HomeMy WebLinkAbout203180 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES
O CHECK AMOUNT: $509.39
CARMEL, INDIANA 46032 PO BOX 7137
INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 203180
CHECK DATE: 10125/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1102103874 509.39 FOOD BEVERAGES
Good things
CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO
pELu DAtE cusFo.r�ER Try cK s oP. 412940 110210387 4 1
S ii
SYSCO INDIANAPOLIS, LLC
CARMEL IN 45033 4DD0 W 62ND ST R°
INDIANAPOLIS, IN 46268
317 -846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER
CITY OF CARMEL
1 CIVIC SQUARE DRIVER: ILLETT, BRAD
EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE.
r 1.
C2TY...: PAC 5121 :ITEM t}ESCR�P.f10N E xPE31G� E x
T o
EM UNET
DE :,PRICE
DAIRY
C,.;> NL 5 LB ASA50L CHEESE.CHDR.JACK 10999C5 2406189 15 98. 15 98 I.
C S 5 LB HLFARM CREAM SOUR CULTRD.GRADE A 3396200 5020193 13 98. 13 98
GRl3UP TOTAL *�I :.29.. 6.
:.MEATS.
1.
F S 1D LB. BRLCLS FRANK ALL —MEAT 5X1. 6 IN 37736 070 1137736 22 74 45 48
GROUP TOTAL* 4 5 4 8 1.
N
F 1.
F S 5 LB TM,, CHILI TEXAS JACK 43030.4$71372 49 60 2.48 00 1.
F S 2 3 9402 NPRIDE SANDWICH SAUS EGG CHS CROIS,IW 482 5196581 29 96 29 9b 1. GROUP ..TOTAL 277.96
1. CANNED &DRY
D S 5002 PK SE REC CRACKER SALTINE 7486502808 4204996 15 97 15 97
BLE GROUP TO TAL 15 9.7:. 1. PAPER DISPOSA
D 5 $125 CT YS REL BOWL FOAM UL WHT 12 OZ YTA S0120000 7932785 29 95 29.95 I.
D S 2 200 CT WHEART CUP PAPER WTR CONICAL 4 OZ 4R 2050 9289711 `96 31 96 31
PRODUCE.
GROUP TO :TAL 1,2;6 26 1.
C S 5 LB YS IMP ONION RED FRESH JUMBO 1039494 1039494 B. 76 8 76 1.11 .I> GROU1? TOTAL 8.76
MIS RG S HGS kOR FUEL SURCHARGE _.__5.00 I. OFD S Y 53'9.2
OPEN I R�MrrTa u LOSE P.O. BOX 7137
Z 1 1 14 10.2 197 INDIANAPOLIS IN SUB
p IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g AFTE 4206 -7137 TOTAL 509 .39
E 1 1 14 10.2 197 FFOR ANY SHORTAGE AFTER VIOU HA E $I GNEd WILL ECEOS RECEIVED MUS T TAX
PIECES NO. PCS OUST. NO- PCs TOTAL
DRIVER'S DELVD. SIGN REC.
g g g�y E S I N �r� pF T M y Lg E G UL L M S E p qC E 7p U gS gE 7)) E7 SEgL�E INVOICE
,I THESE TRL COMMOD iNVENf0 S OF FQOD PftdD TOTAL 509.39
PAYABLE ON OR BEFORE p
a CUL IS RECEIV C OMMODITIES, AND Al V gECEIVA9LES OR PROC EEOs FROM THE SALE OF THESE COMMODITIES UNTIL 11 /1Q LAST PAGE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF
4000 W 62nd Street
Indianapolis, IN 46268
�"a g 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
bill(s) is (are) true and correct and that the
1207 1102103874 42 390.40 $509.39
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, October 21, 2011
Director, Broo hire 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 Nr iml— (or note attached invoice(s) or bill(s))
10/21/11 110210387 4 Food $509.3
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