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Home My WebLink About213667 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $921.60 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 213667 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 209271150 77 . 34 FOOD & BEVERAGES 1207 4239040 209271151 374 . 20 FOOD & BEVERAGES 1207 4239040 210041069 470 . 06 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO DEILV,:1)ATE f 7773MER�:��7 out come rom :I:NVOI�CE+NIJMBFR::�:�� B90OKSHIRE GOLF' CLUB... 10/04/12 TRUCK:STOP:: 12120 BROOKSHIRE PKWY /SCO 412940 210041069 1 1 SYSCO INDIANAPOLIS, LLC /nii ROUTE: �ygr��S� qR K7 777��. ............. CARMEL IN 46033 4000 W 62ND ST E�Vl)kY 0, TYSON, .......... -4 P��:::��: :. I I .A.R. ::::qFRVIPP 44A �: I IFLUjALaLas . ......... ....... ... .. ........ 317-846-1431 INDIANAPOLIS, IN 462�68 DUE FRIDAY 4 W EKS AFTER ORDER I MANTFE.7Tft 4FO)Y49 0RM==vERY CITY OF CARMEL IMA* SNi39 I 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO CARMEL 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 6. . ............ -, : :-: .. .. . .. 1: : U 5XTE PA "'''?:::>:;.'':'::''>:;. .. NfT� ..:.: INVOICE�A :ITEM NDED USIDOWS E .....ITEM CODE:::::::. rnnp :v ...... . ........ DAIRY ... ........ ......... ..... LB BBRLCLS CHEESE AMER YEL 120 SLI 28131 6697114 17.80 17 80 NO IS )NLY5 ri :.GROUP+::TOTAV+.*** 17A0 MEATS .. ..... ........... . ....... F 2 C S 605.3302'A B BEEF GkND STKBRGR FRZN 9976,31.51 67HO49 67.U.. + 135.76 . .PATTY....... ............ ....... IF - CS ±0 LB BBRLCLS FRANK ALL-MEAT 5xl 6 IN 3773:6-070 1137736 25.32 75.96 4 .�::: .11 1 1 .......... 7 211.;712 :: GROUP ... .... ;X.......... . ...... .. ....... ;F I CS 243.94OZTNPRIDE+ SAUS EGG CHS CROIS IW 4.8. 21, 5.196581. .29.96 29 .... ..... ... ..... GROUP:,::TOTAL**** :29.§6 :; I ........... ... .. ... *,*-.*.....CANNED DRY... .. ......... . .............. ...... ............. . ...... ............... ....... ........... .. ............................. .......... -....... ... ............. ............. ....... ML 8 CT SNICKER C+�gbY BAR SNICKER 2 07 02 32.61 ........ C S 0 'Y 4. 01202 D �+:.:::*2 8:bi OZ ++ 38RLCLS CHIP POTATO REG ....... .1..8560 K80871.... 99 57.98.. ... .. .. ..... ............. . ........ ... ... D 2 C8: 1 CT 'JAY S CHIP V AR I ET Y SY SCO 0 LAY /FRIT 318311.586721 26.98„.+ 53.96 . .. .... .............. Df*&:..l CS 602.5 OZ39ARDMA COOKIE CHOC CHIP IW 45092 6925806 19.95 19.95 ................. .. .......... . ....... . ....... 164 50:::.: ROUP TOTAL**** ... PRODUCE * C . I C.S 25 LB BB...RLIMP. SALAD, CHICKEN 2510717 . 41.08 41.08 .. ......... :GROUP TOTAL**** . 41,08. MIS CHARGES "HGS FOR FUEL SURCHARGE 5.00 k. .......... . ........ ...... .... Q R.:S JMMA .. ....... ....... RD ... . ...... ... ..... .. ... ...... ............. . .. ... ..... ..... .... .. 