168345 02/04/2009 0 CITY OF CARMEL, INDIANA VENDOR; 00350837 Page 1 of 1
ONE CIVIC SQUARE ATLAS RESTAURANT SUPPLY CHECK AMOUNT: $9,719.70
CARMEL, INDIANA 46032 PO Box 4075
SOUTH BEND IN 46634 -4075 CHECK NUMBER: 168345
CHECK DATE: 2/412009
�kEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1207 423.8900 716789 369.66 OTHER MAINZ' SUPPLIES
1207 4238900 718088 83.00 OTHER MAINT SUPPLIES
1207 4345001 718695 4,180.20 INTERNAL MATERIALS
.1207 423 -8900 718587 308.36 OTHER MAINZ' SUPPLIES
1207 4239099 718588 4,778.48 OTHER MISCELLANOUS'
52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE REMIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS, MI 49507 INVOICE
IL (574) 272 -3343 1- 800 -552 -ATLAS (616) 248 -2888• 1- 800 -492 -8527 ATLAS RESTAURANT SUPPLY 7 1!2195
RESTAURANT SUPPLY P.O. BOX 4075
4
3329 N. SHADELAN 929 N. COLISEUM SOUTH BEND IN 46634 -4075
INDIANAPOLIS, IN 462222 6 FORT WAYNE, IN 46805 1
FOOD SERVICE EQUIPMENT SUPPLIES (317) 541 -1111 I -800- 333 -2001 (260) 467 -1788. 1'-866- 467 -1788
01/20/09
206230 21 I
CITY OF CARMEL. dba BROOKSHIRE GOLF CLUB
BROOKSHIRE GULF CLUB 12 1=0 BROOKSHIRE PARKWAY
1 CIVIC SQUARE CARMEL IN 46033
CARMEL, IN 46032
REFERENCE NUMBER SHIP DATE SALESPERSON 9:1. 1 NY 1-12M Fff. FFREIGHT SHIP VIA
01/20/09 21 STEVE BEAT NET 30 IG D12894 02 PREPAID ROUTE DELIVERY
ITEM DESCRIPTION
805120 TDD -3 3' KEG DRAFT BEER DISP 1.00L 1.000 .000 E 2161.0` EA 21:61.05
BLACK 1.15`V 69"
Ser# 6592;'07 1.00
740140 B2CT -18 24" SS COCKTAIL UNIT 1.000 .000 E 323.3/1 EA 323. 34'
Ser# 58753 -•31 1.00
805130 I D- -65 -24 65" BOTTLE COOLER 1. 000 1.000 .000 EP 1517. 9 r EA 1517. 9 7
DEE:PWELL FLACK 115V
Ser# 6619722 1.000
740170 HSA--'10 -F SS WALL_ MNT HAND SINN. 1.000 1.000' .000 EA 177.84 EA 177. 84
W /FAUCET 19 "Wx16 "DEEPx14 "BOWL
Sei^# 67049 -1.6 1. 000 R' C I E
DEL.. TUES.. 1--27 --09
0� S JAN 2 1 2069
BY
MERCHANDISE MISCELLANEOUS TAX FREIGHT TOTAL DUE
SECURITY AGREEMENT. Purchas he eby grants and conveys to Seller a
security interest in the goods describ ab ve and their proceeds pursuant to the
terms and conditions contained on the reverse side of this document.
DATE Compan 4180. 20. .00 00 0 41021.621
B y— CUSTOMER COPY
Signature Title
EXCLUSION OF WARRANTIES. THE PURCHASER AND SELLER AGREE THAT THE IMPLIED
WARRANTIES OF M E.RCHANTABJ[ILITZY AND FITNESS FOR A PARTICULAR PURPOSE AND
ALL OTHER WARRANTIES IEXIPRIESS.®II$IMPLIED, ARE EXCLUDED FROM T1EIIlIS TRANSAC-
TION AND SHALL NOT APPLY TO THE GOODS SOLD, PROVIDED HOWEVER, THAT THIS
EXCLUSION OF WARRANTIES APPLIES ONLY TO SELLER AND THAT THE GOODS SOLD
PURSUANT TO THIS TRANSACT II®N ARE OR MAY BE SUBJECT TO THE WARRANTIES,
EXPRESS OR IMPLIED, GIVEN BY THE MANUFACTURER THEREOF.
Purchaser agrees to purchase the'above' described goods and to pay Atlas Restaurant Supply, Inc. (Seller) the
total price stated herein for the above described goods, including sales tax, in accordance with the Sale Terins.
