB YS IMP TA POTO FRY SKON PHANTM PLU V SYO031084356465 31 24 62 4$ GRQUP TQ?'AL 22:4 GANNET) DRY.... C OUTS NL 24 ERSHEY CANDY BAR PAY DAY 80723 7030414 UTjSTOCK. C NTa 48 CT NICKER .CANDY::�AR SN'ICKR:2. 07 I OZ 01202;:.4348.:389 32 51: ....;!65 22; C ,C'T! &M CANDY M&M PLAIN 1;.69 0 01231;' 4364774 32,b11:€ 3261; 31831'! 6586!721 26 98= D S 50 GT .I;'. ::.CHIP VARIE'PY SXSCOf.:FRITO LAY AY5 80 .94 D S ...1: 20 ROP.CNA JUICE C'RNBRY' CKTAI'L PET Z vi► 00864.47.60062 16 33! OPEN CLOSE: 4:uu FM _£REhSIT. Tci N P.O. BOX 7137 1 5 24 18.5 300 INDIANAPOLIS IN SUB a IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR REEgTURNgg AFTE 4206 -7137 TOTAL e FOR ANY SHORTAGE AFTER YOU( HV E NOT BE Arl— H SIGNED. PIECES RECEIVEn MUST TAX c TOTAL NO. PCS CUST. NO. PCS DRIVER'S DELVD. SIGN REC. INVOICE SIGN T A R C LT R L C MOp 7I fg Ep N THIS INVpICE A,qE OLD SUBJ CT TO THE 57A7u'[ORY TR R ORE U T TOTAL o U H gftZ�I g E� p g g L y e S C pF P RI FfA L AGg 2 11E A ITT S ACT 13017 S U. S.0 499E[C11 THE g L p PAYABLE ON OR BEFORE TSE COMMODITIES RETAIN�A TRt1ST LAM v R THESE COMM041TIEa AL INVEffTORRIEEE OF FFO'OD OR OTHER P OUCYS ONT, ON PAGE 2 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 2 FULL PAYMENT IS RECEIVED. Goodthings CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S ijsc o efrom UELV. )qT"� cusT;oeR BROOKSHIRE GOLF 12120 BROOKSHIRE PKWY TR L -L- oP 412940 107220559 2 3 L. SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 846 -7431 DUE FRIDAY 4 AFTER ORDER CITY OF CARMEL ,ARMEL IN 46032 1 CIVIC SQUARE DRIVER: DIALL THIERNO 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. QTY CRAG SIZE., ITEM R €SCRIRTION co E PRICE a ICE GROUP TOTAL 95 36 L. MIS .:H RG S: HG. S. -FOR FUEL SURCHARGE. 5 00 ORD S RY 257 IL R(rM1T TLo. L P.O. BOX 7137 INDIANAPOLIS IN SUB p a IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE e 4 02 0 6 -7137 TOTAL 1225 OV DELIVERY. PLEASE CHECK THJ1g INVOICE WE PE PON IBLE y 3 5 40 27.7 456 FOR ANY SHORTAGE AFTER Y6U HAVE $f WILL NOT BE GNED. PIECES RECEIV D M ST TAX NO. TOTAL PCS CUST. NQ PCS DRIVER'S ❑ELNo. SIGN REC. IC3N Iz g g�y E g G C R I Ury pFCp7�ryE1 EIT Egg}{ L Lg GR I�L IgRgL M p S pp E c 7T U s c gE HE �E p INVOICE i p NH SE COMMODiT S C S A TRU R� HOSE T COMMOD TI S, �1��1 S OF�FO0 PSAbD�CTS TOTAL PAYABLE ON OR BEFORE I ERIVE❑ FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES VNTIL 8/19/11 P o ULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1 1 hereby certify that the attached invoice(s), or 1207 107220559 42- 390.40 $1,225.08 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 Thursday, July 28, 2011 Director, BrookshirUGolf 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)) 07/22/11 107220559 Food $1,225.0 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk Treasurer Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO eor Je from DEty .;DATE I. cuszoMER BROOKSHIRE GOLF CLUB..+ '�il,�� 12120 BROOKSHIRE PKWY TRUCK, T OP 12940 07150387 2 1 4 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ft 317- 846 -7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER A�l 161111 NORMAL DEDYLlY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: STRAMBRO,RICHRD EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR &0 -1,4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. I E!N UNET E:X'TEND�p C<TY N PAC SIZE I.TENE DESCRIPTION A 1. _:r.. .i OBE PRECE I F:RICE x. :I'. DAIRY C NL LB BRLCLS CHEESE AMER YEL 1`20 SL.I 28131 6697114 15 97 15 97` 1. G ROUP TOTAL 15 97 MEAT$ y F S 605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703.049 63 40. 126 80 r. h F S 10 LB. BRLCLS FRANK ALL MEAT 5X1 6 IN 37736 070 1137736 20 52. 61 56 I. T C S 42.5 LB. BRLCLS HAM SLICED HNY WTR ADD. FRESH 72736.70 828642 2 1 42 86 42 86. .:GROUP, TOTAL 23:11 .2 r. FROZEN S ....,.2 2 5 r l r l rl" Ir I I SLB,,. ANTLZR ONION 1 11 11 ING BEER BTR 5 8" 3043 0$5296 26 71 F 26.71 f. F S 5 LB YS IMP POTATO FRY 3/8 5KON PHANTM P 4356465 2 1. LU SY003108 31 4 31 24 F 5 2 3 940 NPRIDE SANDWICH SAUS EGG CAS CROIS IW 482 5196581 29 41 "29 41 11 D GROUP. 'TOTAL $:7.36 I. CANNE DRY r. n C S NL 36 CT ARS CANDY WAY 01101 4367363 24.74 24 74' 1. C 36 &M CANDY SKITTLE FRUIT CHEW 2 7009 24 74 24 74 �D 5 160 CT 83 .lr AYS CHIP VARIETY SYSCO /FRITO LAY 311 66 58721 ''26.98 26 98 1, I D 5 135 LB YS'REL SHORTENING FRY LIQ CREAMY ZTF 9994T—COM 4119509 36 99 73 98 D S 101 LB BRLCLS SNACK MIX SPCY CREOLE 91069 9960329 31 3b 62 72 GROUP TOTAL 21::3.16 r. PAPER &DISPOSABLE D NL „500CT: YSCO FOIL SHEET 9X10.751N SILVER W69372 6938500 12 98 25 96 I< GROUP TOTAL* 25 9 6 1. CHEMICAL D S 32OZ EYSTON CLEANER BOWL PHOSPHORIC Mot 6100083 7637430 34 45 34.45 1.1 GROUP TOTAL* 3:4 4 5 1. v P 0. BOX 7137 1 5 20 13.3 277 INDIANAPOLIS IN Sus s IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g AFTE 4 206 -7137 TOTAL II FOR ANY SHORTAGE AF TER Y HA E $I GNE� I P ECES RECEIVED UST TAX V NO. PCs GUST. NO. PCs TOTAL DRIVER'S aELVD. SIGN REC. INVOICE SIGN I T PE q RICCULTUR L COM OD 7I IS Ep p THIg INVp ICE AqE OLD SUBJ C 7O T E STA ORY RU T TOTAL I qU HpRI D g g�y E T O 5 C OF TH PE AGRCUITURAL COMMODITIS ACT i$17 U.$, 49gE T}iE $E DER p PAYABLE ON OR BEFORE I TSEMODITIE RETAI�A TRUST CLAIM OVER TH SE COMMODI IES AL INVENTO It OF r 00 OR OTHER PRI�DUCTS a DE FR IS ESE CO AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2 CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Goodthings comefrom aety :DATE CusrOMER BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY TEi6K;SOP 412940 107150387 2 2 5YSC0 INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST 317 846 -7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 AFTER ORDER CARMEL CITY OF CARMEL 1 CIVIC SQUARE DRIVER: TRAMBR ,RICHRD EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60- 1.4, 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. fllY AC SIZE ITEM DESCRfPT10N o F aRICE CEECJ x PRODUCE C S 5 LB YS IMP ONION RED'' FRESH JUMBO 1039 ;494 8 76 76 �C S 42 LB YS IMP TOMATO SLICED 1/4" 40451 6113765 36 59 36 59 GROUP OTAL 45 RC S H.3 FOR FUEL SURCHARGE 5,00 r. ORD 5:..... RX :..::.:214',60 11 I N :':REMIT TO;. CARES qE!l P.O. BOX 7137 Z 2 1.1 17 INDIANAPOLIS IN SUB q DE PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN gg E AFTE 4iS206 -7137 TOTAL 658.47 E 1 5 22 14 4 274 FO R ANY SHORTAG FTER TH I V E YOU HAVE$I GNEO W ILL ECE S RECEIVED MLJ T TAX Y TOTAL DRIVER'S No. PC5 OUST. NO. PCS SIGN SS DEL O. yy, SIGppN RE REC. INVOICE TTU Hp PER A�4� GCLIO iT rr� uu LOfCOMMMEEODEEIIRI tiA EAGRCUTLTIURALVCOMFMAAaTIgE0U)q ,UB� TTHCE ST g A E TV C F 1 CR YHE TR g U E g L T �ER p TOTAL 658.47 TH SE M 7I S I;ETAINS�A TRUST [LAM OVER TH SE COMMODITIES, ALL INVE 1 NTORIES 77 0F FOOD OR {OCHER PRODUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 8/12/11 LAST PAGE o FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $658.47 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 107150387 42- 390.40 $658.47 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 Monday, July 18, 2011 Director, Brook hlre 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)) 07/15/11 107150387 Sysco $658.4 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