HomeMy WebLinkAbout204028 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $49.35
CARMEL, INDIANA 46032 PO BOX 7137
INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 204028
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 111020912 49.35 FOOD BEVERAGES
Good things DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO
Sii �E{V -t7AtE c11S0viER BROOKSHIRE GOLF CLUB T� C.K 5 pP 412940 111020912 7 1
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W b2ND ST A °?E
INDIANAPOLIS IN 46268 o� tES :ARE sua�.ce.r
317 846 D E FRIDAY 4 WEE AFTER RDER
CITY OF CARMEL
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IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 46206 -7137 TOTAL 49.35
R DELIVERY. PLEA E CHECK THIg INVOICE W WILL NOT BE REgPONgIgLE
E 1 .4 FOR ANV HOR r. AFTER YOU HAVE SIGN O. PIECES RECEI VEO MUST TAX RI, V
NO. ACS COST. NO. PCs TOTAL
SIGNER'S DELVO.
I SIGN SIGN REC. 7CID 49.
TH PER gHA RI TuR L COM OD "�IES 13 ED ON TFIS INVOICE qRE SOLDUB�I I T TO THE g7A7LJTO�y 7RI� T E o
AU7EHpRIi E 41 Pl 9 OFF TH FEI ISSHA AGRIC�IL N �7RgL CpMRAODITIE3� 30I� i. S,C, A99E1 THE P �IDUCTS
THESE COMMODITIES RETAINS A TRUST CLAIM OVR iESE COMMODITTIIES AILL V N70 IES O FOOD OR HERB R PAYABLE ON OR BEFORE
LA PAGE
11 [DERIVED FROM THESE CCMMODITIES, ANC ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 12
n FULL PAYMENT IS RECEIVED.
VOU CHER 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 #f rITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1207 111020912 42- 390.40 $49.35
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, November 10, 2011
d
Director, Brooks ire 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. 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 Number (or note attached invoice(s) or bill(s))
11/02/11 111020912 Paper Bags $49.3
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
1 20
Clerk- Treasurer