HomeMy WebLinkAbout202126 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365677 Page 1 of 1
i ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $863.96
s\ CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
o� DEPT CH 10490 CHECK NUMBER: 202126
PALATINE IL 60055 -0490
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 926016589 863.96 OTHER EXPENSES
Page: 1 of 1
GFS P.O.Box 1787 INVOICE
GrandRapids, MI 49501 -1787
www.gfs.com INVOICE DATE
MarketjaC
.__c_..� 1 -800- 968 -7500 926016589 09/1512011
TAL ROUTING STOP CUSTOMER PURCHASE ORDER SALES REPRESENTATIVE MP MP LOCATION TERMS
N 100060884 1906 INDY -NORTH IN MP153 OUT 1905 Fishers 30 NET 10th
SHIP TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032
ITEM CODE QTY DESCRIPTION CAT CO5T GUIDE SPECS UNIT TAX AMOUNT
4173500 20 CASE FRANKS BEEF 81# 2 -5# GFS 3 10.79 21.58 431.60
8371050 2 CASE COOKIE OREO SUPERCRTN 6 -52.52 NAB 1 7.33 43.99 87.98
4861310 1 CASE COOKIE CHOC CHIP 8-48Z CHPAHOY 1 7.12 56.99 56.99
1951401 5 EACH PAN FOIL FULL SZ DEEP 50CT GFS 7 1.49 7.45
1951501 5 EACH FOIL LIDIFULL SZ S /TBL 7 0.99 4.95
1142780 1 CASE PLATE PPR 9" ECON WHT 12 -100 KE 7 2.17 25.99 25.99
6058910 100 CASE 1 -16CT HOT DOG BUNS MARKETPLACE 1 2.49 2.49 249.00
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 863.96
1- GROCERY 2- FROZEN 3 -MEAT 4- SEAFOOD
393.97 431.s TAX
FREEZER COOLER WAREHOUSE MISC, TOTAL
5 POULTRY 6 DAIRY DISPOSABLES 6 SANITATION
Cuslomers signature evidences receipt of all items listed and its promise to pay the
38.39 amount due to GFS. Customer agrees that if a check, draft andlor order of payment INVOICE TOTAL 863.96
9 DISP.BEYG 10 PRODUCE 11 TABLETOP Transaction") issued for payment of this invoice is dishonored, GFS may re present the
Transaction and issue a draft against the account upon which the Transaction is drawn
for a fee up to the maximum permitted by law. PAID 0.00
TOTALS BY TAX CATEGORY Received By: SALE NBR 2769
%RATE TAX %RATE TAX
LANE NBR 02
the perishable agricultural commodHies shown on this invoice are sold subject to the Statutory USER ID 22856
trust authorized by section 5(c) of the Perishable Agricultural Commodities Act, 1930 17 U S.0
499e(cp. The seller of these commodities retains a truss claim over these commodities, all DATE U9/15/2011
in,entodes of food or other products derived from those commodities and any receivable or proceeds tram the sale of these commodities until full payment is received. Eggs delivered in BECKY LANNAN TIME(Gi 10:50.00
the stale of Illinois include an Illinois Egg Inspection Fee in the price. MDA Inspection Fees at Signature
a rate of sm per dozen
*AcceDtance constitutes aareement to a time Drice differential of 1 112% Der month on the unDaid 'balance after the due
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service
IN SUM OF
P.O. Box 1787
Grand Rapids, MI 49501
$863.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #(TITLE AMOUNT Board Members
0 I 926016589 12 .0 1 $863.96 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
(J p� materials or services itemized thereon for
which charge is made were ordered and
received except
SEP 26 2011
R
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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))
926016589 $863.96
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