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Home My WebLink About208057 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $1,480.94 CARMEL, INDIANA 46032 PO BOX 7137 ti <.oH `off INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 208057 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 203300336 607.03 FOOD BEVERAGES 1207 4350100 203300336 129.04 BUILDING REPAIRS MA 1207 4239040 204060405 744.87 FOOD BEVERAGES i Ik,i CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things come from aE;LV, pq'TE CUSTOMER BRO KS E HIR GOLF CLUB 121a�0 BROOK5HIRE PKWY® rR cK s OP -1. 412940 203300336 5 1 CA 1 SYSCO INDIANAPOLIS, LLC IN 46033 4000 W 62ND ST R° INDIANAPOLIS, IN 46268 I Iii 317!846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL it 1 CIVIC SQUARE DRIVER: MAY, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY PAC SIZE ITEM DESCRIPTION TEI/l U1VtT EXTENDED CODE.: PRICE PR:I:CtE I, MEATS S 605:3302 AB BEEF PATTY GRND STKBROR MR 99763151`6703049 67,88 67,88 11— ✓F 110 LB HNSVLE BRATWURST 5X1 PRCK SKLS 3188 2199198 31 98 31, 11 110 LB BRLCLS FRANK ALL —MEAT 5X1.6 IN 37736 070 1137736 22 74. 68 22 1. GROUP T0'A.L 168;, b$ 11 FROZEN...' 111-1111-1111 I S, 2 4;2502 KRSIMP MUFFIN ASST BL /BAN /CHOC /CH IN 073473021825.7813114 23-24 23 24 11-1.1 N S'. 5 LB YS IMP POTATO F 3 SKON PHANTM PLU SY003108 4356465 31 24 31.24 GROUP TOTAL 54;.48 CANNED &DRY S 16 CT KELLOGG BREAKFAST BAR ASST'NUTRI -GRAIN 003800005872 4215893 26.45 26.45 11 ✓C 11-1.111 hb S 160 CT AYS CHIP VARIETY YSCO /FRITO LAY 31831 6586721 2 98 26.98 I 1, RaAD S`21 3" ARFARM COOKIE CHOC CHIP IND 23110 4443925 39 $5 3 85 S 1 E „S REC KETCH UP.SQUEEZE BTL I. D HOUYA24 9617218 26 76 26 76` �b ,S 1 12 OZ RENCHS MUSTARD YELLOW CLS SQUEEZE 4150075677'4736070 220 50 20 50 VD .1 z 5 101 LB BRLCLS SNACK MIX SPICY CREOLE 91069 9960329 33.97' 67.94 GROUP TOTAL 273.70 PAPER &DISPOSABLE '�D 5 2050 CT SOLO CUP. PAPER HOT. 12 OZ BARE 412RCN —J$484 78339,63 85 90' 8::5.90 .1111.11,11.11 ✓D S NL 500CT SERENE STRAW PLAS WRPD JMBO STRP 7,75YSTWJ77SSER24 0191516 3.99 11,97 11 ,A ^`^5D S 1 1500CT EORG P TISSUE TOILET CORELESS 2PLY WH 19378 6092605 59.05 59.05 unc�;`'� I S 800 FT EORG P TOWEL ROLL ENMOTION LRG 4AUTO 89460 9627761 69.99 69 99 GRQU..P TOT AL 226:: 91 1. :r iii I N REMIT Ta s P.O. 'BOX 7137 Z: 1 5 22 19.4 286 INDIANAPOLIS IN SUB p IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206 -7137 TOTAL E DELIVER V. PLEASE CHECK THIS INVOICE. WE WILL NOT BE R ONS ISLE FOR ANY SHORTAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX i DRIVER'S NO. P S OUST. NO. PCS TOTAL I THE I g SI 7 GN O ZE gy �EC N 5 M E E g E Gp U THIS INVOI SIGN EMp SE, C• THE Cg gE7 REgCESL� INVOICE THESE COM ITIES 0 L I TRUS PC RAI A OVER THI SE D ALL KOOD OR THER PR T TOTAL ODIRCT PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 0 NT, ON PAGE 2 0 FULL PAYMENT IS RECEIVED. i I I 1 Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO j'I I I com r KYS a�LV DATA cusTOe�1ER 1.11 R BO KSHIRE GOLF CLUB l 121 'U BROOK5HIRE PKWY T R CK S OP 412940 203300336 5 2 -xX O INDIANAPOLIS, LLC CA EL IN 46033 4000 W 62ND ST ROLI:E INDIANAPOLIS, IN 46268 I1 317 ;846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER N CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. 11 r OTY :PAC SIZE ITi M pESCRIRTI:OIV Ts nn i1JV(T ExTEf�DED CODE: PRICE PRICE r.: x PRODUCE vd.l ,I S 15. LB YS IMP ONION RI;D FRESH JUMBO 1039494 1039494 8 76i 8 76. C 2,5 LB YS IMP TOMATO SLICED 1 4 40451 6113765 38,99. 38 99. GROUP �OTAL 47. MI$ H RG S, HGS FUEL SURCHARGE 5 11 dFlT3. 5. RY 323 :8 I'll D tilt CCOUt1t 4 Account DUI I... W C! Account �i Account T REMIT TO P.O. BOX 7137 Y alll 2 1.1 17 INDIANAPOLIS IN SUB I IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN gAFTE E TAX 46206 -7137 TOTAL 775.92 E 1 5 24 20.5 303 FOR ANY SHORTAGE RAFTER TH HAVE E S IGNEO I NOT P RECEIVED MUST NO. PCS CUST. NO. PCS TOTAL DRIVER'S DELVD. SIGN REC. SIGN INVOICE 11 g TH 7 E p P R SEHABg gAEGCRICUNLTSU R L �OMM l iTl S QST INVOICE OLD C SUBJE g C TO THE TA TORY E TR g U E ST p TOTAL 775.92 THESE COMMODIT IES RETAI� A ST CLAIM A R THESE COMI S INVEMfORIE� I �OF� S F O�OD THER PROOU CTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PgOCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 4/27/12 LAST PAGE 0 FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $736.07 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 203300336 45,9 $129.04 1 hereby certify that the attached invoice(s), or 1207 203300336 42- 390.40 $607.03 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, April 02, 2012 Director, Br shire 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. 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 D ate Number (or note attached invoice(s) or bill(s)) 03/30/12 203300336 Cleaning Supplies I $129.04 03/30/12 203300336 Food $607.03 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