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179424 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $391.45 CARMEL, INCiANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 179424 CHECK DATE: 11/11/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 910280546 391.45 FOOD BEVERAGES I (`L ER R 'CIRIGINA INi&d:: CONFIDENTIAL PROPERTY OF SYSCO 6ELY, DA TE CUSTOMER NU C �UMB G BROOKSHIRE GOLF CLUB... 1 2 12120 BROOKSHIRE PKWY 0 00 TfR CK>S OP 412940 910280546 3 1 SYSCO INDIANAPOLIS, LLC o CARMEL IN 46033 4000 W 62ND ST aou E a �o�F nanFa INDIANAPOLIS, IN 46268 FA3 DUE RAiANC>S aRE sua ECT T° 317 844 1415 30 DAYS FROM DATE OF INVOICE D ER 0 CITY OF CARMEL SN 1 CIVIC SQUARE DRIVER: MAY, JEFF z SIZE 1 CEM ©ESGRIFTIUN o C z:: pR E XTENDED X I TEill CQ DE D F,ROZEN. T E CS 1212 CT` 8RECL5 BUN HO 'T DOG 6" 53612 4748986 25.54. 25.54 F CS. 4$ LB NORR CHILI FRZ SPICY 37500.81301 1345438 59.35.. 178 05 n GROUP TOTAL 203.9 PAP ER DISPQSABLE z D CS. 2501202 S ERENE CONTAINER PAPER RND W PAPR LID 7194$ 7587;116 85 55 171 10 0,... CS 4100 CT Co YS GLOVE POLY DI SP CAST POLY LRG104= FHCTI6CPS 8477978 16.76 16 76 y CROUP TOTAL 187.6 A S n ORD S 31 RY 3 9 6 O N O D Z rn 0 A :i i i D ..i ;i: n O i O D m Z iii T 37 m A r DRIVER'S m 7 10.3 149 IN sue 6 206 -7137 DOTAL 391.45 7 10.3 149 TAX NO. PC$ OUST. IONED INVOICE EVIDENCES RECEIPT OF ALL ITEMS. NO. PCs TOTAL DELVD. SIGN REC. SIGN INVOICE IMPORTANT PACA PROVISION:: THE PERISHABLE S� HZgyg E LE IAIIC/U T LLII�STTECD L ON THIS C INVOICE ARE SOLD SUBJECT TOTAL 391.45 499 OF T THESE O CO I MMODITIES C RE O TAINS C TRUST CIARM O�ER THESE U COMMODITIES O ALL I INVENTORIIES ObUFS.C. PAYABLE ON OR BEFORE FOOD OR TT PRODUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF 11/27/09 LAST PAGE THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. Prescribed by State Board of Accounts t' 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. Payee Purchase Order No. �'7 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 99Y s' Total 991 I 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. J ALLOWED °f 20 IN SUM OF O ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 which charge is made were ordered and received except Imo' b� 20 01 M $ignature Titlle Cost distribution ledger classification if claim paid motor vehicle highway fund