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Home My WebLink About211122 07/18/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 `F ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $3,680.73 INDIANAPOLIS IN 46206-7137 „oy o CHECK NUMBER: 211122 CHECK DATE: 7118/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 206290507 83 . 30 FOOD & BEVERAGES 1207 4239040 206290508 67 . 88 FOOD & BEVERAGES 1207 4239040 206290509 1, 827 . 86 FOOD & BEVERAGES 1207 4239040 207051195 39 . 90 FOOD & BEVERAGES 1207 4239040 207060537 764 . 02 FOOD & BEVERAGES 1207 4239040 207130500 897 . 77 FOOD & BEVERAGES 1 1 CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things come from .DELv„DATE CULT oNeR. PAGE BROOKSHIRE GOLF CLUB... R cK s OP 12120 BROOKSHIRE PKWY w/sco ,. 412940 207130500 3 1 CARMEL IN 46033 40000 WND62NDPOTI5, LLC ROUTE: INDIANAPOLIS, IN 46268 ' 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF ,ARMEL 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 QTY ° PAC14 SIZE ITEM DESCRIPTION ITEM UNIT EXTENDED Tj r ....i ., ... .. CODE PRICE :PRICE x DAIRY C . IS DNLY5 LB BBRL.CLS CHEESE AMER YEL 120 SLI 28131 6697114 16.98 16.98 ** MEATS ** GROUP TOTAL**** 16.98 S 605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703049 67.88 67.88 S 110 LB JHNSVLE BRATWURST 5X1 PRCK SKLS 3188 2199198 33.97 67.94 I CS 42.5 LB BRLCLS HAM SLICED HNY WTR ADD FRESH HHN850SLB 8286429 44.26 44626 GROUP ;TOTAL**** 180.b8 ** POULTRY *** L,/- i I CS 42.5 LB BRLCLS TURKEY BRST SLI 3L4Z MESQT SMK MSTB940SLB 4860003 43.98 43.98 GROUP TO1f11'AL* 43..98 ** FROZEN *** S 244,2502 KRSIMP MUFFIN ASST BL/BAN/CHOC/CH I/W 073473021825 7813114 23.94 23.94 VIP, I CS 42,5LB rANTLZR ONION RING BEER BTR 5/8" 30423 0855296 26.71 26.71 S 65 LB SYS IMP POTATO FRY 3/8 SKON PHANTM PLU SY003108 4356465 31.62 31.62 GROUP TOTAL**** 82.27 ** CANNED & DRY *** IS NL 24 CT RERSHEY CANDY BAR PAY DAY 80723 7030414 16.59 16.59 L.,r- S DNLN48 CT SNICKER CANDY BAR SNICKER 2.07 OZ 01202 4348389 32.61 32.61 S 160 CT AYS CHIP VARIETY SYSCO/FRITO LAY 31831 6586721 26.98 26.98 t,,)D'' 1 S 1223 OZ kRIZONA DRINK TEA ARNOLD PALMER LITE 0554968 18.67 186.70 : S 101 LB BBRLCLS SNACK MIX SPCY CREOLE 91069 9960329 33.97 67.94 GROUP ..TOTAL**** 330,82 Y ** PAPER & DISPOSABLE *** I CS 1280 CT YSCO CUP PLAS TRANS 160Z SOFT YE160SYS 7358304 59.98 59.98 S 12500 CT ORKADV NAPKIN DISP XPRESSNAP WHT DX900 1330687 59.26 59.26 o ry REMIT TO P.O. BOX 7137 _ ? I'2 3 26 20.5 412 INDIANAPOLIS IN SUB q IMPORTANT. PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206-7137 TOTAL E DELIVERY. PLEASE CHECK THIS INVOICE WE WILL NOT BE RESPONSIBLE FOR ANY SH ORrAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX AGREE 'A ITH PIECE;DRIVER'S NO. PC S CUST. NO. PCs TOTAL SIGN DELVD. SIGN REC. q p Z y SEC N E E$ E7 C I� C INVOICE THESE COM ODITIESR ROETASNC A TRUS PCLAIM AOVERATR SE TCOMMOD TIESO, ALEOINVEfrfLp IE0I OF RoO490R�C� .THE PRLDUCTOS TOTAL PAYABLE ON OR BEFORE I 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. CUSTOMER'S ,ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good 011ie from DCIV; DA . CUSTOMER .. things BRO T�.;:. OKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY bys c 0 rR cK STOP 412940 207130500 3 2 CARMEL IN 46033 40000 WND62NDPST , LLC Rou E„.., INDIANAPOLIS, IN 46268 :: Af 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER 0XVIAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-14 60-250.4 AND 60-7414 ARE INCORPORATED HEREIN BY RE_FEHENCE QTY ° PAC SIZE ITEM DESCRIPTION .. ITEM UN[T EXTENDED CODE .: PRICE PRICE x rODF GROUP TOTAL**** 119.24 ** PRODUCE *** /c I C.S 2 LB SYS .NAT LETTUCE ROMAINE GOURM :SNGL,S 5063599 29.:49 29.49 `,C I CS 15 LB SYS IMP ONION RED FRESH JUMBO 1039494 1039494 9.84 9.84 +- C =.:.;. . S 5 ,LB...: YS.....CLS.:SALAD TUNA ;W,/.CELERY & PICKLE 71117.6804,9 6724;249 41.:08 41.08 S 2.5 LB YS IMP TOMATO SLICED 1L4” 40451 6113765 38.99 38.99 .MIS CHARGES. HGS .F.OR. FUEL:.SURCHOARGE OTAL**** 119 5.00 'ORDER SUMMARY 21855 a REMIT TO " P.O. BOX 7137 V 4 2.8 41 INDIANAPOLIS IN SUB q IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206-7137 TOTAL $97.77 E ❑ELIVER V. PLEASE CHECK THIS INVOICE. WE WILL NOT BE RESPONSIBLE 2 3 30 23.3 453 FOR ANY SHORTAGE AFTER VOU HAVE SIGNED. PIECES RECEIVED MUST TAX NO PCS CUST. NO. PCs TOTAL DRIVER'S DELVD. SIGN REC. SIGNp SEC q E EI E M pp SE C U �) p INVOICE 897.77 THE PR HAILE 13�THESEC OEMDMO DITIESR ROE TLASNCS AFTRUSTO DC RASM AOVERATHRESETCOMMOD TIES, ALLOINDVEKTOE�I OF SFOODg OR�COTHER PRODUCTS TOTAL PAYABLE ON OR BEFORE i DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 8/1/12 LAST PAGE a FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $897.77 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 207130500 I 42-390.40 I $897.77 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, July 13, 2012 Director, Brookshir olf 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)) 07/13/12 207130500 Food $897.77 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 Goodthings CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO BROOKSHIRE GOLF CLUB+++ .... ..... 12120 BROOKSHIRE PKWY 412940 0509 2 1 1 Sii INDIANAPOLIS, LLC :x .+7 607 _�20629 CARMEL IN 46033 4000 W 62ND ST .......... INDIANAPOLIS, IN 46268 )1;4A AS T, n 317-846-7431 UE FRIDAY 4 WEEKS AFTER RDER ANIEE511 92 NO MA DKLIVERY CITY OF CARMEL a SN13� LEVERENZ 1 CIVIC SQUARE DRIVER: SUMPTER, MAX CARMET. T 41;012 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60-1.4. 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. N T+::::::::::::: Em :-U.'r, s iz++':` ::::.: .... E.: :::::: .:::::: y. :: .- ............ I.T .. . ........ .::ITEM:::DESCWTIC 77! X ...... DAIRY .. ........ �:XX*:%` ........... ............ .... ........ ................... ++ 94- 28131 66 7114 +' i16.9 8 5'0-- �--/c " S. 3X15 �LB CHEESE AM SR, 12+0 Stl' . .................. -X,........... ................ X ...... ............ .......................... :T ... ............... ...... ...... GROUP: OT ++++Ll ......... ............. ......... ......... ... ......................... ...... ..................... ........ .... .. ....... ......... .......-+----. ............................ ......... ............... ---- ... ..... X 3..3OZ',.AB BEEF PATTY GRND STKBRGR FRZN 9.9..7.6.3.15.1.....6.7.0.3.0.4.9.....67...B8. . ......115.7.6- .......... .............. +........................... ............ ..... 4>::::::;:'::::>::::>::>:.>: x- x 9SVLE'*+BRAT"W'**'U*R8T', X1 'P+R++**C+ K' 8+K++L'+S n8*6-2-199, 1-9*8 67 9 .......... ........ ............ ............ .......... ..................................... . . ........ ........... .. .. . . ..... ..... .......... ... ....... ... . . . ......... . .... . . ...... .. ....... ........ ... . ........ �S RA -ALL....ME -0 70. I lo.. v ...74 1 3., ...................... 'N' �4 AT IN ........ .3 70. 1137736 22..+.....l-, ............... ... ... . .................. X I/F S 276'+OZ MANCk PORK* FRI% t+E+*R B+'R*+D:_RAW 660 6` 2205383 39'.++18 35.79' X ... . X:+ ;:>::::::::::::;:::::;;:::<:::<::::::`::::: . . .... ..... 'T . ........... %% + DTAV 357 1' ,::+: .......... FROZEN ......... ....... ......... ............ ............................. ....... .......... 0++O--kI-E`C-H6C "CARK b WN+,H M': 3`0'1+ I W* 34-9-4-3-19, 5.8...'32' 5832 ............ "....................... .................... .... .. >::>::5........... .......... .....%..... .......I C 24 4 5 0 Z K R SIMP WF P 1 14 ASST. B:L:-/.BAVCHOCICH I/W 071473021825 7%8.'.1.,3.114 23.94 23'.g:4:::: ........................... ...... ... ........ ...................... ............ ........... .... ........ ................++::::-::::-:-: ............................. ..................... if , `-++ LIF S:»::>:::>::::>.. 423LB ARTI,Z'R......ONION RI BEER BTR +5/8 08+552''56 26'."71 ............... ............ ......................... ..................... ...... :::+: ,:.:+.: +- - . . . ............. . .................... ........ ... .............. ...... .2C ... ...... 2 S 65......LA YS IMP POTATO FRY '3/8 SKON-'-'--PHANTM PLU SYOO'3108 4356f65++31.62* .......... ...... ............. .............. . ................... ...... ............. ........... ....... 519+6581 2996'+ S ...243'.'9*40'ZrNPRID+E+**SA*NDWICli**'SAtig' EGG++CI4S CROI'S --- ----- ----------------------- .........- P... OT .... .... ...... .....I..... +%.� .:.: . ..Kl. % � _u w :,X:!;: ..T m . ... ... ....... ... CANNED bk� . ................ .......... . ....... .. . ........ ..:.:::+:.. .. ... .......... Rib 'BEAN' BXXEIj++"OVEN.... .................. 4 0 008 7 3 ... 48*.38: ... ... ....... ...... ..... ........ ........ ..... ........... ... .... . ......... NL136 CT 4ARS CANDY BAR MILKY WAY 4367168 27.74 27.74 ........................ 16"' 18 DMIA 2+4 itR ]HEl Y+ t AN D* Y B A R P A Y "+D.A+ Y+++ $.0723. .. .........- .................I- -------------- 1A jNt;V48CT 6)'NICKER -CANby-b R SNICKER+ 2.07 +02 0120+2' 4348*589 + 32.61". 65.22 ...... . . ............... ........... ........... X ------------- -- 0 FRIT '31+'++++ 58'6721 26. 16+0 'CT`tAYS+--` P VARI'ETY... YS`C 0' 31-831" 5+9* +:+ 8:T.9 4+ ....... ...XX .... . ............... ...Oz... ... . ........... ... 1223 A DRINK OLD PALMER 8 67 18+6.+7 0 VID: Ii,RI ZON' NK 'TEA 99' 99 0554968 X ROPCITK*'+JUI'-CE'+*CRNB+RY` CXTAIC'PET'' 17+60*0:*62:::: 1:6++.