Sale Terms are net cash seven'(7) days after-delivery, with interest thereon at the rate of one and one half. per-
cent (1� per month on the unpaid total price, commencing seven (7) days delivery of the described goods
for each month or portion thereof during which an outstanding balance.of the total price remains. Purchaser
assumes all risk of damages or destruction to the goods upon delivery. Purchaser agrees to pay Seller's rea-
sonable attorney's fees and costs of collection of any amount not paid when due. Purchaser agrees that no
return of the goods sold hereunder may be made to Seller without express written approval of Seller and that
Seller may charge a reasonable stocking tee for all c ods so returned.
SECURITY AGREEMENT. Purchaser hereby grants and conveys to Seller a security interest in and to the
described goods, and._ in and to-the proceeds thereon, to secure the payment of Purchaser for the goods sold
hereunder. Purchaser- aiitho6zes. Selfdr to execute on its behalf and file any financing statements deemed nec-
essary by Seller to p ;��c t its +securi.ty interest in said goods. Purchaser warrants that the goods will be main-
tained in good condition and repair. The' failure to pay'when due of any amount payable here under shall con-
stitute a default under this aggemep t Upon default, Seller have and may exercise all. the rights and remedies
of a secured.party under the iifoz'i C ommercial Code or any other applicable law.
PP 52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE REMIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS, MI 49507
(574) 272 -3343 1- 800 552 -ATLAS (6 16) 248 -2888 1- 800- 492 -8527 ATLAS RESTAURANT SUPPLY
RESTAURANT SUPPLY P.O. BOX 4075
3329 N. SHADELAND AVE. •929 N. COLISEUM SOUTH BEND, IN 46634 -4075 '1
INDIANAPOLIS. IN 46226 FORT WAYNE, IN 46805
FOOD SERVICE EQUIPMENT SUPPLIES (317) 541 -1111 1 800 333 2001 (260) 467 1788. 1 866 467 1788
206230 0 1
CITY OF CARMEL dba BROOKSHIRE GOLF CLUB
BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY
1 CIVIC SQUARE CARMEL IN 460
CARMEL, IN 46032
REFERENCE NUMBER SHIP DATE SALESPERS DOC NO
01"/23/09 21 STEVE BEAT NET 30 IG 'I 3217 01 PREE='AII ROUTE DELIVERY
ITEM DESCRIPTION 0;1 BACK ORDER U/M PRICE
76 51.55 SY 04 "4A ICE CURER 450# PROD 1.001 1. 0011 OOQ ELI 19` 0. 041 E 1990. 01i
1 /;2 DICE A/C S/S EXTERIOR
Ser# 1'1 1791650 12)0 765180 8- 417+k'1 '`ICE STORAGE BIN c 90#CAF 1. 1. 0 O►71Q E 665., 1" Er* 66S.e: k
S/S FSH SERIES CURERS)
Ser# i.Qi783683 1.00.
G?Y'- k'1c:'74A MAN I TOWAC UNDEI�COUNTER 1.1001Z 1.00 +2102 EA E 123. 4 EF 123.'4E
2851-B/120 A/C 1E0V
11066236 Tec \/j
C
f
JAN 2 7 2009
t I
Y. MERCHANDISE MISCELLANEOUS TAX FREIGHT TOTAL DUE
SECURITY AGREEMENT. Purchaser ereby grants and conveys to Seller a
security interest in the goods described above and their proceeds pursuant to the
terms and conditions contained on the reverse side of this document. 477 48 �71(ZI 4778.4E
DATE Company:
r
B y CUSTOMER COPY
Signature, Title
52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE RE MIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS, MI 49507 i fi
(574) 272 -3343 1- 800 -552 -ATLAS (616) 248 -2888 1- 800 -492 -8527 ATLAS RESTAURANT SUPPLY
RESTAURANT SUP PLY P.O. BOX 4075
3329 N. SHADELAND AVE. 929 N. COLISEUM SOUTH BEND, IN 344075
INDIANAPOLIS, IN 46226 FORT WAYNFI, IN 46805
FOOD SERVICE EQUIPMENT SUPPLIES (317).541 -1111 1 -800- 333 -2001 98 1- 866- 467 -1788
�Q
20623 01.
CITY OF.CARMEL dba BROOKSHIRE GOLF CLUB
BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARKWAY
1 CIVIC SQUARE CARMEL_ IN 46033
CARMEL, IN 48032
REFERENCE NUMBER SHIP DO C. NO. Whi FREIGHT SHIP VIA
01/07/09 21 STEVE BEAT NET 30 1 G 41U845 0 PREPAID ROUTE-DELIVERY
ITEM DESCRIPTION
6701 'JO:`` HG-- 4D -48k 0.1 DISC GAS HOSE 3. 000 3. 000 yw .000 E 1 ��3n `c E 3 GE
DLX SAFETY,QUIK KIT 3/4 "x..48 "L
i EC V ED
2009
By
SECURITY AGREEMENT. Purchaser hereby grants and conveys to Seller a MERCHANDISE MISCELLANEOUS TAX FREIGHT TOTAL DUE
security interest in the goods described above and their proceeds pursuant to the
terms and conditions contained on the reverse side of this document.
