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HomeMy WebLinkAbout201434 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,908.49 •c,, INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 201434 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 107221502 16.81 FOOD BEVERAGES 1207 4239040 109020498 1,073.38 FOOD BEVERAGES 1207 4239040 109090332 818.30 FOOD BEVERAGES 003 BROOKSHIRE GOLF CLUB 7/22/11 12120 BROOKSHIRE PKWY 412940 107220796 0 1 SYSCO INDIANAPOLIS, LLC /000 CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 846 -7431 DUE FRIDAY 4 WEEKS AFTER ORDER MANIFEST# DROP SHIP CITY OF CARMEL MA: SN139 GARY LEVERENZ 1 CIVIC SQUARE DRIVER: CARMEL IN 46032 P.O. 06265650 SHIPPER INVOICE 107221502 PAPER DISPOSABLE D 1S ONLY50 CT SYSCO FILTER GREASE CONE 10 IN AFC -10 -50 2970457 16.81 16.81 DROP -SHIP GROUP TOTAL 16.81 ORDER SUMMARY 25798 OPEN: 7:00 AM CLOSE: 4:00 PM P.O. BOX 7137 1 1 .2 1 INDIANAPOLIS, IN 46206 -7137 16.81 1 1 .2 1 16.81 8/19/11 LAST PAGE Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Come from DELv BATE 'CUSI, 1. BROOKSHIRE GOLF CLUB �a 12120 BROOKSHIRE PKWY r$ TR1cx s OP 412940 109020498 1 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R INDIANAPOLIS, IN 46268 317- 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER :'CITY OF CARMEL I CIVIC SQUARE DRIVER: PARKER, 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 F+AC SIZE i,t DESCRIPTION nn urv17 EX7ENpEp T CAYY .:I bDE PRICE PRIDE x 11 t DAIRY C S�, NL..5 LB BRL;CL5 CHEESE.AMER:YEL 120 SLY 2813.1 669,7114 16 48 16 4 GROUP :TOTAL :.?16 48 _.MEATS. 'F _,S 1Q LB BRLCLS FRANK ALL NfEAT 5X1 6 IN 3773. 07,0 113,7736 22 74 68.2 1­1 I F S 208 OZ DVANCE PORK FRITTER SOLID DLX 6621 749.5476 39 83 39 83 FROZEN GROUP .TOTAL. 1;08 05 F S 5 LB YS IMP POTATO 1RY 3/8 SKON PHANTM PLU SY003108 4356465 31 2,4 31 24 1. F 5 2 5 1402 NPRIDE SANDWICH SAUS EGG CHS. I MOPP ROUP.:TOTAL 57671 1. 483 5196591 26 47 CANNED DRY 1. C.._. S.. NC, 36,.CT ARS CANDY BAR MILKY WAY 011 43,,67363 24.74 24 74 I. �C. z; NL CT ERSHEY CANDY BAR PAY DA,Y 80723 7030414 15 62 15 b2 1. �'C...... NL 48 CT NICKER CANDY B AR SNICKER 2.0.7 OZ 01202 43483 32.61 32 61 D ..............5......160 CT' AYS_ CHIP VARIETY SYSCO/FRITO LAY 31831 65$6721 26 9$ 26.98 r. �D S 1' 24OZ SE'REC KETCHUP BTL HOUXA24 9617218 26 76 26 7 6 .11 �C PL 5 GAL; CHWRTZ PICKLE CRS CUT KO 29658270756 1028919 38 36 38.36 I .:,:­:.,'yr!­!, D ..S 7 1 250 BRLCLS PRETZEL TWIST MINI 63252 6325294 26.40 26 40 1. D,::. 2 S 2 2302 RIZ TEA ICED ARNOLD PALMER LITE 71931 9870494 21 59 431 $:0 1. GROUP: 'I3TAL 6:23 27:: 1. PAPER DISPOSABLE D .:.,:S 100 CT YS CLS GLOVE POLY CAS'I DISP MED 30336312:2 8348260 21 89 21 8 GROUP ,TOTAL 21 89; r *a 'PRODUCE 1. s C t,.,. 5 12CT ACKER APPLE READ DEL FCY FRESH 1344092 10 5:8 10 58 r. REMdT 7Q P.O. BOX 7137 3 4 36 29.2 964 INDIANAPOLIS IN SUB e IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RE 4 206 -7137 TOTAL E FFOR V ANY SHORTAGE AFTER YIOUI INV E SIGNEO PIECES RECEIVE.0 MUST TAX V NO. PCS OUST. NO. PCS TOTAL DRIVER'S DELVO- 31 GN REC. INVOICE SIGNS R q p7Eg g o RE p p S g7 V �y I g p gg TIIC�UUryryLTUt(C) OEO7MHMEOP EI RIISHA ILS7EE() CO MAODITIgESLAC7UB1 g T pI7 0 �I g g C�1 THE p TOTAL THESE COMMODITIES RE "TAWS A TRUST CLAIMA�VER COMMO01lES ALL INVEUfFOHIES oF1 =0oD OR OTHER PRQ ©UCTS PAYABLE ON OR BEFORE �T 7 I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTO ONT ON PAGE 2 o FULL PAYMENT IS RECEIVED. Goodthings CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO j I sij efrom DELU DA�rE CUSTOMER2 1 1212 BROOKSHIRE GOLF CLUB 0 BROOKSHIRE PKWY TR c s DP 2 4] 2940 109020498 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST uo� INDIANAPOLIS, IN 46268 317- 846 7431 DUE FRIDAY 4 AFTER ORDER l SQUARE DRIVER: PARKER, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. 11 QTX..." PAG. ..SIB 1. :::,r ITEMi. btSCAI,PTION. RIC E ITEM UNIT ,I CODE PRICE 1. �'C: S ;110..LB.i .YS;N,AT L'ET:TUCE.ROMA.INE.- CROWN >LEAV 664Q 94 664'0494 29:4',9. 29 49 1. C :S 5 .LB; BML MP S'ik ClIICi{EN 5107:1: 25.1:07.17:1:; :4'1.08 82. 6 C B 5 .LB BRL`CLS SALAD !TUNA.. 1.60:01 771:9131:!: 41;:0$. 82.1'6 C ..II 5 2.6 .I:B YS <I MP.:: TOI�ATO SLICED .1 404;51 61137 3&, 5;9 36:5;9 GROUP TOTAL 240 98. ;MI5 RG:: S ....:It HG$! FOR',FUEL '.StJRCH. '.E 5.00:: r. ORD SUMMARY 56.404... 4z :ro P.0 2 BOX 7 IN SUB 137 6 3.4 68 INDIANAPOLIS R IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206 -7137 TOTAL E DELIVERY. PLEASE CHECK THIS INVOICE WE WILL NOT BE RESPONSIBLE 3 4 42 32.6 1032 FOR ANY IS HO AFTER YOU HAVE SIGNED. PIECES RECEIV O MUST TAX NO. PCS COST. NO. PCS TOTAL DRIVER'S DELVD. SIGN REC. INVOICE SIGN TOTAL 1073..3$ I SI P A R C LT R L C OD 7I g Ig ED ry TF{I INV IC ARE BOLD 5UB,1 7 TO HE TATUTORY RU T o UTEHp Hp g p�y E S C pFTH P ft LF AG CULT RA ?MT IES A 7 1 017 IJ. C, TN �S ��ER R4 PAYABLE ON OR BEFORE 7 THESE COMMODITIES RETA� A 7RUST I-= VER TH SE OM ODI IES ALL INV fITo I S OF O OR OTHERR UC S 9/30/11 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEERS FROM THE SALE OF THESE COMMODITIES UNTIL LAST PAGE 0 FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT N ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 -4 9, /9 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 107221502 42 390.40 $16.81 bill(s) is (are) true and correct and that the 1207 109020498 42 390.40 $1,073.38 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, September 07, 2011 I� Director, Brookshir olf 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)) 07/22/11 107221502 Filters $16.8 09/02/11 109020498 Food $1,073.3 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk Treasurer Good things CLISTOMER' ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Sii e from 1F)F '.04TE CUS OOMER BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE 77 9/09/iii F �K S OP 412940 109090332 7 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ROl3 E INDIANAPOLIS, IN 46268 317- 846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER MANI CITY OF CARMEL 1 CIVIC SQUARE DRIVER: PARKER, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY PA SIZE 1:T EM DESGRIPFION APR G D�D 1. k75m <UNFF E ;CO[3E ;[PRICE DAIRY NL 5 LB 8RLCLS CHEESE AMER YEL 120 .SLI 28131 6697114 16 48 16 r. C 48. GROUP. TOTAL :.,.1:6.48 :MEATS 6 5,3.302 AB BEEF PATTY GRNb STKBRGR FRZN 99763151 6703.049 63 40. 63 40 1. ,S 110 LB_ HNSVLE BRATWURST 5X1 PRCK SKL,S 3188 2199.198 29 99 59 98 1. 10 LB. BRLCL5 FRANK ALL MEAT 5X1 6 IN 37736 070 1137.736 22 74 45,48 1. S 2 6 OZ DVANCE PORK FRITTER BRb.RAW 6606 22053.83..,..39 78. 39 78 ::.:GROUP 'CO.TAL :2.0$ 6 4 FROZEN S 2 4 25OZ KRSIMP MUFFIN AS 8L /BAN /GROG /CH I/W 073473021825 7$13114 22 93 _22 93 5 2 5LH ANTLZR ONION RING BTR 5/8" .30423 0855296 26 71 2 6 7 1 1. i/F' 5 5�LB YS IMP POTATO FRY 3 8 SKdN PHANTM PLU SYO03108 4356465 '31.2.4 31 24 1. CROP TOTAL 1. 