+'1:3 16"3+3 x.. ............. . ........... ............ _CA -C -CJJBFrprlqcz WT OIJE14: /:UU AM CLAUSE: 4:UU PM COI IT Tr)T Of P.O. BOX 7137 2 31 7 38 25.0 570 INDIANAPOLIS IN SUB /1� D :2 HA IMPORTANT: PE31S HABLE PROD&UCT S ARE eNOT ELIGIBLE FOR RETURN IEAFT E 46206-7137 TOTAL v FOR VE Y SHORTAGE HEPK R HIyoV CE8 I NE WIPIE C EOT RECRIEIOM� T E TAX X—TI-I DIECE&_RJLEII___— TOTAL DRIVER'S No' PCs COST. Aff No. PCs I SIGN DELVD. i SIGN' fREC. INVOICE I I T 0 ?p%R I OJA �I_g 41 INVOICO AIM f�LD TO THE R UW(l T ��lkl LTT�R Y IT .Yi toFTOMPM, �gvcpvk Oy C TA A Lbb,,,�I�JE FYI T I S %-OD -r9l P I DERIVED FROM THESE COMMODITIES, AN R Si?9 Avi &%`C PAYABLE ON OR BEFORE a FULL PAYMENT IS DI 0 ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ON PAGE 2 RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO . ...... ....... BROOKSHIRE GOLF CLUB+++ .....A/21/12 12120 BROOKSHIRE PKWY 412940 1206290509 2 2 Sii INDIANAPOLIS, LLC . .. ..../607 T, CARMEL IN 46033 4000 W 62ND ST . ........ ................... ...... ....... ........ INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS QTErR. RRDER MAAl 0 UELIVERY CITY OF CARMEL MA* L--�'RWA GWb?FbN6N4 1 civic SQUARE nRT)r --- I-R, MAX -CARMEL IN 460-12 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60-1.4. 60-250.4 AND 60-7414 ARE INCORPORATED HEREIN BY REFERENCE. .... a X.: q.. ............ x. ............. ..:.::....... ..... ........................... :T y cIZE: . .: [T EXTENDED EM : WRV t x*, S 0 T:GM:.:,:: T&!TV�.A...E........ .......... 701 4 ... ... ..JP .PAC K RL ...... ..... . ... SRY5 281 . . 27 . Oi;; .. .... ....... . .. . ..... ..... X X - 5'1.3.0..2++++ : 2 vfx` >:>: DMI 4:0::::02::.:. 'A.R-Y.S +..:.S.A,+'LTSEAS+OX.ED::..:.i ].:+<+++�'+':":-+--..'i :2++ 061-2 Y:. . ..... ............... ...... ........... ....... --- ------- y .1m RA1.0ti'l.. 530 5::::02 .V+++L` SNACK..BA R...0 .9 4 3:66-0170: :45� 4795::, :.,::a: X g.:: 60.32a :4197:: :35: Vxx X �.!l 0 MIRE . ....... p Y.+:::, tt WX I X............. .......... ...... .... ..... 9 2: .:::.4 9.9 ........ 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INVOICE T pq%OA�g,�j R 1pgTll� 5 TV TOTAL I W INS L C ,FA�1��E�GR� I INV?ICE A�j t?,La,V�k,�JJO B @Cyr%.�R lk T PAYABLE ON OR BEFORE ITL 0 5ggT 8,S& 7 k R FT03T L A I V R TH 8060611VIV. A I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL r.'ONT. ON PAGE 3 FULL PAYMENT IS RECEIVED. 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BOX 7137 2 1.2 20 INDIANAPOLIS IN SUB , impoHiANT: PERISHABLE PROD�UCTS ARE&NOT ELIGIBLE FOR RETURN R AFTE 62 TOTAL 83.30 E 20 DOR VANY SHORTAGE AECK THI U I NVOVICE$ NE WIPL E CEOT RE CREVJP)N l� T E TAX v :+ :....., � - -I I.. -_ -No. PCs CUST NO, PCs TOTAL � SIGN DRIVER'S - DELVO. �SIGN I REC. INVOICE I TH P I E T41! LC_ TOTAL 83.30 R��R�O.Aftj -- ' PP M ODI S A 11 0 S �VtC��OFYI TRIJ 7,-_--_]PAYABLE ON BEFORE _ & M NA�'Jl 'Y§S'�� . ILL I -OP 'THCh -r I I E��&A FLA-'TTl'lrp9 � = �gl'N�'?'OC OUTIN I ),O�A N� V.�IHE V,r ft'�J(% I� . ? R R' I , S '61 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES PRODUCTS 9 1.-FULL PAYMENT IS RECEIVED+----------------.---------- ES UNTIL 1 7/27/12 LAST PAGE VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,911.16 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 206290509 42-390.40 $1,827.86 1 hereby certify that the attached invoice(s), or 1207 206290507 42-390.40 $83.30 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 29, 2012 Director, Brookshir4 Uolf 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)) 06/29/12 206290509 Food $1,827.86 06/29/12 206290507 Food $83.30 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 ! Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO e from .:DELV-DATE CUSTOMER : ...? ;; . BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY Sijsco- TR C K S OR 412940 207060537 9 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ROUE INDIANAPOLIS, IN 46268 "' 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER GARY LEVERENZ CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF AR r, N 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-14 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. "'ITEM UNIT EXTENDED. QTY PAC SIZE. ITEM'DESCRIPTION,: CODE .:.. PRICE PRICE x . MEATS F I CS 605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703049 67.88 67.88 S 110 LB HNSVLE ,BRATWURST 5X1 PRCK, SKLS 3188 2199198 33..97 33.97 S 110 LB BRLCLS FRANK ,ALL-MEAT, 5X1 6 IN 37736-070 1137736 . 22.74 113,70 VC . I C S 42.5 LB BRLCLS HAM SLICED HNY WTR ADD FRESH HHN850SLB 8286429 44.26 44.26 GROUP TOTAL**** 259.81 ** POULTRY *** ....... C OUI CS 42.5 LB BRLCLS TURKEY, BRST SLI 3/4Z MESQT SMK MSTB940SLB 4860003 UT STOCK GROUP TOTAL**** ,: ..... ** *** ..::.:::::..:.:.. . FROZEN F . OU S ' 2 4.2502 UTS5TOCMUFFIN ASST BL/BAN/CHOC/CH I/W 073473021825 7813114 t I CS 42.5LB TANTLZR ONION RING BEER BTR 53" 30423 0855296 26.71 26.71 GROUP TOTAL**** 26.71 ** CANNED & DRY *** S 316 CT KELLOGG BREAKFAST BAR ASST NUTRI-GRAIN 003800005872 4215893 26.45 26.45 ✓C IS ONLY48 CT SNI.CKER CANDY BAR SNICKER 2.07 OZ 01202 4348389 32.61 32.61 S 1223 OZ kRIZ.ONA DRINK TEA ARNOLD PALMER LITE 0554968 18.67 93.35 S 1212 OZ FRENCHS MUSTARD YELLOW CLS SQUEEZE 4150075677 4736070 20.50 20.50 S 481.750Z PLANTER PEANUT SALTED 07708 9549379 26.97 26.97 >� I CS 5009 GM SE REC RELISH SWEET PKT 1609064 1609064 28.25 28.25 GROUP ::TOTAL*** 228.,13. ** PAPER & DISPOSABLE *** .. ✓D 2S DNLY5.00CT..SYSCO FOIL SHEET 9X10.75IN SILVER W69372 6938500 12.9$ 25.96 S OOOCT SOLO ' LID PLA'S 'DOMEWHTIO/12%16/20%24 " TLP316=0007 6447534 49.50 49.50 REMIT.TOs ' 'q VVT P.O. BOX 7137 2 1 3 22 10.8 270 INDIANAPOLIS IN SUB p IMPORTANT: PER SISHASLE PRODSUCTS ARE NOT ELIGIBLE FOR RETURNS AFTE 4 206-7137 TOTAL E FOR ANY SHORTAGE RAFTER YIOU NV HAOVE SIGNED IPIECEOST RACEIVEO MUSTE TAX v DRIVER'S NO. PCS CUST. NO. PCs TOTAL DELVD. SIGN REC. INVOICE SIGN E gy �ECR C q E Eg E pRI L MEMp E SEp g�D(l u g c q gE HE SEL AUTHOR�EMM8& IRS IRETA5� AOFTRUSTOPt�RAIMA ERA THESUE TCOMMODC0 S,�IALL SIN TrfTORIES F Fo OD90R�C THER PROOUCTOS TOTAL THESE C PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2 o FULL PAYMENT 15 RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO rom 7»LV, DgTC" CUSTOMER :. NUMBER PAGE BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY Sij$co- TR cK SOP 412940 207060537 9 2 CARMEL IN 46033 40000 WND62NDPSTI5 , LLC ROUTE INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: MAY, JEFF .ARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ITEM UN[.T EXTENDED T It ISTIVIENTS C2TY . N PAC SIZE,, ITEM;R.ESCRIPTION PRICE x CODE PMCE': �D: YCS '25 33 GAL YSCO LINER TRASH 33X39 5 ML BLK H6639MBS 4075958 38.78 38.78 CHEMICAL * GROUP TOTAL*** * 114.24 VD CS 3202 EYSTON CLEANER MULTI SURFACE RTU ORNG 6100063 7682802 29;58 29.58 **.:`:PRODUCE' *** GROUP TOTAL**** 29.58 VC ...: ;. S 25 LB BBRLIMP SALAD CHICKEN 51071 2510717 41.08 41.08 - * * GROUP TOTAL**** 41.08 **::.DISPEN ,. . :SER VD I CS 152 GAL TR'YTIM DRINK MIX LEMONADE 139800 4800807 59.47 59.47 GROUP TOTAL**** 59.47 MIS( H RG 5 HGS: FOR FUEL::SURCHARGE 5.00 ORDE F S RY 16338 q. CLOSE: 4:00 FT Retsrr Ta. P.O. BOX 7137 4 2.1 47 INDIANAPOLIS IN SUB 1 q IMPORTANT PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTE 4206-7137 TOTAL 764.02 2 3 26 12.9 317 FFOR DELIVERY.SHORTAGE,RAFTER VIOSUI HAVE E$I GNEO WILL RECEI VED MU ST TAX TAX DRIVER'S :DE. PCS CUST. NO. PCS TOTAL SIGN .V SIGN REC. INVOICE q p ZZII ggggyy ��EEGGCC NN ME Eg g E R p gE EgC3 u C gE E SEL p TOTAL 764.02 THEESEECOgMHMODITIESRIION AINRS�AFTRUS TT CLAIMAOVE RA THE SELTCO MMOD MIES,DALL�I DEEPITORIE0170F SFOO D90R�C THH PRObEU CTS PAYABLE ON OR BEFORE UTH RI ED TIO 5(C O TH p I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 8/03/12 LAST PAGE o FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO ..... �...''..'' : . � .,... .....', oft come from '::;::O�tv.VAX��;�� ]CUST I �� .:;:::: : :+::. f +o:.:: � . :�::::�:: :d.:i::::::d..:�..::i::i:::::::�i:::::::::i 12120 BROOKSHIRE PKWY 6'42: 9�i2' . , PKA x]�::i�:: .:..:.:++:�.....44va'.+ ++:NU p'9�9i::.'."::::+:O�A :::::fWK:STOP'... zloygo- :.--:..T... ....+: 4 1 INDIANAPOLIS, LLC ... . I CARMEL .d + * . . .........I....I .... . IN LI IN 6 68 ..+ . :... `:�.:� . 317-846-7431 '. . . D.:.".I....U CITY OF CARMEL 1 CIVIC SQUARE D.:—.R.A:..: II V.:I.:..:.�....EL.::�...0 bR.U++:.,. +:.. :U%.��.i.".� Md—G.....d:.. AP']_ T+:-_R�::::-.:.::�+:-,. E::� ..R ,: MV..:.-::AN 8Eb. X EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-7414 ARE....:!...,.....I N.C..O R P::I:..ORA.. TR�E:0d.I:D :-... HEREIN .�- �. B;...i �.. Y! REFERENCE.�.��.++++ !:.:1 �... �.i.:.i.:.l... !! +...:.1.,.+.:�.- ..++.:.—'.". ...++. GTY.:::::: 0: S iztl:�::] .i i.....j.....:: . i .i.,ii�d :. ...::: . .. . .d A:............... ......M.T -.ITEM DESCRIPTIO .....+..,.....+.... -, :::..++.:.-.:::::: x .:::lXT::+::::::::::::: :::::.:::':: .... :.:.. ....:: .... Me ' � d—:.:::::: �PE.,_...+,: :.... : .�i . 0 . .. :: . ............. M .+,+. 5.....6. 5. 3OW :: :::::...: ...:.:.+.d...d..: - d*:* w:::: ::AR AFPp* PATTY 0 RND+ STKBRGR FRZN...'' +' ''+9 9 7 63:1 5 1 6 10 1+0:19:: 67.8:8. . . : - .. ...:..::+ . ': 67 . .d..... .. ++. :::::::::::::.::::.:::::: :::::::. .: ...,.......-+.+ +:.......+.I:.:::.:::::: :::::::: .4 ..X+, ..�� i��::]��.-'.-��::�...--�� .:,.:.::..-. j.�:+ 1.+++. .:-.XZGJP�::TW A I..—. *,....,..�..... .. ...... 67 d ..... .- '+. .....+......:++.. .I ,......:::: .::::*d. : .. ......d.......- ..: �i: [ ..:..:... - :�::.::..: O N. R.. ...S.. ....... 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I.d ... �..1.: HE H ld 11 IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 2 TOTAL 67.88 FOR . E CHECK THIS INVOICE,eE WILL NOT BE R RRLE D , v I 1 .8 2 Fr' ANY SHORTAGE AFTER YOU HAVE I NED. PIECES RECEIERPED T TAX . —— — L�'Rrr: DRIVER'S N ICUST. d NO. PCs TOTAL .ELP", � SIGN .. .. ISIGN I REC. INVOICE I THI p� 1�t'A hA�t'E� Rp THIS INVOICE qQL u8il ITOTAL 67.88 2 I��I&LT'gR &�C 0 R '�L.�T a , M A . Ul. T' I�UTIf �' t gj�SPT TA I_�'V��WSTSF�pf I NO,' RA �F 91 11 I i .'p.�?, ! S I A TRUST T Opp AL 0 1 I'gg 'rHp PAYABLE ON OR BEFORE DERIVED FROM OMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE or THESE COMMODITIES UNTIL 7 0 FULL IS RECEIVER.___________________________,_________------- Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from :DELV„0.AT� :.CUSTOMER BROOKSHI RE GOLF CLUB... �l® � TR cK s oP 12120 BROOKSHIRE PKWY 412940 207051195 7 1 All CARMEL IN 46033 40000 WND62NDPOTIS , LLC ROD.&. . INDIANAPOLIS, IN 46268 .qFRV14rF CHARGE. 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: FISHER, MIKE CARMEL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. EXTENDED T t3TY PAC SIZE ITEM DESCRI,P,TION PRICE PRICE :: '" A JUST.D4 ruTe, ,ITEM CQDE ronr Ty PRODUCE C .... J ..CS 16.5 LB RSHLIN SALAD ,KIT APPLE CANDID 382270 8371736 34.90„ , 34.90 GROUP TOTAL**** 34.90 MIS CHARGES HGS FOR FUEL SURCHARGE 5.00 ORD :>S UMMA RY •' 14584 .. . .......... r '' '� - .. .... � . 0 REMIT TO P.O. BOX 7137 1 .7 8 INDIANAPOLIS IN SUB K 9 �1\ 1\0�j q IMPORTANT PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR REE5TURN AFTE 4 206-7137 TOTAL 39.90 E 1 .7 $ FFOR ANY SHORTAGE RAFTER YOUI HV VEE$IGNEI.IP WILL RECEIVED MUI STE TAX NO. PCS CU$T. NO. PCS TOTAL DRIVER'S DELVD. i SIGN REC. INVOICE SIGN THEE PERISHABLE q RICULTUR L COMMODITIES LISTED RN THIS INVOICE ARE SpLD gUBJECT TO THE STAT�J ORY TRUS TOTAL 39.90 o U7HORIZED gY gETlOfl 5(C�OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 193017 11,S.C. 499 (C THE SELTbER S PAYABLE ON OR BEFORE THESE COMM D1 1 R TAIN A TRUST LAM OVER HESE COMMODITIES ALL INV N70 1 OF FOOD O THER Pf20 UCIS 8/03/12 LAST PAGE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PA VENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $871.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 206290508 42-390.40 $6788 1 hereby certify that the attached invoice(s), or 1207 207051195 42-390.40 $39.90 bill(s) is (are) true and correct and that the 1207 I 207060537 I 42-390.401 $764.02 materials or services itemized thereon for which charge is made were ordered and received except Monday, July 09, 2012 Ze2 Director, Brookshire olf 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)) 06/29/12 206290508 Food $67.88 07/05/12 207051195 Food $39.90 07/06/12 I 207060537 I Food I $764.02 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