209407 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00350198 Page 1 of 1
ONE CIVIC SQUARE ZESCO PRODUCTS
CARMEL, INDIANA 46032 640 N CAPITOL AVE CHECK AMOUNT: $222.79
PO BOX 6157 CHECK NUMBER: 209407
INDIANAPOLIS IN 46206 -6157
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 SIO0217161 222.79 FOOD BEVERAGES
91 UP
Page: 1
E
Inydice
y m Invoice Number: S100217161
YournCl Source For Food Servme Equipment Supplies
Sold To j Ship To
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
DEE BAILEY DEE BAILEY
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46032 CARMEL, IN 46032
US US
Customer No. Customer P.O. No. i Taken By Order Date Type I Date
000010701 DEBBIE EGGERT 1 COUNTER1 5/07/ Invoice 0
Order Number Shipment Method Shipped Via Type
S0218203 Counter C Counter
Salesperson Terms Phone No.
Thomas Fugate Net 30 3178467431
P fL Unit Price Amount
r Item
�Qty Ord Qty B Ord Q InvUnit Product Code Kit Item No. Descri tion �J Tax
10000 1 1 EA 664EO33 BOTTLE,JAR,& CHUTE BRUSH,16 10.38 10.38 N
L WHITE
20000 4 4 EA 117D400 POLY RND STRGE CNTNR 2QT 2.15 8.60 N
GRDTD NATURAL WHITE
30000 1 1 CS 71OD141 -BK OVAL PLSTC 21.92 21.92 N
BSKT,BLACK,3DZPK/FD 9- 3/8X6X1-
40000 1 1 CS 71OD140 -BK OVAL PLTTR 37.42 37.42 N
BS KT, BLACK,3DZPK/FD 10.5X7X1.
50000 4 4 EA 117D408 POLY CVR FOR 2 &4QT STRG 0.87 3.48 N
CNTNR NATURAL WHITE
60000 4 4 EA 117D664 CMSQRE COVER FOR 6 &8QT 2.15 8.60 N
CONTNR WINTER ROSE.
70000 4 4 EA 117D663 CAMSQR COVER FOR 2 &4QT 2.12 8.48 N
CONTNR KELLY GREEN
80000 1 1 EA 214DO05 SS UTILITY TONGS,HINGED,12 L 2.00 2.00 N
90000 2 2 EA 214DO18 SS UTILITY TONGS,HINGED,9 L 1.77 3.54 N
100000 2 2 EA 169DO71 13.5 SPOON SHAPED SCRAPER 1.90 3.80 N
Received By Please pay from this invoice, 1 112 added to past due invoices. Continued o n n ext page
Back ordered items will be shipped as soon as possible and invoiced
at that time. See warranties and important information at Zesco.com
n or in the front pages of your Zesco catalog
Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022
640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335
Indianapolis, IN 46204 Online Catalog www.zesco.com
Control Copy
Page: 2
Mvoi
4
1 'W111 N-
Your #2'Source For Food Service Fquipmel &Supplies Invoice Number: S100217161
Sold To Ship To
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB
DEE BAILEY DEE BAILEY
12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY
CARMEL, IN 46032 j CARMEL, IN 46032
US US
Customer No. Customer P.O. No. Taken By Order Date Type Date
000010701 DEBBIE E GGERT COUNTER_1 -L 05/07%12 i Invoice 05/0
Order Number Shi ment Method Shipped pped Via (Type
S0218203 Counter CUSTOMER-CUSTOMER Counter
Salesperson Terms Phone No.
Thomas Fugate Net 30 3178467431
Item 0 Ord Q B Ord
��l v Product Code Kit Item No. Description Unit Price Amount Tax
110000 7 7 EA 117D368 -CLR CMWR RND RIBBD BWL,6 2.78 19.46 N
DIA,CLEAR 18.8 OZ CAP
120000 1 1 PK 113DO32 EASY GRILL SCRAPER RPLCMNT 15.76 15.76 N
BLADES,6PK
130000 4 4 EA 619D366 1 QUART PLSTC CONDIMENT 1.43 5.72 N
INSERT
140000 1 1 EA 733D109 -13R CNDMNT DSPNSR,8 PT 73.63 73.63 N
INSRTS,BRWN 24 x6 x3.75
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33 ��u0 W4 Subtotal: 222.79
J Total Sales Tax: 0.00
_O rder P 0.
Received By Please pay from this invoice, 1 1/2 added to past due invoices. Total Am ount Due: 222.79
Back ordered items will o shipped as soon as possible and invoiced
at that time. See warranties and important information at Zesco.com
n or in th front pages of your Zesco catalog.
Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022
640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335
Indianapolis, IN 46204 Online Catalog www.zesco.com
Control Copy
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zesco Products
IN SUM OF
640 N Capital Avenue
Indianapolis, IN 46204
$222.79
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# /Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1207 I S100217161 I 42- 390.40 I $222.79 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
Wednesday, May 09, 2012
Director, Brooks Ire 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
Date Number (or note attached invoice(s) or bill(s))
05/07/12 S100217161 Snack Bar Equipment $222.79
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