4: 0 �DnqC MIT OPEN: I:UU AM CLOSE: 4:OU PM REMIT TO Pc qp] I,ITn T. —1 P.O. BOX 7137 2 12 2 141 14.9 146 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 46206-7137 TOTAL 470.06 R DELIVERY. PLEA,E CHECK THIS INVOICE. WE WILL NOT BE RE S PONS l�LE 3 12 2 14: 14.9 146 FOR ANY SHORTAGE AFTER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX v AGRF WITO PIFCF5 PH�D TOTAL NO. PCS CU T NO. PCs DELVD. REC. INVOICE i DRIVER'S : SIGN I TOTAL 470.06 I! R�Uk8T SIGN ThHf�?P I ?ICE AR)iTlh?L �UBI' 1'�r,,TO JHE gTA IN R RE'41 U,-gl PAYABLE ON OR BEFORE I HS' R H UL OM A LTRAI L 0 T ATlUCj'.F TH�o TgR,.l M I A TRU Tp CT 1. DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR F OMMOOITIES UNTIL 11/02/12 LAST PAGE 'IFULL PAYMENT IS RECEIVED. ODy' AL V�, S f? k�T( P PROCEEDS THE VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $470.06 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 210041069 I 42-390.40 I $470.06 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, October 05, 2012 Director, Brookkire 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)) 10/04/12 I 210041069 I Food I $470.06 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 >.'CUSTOMER:: COI'Tle{YOI'Yl _:4�1.V,.DAFE`.;_� .:. . FACE 12120 BROO GOLF CLUB+++ l®�� zR cK:;s oP:;; '412940 209271151 0 1 12120 BROOKSHIRE PKWY SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ROUTIE .:: :: 77777777777777-77.. PA INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL HM"P'HN 33 GARY T,EVFRENZ 1 CIVIC SQUARE DRIVER: JOHNSTON, LEWI 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. g. 17ENt':;i ; 11Nf.T,,::"::; EXTENDED ::'::::« .:.C, _:'.SIZE.:: ;.; :. ITEM.:DESCRI PTI ON .,. r. :.: .:: CODE': PR'I'CE: PRICE DAIRY:::::::::::::.. :..:. -. L...:. C NL. 5...LB. BRLCLS CHEESE. AMER YEL 120 SLI 28181,166.97114 + 17,80 35.60 ***:" *...MEATS *** GROUP..TOTAL.: . ;:. �.:fi ;.. 5..,... 2,.5„.LB ,BRLCL.S. HAM_S,L.LGED. HNY WTR. ADD FRESH HHN$505LB..82864.29,,., 44.3,7 44 37 ;.GROUP TOTAL**** 44',..x:7 ** POULTRY-*** ... .. C S 2:;5 EB BRLCT�S tvv ktY BRST SLI 3 42 MMT SMK MSTB940SLB 4$60003 43:'98 43 9$' A 43. 8 J *...... TOfi L* ...,...... FROZEN F S „2 4.250Z KRSIMP..MUFFIN ASST .BL/BAN/CHOC/CH I/W 073473021825 7813114 . 2,3.94 23. 9,4,,.. F „S 2....5LB.. ANTLZR ONION„RTNG BEER BTR 5/8” 30423 0855296 26.71 26.71 GROUP::TOTAL****: 5.0.:;65 ** CANNED & DRY *** D CT AYS CHIP VARIETY SYS . +-RI TO. LAY 31831 6,586721 26,98 26.,.9,8„ „ D........ 1 12 OZ RENCHS MUSTARD YELLOW CLS SQUEEZE 4150075677 4736070 21.94 21:94 D . S1,01 LB 8RLCLSSNACK MIX SPICY CREOLE 91069, 99603,, 9, 33.97 6 .. GROUP' T TAL:** 116::8fi ** PAPER & DISPOSABLE D S.;:+ 800 FT EORG P TOWEL ROLL ENMOTION LRG 4AUTO 89460 9627761 69.99 69.99 „ GROI7P; TOTAL 69.. ** PRODUCE *** S 112` CT YS' IMP LIME FRESH. ............... 7412570., 7..75 : 7: 75 „. GROUP:'::TOTAL*** 7:•.7 .:.. ..:::.. M.iS CHARGES _ HGS FOR FUEL SURCHARGE 5.0 -. $ ......;:.;:.;<:::.:.. .. . . .::.:. ....: :REMIT ro ::::: N .. .. .. ...... P.O. BOX 7137 Z 1 2 12 10.7 �q' INDIANAPOLIS IN SUB R PORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN 46206-7137 TOTAL 374.20 E 1 2 12 10•7 10L ANV S HORTAGE AFTER VIOUI HAOVIE ESI NED. IPIECEOST RECEIVE�O MUSTE TAX TOTAL NO. PCS CUST. NO. PCs DRIVER'S DELVD. SIGN REC. SIGN INVOICE 01 TH PPEgEHpA FII�UryryLT55UU� LOEO7MHMEO�EEII�IIEEggS ALgIgLE7E(�G�oiLry UTLH IUgRgI NLVOICMEMApRE gEOLDgCUB�I Eg CgbI�OU�HCE ggTgATT �)ORYH E7RSUEgL7�E O TOTAL 374.20 THESE RCOMMODITIESTRETAI�S�q TRUST CLAIM OVER TI�tSE TCOMMOCD ITIES,DIALL SINVENTORIES OFFOOD9000THTER PROD�C7S PAYABLE ON OR BEFORE I FDERIVED FRO TI IS THESE OMDMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 1OX26/12 LAST PAGE CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things out COmefrom ::.DELV.'DATI;;:"";:'.CUSTOMER .. . BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY ®S c,®® TR_GK':>S:CJP 's 412940 209271150 2 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST R°"� INDIANAPOLIS, IN 46268 `'' , ` '.:.,. 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER NORMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER' JOHNSTON, LEWI 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. IT ENDED': . F?A SIZE' ITEMI'DESCRIPTION.:. ER4: CNIc zRR1cE'''-:.: '`>.':::F..RICE.:;;::' AP:.;.>;:: . ........... . . FRQZ,EN......... F... ...'. S .._246..4`OZ BRLCLS S"bWICH BT.SC SAUS/EGG%CHS, I,W . : 3381.092 33810:92 38.6,7 3,8:67 7' 33 0 7 7 3 7 BA E H IW 33 8 38 6 F .. S 2, 5:•6::O.Z ..BRLCL$„„SANDWICH, BISCUIT. . . C .. G C . 90 8: :.:; : :.:,:$.$::;:: >. ..6 . ,:: $ .: GROUP TOfiAL�* 77:.'3;4 ORD. ... :S :..........RY.....::::. 803.06 1 61 _............. ..... ..... ...:. ..... P.O. BOX 7137 z 2 1.2 21 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PRODgUCTS ARE NOT ELIGIBLE FOR RETURN gAFTE 4206-7137 TOTAL 77.34 E 21 FOR VANY SHORI'RAGE AFTER YIO UI HAOVIE ES IGNED. PIE IPIECEOST RECEIVED MUSTE TAX V NO. PCS COST. NO. PCs TOTAL DR VER'S DELVD. I � SIGN REC. INVOICE I SIGN I gSIGpP g��pAgg�yE ggEGC CUryLTr,LIRgL CO MO 7I STED TH�LJgRgI NLVOICMEMApR gE LDgCSUB Eg C37p Ug7ryC qg gET R7HE7 gEgL�E o TOTAL 77.34 TUESE COM OD T ES��oET 1�C1 OF E f RI HABLE A� C ITCOMM CD ITIES,D�AII.L�INVETNTO�RIESI OF FOoD�OR�C YfiER PRODIR P PAYABLE ON OR BEFORE H M I I A A I U T LAM V R S o 10/26/12 LAST PAGE 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL o FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $451.54 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 209271150 I 42-390.40 I $77.34 1 hereby certify that the attached invoice(s), or 1207 209271151 42-390.40 $374.20 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 28, 2012 2-�-b 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)) 09/27/12 I 209271150 I Food I $77.34 09/27/12 I 209271151 I Food I $374.20 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