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Home My WebLink About212784 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $2,437.67 CARMEL, INDIANA 46032 PO BOX 7137 roe INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 212784 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 208301163 1, 737 . 12 FOOD & BEVERAGES 1207 4239040 209061402 700 . 55 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from i o�LV.'DATI5..i:: 'i:' CUSTOMER:.. ;,: INVOICE NUMBER PAGE BROOKSHI RE GOLF CLUB+++ l®��®� 12120 BROOKSHIRE PKWY T.ft .K s oP: 412940 209061402 1 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST RouE. INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER 8/ NORMAL DELIVERY CITY OF CARMEL BY LEVERENZ 1 CIVIC SQUARE DRIVER: AYER , AARON ,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 ED T '.. C2:TY, :''::4> PAC SIZE;:: IT DESCRIPTION UNCE. EXTENDED_ x si: ITEM EIV1 DES CODE PRICE Ty DA,I,RY , C NL 5 LB BRLCLS CHEESE AMER YEL 120 SLI 28131 6697114 17._80 3560 ** MEATS *** GROUP lOTAV* *. 35.60 4 F ..605.3302 AB BEEF PATTY GRND STKBRGR FRZN 99763151 6703049 67.88 67,88 " S 110 LB HNSVLE BRATWURST 5X1 PRCK SKLS 3188„2199198 3.3.97 67.94 Nj F S 110 LB .. BRLCLS FRANK ALL—MEAT 5X1 6 IN 37736-070 1137736 25.32 101.28 F S,, 276 OZ DVANCE PORK FRITTER BRD RAW 6606 2205383 39.98 39 98 GROUP TOTAL**** 277.08 ** FROZEN *** S 42.5LB ANTLZR ONION RING BEER BTR 5%8” 30423 0855296 26.71 26.71 GROUP TOTAL*** 26.7.1 ** CANNED & DRY *** C S...__ NL 24 CT ERSHEY CANDY BAR PAY DAY„ 80723 70, 30414 UT STOCK S C NL 36.. CT, _: ESES;.a,CANDY PEANUT BUTTER—CUP 44,000: 51 7.7:.69.::.:::2:7::.:.;4: 7.74 N4 D :'. : '' .!S :'>8: 1 OZ ,BRLCLS CHLP 'POTATO REG 18560 .6.080871:: :28.99 28.99:: D::::::::::: : S:._: 9 1.,2.5:0.2 BRLCLS.:.;:PRET.ZE,L.,:;MINI 21738 0175529 26..4 ;2.6 40 :-:. GROUP TOTAL 83. 3 ** PAPER & DISPOSABLE`*** 2 ;::::?'4 . 22 .: :: . 4' 22 D;:<':'. ..' . >: S::'>;1:: 2:0OC:T YSCO:>::.. CUP PLAS PRTN TRANS 20Z YS2 S.YS 77 .:....3..:.: . • . D S 24100CT YSCO LID PLAS CLR F/1.5-2.50Z PRTN YLS2FRSYS 7790795 54.92 54,92 D::i:::::> 'S :::Z.5.0 33.: AL YSCO.. .' LINER TRASH:::.33X3.9: .5 ML BLK. ,..: H66:39MBS 4075.9:58 38.:x'78 : 38.78 ::::: ** CHEMICAL * *. GROUP TOTAL**** ., 139.92 D:;:.:':..:. S :.!.: 32:Oz. E;YSTON CLEANER GLASS;RTU :: ;:610:0067. 76827;90 :23.55 23.55 CLOSE: 4:00 PM RMrr To,::; P.O. BOX 7137 2 1 3 18 12.9 183 INDIANAPOLIS IN SUB n IMPORTANT: PERISHABLE PRODggUCTS ARE NOT ELIGIBLE FOR RETURNS AFTE 46206-7137 TOTAL v FOR ANY SHORTAGE AFTER V6UI HA�IE E$I WE IPI ECES RECEIVED MUSTS TAX DRIVER'S NO. PCS CLIST. NO. PCS TOTAL SIGN DELVD. g SIGN RE o REC. INVOICE o gTHtHpP ERZI gEFiAggLyE gAEGCf IIIDUNNLTUI� LOCO HMEODEITIIEEgSS ALgISE7EDG CULTLRALVOOMMODITIgESL�CC UB�gEgCTO170uu SHCCE g4S99AET�C ORVH ETRgUEL�ER p TOTAL 2 THE SE RCOMDMOD TIES RETAINS AF TRUST FCLAM OLVERATHESE COMMODITIES, ALL INV Ntr O'R ES OF rO'OD ORCTHIP PRODUCTS 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 0 FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Amit come from xp�lV!'.bA7E�.a>�:�>�..CUST�MER;i:;?;;;:y:`;�;:i:;:':��i�� :�; BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY )/SCG Tft cK.s.oP ':: 412940 209061402 1 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 ' 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: AYER , AARON ,AR EL IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 FIR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ...............:::...... i:. <°: r%'i:;:;;:;:;:;:. kT:ENt:i'i:` :::;:LN 4F;:;i:.:.:::.>:.;EX'TENgEE� ... .. .A SIZE,;:;::::.: ... QTY.:::. :1: ITEM:DES.CR PTION._:::»:' P ;i A CODE.::... .. PRI,CE.::. ::. . :R.,CE'':': GROUP TOTAL 2,3.55 XXXX ,:. :::::: 29 48: .'. B Y NAT:_.LETT' OURM: SNGL ;;: :>.,...>:><:::;::::>:::::.>::>;::::::;::>:;5.06.35:99:>:;.2>9: .4;9.». .:::--29.49. >:,>:: C ....... S. U.CE...ROMAINE.G S.. . 41 0:8 �C 5 5 -LB BRLIMP :SALAD....CHICKEN 5l071 .251:0717.::.::. 41 4B �C 5 2,.5: LB YS I:MP :TOMATO SLICED .1 :4.". ** 4:0+.451 1611:3:765 ::, 38 99: 38.98: GROUP TOTAL 109.56 MI:S. .: RG S ;;:::::::; HGS :F.OR<::FUEL:;SURCHARGE::..::>:. 5.00 . ORDER S RY 6354.7 ............. ..::... ..... ... P.O. BOX 7137 z INDIANAPOLIS IN SUB R 3 2.4 34 MPORTANT: PERSISHABLE PRODUCTS ARE NOT ELIGIBLE FOR REETPURN�gAFTE 4206-7137 TOTAL 700.55 E 1 3 21 15.3 21 7 FOR VANVSH O RTAGE AFTER VIOUI H OIE E$IGNE�IP ECEOST RECEIVED MUSTE TAX DRIVER'S NO. PCS CUSC NO. PCS TOTAL SIGN OELVD. SIGN REC. INVOICE I gTHIE�{pPRZ'gE�{pAggLyE SgEGC II UryLT5UR LpFCO7ry�ryE�O EI7RIIESS�{ LgISLE7E RoIN UTL IUS INLVOICrnEMAp gE LDgcsUBJEgC3r TOU sTrycE 7sAE7 ORYryETRgU LT�E p TOTAL 700.55 °THESECOMMODITIESE R�ETAI�CS�A T♦i UHST�CLAIMAOVEF� HESEC0 MM��ITIES��AiL�IrJVETNTO F2IES(70F'FO'O D9 oR�C7FTiER PfOOUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 10/05/12 LAST PAGE o FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $700.55 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 209061402 I 42-390.40 I $700.55 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, September 07, 2012 Director, Brookshirgholf 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)) 09/06/12 209061402 Food $700.55 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 N��e)IcC:NLJMBER: TAGE &v4 come from .BROOKSHIRE GOLF CLUB... a/30/12 12120 BROOKSHIRE PKWY w/sco. 412940 208301163 1 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIA IN 46268 .....R...V.....i .F:i:i ir .k... NAPOLIS, 4 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER ANIFEST4 4v)t")H0 NORMAL DELIMM-' CITY OF CARMEL I HA* qN_13ZLABY r.FVFREN4 1 CIVIC SQUARE DRIVER: JOHNSTON, LEWIS CARMFT. IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4�, 60-2504 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. UN l7f :::INV0lrV: A :::: .::::EX.TENDEO ,CITY:. TEM COE ::::::ITEM ::DESCRIPTION ORICE: ...... q. . ...:: : : 4 PRI�CE...,q q::::: :: q :.*.::: X nonF: ............ ... q � I q.. ::.. - - ...... N_IR_Y_TFT_ ... . ........ .... ...... .... . .... . )C ........18 NM5 L8 BBRLCLS CHEESE AMER.:.:.:.YEL 120 SLY 28131 6697114 17.80 17.80 ............. ...... ...... GROUP`'TOTAL**** 17 '80 MEATS .*.**.... ...... . ..... ........ CS 6105.330Z�-Ab BEEF PATTY GRND STKBRGR FkZN 59763151 670�045 67.88 203 64. ..91. .. .. ....... '3 3.57::' 5 7'' 101 F C S 110 LB JHNSVLE BRATWURST 5Xl PRCK SKLS 3188 2199198 ,IF ........ 110 LB' BBRLCLS FRANK ALL-MEAT 5XI. 6 IN 37736-070 1 5...... . .25.3.2.. 75 96 .. . .. ........... ... ................ ........... .. .... GROUP . ... ...... . ...... ...... POULTRY .......... ... .... ... ....... ................. V/C I. CS 42.5 LBBBRLCLS TURKEY BRST SLI 3/4z MESQT MK MSTB940SLB,. 4'.860003, 98 43.98 .............. P: . . .... .......... ...........- GROU: TOTALA�k FROZEN ... .... .... ... ... ... .... ... ... .... F I CS 612CT PRICTYBR COOK I E...C'HOC. QHNK DWNHM 3_0 Z...IW 83 4 9.4 3.9......5 9q.!,2 3 5.9.�2 3 .... ... ... .... ...... . . . .. .... . ........I.... ...... .. ..... . . .. ...... ... . ......... ................ 244 -IF . ..... .2502BKRSIMP MUFFIN ASST BL/8AN/CHOC/CH I/W 073473021825 7813114 21..9 94 CS ... 4. 23. GROUP TOTAL**** 8 3.17:::� ....... ....... ............. k** CANNED DRY . ...... ...... 316 CT KEU.0'"G BREAKFAST BAR ASST NUTRI-GRAIN 003800005872 4215853 26.45 26.45 N..;. AY CT JERSHEY* CAND.Y 16 59 16 59 tlz is BAR. PAY DAY 80723 7030414 ..... .... . ............ ...... ..... . .. .......... ......... ........ 48 CT SNICKER ANDY BAR SNICKER.: ... .2.01 OZ 01202 4348389 "****32'61 32:61 'L le IS ' ONM Lle AS DNLY48 CT q&M CANDY M&M PLAIN 1.69 OZ SPECO1231 4364774 32.61 32.61 .......... . .......... 0:N:L: Y 24 74 36 CT A&M CANDY Skft'I'tt: FRUIT CHEW 2.17Z 7001151 .6 v 0 CT AYS CHIP.. VARIETY SYSCO�FRITO LAY... 31831 658 6 721 26.98 53.96 ... . .... ...... .... ........ OZ kRI**Z* PALMER E CS 1223 ONK DRINK TEA ARNOLD ALMER LITE 0554968 1 2 ..... ........ .. ..... .. ........... 135 LB 3YS REL SHORTENING FRY LIQ CREAMY ZTF 99947-COM 4119509 29.98 59.96 0 f.7. Sl 1:0811 d*Zq,.AT VL,Y SNACK BA RAN L T * & HNY 47. A okj: 47`;95 1M AM CLOSE: u 0 PM REMIT:TO,,: rAqPr qPl ITITOT Prq I rimr:lrpr)q�Z NA/T OPEN P.O. BOX 7137 2 .2( 5 31 19.0 469 INDIANAPOLIS SUB R IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF HAN6-7137 TOTAL J r F 'r E DELIVER ANY SHORTAGE E C HE K TH183 INVOIC: WE WILL NOT R gLE 0 T F R ANY SH R GE AFCER Y U HAVE SIGNPID. PIECES RBE�CEJEVIPOCNM� T TAX _ ��A _q _T TOTAL U S�N SIGN I G _r101- DRIVER'S NO. PC S CUST. . I TE-S DELVD. SIGN a C. INVOICE LTC 'V�j r.E.A LD TOTAL A C Olq Ly SE A JI.F. TH�. A�S % N tp,'� ?01'MMA' gAL pDiTIf Vj�;'?��' TO STg� 0 .0 CTry TRU Rc�F T' Pk 'ft�j LAM V R�?�L MMODITIE , AL 1 V � V �CWU S PAYABLE ON 0 BEFORE %0. 1�1��TA A TRU T 0 1 T fi I DERIVEDFROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2 FULL PA Y VENT IS R ECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from DEv,'bgrE, cusfo,MERC; . BROOKSHI RE GOLF CLUB... �l/��®� 12120 BROOKSHIRE PKWY T" CK s OP 412940 208301163 1 2 SYSCO INDIANAPOLIS, LLC :.<;;: CARMEL IN 46033 4000 W 62ND ST :::::::ROUTE' INDIANAPOLIS, IN 46268 I 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE 'DRIVER: J HN T N, LEWI CARMPT, 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. :::i':::::.:s::::::..... ::: ii:::.::.:::.::...::..:. :.i':' -:.:: :: 'f: ITENE .. ......8. ,'. :: :....::. . ;:':iii: /:>.i::;::;::.::.; .......:...:. k" EXTENDED'i:; P. .:SIZE .....'.. ITE CRIP.TION ..,C{.: : „M..D.ES. .. .. CODE::::>. :.'PRICE' t <; .. ;' 41.99 57 .2 OZ CANTER SNACK TRAIL .MLX :FRUI:T & .NUT . :1932040.0...26: 49;3669'8 ;:;;4:1_:.99::; ':.. :;:< 27 4936 41:::9'9` D :..::...:: x. .S .::.:7 2 :QZ:.:' LANTER:::SNAGK,;TRAIL MIX:NUT ':& CHOC 19320000 68.6.....41..99 GROUP .TOTAL**** 498..37 PAPER..&.DI5PO SABLE: ::.::.<..:-:. ;::>:: . ;::. T:.: .Y F I L SHEET X1' 7 ::I"N'::5:I LVER.. W6.917:2::::6:9:3.8,5:0:0::::::::::' . 1<2: ::98>...:..::::;::` .: . >;::: .NL. 5000 .:. SCO.:. :_0 S _ ...9. .:0..:. 5. ;.:.," :. : 2 4 24 42 42.64 S 1. 100 CT YS CLS GLOVE POLY:,CAST DI SP MED 3033-6311. 3.. 8 5 .60., . : ' - : 61:32 S 00 CT .....SOLO ;LID :PLAS ;DOMEWHT1:0/12/16/20/24 :,TLP31;6 OOI07 6447534.. 61:32 �, 2818110:::10:9 9 109:':;98' 125CT YS.. I:MF::. PLATE:..'P:LAS BLK:;TMP'AGT 10.25.;'- PI lOESYS $_ D .. 6 800 FT EORG:.P TOWEL ROLL::.ENMOT;I.OW::LRG 4AUTO :; 89.460 : 9627761 69 9;9 139:9;8 .8 *** GROUP TOTAL**** 3666 PRODUCE UC E S 12CT PACKER::..:..:..: APPLE><RED.::DEL FCY' FRESH 344092 .: 7.97 7..9.7 5.::::::L B YS.IMP::ONION:RED FRESH:JUMBO ' ;>:" 1039494 10,39494 -:.;. '9::;84 S. 5: LB BRLIMP::::SALAD GHIC:ICEN. : 5.1.0.T1 >2.510717 41:.;08 41.08' ::; .. D::>1 .4^> 40451 1:1.37 `'<99 :' :>. :38 9:_ 5,...;. 2.:.5....,..LB YS IMP...:TOMATO.::;SLICE ..../ 6 3 65 <>"38..: ., 99 GROUP TOTAL**** 97. 8 D'I SPENS ER *** ..:.::: F. ':;:' ': S : 1-25LT OUWEGB COFFEE .LIQ....DECAF:.. COL 100%:::: .:722010747,7::3370566::::125:1:89. .. 125. J :i2l:::.. ": ..722 1' '74: 11:7::::;1'16:.6.6 .:: :...1>l' 6.5:::> F 5:.:.:. 1.25LT .QUWEGB COFFEE::::LIQ::.1Q:O;o: COLOMBIAN:::.... 0 :9. .. :65 .93;88.. ...:. ::.. 6 GG **** ... ROUP TOTAL 242. .5:..,:, <:M'IS ;;:CH KRG HGS: FWFUEL SURCHARGE 5. ORDE F S UMMA RY 5.84.6.$, X. . R N MIT'la..»:< .............. P.O. BOX 7137 z :1 1 14 12.9 178 INDIANAPOLIS IN SUB R IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN$gAFTE 46206-7137 TOTAL 1737.12 E 3 6 45 31.9 647 FOR ANY SHORTAGE AFTER YIOUI HVAVIE E$IGNE D. (PIECES RECEIVED MUSTE Y TAX DRIVER'S NO. PCS CUST. NO. PCs TOTAL DELVD. SIGN REC. INVOICE SIGN 7EHpEgEHp gg�yE ggEGC 4C ry P 7MMF p Egg gL ET pGpl L R MMpRE gE� Cg Eg C3p U gT C gE7 �) R HE gEL E p TOTAL 1737.12 T RU THESE RCOMMODITIES�ROETAI�CS AFTORUHSTOP AIMAVERATHESE TOMMOD TIE S,D(ALL SI AETP7TORIE$I OF FOOD OR�COTHER PRODUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 9/28/12 LAST PAGE o FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,737.12 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 208301163 I 42-390.40 I $1,737.12 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 Tuesday, September 04, 2012 !12,J A A,,/ Director, Brookshire0olf 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 rAYADLE O'UCHER 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)) 08/30/12 208301163 Food $1,737.12 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