80.. B8 CP.I &DRY NL_24 CT ERSHEY CANDY BAR PAY DAY. 80723 7030414 15,62 15 6 1 NL 4$ CT° &M CANDY M &M PEANUT "1 74 'OZ 01232 4380788 '31 82 31.82' I S ....60 CT AYS' CHIP VARIETY SYSCO/FRITO LAY 31831 658;6721 26 g8 26 98 1. 5 1 1 LB BRLCLS SNACK MIX SPCY IREOLE 91069 9960329 31 36 94 08 GROUP `€'QTAL *fir 1.6' .50 w. PAPER &DISPOSABLE 1. S 800 FT EORG P TOWEL ROLL ENMOTION LRG 4AUT0 $9460 9627761 69 99 139 9$ *..PRODUCE GROUP '€OTAL 1'3:9 96:' I. 1iC S 5 LB BRLIMP SALAD CHICKEN 51071 2510717 41 0$ 411 1 08 B 5 LB BRLCL� SALAD TUNA 16001 7719131 41 08: 41 0$' o I -i REM17 TQ P,O, BOX 7137 T „1 3 20 17,5 260 INDIANAPOLIS IN SUB x IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g AFTE 4 206 -7137 TOTAL E FOR ANY SPENA AFTER yICiUI N{VOIE E $IGNED. I P IECES RECEIVED MUST TAX V NO. PCs OUST. TOTAL NO. PCS DRIVER'S ❑ELVD. SIGN RFC. SIGN S,R�� r1 �E S b H S O S T T RY INVOICE I jh ppR��OS�pAgggty'g�q� RIIC�IryL TSU�C)gLp f� 1. OD£ITIEgS Ll tLE E A 3CLIT�T RAL MAp E EOL�4CSUB�Eg C3T 0 S E 4 g TH R S U E S T L�R p TOTAL 7 THESE COMMOOI71 R A TRU P CLAIM OVER COMMODI IES, ALL INVE O F OD OFT DYHE♦ PRIJDUCTS PAYABLE ON OR BEFORE DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROV; THE SALE OF THfiSE COMMODITIES UNTIL ONT, ON PAGE 2 o FULL PAYMENT IS RECEIVED. Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S ii {7E'{VSpATE' CUS.T,OMER T BROOKSHI RE GOLF CLUB 12120, BROOKSHIRE PKWY TR cK s oP 412940 109090332 7 2 CARMEL IN 46033 40D0 WND62NDP�TIS, LLC tau INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER 317- 846 -7431 IMANUP7 422944 DEL CITY OF CARMEL 1 CIVIC SQUARE DRIVER: PARKER, JEFF EQUAL OPPORTUNITY AND AFFIRMATNE ACTION CLAUSES OF 41 CFR 60- 1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. .1 I �17Y k 5I ZE ITEM DESCJiIPIlON co PRNCE EXPrEI x It IqTKAI=K]Tq <DI.SPENSER.. CODE GROUP TOTAL 82.16 il 4 S_.... 1.•.25L.T OUWEGB �CO�'�`EE LX 1:40% COLOMBIAN 3201 9388117 116 66 116 66 ROUP TOTAL 11.6,66 MIS RG S.... 17- —.1 sFOR UEL SURCHARGE 5.0 0 b SU 62.$$9 1. 111 CLOSE REMIT .Td N v P.O. 'BOX 7137 P 1 .2 INDIANAPOLIS IN sue p IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RE 6 AFTE 4 7137 TOTAL 818 .30 E e r. '�1 3 21 17 7 260 FOR ANV SHORTAGE AFTER YOU HAV SIGNED I P ECES RECEIVED MUST TAX V NO. PCs OUST. NO. PCS TOTAL SIGNER'S. DELVO. SIGN SIGN RE C. INVOICE T�{ P q qC LT R L e Opp 77E gg E Rp N THISS INV?pIC A p LD S UB,7 7O E TA O Y RU T TOTAL I 818.30 gU7 Rp g g�y E SgEG[7 L AA pF p 7�H M E PE E$H L ET A R El CO plTl A T 1gE Tq 7 5 q R T E{E gE I,ER p PAYABLE ON OR BEFORE I THESE [QMMOI]ITIEy RETAEh'S�A TRUST CLAIM A O ER H�SE ALL INV NTORI S OF Fs OR PRODUCTS 10/07/11 LAST PAGE 1 DERIVED FROM THESE COMMODITIES. AND Al Y RECEIVABLES OR PROCEEDS FRONT THE SALE OF THESE COMMODITIES UNTIL n FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 /Y, .5d ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO' Dept. INVOiC= NO. ACCT /TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 109090332 42 390.40 $818.30 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, September 12, 2011 Z� 6 (L� Director, Brookshi e 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)) 09/09/11 109090332 Food $818.3 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