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221725 07/02/2013
CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 `•` ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $2,020.77 �•, '� INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 221725 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 306201001 1, 314 . 39 FOOD & BEVERAGES 1207 4350100 306201001 87 . 78 BUILDING REPAIRS & MA 1207 4239040 306271161 618 . 60 FOOD & BEVERAGES - - ! I Good things CUSTOMERS ORIGINAL INVOICE CONFibENTIAL PROPERTY OF SYSCO , .... .... 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BOX 7137 12 IN ' SUB : IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 2 TOTAL - ..z "I ��4_d&"� � , ' ' ' - ' ' '' ' - - - - - r� L�� I u .1 k .... IV �i----- , - :-- ----------- , ... �� ... .""','��' :`:-,�:." ....... ...............A..- .......................� .......��.,. ........� i....... .... .I ... .,., .I. ... -- ......�..... . ...�... . ...._ E DELIVERY. PLEA AFTER HAVE NE T B R NM�ELE v F 0 ,�,E EHECJK Y&IIH VE18I&Pf EeILL C 0 - ArR ANY SHOP AG AFI PIE S RECEIVED T TAX WITH PlFrFq R11 Fn..- TOTAL DRIVER'S INO. P CS ICOST. I NO. PCs . : SIGN DELVO. SIGN ]RE C. � INVOICE TH Pk%j __ _ I ff"�j �'��I�XLATjr CIL TOTAL 2 FTop U UTD%,'��A�t�E�Q 4 �C UB k'j 1. HfH �' . 'V i 'YT I `3,L��t iI I J(�lp.� E CO T RC? -PAYABLE ON , , , , 4 �.Og��V ,TV�7&U � '�jM p I LA M R H S YgEN1 In At i 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 &van come from BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY bysco. wKwagg 412940 306271161 3 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER �. 486009 NORMAL DELIVERY CITY OF CARMEL RY LEVERENZ 1 CIVIC SQUARE DRIVER:--i� �RRWWN, BRUCE ARM L IN 46032 EQUAL OPPORjqjfwPPfQ:!RMATIVE ACTION CLAUSES OF 41 CFR 60 LA 60-250.4 AND 60-741.4 ARE INCORPORATED MEN BY REFERENCE. ............ A4 SIZE it DISPENSER OF0 "MMOMN am MEN!None mumm"I 01111111PM�� D 5.... 15 GAY 908 67. .9.8.................................: ..... D qf Q 59fo RUP ,jjMONAD1jjB 35 ..... . ................... D 3LDFPAfA§XfUP,TEA CONIC UNSWT BLK PREM 0225 39j,7gq§ZQ,jg.Q7 39 87 ffl::AAf Imams man M.MR��:]�:i "Jaw ili�i. Af CHARGES 00 FOR FUjLjURQAj0E .. ... "Ad too MDE R nS JMMA RY7�At q1"T 7 51835t!lllll!Zlllut 110111111;gooloolill I ......... .. ..... ... MENNEN Loolosil silitivistill if isocit�"" ERMINE commoll MMEMENHE$! 4ANNI&T -0011111141- Tot witiolisillis 220 AOMORI immumms smummomil 11 WSW, b gimis spools Ammomis losommi�is mossimpoll 0 top toy, A MIM 11111F1111 MUM oml!iL!lsu .... .=.... .. F� ........... ...... F A AIN 9v WHO stop?1110illy loolliml%Rlll 1�� 11 Nis 10: ........... .......... Z11 R� 'j�T, gnp"Jaly 1s: MIT MEW= OPEN: /:UU AM CLO 20111 PM P.O. BOX 7137 2 3 1.5 93 INDIANAPOLIS IN SUB IMPORTANT: PERISHABLE PROOUCTSDACRE NOT ELIGIBLE FOR RETURN AFTEF 46206-7137 TOTAL 618.60 E ,E CHECK THI� NVO E�Ie L EC NEOST FBEEC E E!r 0 N E IV 1� 3 18 18.7 323 F'0ELR'VAENRYy*SP1'0ERAPAGE AFTER Y U HAVE NE E 0�`V IF V 0 M�RL AQRFF WITP P FrF T TAX -E N CU TOTAL DRDRIVER'S T. NO. PCS It T. SIGN E L VP.C SIGN REC. INVOICE �11 C J(�O 0 Y TOTAL 618.60 0 1 N it, 0 THESE I� A�� OVER Sj�g FhChOF"TTNI�T PgALRIMb' R ge Q0, ? A V 101i C TH0094,------PAYABLE ON OR BEFORE I DERIVED FROM THESE E COMMODITIES. AND ANY RECEIVABLES C'S FROM THE SALE THESE COMMODITIES UNTIL 7 PAGE 0 FULL PAYMENT IS RECEIVED. �26/13 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)) 06/27/13 306271161 Food $618.60 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $618.60 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I 306271161 I 42-390.40 I $618.60 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 Thursday, June 27, 2013 Director, Brookshif Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO omq come from ........ BROOKSHIRE GOLF CLUB—+ 12120 BROOKSHIRE PKWY w/sco. 412940 306201001 6 1 SYSCO INDIANAPOLIS, LLC Job.q CARMEL IN 46033 4000 W 62ND ST 77��:........... INDIANAPOLIS, IN 46268 ........................ 317-846-7431 DUE FRIDAY- 4 WEEKS AFTER ORDER CITY OF CARMEL M SN EVERENZ 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO CARMEL IN 4An32 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 IZE ITE 1::::: 6 S PA -n ny DAIRY .... .. ...... .............. L/C IS DNL 5 LB BBRLCLS+ CHEESE AMER 4 YEL 1.20 SLI 281+31 6697114 16.q8 1*6 -9`9 :X X ........... MEATS . ....... ..... ..... ... ........... .......... .......... +- ...... ... CS 605,.3 OZFIREIMP BEEF GRND PTY HMSTYLE Tj 8 .6,2231 816QlQ3 62.5 ............ ............ ........................... xxx_: 2 CS 10 LB JHNSVLE BRATWURST 5X1 PRICK -SKLS + 1000.21 21,9.9198 .,,33: Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO om come from BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY bysco. w- 6 2 12940 306201001 SYSCO INDIANAPOLIS, LLC A 09 CARMEL IN 46033 4000 W 62ND ST . ......... X.:X.: INDIANAPOLIS, IN 46268 4496 — 0-7431 DUE FRIDAY 4 WEEK S` AFTER ORDER Bic= 11 NORMAL DELIVERY CITY OF CARMEL HME= CARY LEVERENZ 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO CARMEL 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. ... . ... ......... .... SIZE E :ki CITY: PA ITEM:: DES RIPTI Wi:+, 135 LB YS!' R�EL SHORTE'NIN 'F+.+R' Y::l�:IQ+':,C .03 :9: : X. 9'6x: :::::::::::: -2. 9 9.8: A OM 4.15.184 2, CS .101 LB: BBRLCLS: SNkCK.:::MIX:.SPCT CREOLE 910 6 9, 9: 0.'3.2>, 9 -X. �E �.CS ::�24500:::::MLPURLIFE:��WATE9:::�PURIF:I:ED:::::: GROUP TOTAL"" . 72 7 ..... ......... PAPER:.:&+.::::D I P SABLE::::.*: ..........- DNLY50OCT.:l::SYSQO. FOIL SILVER :25::::.9. . ............. ........ ........... ......... D . 1 S �::4100:�.CT3YS.�.�:CLS::���GLOVEi��:�L;ATEX�:: FI)S�VC PWDRF+REE:�:MED�������..,+::�::i3:0..4.::7.: 00 2 2::: $347.6 4:H�� '35:: 9:6 .:l'i :W:9.6: ++ .... .. ....... ........ ............ ..... ... X : 4. ]SCS:::::::101:0O CTSYS CL:S:::::GLOVE: POLT.Ck T:+::DI+.SP::::+:::MED: ....... ........ 'S -3 ::7 V D : I CS 25033 GAL CL L IVER: TRA SH::::.i�3�3X3�:9::::::::'+:5::::::ML BLI(:::: H 6 6.391413 S;. 0175:9 5 8::::::: '3.8,::::.7+8+ ... . . ...... .............. +- .......... ... ........... . I il� .......... ,6 1 S:<::20 0 5 5:::GAL SY S CL&�L I N�ER. TRA H 36X58 TML` LK::::::::::::: :::::::::�::::::::::::::::::::::::H7258H: :S:: ...................... .... ...... . .. ....... ...... ... 4 Q841+67:9: 0 0':::::::::: .......... ......... S 4 1: ...... X DNLY 50 OCT..:::SERENZ::: STRAW. ER2. f .lD , + . . . . R� ER U L .+ OR .. P +++++ ... : :.....: T ., T . F .TT..C . .. LY+ : X q ...... X .. : ......... ......... .. ... +':.......... I CS: 68:00 F73 ORG::::::::,P T.0.W.EIa.-:RQLL. ENMOT1 Wi�ilRG 4A . .4E TO: ��ia9.46 Q 962:77.6.1 ...... ...... GROUP TbTAL'+****+ 3 31.11 ...... ......... . .............. ........... .... ...... .. ............... w RRODUC E ......... .. .............. .... ....... . ...... -w .. ... . ...... ......... .. ....... X.: :;:C 1: CS 112 CT :57S��.IMP ..... ........ 7:410 ...... . ....... ..... ...:... ..I......... ...... .... X .... :7 -7 ...... �l �CS:... 2 5:::::::L B:::::::+:::::3:BRL 1::MP:7.:+:SA.LAD+:.....CH::i::C KEN::,: ::::.*,*:,::::: -X. :x: . ......... .4 ...... :B ... -7d5' :X::: C:: .1 CS 25::lB::.:::::3:BR SALAD::T+UNA::ALBKCORE * 7: I ..... ... .. ...... ...... ............... ................. ....... ,GROUP"TOTAL**" lS( CHkRGES:::::::::.::: G:$:::TOR :::FUE�L:::SURC.H.A:RGE'::':+:"�:�:i::.: ��i�iiii��:�:: H . ..........I .................. ... w: .............. . .............. ......... .... ............ ... ...... .......... . ..... ................... . ........ ... ........... . . ......... ................ SUMMARY 82 3 ....... ORDER 2 ++++ 3305' .... ......... ........... ......:...::::::::.......::::::::::::::::::.;:<.;...::::.;.... .......... . ......... ...... -------- ...... x .......I.... ............ .............. ... .......I .. ............ . ....... ............. ......... X- OPEN: / :uu Am CLOSE: 2:UU PM rAq;:cz qpI IT TnT Prcz ri mp v P.O. BOX 7137 2 1E 4 22 13.6 INDIANAPOLIS N SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF H2106-7137 TOTAL 1402.17 UE E AFTER INVOIEE R DON DELIVERY. PLEA�'E C G%E W(PIECES L CJE)J B E E!p E RECEIVED v 4 C 12 52 37.5 FOR ANY HOR A AFTER Y U HAVE 81 1). PIE RECE T TAX � NAll— PlPrPcZ R11 F DRIVER'S IND. PCS ICUST* No. PCs TOTAL SIGN DELVD. SIGN x REC. INVOICE TUHfH I��R�01 LAT�� L �Tl 1� 10 IC �R -BJrrT Tr) TWr CTAI TOTAL 1402.17 2 0 D S�Cp C R �T Vdl�TAlij(�OP'�r.939�Cfl% H�T 2D ET LA V�E�y� H� sj�y �HES A g.� '0� ' ALVIL� S PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 7/19/13 LAST PAGE �.FU EMT IS RECEIVED. 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)) 06/20/13 306201001 Trash Can Liners $87.78 06/20/13 306201001 Food $1,314.39 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,402.17 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 306201001 �y19sc�/•U'�� $87.78 1 hereby certify that the attached invoice(s), or 1207 I 306201001 I 42-390.40 I $1,314.39 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, June 25, 2013 —Z� Director, Brookshir iffrolf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund