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HomeMy WebLinkAbout202776 10/11/2011 o C CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $1,465.17 a CARMEL, INDIANA 46032 Po eox 7137 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 202776 ro CHECK DATE: 1011112011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 109291222 1,013.83 FOOD BEVERAGES 1207 4239040 110070349 451.34 FOOD BEVERAGES Goad things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S APRNEIIANAPOLIS, rom aEIV :.DATE CU'STDMER I> BROOKSHIRE GOLF CLUB 0 BROOKSHIRE PKWY 1 TR CK:S OP I I 1212 4129 1 0 "109291222 7 LLC CARMEL IN 46033 4000 W 62ND ST ROB P 317- 846 -7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER I 1 CIVIC SQUARE DRIVER: �EISELMAN, DON EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FR 60- 1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. 4:TY PAC SIZE' l7EM D SCRIPTION pp E PR10E E PRIG 1. -11 *DAIRY C NL 5 LB BRLCLS CHEESE ,AMER YEL 1'20 SLI 28131 6697114 16 4 8, 16 48 1. GI20UF TOTAL* l!b,48 1. MEATS 1. S 6. 5,3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703049 ..63 40 63,40. S 10 LB HNSVLE BRATWURST 5x1 PRICK SKLS 31$8 2199198 29 99 59 98 r S .10 L B BRLCLS FRANK ALL MEAT 5X1 6 IN 37736 070 jr 137736 22 74 45,48. I. S 276 OZ DVANCE PORK FRITTER RAW 6606 2205383 39 78 39 78 GR F TOmAI, 208 64 FROZEN* S 5 LB YS IMP POTATO FRY 3 8 SK ON PHANTM PLU SYO03108 4356465 '31 24 31 24 G ROP TOTAL 31.2 4.,:; I. CANNED DRY r. I. NL CT NICKER CANDY BAR SNICKER C 2 07 OZ 01202 4348389 32 61 32 S 8 1 OZ BRLCLS CHIF POTATO REG 1$56Q 6080871 27.96 27 96 r. S 60 CT AYS CHIP VARIETY 5YSC0 /FRITO LAY 31$3.1 6586721 26 98 26.98 L. 21 3f' ARFARM COOKIE `CHOC "CHIP '1ND 23110 4443925 ''39.85 `39. r. A S 1 26 '24OZ SE 'REC�KETCHUP SQUEEZE BTL HOUYA24 9617218 7 6 26 „76 S 1 12 0_Z RENCHS MUSTARD YELLOW CLS SQUEEZE 4150075677 4736070 20 50 20 50 1. D S 481 75O�Z LANTER PEANUT SALTED 0770:8 9549379 21 98 21 98 I. S 1 1 LB BRLCLS SNACK MIX SPCY CREOLE 91069 9960329 31 36 125 44 GRC)UF 7'.C)TAL* x 3 ,.OB PAPER &'DISPOSABLE D S I00 YS CLS GLOVE POLY CAST 61 SP MED 303363122 8348260 21,89 21. 11.1 S ODOCT OLCi LID PLAS DOMEWH7.I0 /12 /16/20f24 PLP316 0007 6447534 49 50 49 50' v P C).� BOX 7137 1 2 21 18.6 245 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR REETURN$$ gg AFTE 4 206 7137 TOTAL V �OR V ANY �SHOR I`AGE AFTER THI I NVOICE SIGNED I PIEC S RECEIVED MVST TAX DR1,VE NCOST. O. PCS TOTAL SIG N Ec, SIGN L- NVOICE Ty P R�gHAggLE q RIC�JLT R CAM Op 7IEg LISTE g IN L VOIC E A MApRE g LD UBJE C 7 TO TH E7 77�O RY H ETRgUESLT�E l'OTAL o U7HpIZED BY SETIONj.0 OF 7H PERISHABLE DMMODITIES, I ALI�IN Ji'1TORIE S� F' O'O R� PRODUCTQS PAYABLE ON OR 6EFpRE f THESE COMMODI H E REEFTTTA ry A iES, CLA!!M OVER ONT ON PAGE 2 f ❑ERIVE ❑'FROM THESE COMM 001T3E5. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o F.ULLIPAYMENT IS RECEIVED. 1 1 :y I CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things Sii efrom t)E�u...pAT� cus:TOr�ER BROOKSHIRE GOLF 1212 �'0 BROOKSHIRE PKWY LLC Tft cK s qP 412940 109291222 7 2 SYSCO INDIANAPOLTS, CAMEL IN 46033 4000 W 62ND ST 317 846 -7431 INDIANAPOLIS, IN 46268 DUE FRTDAY 4 WEEKS AFTER ORDER I IMANIZE51A 424,691 NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: GFISELMAN, DON EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -L4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. ITEM UNIF EXTENDED [1T Y: PAC SIZE ITEM f3ESCRIPTION F: RICE j. m CO[]E PRICE: JD :S 20. 55GAL YS.C(3 LINEIt.TFtASH:;'36X5$ 7ML gT,K.. H725$HBS.408 679::;69 9$ 1:39 96 1. ;PRODUCE GROUP TOTAL 211 35 1. >,S 10 L YS ;NAT.. LETTUCE RQMATNE� CROWN :LEAVES 616404 :94: 66.4:0494. 29.49: 29.43:. fL iS B jyB. YS. IjMP..ONION :RED :FRESH: um,80 03;9494 8:..76!. 76 NL 10 LB'! YS CLS..SALAD �POTAT4 MUSTARD DICED MW 1 ©50:1. 183:9513 :::',13.771 1;27 54 1. Lt 5 2,�a LB YS .:FMP T(7MATO >SLICED 1 4" 40451 .611:3765 :<':36;.59 (36:59;. GROUP TOTAL 102.38 i.... DT SPENSER VF ;S -1 .25I T .OUWEGB. C. .iLIpp 100 4 COLOMBIAN :3201 9.38'8117 116:...66: .1:16: 661 r. GROUP 'TOTAL 116.66 ;MIS.. RG.: S. HGS' ::FOR FUEL. 5 ..00.:; I. OR D S M 78286 I2Etvtl7 tQ_ Y p O. BOX 713 7 2 8 4.5 98 INDIANAPOLTS IN SUB p R IMPORTANT: PERISHABLE PRCD ARE NOT ELIGIBLE FOR RETURN AFTE 4 206 -7137 TOTAL 113.03 E j 2 4 29 23.1 343 FDR VERY. SHOD AGE AFTER Y HAVE 51 NEO IPIECES BE MUSTE TAX DRIVER'S NO. PCS OUST. PCS TOTAL 1 OELVD. SIGN REC. INVOICE SIGN Q I THEE PEE R A R c LT R L c OD 7I g ED o TH Ig INVpIC ARE oLCI gUB.JFrT TO 7�{ A u OR Y 7RU T TOTAL qu7HpR TIO y of H PE HaLgI g E7 AGRI� LI�TLIRAL CO ry�pD171 F1t�T 13%7 L,. C. T �S� I-S,R AY ABI -E ON OR BEFORE THEEESE COM MO fJ ITIES RETAIN A 7 U T CLq M OVER THESE COMMODITIES, ALL IN'/ NTORIEEES OF FO YHE Dt1C 1p /2/11 LAST PAGE I OERIVEO(FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 0 FULL'.PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO e from DEIv -'oAT .:cuss OMER BROOKSHIRE GOLF CLUBS 12120, BROOKSHIRE PKWY sii �Co IC REQ N .r' YSCO INDTANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R�� INDIANAPOLIS, IN 462b8 317 846 7431 1 CIVIC SQUARE PICK UP ONLY DRIVER: D N GEI ELMAN, DON EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCF- 4. PAC SIZE ITEM DESCRIPTION T tiF uNIT Ex:7'ENDEC) 1. .l x D>SraE. PRfGE is PRICE 9106 99.&0329 VD S 1.. LB B�21CLS SNAG MTX1?CY I "R01; NVOICD REF 10.9230431 DTSPOSITION HOLD R INSP TTON 40.7FEC'S V. 5 1 1 LB BRLCLS SNACK MIX SPCY CREOLE 9.106 9960329 NVOICE REF...10 >9090332 DI:S!ROS.TTTbN: ;:HOLD 'F INSP TION 4.0 DEFE.CTLVE 1. I. L A IxMiT Ta, N Y .y SUB R 4 O IMP OR7ANT: PEi�15HARL [I QNTURNTE TOTAL VERY �'H Y(�l{OH E R R P C1� Fr L y TAX DRIVER NO. FrS CUST. c5 T TOTAL DELVD. SIGN INVOICE SIGN 1 gF{7EH O gg LTS5Uuff�R L Q�OMM 0ppEEII7TRIEEgg IISL, FE77E D GR O I N u IN C SUBJ g E Cap TO gTH H E p 1 O7AL THESEC0MM0DITIES��AINC� RY T A P C RAIM T L O M FAODITIE S, I N`JEi O C OTHEF� PRODUCTS PAYABLE ON OR BEFORE I DERIVEO FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THFSE COMMODITIES UNTIL LAST PAGE 0 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 #/TITLE AMOUNT Board Members hereby certify that the attached invoice(s), or 1207 109291222 42 390.40 $1,013.83 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 Tuesday, October 04, 2011 r Director, Brooksh r 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 