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Home My WebLink About213468 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 365677 Page 1 of 1 ONE CIVIC SQUARE GORDON FOOD SERVICE, INC CHECK AMOUNT: $1,123.24 CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER DEPT CH 10490 CHECK NUMBER: 213468 PALATINE IL 60055-0490 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 926030465 835 . 81 OTHER EXPENSES 851 5023990 926030511 287 .43 OTHER EXPENSES Page:1 of 1 UP INVOICE P.O.Box 1787 GrandRapids,MI 49501-1787 � 0 09968-7500 926030 65 09/27/20 1 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100060884 1906 INDY-NORTH IN MP153 OUT 1905 Fishers 30 NET 10th SHIP TO: CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CARMEL, IN 46032 ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT TAX AMOUNT 8063410 2 CASE MILK WHT 2%REDC FAT 40-8FLZ 6 16.50 16.50 33.00 4173500 20 CASE FRANKS BEEF 8/#2-5#GFS 3 10.99 21.98 439.60 8371050 2 CASE COOKIE OREO SUPERCRTN 6-52.5Z NAB 1 7.99 47.94 95.88 4861310 2 CASE COOKIE CHOC CHIP 8-48Z CHPAHOY 1 7.49 59.92 119.84 1951500 1 CASE LID FOIL FULL SZ PAN 50CT GFS 7 0.46 22.99 22.99 1142780 1 CASE PLATE PPR 9"ECON WHT 12-100 KE 7 2.17 25.99 25.99 1951400 1 CASE PAN FOIL FULL SZ DEEP 50CT GFS 7 0.80 39.99 39.99 1182901 2 EACH KETCHUP HEINZ(JUG)POUR&STORE 1 5.29 10.58 7412701 2 EACH MUSTARD YELLOW CLSC 4-105Z FRENC 1 5.99 11.98 3868800 1 CASE PUMP#10 CANS 4-1CT HNZ 11 8.99 35.96 35.96 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 835.81 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 238.28 439.6 FREEZER COOLER I WAREHOUSE MISC. TOTAL TAX 5-POULTRY 6-10AIRY -DISPOSABLES 8-SANITATION Customer's signature evidences receipt of all items listed and its promise to pay 33 88.97 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 835.81 9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment(-Transaction')issued for payment of this invoice is dishonored,GFS may re-present the Transaction and issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00 35.96 TOTALS BY TAX CATEGORY Received By: SALE NBR 1014 %RATE TAX %RATE TAX LANE NBR 03 The perishable agricultural commodities shown on this invoice are sold subject to the statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities USER ID 47516 Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 09/27/2012 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these commodities until TIME(GMT) 10:34:00 full payment Is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature Inspection Fee in the once.Maryland MDA Inspection Fees at a rate of$.08 per dozen �A--+--,.,-tof„t„-n......,r...,r.f fn n Hme nripa rf Off-pntiAl of 1 1 roe/ner month no the unnaid balance after the due GO S. Page:1 of 1 P.o.BDX 1787 INVOICE GrandRapids,MI 49501-1787 Mo o www.gfs.com INVOICE# DATE arket '�� 1-800-968--968-7500 926030511 0912812012 TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS N 100060884 1906 INDY-NORTH IN MP153 OUT 1905 Fishers 30 NET 10th SHIP TO: CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CARMEL, IN 46032 ITEM CODE CITY DESCRIPTION CAT COST GUIDE SPECS UNIT TAX AMOUNT 6058910 105 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.49 2.49 261.45 5252351 2 EACH 40"X100'PLAS TABLECVR WHITE 7 1299 25.98 PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 287.43 1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD 261.45 FREEZER COOLER WAREHOUSE MISC. TOTAL TAX 5-POULTRY 6-DAIRY -DISPOSABLE 8-SANITATION Customer's signature evidences receipt of all items listed and its promise to pay INVOICE TOTAL 287.43 25.98 the amount due to GFS.Customer agrees that if a check,draft and/or order of 9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment(-Transaction')issued for payment of this invoice is dishonored,GFS may re-present the Transaction and issue a draft against the account upon which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00 TOTALS BY TAX CATEGORY Received By: SALE NBR 8678 %RATE TAX %RATE TAX LANE NBR 04 The perishable agricultural commodities shown on this invoice are sold subject to the USER ID 39042 statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 09/28/2012 these commodities,all inventories of food or other products derived from these commodities and any receivable or proceeds from the sale of these commodities until ANN TIME(GMT) 08:33:00 full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen .. ... _ -__-_��_ -.�___ _-__ �:[[____i_r_t w �rnni .�,.--....�-.aL....,rL,.........:.J L...I..........p..•II,n rd.,.. )rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by vhom, 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)) 926030465 $835.81 926030511 $287.43 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Gordon Food Service �,�� Pei t,�,s}-` r0u-ao IN SUM OF $ f� t' C 14 to qa a - I L-- iy 40 $1,123.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 926030465 120-851.00 $835.81 1 hereby certify that the attached invoice(s), or 1120 926030511 120-851.00 $287.43 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 OCT -A 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund