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HomeMy WebLinkAbout204404 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 t. ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $250.70 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 204404 CHECK DATE: 12/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 111180426 250.70 FOOD BEVERAGES CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things come fro DEIV ;,E7AiE 'CUS76ivtER BROOKSHT RE GOLF CLUB... S /C�m 12120 BROOKSHIRE PKWY :::::T R U CK S OP 412940 111180426 4 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317- 846 -7431 DUE FRIDAY 4 WEEKS AFTER ORDER GARY LFVF IRMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: PARKER, JEFF ARMEL EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. [3TY PAG SIZE ITEM DESCRIPTION p R1C pRiE x P PER IS A &DPOSABL E D S 18T500C,T EORG P TT ;SSUE mOILET CORELESS.2PLh WH f4syr 6092605 59 95 59 05 D S 800 FT EORG P. TOWEL ROLL ENMOTI.ON LR.G 4AUT0 $94b0 9627761 69 99.. 6 GROUP TOTAL* DISPENSER F S 1 25LT OUWE.GB COFFEE LIp 100% COLOMBIAN 3201 5180111J!406 116 66. GROiJF TOTAL 11:6.66: MIS ,H RG S HGS, ,FOR FUEL SURCHARGE IORVE F PIS UMMA RY. :2557 Ai 111 TV 111 off to in is 1 flys 1 stilt I it 111 A A 1 01 too�IIi�o 22 MUM Ai 1 iiso to 24 1 Ing 41 of V SO Emus I cc most Etittiti 110 11 Thus 1 =0 111 of Qovy�Ijqq 11 y; 11 v; It conolon wif 1; T"T lot i I IS off yfly i 1 wy I as a 1 toll it lnown;� 0; T 1 1 :it as I wi: 20121 Vic 001 22111 flips a itaigivi via tiouttvikill it IIIIIAS Hilif H194 1 151 1 Not VMS! 1 MWITA 11 goiNiumilli�i 2oulzi w"! 1 ;i::iw &civil Al 1914119111 of tool tt%l 1 niiii 11 A oti; lFmAit, A 1 sty I:iishij 1 mom 1 to INA I NO SO 04 Q U 151 low "T 1 of VIV A T10 T4:i:i iI twA2 ;4#1 Aq! WR ONTO! fit Willi A;! 1 VIA tots It a AIN ov OPEN: IKU AM CLOSE: Wo PM k v QPI IT TOT PrQ rIOQCC MtT P.O. BOX 7137 z 3 3.9 59 INDIANAPOLIS IN 7 SUB IMPORTANT: PER PROD ARE NOT ELIGIBLE FOR RETURN gB AF7E 4120 6 7 137 TOTAL 250.70 F 3 3 9 59�- OOR ANY SHORTAGE AFTER 11 6U HA E $IGNED. P EC S RECE IVFD MUSTE TAX OF 11 En v NO. PCS COST. NO. PCs TOT.1L DRIVER'S DELVD. SIGN REC. NvoicE q I 7 E G H N p S E H p g g�y E S I U JJ 1 )A E I7 R E LE S L T E G Q R U L U5 M o S S c3 g E 3 C SE L 7 THESE�C L7�41MODITE �R�ET N A RU p �CL.AIM A OVER TFi SE F COMAIO) )IT ES, N IES O S FOOD 9 0R� C OTHER PHODEUC� TOTAL 250.70 PAYABLE ON OR BEFORE a P2FIVE FRO I 7 RECEIOE MODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM TIE SALE OF THESE COMMODITIES UNTIL 12/16 /11 LAST PAGE 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 111180426 42- 390.40 $250.70 materials or services itemized thereon for which charge is made were ordered and received except Monday, November 21, 2011 Director, BrooksWe 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)) 11/18111 111180426 food $250.7 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