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HomeMy WebLinkAbout202316 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,322.12 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 202316 OM CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 109151049 854.82 FOOD BEVERAGES 1207 4239040 109230431 467.30 FOOD BEVERAGES e CUSTOMER'S ORIGINAL INVOICE Good things CONFIDENTIAL PROPERTY OF SYSCO APMI COmefrO(Yl DEW' ;BATE CUSTOM R BROOKSHIRE GOLF CLUB a 12120 BROOKSHIRE PKWY 1 TR cx's oP 412940 1 109230431 8 1 CARMEL IN 46033 4000 WND62NDPOST LLC 317 846 7431 INDIANAPOLIS, IN 46268 P T DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL '1• CIVIC SQUARE? DRIVER: PARKER, JEFF CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND SO -741.4 ARE INCORPORATED HEREIN BY REFERENCE. y E UNIT EX.TENp�© 'i z CITY r PAS SIZE. j ITiVI 4SCRiPT1 ©N �o PRICE PRICE x DAIRY NL 5 LB' BRLCLC CHEESE:AMER YEL 120 SLI 28131 6697114 16.48 16.48 ;k GROUP. TOTAL MEATS 1:6..48.; ✓F S 1Q LB BBRLCLS FRANK ALL MEAT 5X1 6 IN 37736-070 1137736 22 74, 45 48 S 276 OZ DVANCE PORK FRITTER BRD 6606 2205.383 39.1 79.56 PROZ GROUP TOTAL' 125 04 EN I✓� s 2.5LB ANTLZR ONION RING. BE 8' 5/8" 30423 0855296 26 26 71` lv� S 5 LB YS IMP POTATO FRY 3/$ SKOIZ PHANTM PLU SY003108 4356465 31.24 31.24 S 2`5.T40Z NPRIDE SANDWICH SAUS EGG CHS MUFF 'IW 483 5196591 26.47 26:0 AL�r *.c GROUP TOT 8`4 42 CANNED DRY S 60 CT_ AYS. CHIP VARIETY SYSCOfFRITO LAY 318 6586721 26 9$ 26 98: _'S 106 OZ ELPASO PtPPER JALAPENO SLY JUG PAC 4600088232 7977,150 56 69 56. S 1 1 LB BRLCLS SNACK MIX SPICY CREOLE 91069 9960329 31 36 31 36 GROUP .T.gTAL 11;5 0.3 PAPER`& DISPOSABLE NL 500CT YS CO FOIL SHEEP 9X1 0.751N sTLVER W69'372'693850 `12.98 12.98 S 2 100CT SYSCO LID PLAS CLR F/1.5 2.50Z PRTN YLS2FRSY5 7790795 44 92 44.92 CHEMICAL GROUP TQTr�L :5`7 90 i S 632 OZ ECOLAB DEGREASER HVY GREA` E EXPRESS HAZARD 10126 4591236 63 43 6 GROUP TOTAL 63 43 M H :RG S HGS..!FOR.`UEL SURCHARGE 5.00. P.O. BOX 7137 12 2 14 10.7 172 INDIANAPOLIS IN SUB p. IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR REE RN� 4 206 7137 TOTAL E -I FOR ANYSHORTAGE Y H ��E SIGNED WILL RECEIVED MUST y TAX DRIVER'S DeLVD.S COST. NO.IPCS TOTAL (CRY T g SIGN p Hp g g L Y E g I 5u� p p7MI,E� E LgL p l r US S I G a c N ICE A MMp QQS q g u y S 9 7 1, E RF(f, p INVOICE TkESECOMMOUiTIE� ARU A OVRHESE TC MMODITIES,��ALI'+`JVENTGRIE51 OF'S�pOp�O�C�}THER PRODUCTS PAYABLE ON OR BEFORE TOTAL t DERIVED FROM THESE COMMODITIES, ANO ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL O NT. ON PAGE 2 0 FULL PAYMENT IS RECEIVED. I Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL. PROPERTY OF SYSCO I :GUST.03ikER rom DELv fDAFe� BROOKSHIRE GOLF CLUbf l 12120 BROOKSHIRE PKWY S i TTY 412940 109230431 8 2 5YSC0 INDIANAPOLIS, LLC CARbIEL IN 46033 4000 W 62ND ST au INDIANAPOLIS, IN 46268 317 $46 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL N139 GARY UVERENZ I 1 CIVIC SQUARE DRIVER: PARKER, JEFF r..�"- EOUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4. 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. pTy PAC SIZE ITEM DESCRIPTION ITEivI ilnitT �XrENDED r 1. CO{:?E,.. .PRICE ,1� F,R,IGE a f x ORDER S RY 73 O1 I .1 Y .I I I I 6 I 6.. 0 P.O. BOX 7137 I 2 INDIANAPOLIS a I I TOTAL 467.30 N SUB R MPOTANT PER PROP ARE NOT ELIGIBLE FOR RETURN AFTE 4 206 -7137 ��j E 1 1 2 14 10.7 172 FOR ANV 6Fi OF1TAGE AFTER ',IOU HAVE E SIGNED I PlECt S RECEIVE TAX v %jjjj j jMjjjj NO. PCs UST. NO. PCs TOTAL a I DELVD. SIGN C. INVOICE I g g�y E ggEGCft 1 CUryLT5I�tR7gL C9 Op TI g LIS'rEp p TH INV IC ARE gpLp SUBJE 7 TO T�{E 4STgAE77 {U�IO Y ET R g U E g L T L p TOTAL 467.30 OD T ES IN DF RS PRIHABLE A�iHESTORMLL Cpl I MpDIT IES AT 1 U.S C DB C bER ECTS PAYABLE ON OR BEFORE I A A T U T LAM OVER MES ALL INV MTO S OF FOO TH 1�/21�11 I M THESE COMMODITIES, AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE o NT 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 #!TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 109230431 42- 390.40 $467.30 IJill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, September 23, 2011 d 44 Director, BrookshiO 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)) 09/23/11 109230431 Food $467.3 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 CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things Arm come from 777777F pEIV' DAtE <f euS7pMER BROOKSHIRE GOLF CLUB... 1212'0 BROOKSHIRE PKWY TR cx 4 p 412940 109151049 3 2 SYSCO INDIANAPOLIS, LLC I' CA RM,EL IN 46033 4000 W 6211D ST�� 317 -$46 7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 R WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: JOHNSTON, LEWI -ARMPT, 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, QTY PAC SIZE ITEM 1?ESGRIf'TIDN ES EXTENDED PRICE:I; PRICE x C 1.2 CT ACKER I�;IME..RESH 128'!37$7 ;.1 19:9,2. 10.9;2. C 5 5 LB YS >IMP:' ON1 :RED' FRESH JUMBO: 103949.4.: 7!5 8..7;5 X C 5 10 Lg YS CL S SALAD FOTA'TO MUSTARD 1 'ICED. !MW 10 50;t 8.31:9513 39 25 3 9.25 C S 2 51 .5. L:E Y51 TMATO,i`SLI:CED.1.:4" 404 .61�1<3765 36.5;9. 36 59 GROUP TOTAL 103 50 D S 1. 2 GAI TRYTIM.. DRINK.MI.X 'LEMONADE 13980:0 ::4$:0.:0807 5$ 4`5 :58;4.5 GROUP TOThL 5$ 45 .4 5 li RG! 5 HGS FOR �'UE�, :SURCHARGE 5 00 ORDER 5 RY 67484 0 ME XX I n I OPEN 4 u u P M P.O. BOX 7137 5 2.7 66 INDIANAPOLIS IN SUB R IMPORTANT: PERISHABLE PROD ARE NOT ELIGIBLE FOR REETURN g AF7E 4 206 -7137 TOTAL 854.82 E 2 4 25 14 307 POR SHo E AFTER THIS INVOICES B 5 IGNE� PIECES RECEI VEU MUS7 TAX AGRFF WI PIECES R11 FD V NO. PCs :UST. NO. PCS TOTAL DRIVER'S DELVD. I SIGN REC. INVOICE g SI 7 EGN p E g �F HI p�p g ggga.EEGGCCR7 FI ESg�{ L 7E GR L US L MEMp S E qC g3 c HE TOTAL 854.82 THESE CQMMUUITIEST ULA fJ RL1 T A OVER�THES U E T CO MOD TIES,�ALL�INVENTORIES �FOO D Ob HER PPREUCTQS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMO01 IES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 10/1 LAST PAGE D FULL PAYMENT IS RECEIVED. CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things Am comefrom DELVDATE cusro 1ER. BROOKSHIRE GOLF CLUB... l 12120 BROOKSHIRE PKWY T� rx s oP, ¢129¢0 109151049 3 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R R ^FR INDIANAPOLIS, IN 46268 44,4A PsT 317 =846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL MA! SN139 GARY LEVEREN4 1 CIVIC SQUARE DRIVER: JOHNSTON, LEWI CARMEL 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. ITEM L1N(T: EX ?END6D'!I (2 <TY PAC SIZE: ITEM Q: SCRIPTION `I CO:i7E,. PRICE PRICE z DAIRY. �C NL 5 LB BRLCLS CHEESE AMER YEL 120 SLI 28131 6697114 16 48 32 6 GROUi?. TOTAL 32.96.; MEATS. F S 6 ,.5 3302 AB BEEF PATTY GRND STKBRGR FRZN ..99763151 6703049 63 40 126 80 �F S 0 LB BRLCLS FRANK ALL MEAT. 5X1 6..IN 37736 070 1137736 22 74 68 22 �C S 2.5 LB BRLCLS HAM SLICED,.HNY WTR ADD. FRESH 72736 70 8286429 42. 42 92. �F OZ DVANCE.PORK FRITTER BRD RAW 6606 2205383 39 78 39. 78 GR L OUP :IOTA 2,77 72 ''FROZEN''*'**' F I C S 12CT RCTYBK COOKIE CHOC'CHNK'DWNHM 30Z IW 8349439 57.82 5TA 2 S 2 3 9402 NPRIDE SANDWICH SAUS EGG CHS CROI5 IW 482 5196581 29 41 29.41 8 7.2 3 CANNED DRY �C NL 24 CT ERSHEY CANDY BAR PAY DAY 80723 7030414 15.62' 15. 62 C NL_48 CT NICKER CANDY SNICKER 2.'07 ,OZ 012,02 43 48389 32' 32.61 8„ 1 OZ BRLCLS CHIP POTATO REG 18560 6080871 27 96 27 96 V D I C's 135 LB` YS REL SHORTENING' FRY LIp CREAMY ZTF 99947 COM 411`9509 36. 36. GROUP mOT1�L *r 113.18 PAPER DISPOSABLE D I C 5 100 CT 5'Y' S CLS GLOVE LATEX FDSVC PWDRFREE'MED 304750022 83.47841 39.96 `39 96 D S 25 33 GAL YSCO LINER TRASH 33X39 .5ML BLK H6639MBS 4075958 38.78 77 56 DX 26 59.26 NAP'WHT 90 13306 7 59 1 T R� 0 8 D S 500 C. 0 RV NAPKIN'DISP XPRE AD GROUP:: TOTAL* PRODUCE C S 12 CT ACKER LEMON FRESH 1039478 1039478 7 98 7 98 I, o I REMIT ?o P.O. BOX 7137 1 4 20 12.0 243 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODUCT'S ARE NOT ELIGIBLE FOR REIURN AFTE 46206 -7137 TOTAL E DELIVERY. PLEASE CHECK THIS INVOICE. L WILL NOT BE RESPONSIBLE v FOR ANY SHORTAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX 111TH PI DRIV NO. PCS CUST. NO. PCS TOTAL g DF i ER'S lV ZZIIgEHp Bg@B��yyEE FC MI E�E EEII 55 L ET UEL SIGN C REC. INVOICE THESE W,,#0HA I IIgEGRIC Al A T AOVER GH SEJ COMM? IVII A T NTO�IES I O FcOD9 A7U CYRY TRU T CO TOTAL T ES R T E E COM ODI IEg, I E C U. $E1 11 TI 5� PAYABLE ON OR BEFORE TS I'. 1 DERIVED. FROM THES OM ODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL C ONT. ON PAGE 2 a FULL PAYMENT IS RE EIV 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# l Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1207 109151049 42- 390.40 $854.82 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, September 15, 2011 Director, Brooks re 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)) 09/15/11 109151049 Food $854.8 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