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Home My WebLink About210138 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $2,380.78 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 210138 CHECK DATE: 6120/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 206010930 31.40 BUILDING REPAIRS MA 1207 4239040 2060150478 1,425.99 FOOD BEVERAGES 1207 4239040 206080641 872.91 FOOD BEVERAGES 1207 4239040 206080642 50.48 FOOD BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S com Y OEIV DATE CUSTOMER BROOKSHIRE GOLF CLUB... l 12120 BROOKSHIRE PKWY TR cK S aP 412940 206150478 9 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ROUE INDIANAPOLIS, IN 46268 317 846 -7431 DUE FRIDAY 4 WEEKS AFTER ORDER 4�U213 NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF T 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. QT. PAC SIZE T fTEM Df SCRiPI ION Exr�nY�EO A O RICE ITEW E P I E PRICE x D C S 1 :223 OZ RI ZiONA DRINK TEA ARNOLD :PALMER LITE 0..5..5;4968 !18.6;7 186.70 5 1 12 4Z RENCHS MUSTARD YELLOW CLS SQUEEZE 4150`075677 473;6070 <20 50 20.50 "D...;!.. S 4:1,75.OZ CANTER PEANUT ::SALTED 07708 9549379 26.97 26.97 c S 6 1,75 Z M SNACK ;MIX C H EX TRDTNL FLVR;. 1:240000 759;2348 `:::29,8:7 29.87 V S 1; 1 LB. BRLCLS SNACK MIX SPCY CREOLE 9106;9 996;0329 33 97 191 9<1 .11 GROUP TOTAL 633.37 *:PAPER''& DISPOSABLE PAD NL 59OCT SYSCO. FOIL :SHEET 9X10.75IN SiILVER W63372 69318500 12.98 25.9!5 5 100 CT YS CLS GLOVE LATEX FDSVC PWDRFREEMED 304:750022 34 7$41 96 39.96 D ;S 1;.:10 CT SYS: .;CLS CLOVE POLY: CAST DI SP MED 303;363112 34;8245 42. 42. 60 ✓D NL 50007. ERENE STRAW PLAS WRPD. JMBO :S.TRP 7.75YS;TWJ77SSER2i4 019.157 6 3.99 1 1.97 c/D! S 1 210SHT YS CLS TOWEL ROLL;:KTCHN >9X11 WH JBO H619g!5A SYS 661088 >29 29 :;:PRODUCE GROUP TOTAL 149.59 S 5 LB YS NAT LETTUCE ROMAINE G.OURM S XXXX 5063599 49 29 4;9 C S 5 LB: YS %TMP ONTOK RED FRESH JUMBO 11039494 103.9494 9. 9.8,4 '�C S S LB :B.RLIMP SALAD CHICKEN 514717 25]'0717 41.08 41..0:8 C 5 5 LB YS :;CLS SALAD ;TUNA WfCELE..RY ;PICKLE 71117:;.68049 672;:4249 41, 41.0;8 .S 4 25 42.5 LB YS IMP. TOMATO: SLICED 1 4" 4045:1 6113765 38 :99 GROUP OTAL 16 .4 *';DISPENSER 5 l 25LT OUWEGB COFFEE!;Ll 100 %.COLOMBEAN 9388117 116,6`.6, 116.66 GROUP TOTAL 116.66 MI5 :..:.H RG 5 HGS; FOR :FUEL SURCHARGE.:.:;:. 5.00' o REMrr as P.O. BOX 7137 z 2EJ 30 16.9 363 INDIANAPOLIS IN SUB q IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 46206 -7137 TOTAL E COR 'V SHORTAGE R AFTER Y HA SIGNED PIECES RECEIVED MUST Y TAX DRIVER'S NO. PCs CUST. NO. PCs TOTAL SIGN C p E DEL VD. SIGN E gp REC. INVOICE o gU7EHPR SHA LyE g gq EE G C RI I CU NN LTU C L OF O THE O PE I RISHABLE 7E AGRICULT I URALL V COMMO DITIESL�C TUB19CT TAE 49 g HE E 0 TOTAL THESE CO DITIES RETAI�S�A TRUST CLAIM OVER THESE COMMODITfES, ALL {NVENTORtES OF EOOD OR I �THER PRODUCTS PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES 0R PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT, ON PAGE 3 o FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from oft DATE j CUsTbhiiFg BROOKSHI RE GOLF CLUB 12120 BROOKSHIRE PKWY TR cK s Up 412940 206150478 9 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ague INDIANAPOLIS, IN 46268 317 846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER 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 REFEM-NCE. 11 PAC`.: SIZE;: C2TY ITEIYI R:ESCRIPTION T T:EM UNET EXTENDED a r U ...E PRICE.:... .;PRIG£ I. DAIRY C NL 5 LB BRLCLS CHEESE:AMER 120 SLR 28131 6697114 16 98 16 98 GROUP TOfiAL 16 98': MEATS. F 5 S 60 330.2 AB BEEF PATTY GRND STKBRGR FRZN 99763151 67 .670.3049 88 135.76. S 2 5 LB BRLCLS HAM SLICED HNY WTR ADD FRESH HHN,.850SLB 8286429 44 26 44 26: POULTRY GR..OUP TOTAL :80 02; I'll /C S 2 5 LB BRLCLS TiJRKEY BRST SLI 3L4Z MESQT.SMK MSTB940SL.B 4860003 43 43 9 8 1. GROUP TO'T1AL* .98< FROZEN OU %S 2 4 2502 KPSIMP MUFFIN ASST BL /BAN /CHOC /CH I/W 073473021825 7813114 UT /;STOCK. 1 11 ✓F S 2. 5LBi ANTLZR ONION RING :BEER BTR 5/8" 30423 085!5296 26 71 26 7:1 1. �F 5 LB YS ;IMP POTATO::FRY 3/8 S KON PHANTM PLU S;Y0031;0i8 35',6465 31 6'2 63 ,2;4 11 S 2; 3 94fJ'Z NPRIBE SANDWICH SAUS EGG CHS >CROiS IW 4;82 519;6581 29,9;6 29 9;6 I GROUP TOTAL 119 §1 *;::CANNED D.RY C NL 36 CT RS; CANDY BAR MiILKY ;WAY 36;7363 27.7!4 27.7:4 1.11 NL! 24 C:T ERSHEY ::.CANDY :::BAR ::PAY DA:Y .xxxxxxxxx 80723 70 >3!0414 ::16.59 16.59 vc NL,48 C:T NTCKER CANDY BAR SNICKER 2 0.7 OZ :0120;2 434:8389 32,`61 65.2:2 1. NL:48 CT &M CAN ➢Y.M &M :PEANUT;:1 74OZ 4.3.8:0788'::31:8.:2 31,8!2 .11 NL;; 36 CT; EESIES CANDY :PEANUT BUTTER CUP 440 51'9:7769 22.61 22.6 i� NL 36 GT:. &M CAND. SKLTTLE FRUIT CHEW 2 !17Z 70:0: 24 7;;4 49.4:8 vD S 60 CT; 'JAYS:: CHIP VARIETY SYS:CO /FRITH LAY 3183::1 65$;6721 26 98 53 I'll o I ::iii uEMtr;:To N 1 9 19 13.1 212 +Fa. INDIANAPOLIS IN SuB k.. P BOX 713 7 p IMPORTANT: PERISHABLE PR OD ARE NOT ELIGIBLE FOR RETURN g AFTE 4206 -7137 TOTAL E �OR V ANV SHORTAGE AFTER V HA E $IGNE� I PIECE O S T RECEIVE, MUST TAX DRIVER'$ NO. PC GUST. NO. PCS TOTAL g g E H p g g�y E �Jry M pl7��g Lg7 DpELVD.�JL SIGNM Q E S c g E C37 U E HE o INVOICE N TH ESE�COMMODI RR�ETgj�C AF TPE AISM ABVE RAGR SE T COMMOD TIES S INV E �FOOD�OR� PRODUCTS TOTAL RR CCC O E T PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT ON PAGE 2 o FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO S TR rom DE LV::: DATE CUSTbMER .i i. BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE c K s pP YSCO INDIANAPOLIS, LLC CARMEL IN' 46033 4000 W 62ND ST AuE INDIANAPOLIS, IN 46268 317 846 DUE FRIDAY 4 WEEKS AFTER ORDER 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. EXiT ENmb MR �2TY PAC SIZE :ITEM DESCRIPTI co E PR E f?RICE X 11 ORD S RY 8 111.1 11 t REM17 ;T0 MM P.O. BOX 7137 z INDIANAPOLIS IN SUB q IMPORTANT: PERISHABLE PROD ARE NOT ELIGIBLE FOR RETURN g AFTE 4206 -7137 TOTAL 1425.99 E 3 14 49 30.0 575 R SHORAGE AFTER V HA E S IGNE� I P ECE RECEI E� MUST TAX DRIVER'S NO. PC S CUST. NO. PCs TOTAL SIGN DELVD. SIGN REC. EE H ggg �`EE c; C MM p 7 Eg 7 p S E gp EC 7U INVOICE I q HO g Ep A gy g �IIC LTU (C OF p THE O P I R I ISHABLE E AGR ICUTLTIURALV�OMMODITIESL� S 193017 S CE 499E C O THE RgUEgLLER TOTAL 1425.99 i TH SE COMMODITI R TA TRUSST ELAIM OVER THESE COMMODITIES, AL INV T NTORIEES OF'rOOD OR THER PRODUCIQS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANV RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 7/13/ LAST PAGE a 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)) 06/15/12 I 206150478 I Food I $1,425.99 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 $1,425.99 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 I 