D ate Number (or note attached invoice(s) or bill(s)) 09/29111 109291222 Food $1,013.8 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 20 Clerk- Treasurer a CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF svSCo Good things s ijme from pCLV- ;ipAY� ?:CUST:oMER I° BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY TR cw s oP.. 412940 110070349 3 1 °ate SYSCO INDIANAPOLIS, LLC CARM IN 46033 4000 W 62ND ST R INDIANAPOLIS, IN 46268 -.846 -7431 DUE .FRIDAY 4 WEEKS AFTER ORDER 111',/13 QRMAL DELIVERY CITY'OF CARMEL p 11 CIVIC SQUARE' DRIVER: PARKER, JEFF CARMEL IN 46032 EQUAL OPPORTUNITY AND A FFIRMATIVE ACTION CLAUSES OF 41 CFIR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY F'AG 51ZE [TEM DESCRIPTION DEC) STEM 3�11VEF CODE ..,:PRICE DAIRY UC NL,. 5 LB BRLCLS� CHEESE AMER. ;YET, 1.20 SLI .28131 6697114 18 38 18 38 s, NL.5 LB ASASOL CHEESE CHDR..JACI {.SHRD FCY 1.0999C,S 240.6189 15 53 15.53 REA`'P D� AIaIS FLYER 00011316$ /UN 63` 6'3' GROUP 'DOTAL 33 28 ;:MEATS 5 330 AB ....BEEF .PATTY GRNO ST- KBROR .FRZN 99763151.6703049 ;!:63.:4.0: 126.80; GROUP 'DOTAL 126.80. FROZEN. S.. 2: 4:250:2 KRS'I�fP..MUFIN:ASSTBL /:3AN /GROG /CH. °I /W ,07347302182!5 78 13114 .``23..24' 24; GROUP 'COTAL 23.24 CANNED OR:Y :,I NL: 24..CT: ERS.HEY CANDY BAR..PA.Y DAY ;;807:23:703;0414 '15 62 ;(15.62!: C NI .4$ CT:> NICKER CANDY BAR..SN!ICK3ER 2 0T OZ 0120:2: 348389 !32.6I CHIIF VARIETY; SY:�GO FRIiTO ZAY 31831 65$:6721 9$ :26.96 26:: S 6 T AYE S 35 L$ YS REL SHORTENING FRY 1TiQ: CRE AMY .Z'TF 99947. COM 4119509 37 T 75.. 52::.: i S 1 1 I.B BRLCLS SNAGK MIX SPCY. i rREOLE 9 06:9.. 99.50329 31..36: 62.72; GROUP 'DOTAL 213.45 :PAFERi<S�: DISPOSABLE: NL. 500CT!; YSCO FA IL SH. EET .3X10 ;7 5IN SILVER? W69372: 693$500 ::12.9:8 12.98' GROUP 'COTAL 12 98 4 5..LB YS -IMP TOMATO'SLICED. 14'" 4041.61.13165 ::36..,59 3b: 59> C l GROUP i'OTAL 36 5 MIS <5 0 0 ORD sum RY $4798 k REMIT ra cPI IT TnT —Y 7:00 AN. CLOSE P.O. BOX 7137 3 5 14 9.$ 189 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 40206 -7137 TOTAL 451 3f, tr p DELIVERY. PLEASE CHECK THIS iNV DICE. WE WILL NOT RE RESPO 5 14 9 IS9' FOR ANY SHORTAGE AFTER YOU HAVE SIGNED. PIECES RECEIVEED MUST TAX v r NO. PCS GUST. NO. PCS TOTAL DRI;VEFVS DELVD. SIGN REC. INVOICE $IGN TD,AL 451.34 TH PP A RlCULT�JRgL O MOpIyIEg L'SIEp DN THIS INV?ICE AR SOLD SUBJECT TO TF{E STA DRY TRU T o gU7T RgEHp gg TIOry 5[Cl OF��E PERISHABLE AGRICULTURAL COMMODITIES jCCT 193017 l}.S C. 49gE THE gE D PAYABLE ON Ofl BEFORE THES� COMMO I I RETAINS A TRRRUSST CLAIM OOOVEER THESE COMMODITTIES ALL IP JEMi OF21 EEES OF FOOD ORTHER PRODUCTS 11 /OLl. /11 LAST PAGE 1 DERI VED'FROM THESE COMMODITIES, AND 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 #!TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1207 110070349 42- 390.40 $451.34 materials or services itemized thereon for which charge is made were ordered and received except Saturd y, October 08, 2011 Director, Brookshire 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 hli imhcr (or note attached invoice(s) or bill(s)) T, 10/07/11 110070349 Food $451.3 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