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Home My WebLink About207625 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,454.00 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 207625 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 203120358 587.78 FOOD BEVERAGES 1207 4239040 203210646 866.22 FOOD BEVERAGES Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from QE :aArE cusT_t�sert IBROOKSHI RE GOLF CLUB q 12120 BROOKSHIRE PKWY 12940 7 TR cK<s oP 4 203120358 1 SYSCNDIANAPOLIS, LLC /012 CARMEL IN 46033 4000 W 62ND ST ROUE INDIANAPOLIS, IN 46268 e') 317 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: DUAL OPPORUNITY AND AFFI CTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. CITY PAC SIZE' t ITEM iJNET EXTENDED T ITEM D, CRI.. PRICE x r: COD..E, ::PRICE DAIRY 2. d C NL 5 LB BRLCLS CHEESE AMER YEL 28131 6697.114 '16 98. 16 98 MEATS GROUP TOTAL... 1 >b.98 F ,S 605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 670.3.049 67.88,. b F S 110 LB BRLCLS FRANK ALL MEAT 5X1 6 IN 37736 070. 1137.736 22 74. 68 22 GROUF TOTAL* 13b 10 999-9111.11 ......CANNED DR, Y ::��]]��]��]��]��i�� 9 9 9 .9.9.99999 9 9 9 d D S 316 CT K ELLOGG BREAKFAST BAR ASST NUTRI GRAIN 003800005872 4215893 26. 45 26.45 C NL 24 CT ERSHEY CANDY BAR PAY DAY 80723 7030.414 16 59. 16 59 91 D S 6 1.1252 KDLAY5 CHIP POTATO BKD F2EG BIG GRAB 443968 6725313 28 88 28 88 t' 1 �►D S 160 CT AYS CHIP VARIETY .SYSCO /FRITO LAY 31831 6586721 26 98: 26 98 D 5.1201 4 OZ CRACKER PEANUT BTR TOAST ROUND 7513 7029192 28. 28.70 d D S 481.7502 CANTER `PEANUT SALTED 07708 9549379 21 21.98 d C PL 5 GAL` CHWRTZ PICKLE CRS CUT K0 29658270756 1028919 38.36: 38 36 t D S 1081.5 OZ AT VLY SNACK BAR GRANOLA OATS HNY 33530 3660370 47 .95` 47.95' PRODUCE GROUP TOTAL 23;5.89':: d C S 110 LB YS NAT LETTUCE ROMAINE CROWN LEAVES 6640494 6640494 29.49 29.49 1 b C S 5 LB BRLIMP SALAD CHICKEN 51071 2510717 41 08 82.16 1. C PL 5LB BRLIMP SALAD TUNA DLX 74865.79721 6526826 41.08 82.16 GROUP TOTAL* 1'9:3 81" MIS H RG S HGS FOR FUEL SURCHARGE 5 00 ORD S. Y 170:75 QQ �CC0�6P8$ j i. 0 o: v 1 Ya i. 1 2 18 15.0 216 B I 71 7 IN SUB p p IMPORTANT: PEMSHAB I�7�7�YBE OT ELIGIBLE FOR RETUR FTE 4 206 -7137 TOTAL 507.78 E 1 2 18 15.0 216 �OR V ANV SHORTAGE AFTER YOU HAVE E WILL N BE REPDOMLE TAX NO. PCS CLIST. p��(� �!�j NO, P TOTAL DRIVER'S DELVD. SIGN WJU UC! 8 REC. 9 INVOICE g SI 7 E GN p RR1I��y� g g�y E g q G C I �ry 5u FQ7MNE p L g g E T GF ULHSRI p M g Cg E g C 3 7 p U C gE R HE T g L p TOTAL 587.78 l THESE`U�^MODITIES�R�E "TAI N VER�THESE T COMN OD TIES��ALL�I NE RIES OF THER PRObEUCTS PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 4/13/12 LAST PAGE o FULL PAYMENT IS RECEIVED. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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)) 03/12/12 203120358 Food $587.78 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 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $587.78 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1207 I 203120358 I 42- 390.40 I $587.78 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, March 19, 2012 Director, Brookshir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from DELU pATe cusroMER BROOKSHIRE'GOLF CLUB... 12120 BROOKSHIRE PKWY TR CK:S OP 412940 203210646 6 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST Rou INDIANAPOLIS, IN 46268 aAtaNCRs 317- 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: J HNST N, LEWI I CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. C31 Y PAC SIZE ITE:IV[ UtVET EXTENDED T T. ITEM DESC RIPTION �otE PRICE RRICE w DAIRY NL 5`LB BRLCLS CHEESE AMER YE 120 SLI 28131 6697114 16 98 16 '98` ;F .G MEATS ROUP. TOTAL 1C 98 MAR ;�Q i I 1 I F 110 LB HNSVLE BRATWURST 5X1 PRICK SKL$. 3188,.2199198 3 63, BY I S 110 LB BRLCLS FRANK ALL MEAT 5x1 6 IN, ;37736 070 1137736 22 74, S 2,5 LB BRLCLS HAM SLICED.HNY WTR ADD FRESH 72736 70.8286429 42 92 42 92 GROUP TOTAL 1.9:7.$ I *....FROZEN S 244.2502. KRSIMP MUFFIN ASST BL /BAN /CHOC. 02182 CH I/W 0734735.781311 23,24 23.24 c' S 2,5LB ANTLZR ONION RING BEER BTR 5/8" 30423 0855296 26 71 26 71 S 45 LB HOUP'S PORK BBQ PULLED CKD W /SAUCE 4051 5909330 8 97 891.97 S 2 3 9402 NPRIDE SANDWICH SAUS EGG CHS CROIS IW 4$2 5196581 29.96 29 96 9 n GROUP TOTAL 16 CANNED &DRY NL 36 CT ARS CANDY BAR MILKY WAY 01101 27 74 27 74 C t�C NL 2`4 CT ERSHEY CANDY BAR PAY DAY 80723: 7030414 16 59 1b.59 Q ✓C NL 48 CT NICKER CANDY BAR SNICKER 2 07 OZ 01202 434$389 32.61 32,61 cs~ S, NL 48 CT &M CANDY M &M PEANUT 1,74 OZ 01232 4380788 31.82 31.82 S 722 OZ CANTER SNACK TRAIL MIX FRUIT &NUT:' `19320`00026'.49365 98 41 99 41 99, �/D S 7 2 OZ CANTER SNACK TRAIL MIX NUT CHOC /932000027 4936686 41 99 41 9g C GROUP TOTAL 192,74 PAPER DISPOSABLE V�D S NL 5OOCT SYSCO FOIL SHEET 9X10 75IN SILVER W69372`6938500 12 98 25.96 Q D S 41`00 CT YS CLS GLOVE LATEX FDSVC`PWDRFREE MED 3047`50022'8347841 39.96` 39.96 N >REMrr ra P.O. BOX 7137 Z 1 4 4�206 -7137 SUB w IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE DELIVERY. PLEASE CHECK THIS INVOICE WE WILL NOT BE RESPONSIBLE FOR ANV $HOR AGE.AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX DRIVER'S NO PC S CUST. NO, PCS TOTAL SIGN DELVD. SIGN REC. q O EE gE g gy ggEC U M p Eg g E T D oR IJ I EE g C S Eg C 3 7 p U g�{C E7 HE g L p INVOICE THESE R C I M�MODITIES TA5N A I AIM A OVER A THESE T COMMODIEO��ALL�NV E OF FOOD PF�ObEUCTS PAYABLE ON OR BEFORE TOTAL 1 ❑ERIVED FROM THESE COM OCITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL CONT, ON PA GE 2 a FULL PAYMENT IS RECEIVE Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from DEIV fOATE CUST;DMER BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE PKWY TR CKi$OP 412940 203210646 6 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R INDIANAPOLIS, IN 46268 317 846 7431 DUE F DRIVE RIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE R: J HN T N, LEWI EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 -CFR 60 -1.4 60 -250.4 A 60-7 444 ARE INCORPORATED HEREIN BY REFERENCE. i (2 f Y PAC SIZE 1 TEM DESCRIPI I.ON 7 ITEVf 1JNtT EXTENDED r: CODE PRICE PRICE x V D S 1 1;D0 CT YS QI,S GLOVE POLY CAST DI;SP MED 3033;63112 34$;245 42 60 ;42.60 -111 9 S 1 5:00 CT ORKAI3V NAPKIN DISP XPRESSNApT DX90.0 13306$7 59 26> 59.26 GROUP TOTAL 167 78 CHEMICAL �V D 5 3202 EYST:ON CIEA..NER:MULTT SURFACE RTU 6100063'.76$2802 29,58:; 229.58 GROUP TOTAL 9 58 PRODUCE S 5;; LB YS IMP ONION RED FRESH JUMBO 10;39494:;: 039494 76 8. 99 C S 5<LB BRLI!MP SALAD CHICKEN 51071::2510'717 41.0$: 41.0$.; C �3J PL! 5 ;LB BRLI(MP SALAD T:tINA DIX 74865.79721: 6526826 11 ISCONTINUED 1 .l< S. 5 L 711178 11 9 "'19999.999999-99- 999.9 .9 B YS CLS SALAD TUNA W /CELERY PICKLE .6049. 6724 249 3 6 58 36 58 REPLACEMENT 1 TEM GROUP TOTAL 86.42 MIiS RG S:! HGS iFOR FUEL SURCHARGE 5. 00 9. 0 R S RY 24002 1- __1 ........1.9 1111... 1 .91 11...... 1111... .9111.. .9111... 999 99 .1111_.. 1.999 ti:. N :•:REMIT TQ: P.O. BOX 7137 6 4.3 63 INDIANAPOLIS IN SUB IMPORTANT: PE PRODUCTS ARE NOT ELIGIBLE FOR RETURN gg AFTE 4 206 -7137 TOTAL 866. 22 E 2 7 27 12.4 246 V ANY SHOR.AGE AFTER V HAV PIE HO REC EIVEO MUST TAX DRIVER'S NO. PC S CUST. NO PCS TOTAL DELVD. SIGN REC. i U pI7 S p ,c E Sp CT g g INVOICE SIGN a gTE R E g q G C RI I T SIC L TH g L SHCCE 49gAgEE77IJC OR HEE TR gg U E LLT ER C po TOTAL 866.22 H THESE COMMODITIES TAINS� TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OE FOOD OR VTHER PRODUTS PAYABLE ON OR BEFORE LAST PAGE I DERIVED FROM THESE COMM DITIES• AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 4•/2O/12 0 FULL PAYMENT IS RECEIVED. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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)) 03/21/12 203210646 Food $866.22 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 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $866.22 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 203210646 I 42- 390.40 I $866.22 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 Friday, March 23, 2012 Q Director, Brooks i e Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund