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HomeMy WebLinkAbout210561 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $1,451.68 INDIANAPOLIS IN 46206 -7137 CHECK NUMBER: 210561 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 206220537 1,193.60 FOOD BEVERAGES 1207 4350100 206220537 258.08 BUILDING REPAIRS MA Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYS.CO cefrom b�LV, bAr� .T.D E.R BROOKSHIRE GOLF CLUB 12120 BROOKSHIRE ¢12940 206220537 8 1 1. I SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R0u's INDIANAPOLIS, IN 46268 317 846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER I CITY OF CARMEL 11 1 CIVIC SQUARE DRIVER: DYKE DERRICK CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1. 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. 11 CITY N:: PAC SIZE ITEM DSCRIPTI,ON Q I.T UI1fT EXTENDED CODE PRICE PRICE DAIRY Ix NL 5.LB BRLCLS CHEESE AMER YEL 120 SLI 28131`6697114 16 98 33 96 MEATS GROUP TOTAL 3.3 96 11 r ,iF 5 .605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703049 67.88 135.76. S 110 LB HNSVLE BRATWURST 5X1 PRCK SKLS 3188 2199198 33 97 67.54 I'll v S 10 LB BRLCLS FRANK ALL MEAT 5X1. 6 IN 37736 070:,1137736 22.74 159,18 S 42.5 LB BRLCLS HAM SLICED HNY WTR ADD FRESH HHN850SLB 8286429 44•'26 44 26 POULTRY GROUP TOTAL 407.14 V� S 42 5 LB BRLCLS TURKEY BR5T SLI 3//4Z M SMK MSTB940SLB 4860003 43 98 43 98 I'll FROZEN GROUP TO`PAL 43 98 1. S 244 2502 KRSI: MUFFIN ASST BL /BAN /CHOC /CH I/W 073473021825.7813.114 23 94' 23.94 5 5 LB YS IMP POTATO FRS' 3/8 SKON PD NTM PLU 0 4356465 31 E2 63 24 DROUP TOTAL SY00318 87,18 CANNED DRY .111.1 NL 24 CT ERSHEY CANDY BAR PAY DAY: $0723'7030414 16 5 9 16.59` 1. `�C ML N4 CT NICKER CANDY BAR SNICKER 2.07 OZ 01202 4 348389 32 61 32.61 I 1. `�C NL 48 CT &M CANDY M &M PLAIN 1. OZ 5PEC01231 4364774 32.61 32.61 1. .11 1 S 160 CT AYS CHIP VARIETY /FRITO LAY 31831:. 26 98: 26 98: D 1 S 1223 OZ RIZONA DRINK TEA ARNOLD PALMER LITE 0554968 18 67 18 5 1 2402 SE REC KETCHUP SQUEEZE BTL HOUYA24 9617218 26.76' 53.52 11 11 I D S 4106 OZ ELPASO PEPPER JALAPENO SLI JUG PAC 4600088232 7977150 59.61 59.61 L 15`GAL CHWRTZ PICKLE CRS CUT KO` 296582'70756 "1028919 39 86 39 E F F [lx 1:::::::x:::: X: I.",""..,................"""",.", 11.11 I 1. I OPEN r N ..... P•0. BOX 7137 2 3 5 36 20.6 60b INDIANAPOLIS IN SUB I IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206 -7137 TOTAL E DELIVERY. PLEAS' CHECK THIS INVOICE WE WILL NOT BE RESPONSIBLE FOR ANY SHORTAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX NO. PCS CUST. NO. PCs TOTAL DRIVER'S 0ELVO. SIGN A REC. INVOICE g SI 7 EG H N p ER ��EE EEII SS I{ F GG L po CC� pp EE gg gg UU CC� EE E gE o TOTAL THESE RIU ITIE I RETAIN C 5�0 T THM P CLASM A OVER D TR S T COMMODITI ES,DALL S IDE T NTORI EOS OF S FOOD 9 0R� C TIER PRODEUCTS PAYABLE ON OR BEFORE I DERIVED FRO SE COMMODI S, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT ON PAGE 2 u FULL PAYMENT IS RECEIVED. Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from DELV Dare CUSTDh1EiR 121 BROK BROO GOLF CLUB CG KSHIRE PKWY TRCK:SOP 412940 1 206220537 8 2 In CARM BROO EL IN 46033 40000 WND62N LLC R(YU INDIANAPOLIS, IN 46268 317 846 7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: SYKES, DERRICK CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60 -1.4, 60 -250.4 AND 60 -741.4 ARE INCORPORATED HEREIN BY REFERENCE. C2TY PAC SIZE' ITEM 4JNET EXTEIJL�ED ITEM DESCRIPTION C0DE PRICE F,.:RICE x U� S 3$ LB YS R. EL SI ORTEN.ING FRY LIp CLR `ZTF. 99$;8::0 COM; 4518403 >29 98 59 95 GROUP TOTAL 568.44 PAPER &DISPOSABLE NL 5!OOcT YSCO FOIL SFIEET 9X10.75 SILVER W69372 693$'500 12.96; 25.95 1 1;500G?' EORG;: P'TI:SSUE::TOILE;T CORELESS;:: PLY.'N 1937$: 6092::505. :159.05 1($.10;: IA S $B0 FT EORG; TOWEL AL ROLL ENMOTION LRG 4AUT0 89460'9627761 69.99; 139 98 GROUP TOT* 284 04 CHEMICAL S 2 8!OZ I;YSTON CLEANER FRYR BOIL OUT 61'00055! 7715420 42.95! 42.95 HAZARD PRODUCE GROUP TOTAL 42 95 5 42 5 LB YS IMP TOMATO SLICED 1�4" 40451 6113765 38 99 38.99 GROUP OTAL MIS CHARGES HGS FOR FUEL SURCHARGE 3& .00 ORD S JMMA RY 6$,00 I XXXX X. 0 REMIT Ta; P.O. BOX 7137 2 2 10 10.6 205 INDIANAPOLIS IN SUB I PO RTANT: PE R PROD ARE NOT ELIGIBLE FOR RETURN AFTE 4 6 206 -7137 TOTAL 1451 .68 3 31 .2 FOR ANY SHORTAGE AF ER Y UI INVOIC SI WILL RECEIVEDO MUSTS AQPFF WITH TAX DRIVER' NO. PCS C ST. NO. PCs TOTAL wO. gSIGN De p Eg g E7 G L SIGN p C g� �1 E E E p INVOICE THESE R M L S AGR O N AT�IR OEOU T E �AIM A OVER A THES U E TCOMMOD COMM O AE�TORIE� OF -SC 49 0R� C THER PROLD PAYABLE ON OR BEFORE TOTAL 1451 .66 RUST I DE FRO IS RECEIV0 ITIES. AN1) ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 7/20/12 LAST PAGE VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF 4000 W 62nd Street Indianapolis, IN 46268 $1,451.68 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1207 206220537 42- 390.40 $1,193.60 1 hereby certify that the attached invoice(s), or 1207 206220537 $258.08 V5'3 ©1- 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, June 25, 2012 Director, Brookshir 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)) 06/22/12 206220537 Food $1,193.60 06/22/12 206220537 Cleaning Supplies $258.08 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