DATE Company: 69..66 0171 00 0 363 E,
By: CUSTOMER COPY
Signature Title
52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE RE MIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS`, MI 49507 x
(574) 272 -3343 1- 800 -552 -ATLAS (616) 248 -28 1- 800 a92 -8527 ATLAS RESTAURANT SUPPLY 1 tq F
RESTAURANT SUPLY P.
PO. BOX 4075 t
3329 N. SHADELAND AVE. 929 N. ISEUM SOUTH BEND, IN 46634 -4075 u sf
INDIANAPOLIS, IN 46226 FORT AYNE, IN 46805 1
FOOD SERVICE EQUIPMENT SUPPLIES (317) 541 -1111 I -800- 333 -2001 (260 467 -1788. 1- 866 -467 -1788
01 /20/09
I CITY OF CARMEL dba BROOKSHIRE GOLF CLUB.
BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PARVWAY
1 CIVIC SQUARE, CARMEL IN 460
CARMEL, Ihl ,4FrP 3p
REFERENCE NUMBER SHIP SHIP VIA
01/20/09 `1 STEVE BEAT :,N T 30 IG X8C)i 0c PREPAIT ROUTE DELIVER
DESCRIPTI ITEM
LEG SE� T� LEG SET --�4EA 000.E 1. 000 0121 E 83. E 8?,. OIZ
RECEIVED
JAN. 2 7. 009
t Y:
s
SECURITY AGREEMENT. Purchaser hereby grants and conveys to Seller a MISCELLANE TAX
security interest in the goods described above and their proceeds pursuant to the
terms and conditions contained on the reverse side of this documents.
DATE Company: 83.� 00 .00 Q II 111Q 83. 04?
ar CUSTOMER COPY
Signature Title
52245 STATE RD. 933 NORTH 2244 S. DIVISION PLEASE R EMIT TO
SOUTH BEND, IN 46637 GRAND RAPIDS MI 49507 1 ENO 7- f!581"
(574) 272 -3343 1- 800 -552 -ATLAS (616) 248 -2888 •800 -492 -8527 ATLAS RESTAURANT SUPPLY
RESTAURANT SUPPLY P.O. BOX 4075
3329 N. SHADELAND AVE. 929 N. CO tSEUM SOUTH BEND, IN 46634 -4075 1
INDIANAPOLIS, IN 46226 FORT W NE, IN 46805
FOOD SERVICE EQUIPMENT SUPPLIES (317) s41 -1111 1 800 333 2001 (260) 4 1788. 1 866 467 -1788
0100L �L711 /`?5 09
206230 0 1
CITY OF CARMEL dba B ROOKSHIRE GOLF CL_.UB
E►ROOKSH T RE GOLF CLUB 1 D ROOKSH I RE PARKWAY
1 CIVIC SQUARE CARMEL' IN 46033
CARMEL, IN 46082
REFERENCE NUMBER SHIP DATE ati
SALESPERS SHIP VIA
KEN MILLER_ 1/2 3/09 21 STEVE BEAT NET I 1 PREPAI ROUTE DELIVERY
r
ITEM DESCRIPTION SHIPPED BACK ORDER U/M PRICE
AR-1000& ARTIC :I� ORE PRIMARY WATERF=''ILTER_ 2.000 c:. O0Q. 00Q EF 154 If -I EA 308.3
ASSEME LY q 0 -60O.' LBS
RJECI
V E D
3 AN 7 2009
BY:
R
MERCHAN TO TAL DUE
SECURITY AGREEMENT. Purchaser here Fg nts and conveys to Seller a
security interest in the goods described abo d their proceeds pursuant to the
terms and conditions contained on the reverse side of this document.
DATE Company: 308. 31Fj 00
Q 1" 41 3 @B.
i
By:
CUSTOMER COPY
Signature Title
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
J Payee
1 SRS 1 ►a�At u�PL?' Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 24 z b 3
a o 91ff vbY 3.
Total p
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
13 4o
/2a0/) ;j 4G f 0 7
7
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEFT. I hereby certify that the attached invoice (s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
?ya75 ,36 4 6 which charge is made were ordered and
/F D ee -X23 y,pa FI, received except
j 3d
20
Signature
or 4 aF
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund