Loading...
179861 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 `f. ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $96.37 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 179861 CHECK DATE: 11/24/2009 QEPARTMEN T AC PO NUMBER I N UMBER AMOUNT DESCRIPTION 1207 4239040 911119110 96.37 FOOD BEVERAGES C L�TQiVIER IORIGINAI L IM CONFIDENTIAL PROPERTY OF SYSCO SYSC® QEIY.iIDATE CLSTf7MER :NV COMB R!` PAG BROOKSHIRE GOLF CLUB 11 1 12120 BROOKSHIRE PKWY 03 0 9 0 1 7 0 0 A 412940 911119110 3 1 SYSCO INDIANAPOLIS, LLC p CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317 844 -1415 30 DAYS FROM DATE OF INVOICE MANIFEJ ILL CAL CITY OF CARMEL 1 CIVIC SQUARE DRIVER; QTY N: PAC SEA [TEM ©ESCRIPTI ©1�I ITEM UNIT: EXTENDED P D Z Ct7DE PRICE: f?Et10E X MEATS* r F CS IIO LB BRLCLS FRANK ALL M>a;AT 5X1 6 IN 37736 070 1137736 17 75 17.75 D GROUP TOTALS 17 75 F 99 125.4 OZ AST CH SANDWICH CHICKEN BRST HNY MUST 1374 70.1.6389 .,16.95 .16 Z ow IB M 1 F CS 125 750 RDGFRD SANDWICH CHSBGR MICWAVE W /C, 6391 155;3197 19 67 19 67 CS 244 OZ BRLGLS SANDWICH Sub HAM CHS IW 7486577315 5861935 21,00 42,00 y T8.52 O A ORD S 12Y 41963 1 looms 19 I N I Z 1 NINE 1 IN A D m O v O A D B oom p Z r _if_ U11010 is m j M m OPEN zo P O BOX 7137 VVT 5 2.1 35 INDIANAPOLIS IN AB 46206 7137 TOTAL 96.37 5 2.1 35 TAX NO. PCS COST, SIGN I OICE NCES FE T OF ALL ITEMS. NO. PCS TOTAL DRIVER'S DELVD. SIGN REC. SIGN INVOICE IMPORTANT P4CA PROVISION: THE PERISHABLE AGRICU TURAL COMMODITIES L TED THIS INVOICE ARE SOLD SUBJEC TOTAL 96.37 T 4 oo EE TTgT!�LpRV TRUST q�THORIZE� gy SECTIpN 5 C� pF THE PERISHABLE gGRICULTURAL COMMODITIES AC7 1 0/U S.C. PAYABLE ON OR BEFORE 99 SELLER OF THESE COMMODITIES RETAIN A TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OF 12/ 11 /09 LAST PAGE FOOD OF OTHER PROOUCTS DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED. 7 t?y State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) F CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by Vvhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee 5(2C Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) /1 r 1Z1 9116 9.7 Total 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. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or //1 9 /e) 39U V-6 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 20 U cl i .nature Y J i Cost distribution ledger classification if Tltl claim paid motor vehicle highway fund