206150478 I 42- 390.40 I $1,425.99 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 Friday, June 15, 2012 Director, Brook re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund t Goodthings DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO gVn come from AELV. <4ATE''CUSTMER.:' BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY 1 ®SYw T. Gas 412940 206010930 9 1 SCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R INDIANAPOLIS IN 46268 PA u xmANCes aRE sue��ce 317 846 7431 DUE FRIDAY 4 WEEKS AFTER RD ER N DROP CITY OF CARMEL 1 CIVIC SQUARE DRIVER: 4TY k FERIE tdA14T EXTENDED' T ry PA SI�'E ITEM RSCRIPl ?RICE FRkCE 0. 0678272 HIPPER INYOIO 2Q60111Q7 SUPPLY EQU PMENT wanq a in Mon D 1 :6X19" HEF RV TOWEL BAR MOP RIBD TERRY 32 .OZ 70QBRT32. 0265548 15,70 31 4.0 lMom I of mom moll somilig loomi 1 to loll guou 111 NMI 1:00111 loll lot mmi IMMI 9 is NMI 3 RtJP�- >SHT GROUP TOTAL 3,1.4 0 5 Y 797,:$7 0 REtikT TOt. P.O. BOX 7137 2 1.5 4 INDIANAPOLIS IN sue IMPORTANT: PER PROD ARE NOT ELIGIBLE FOR RETURN g AFTE 4 206 7137 TOTAL 31 4.0 N 2 1. 5 4 FF ANY HORTAG AFTER V HA E $IGNEM PIECES RECEIVED MUST e TAX v DRIVER'S NO. PCs CUST. NO. PCs TOTAL SON IZIgE �E gq�GC C I F C T M M E I7 ESg g 7 DEGLpRa SIGN ME p g C EgC3p VMS REC. E p NVOICE 7HSECOM�MODITIES� T A O VER�THESE ,�AL OFFOOD PR�bUCTS PAYABLE ON OR BEFORE TOTAL 31.40 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 6/ LAST P AGE FULL PAY I$ RECEI VED. 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)) 06/01/12 I 206010930 I Mops I $31.40 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 $31.40 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 I 206010930 I 43 501.00 I $31.40 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday, June 07, 2012 l Director, Brookshire olf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Good things CUSTOMER ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Come from DELV;pgTE ff BROOKSHIRE GOLF CLUB l R 12120 BROOKSHIRE PKWY TR CKs QP 0 206080642 5 1 SYSCNDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46218 317 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER ESTA NORMAL QUAVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF IN 46032- EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. t2 i Y PAC SIZE ITEM RESCRIRTION rEavt UNIT Ex TENDED CODE PRICE RR ICE r. x MEATS Viol S 1'0 LB BRLCLS FRANK ALL -MEAT 5X1 6 IN 161 lor !Elmo Stip 37736 070 1137736 22.74 45 48 G TOTAL **t* 45 48 ML$ H RG S HGS FOR F UEL SURCHARGE 5 00 Not 9 0RVE F 95 URNA MUM 13 V 1 1118 64;10._ RE un N1 too T A oil my 2 MIT A UTO 3111 IWO 1OKME Villain 1 is Selz S� N REMIT T(Q: P.O. BOX 7137 2 2 ..6 22 INDIANAPOLIS IN FOR SUB p IMPORTANT: PERISHABLE PRODUCE NOT ELIGIBLE RETURN: A FTE 41206 7137 TOTAL 50.48 E 'L DELIVERY. PLEASE CHECK THIS INVOIC AR E W WILL NOT BE RESPONSIBLE Y� 6 22 FOR ANY SHORTAGE:�AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX H PIECES NO. PCS CUST. NO. PCS DRIVE TOTAL R'S DELVD. SIGN REC. p SIGN C M p g p p g 1 k 7 7 INVOICE 50.40 o gTU7EHpP F S�HpAgg ggEGCfIICUNlTU1c OF O TH M E OP EI R HABLE CULTIURALVOCOMEMApDITI F OLD C U 81 gE C 3p17 0 �1 S 499E7�C�)OR HETRS E p TOTAL r THESE COfv1MODITIES R TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 7/O 6/12 LAST PAGE o FULL PAYMENT IS RECEIVED.