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Home My WebLink About222590 07/30/2013i CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 0 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $3,347.45 INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 222590 CHECK DATE: 7/3012013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 307110867 1, 205 . 69 FOOD & BEVERAGES 1207 4350100 307110867 185 . 29 BUILDING REPAIRS & MA 1207 4239040 307169091 69 . 87 FOOD & BEVERAGES 1207 4239040 307181132 916 . 80 FOOD & BEVERAGES 1207 4238900 307240669 159 . 64 OTHER MAINT SUPPLIES 1207 4239040 307240669 794 .21 FOOD & BEVERAGES 1207 4350100 307240669 15 . 95 BUILDING REPAIRS & MA Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO fromcome v.... :::::::::::::::.:...: ::.:.:::.::::.::::::..:::. 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DELIVERY. ,.....+.+...-`-+44.::: . : + v-C� rl IRC rPr)CC \A/T OPEN: : P.O.+:4 44: . :.:::BOX....7137 4, . .:.....-: 4+4...:...:..... ....4. -'---� " 1E 6 IN SUB a 1 IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF �2 TOTAL 1 tit 76 5 PLE,A�'E EH Hl� INVOICE E WILL L NOT BE RE!FON �-� E 7 35 22.5 541 , , MUST � TAX v 2 E FOR ANY SH -A CHECK U HAVE PIECES RECEIVED T 'OR G' - -TOTAL � DRIVER'S NO. PCs I CUST.'k PCs I I SIGN � : SIGN I DELVD. I S .. I INVOICE I Lf=a�-s��- � I THfH 1� TOTAL 1-0�-.<5 , 0.1�g'�j �XATC�L.�TIA�lF��l,��,�t�E�� ,N,,i4yge� 11 L U NV?. JO V ,E�9 I ��V�M Qp.THl ��Ag��W ' �TLI Ill V PAYABLE BEFORE -- p, -L'I .Typ�%&"RCpF-PAYAE3-LEONORB�-FORE I , '� ,��R , C� L"O'� -O S I� A T LAM R E 0 1 �8 � I DERIVED FROM THESE COMMODITIES, AND Al OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL . 8/16/13 t LAST PAGE .FULL PAYMENT IS RECEIVED. I_ _ : , 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)) 07/18/13 307181132 Food $916.80 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 $916.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 307181132 I 42-390.40 I $916.80 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, July 23, 2013 Director, Brooks We Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund — . , Good things CUSTOMERS ORIGINAL INVOICE I CONFIDENTIAL PROPERTY OF SYSCO &vft come from raB�t oI :::::::::* 'A" ..,.` .......... . BROOKSHIRE GOLF 12120 BROOKSHIRE PKWY bysco. 5 1 CARMEL IN 46033 4000 ::::::-:::::--:::: .. . -.. ..... -.::.......... .:.: R�..:.._'::.........�:::,6%. INDIA IN 4 AP �biiF..:.BA�AN*C**V.�:::,4, , 317-846-7431 . CITY OF CARMEL El 1 CIVIC SQUARE RIVER: I CARMEL I EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4. 60 250.4 AND 60-74;1.4 ARE INCORPORATED HEREIN BY REFERENCE. .. 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PCs TOTAL 0 ic ; SIGN ELVD. SIGN 1 REC. INVOICE I-T"f.p — UB 69.87 U ?��%O.A�g'�j SXL'TJ TOTAL Cl Lo F or A'��T ltl,L� �O.THE - Vjt'��'j -� V AL . I� .p�8.. T Al A T U T LAM V F Tq 'C ( , I I�% I goPERISHABLE I , 44 A0001 NP7,50MLSOC�s I�H S , PAYABLE ON OR BEFORE I DERIVED THESE COMMODITIES, AND ANY RECEIVABLES OR PRoCFEn'l; FROM THESE COMMODITIES UNTIL 8/16/13 ILA o FULL'VPA MEN.T 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)) 07/16/13 307169091 Food $69.87 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 $69.87 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 307169091 I 42-390.40 ( $69.87 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, July 17, 2013 Director, Brooks We Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund : I � Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO I ��/��®®comefr om ....`� .. -. .....I......... r,,,"d�� ':'+,'.`,'-,'..:,BROOKSHI RE GOLF CLUB+++ ....,.,CtJSTQMF ::.:,X:-X:' .: ..,.........� ,R::::::`�. `- .. ......... ...:.:: : .. -::-:`*:-x,x�:::::j NVOI 05:::N UM 8 E R*��**`+,'..:.:0 .'-.'+-'.'..+ `.'�-'.ii:.:i�:]:i.i:.i;i.:�:�:.i:� iii: 12120 BROOKSHIRE PKWY 1 1 CARMEL IN 46033 .......... IN 4 INDIAN 6268 317-846-7431 - , . . 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'w... �................... ... ...... ................... ........................................................................... .................................. ..............:::::: ..\\'.... :.:::: ..::::::::ii:i:i::;..:.;..... .:::: :.i::::�:;.:.,;. .:::::::::::::::::::.::::::.....:::::::::::::::::::::::::::. .. :;::::::. ria>::.i:'.:'::i:;;::::. .....:;,: cs::'::::s:i:is::::::?:;.:::i:i:::e:::::: :'::>:::>:;i:>>s::?:>'+.::;z::;;:. I::is:a:s:c::":::i:i:::i:::::>::>:::;<;<;<::::s»:::s::::i:<y.<;i:>o:::;>i;::::::i>i :::>: »::<:::::;:::>ii::>i;;::::>i:< a ,;..... :::.::;:::::::..:::.: :..,:::. N P.O. BOX 7137 86 INDIANAPOLIS IN SUB 969.80 a PORTANT: PERISHABLE PROD$UCTS ARE�VNyyOT ELIGIBLE FOR REgTURNg gAFTE 4206-7137 TOTAL v 2 1 - 3 l FOR VARY SHOR SAGE AFTER VIOUI HVgVIE E$IGNE WIP ECEST RECEIVEDO MUSTS TAX NO. PCS CUST. NO. PCS TOTAL IVER'S DELVO. SIGN SIGN REC. INVOIC E q Hp 'R gEHpAgg�yE gq�GCR CUryLT(C LpC�MMpp 71Eg L Ig7EpGpIryC�JT LH�LJSRIgNLVOICMEMApREJ gEgLpgC UBJEgC3Tp TOU g7�{CE gg�gAE77(LJ71'ORYHE7RgUEgLT�E p TOTAL 969.80 AH ESE RCMMODIT IEST�OETq NS�gFT T�ET FLRISMHABLVE RATHRESE TCOMMOCD ITIE S,DALL ItV`�ENT OIRIESf 70 F'FOOD ORCOTHTER PRODUCTS PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIERS.SANCCD RAINY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 9/23/13 LAST PAGE o FULL PAYMENT 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)) 07/24/13 307240669 Cleaning Supplies $15.95 07/24/13 307240669 Food $794.21 07/24/13 I 307240669 I Cups I $159.64 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 $969.80 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 307240669 43-501.00 j $15.95 1 hereby certify that the attached invoice(s), or 1207 307240669 42-390.40 $794.21 bill(s) is (are)true and correct and that the 1207 I 307240669 I 42-389.001 $159.64 materials or services itemized thereon for which charge is made were ordered and received except Thursday, July 25, 2013 Director, Brooks re Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO om come from BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY ®Sc®® 412940 307110867 8 1 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST pppp ::xP �i Rj: iiEcT::: 317-846-7431 INDIANAPOLIS, IN 46268 4448 F::SAf+ANCi?S :SUB T _R DUE FRIDAY 4 WEEK AFTER ORDER RMAL DELIVERY CITY OF CARMEL 1 CIVIC SQUARE DRIVER: TAMBR RICHARD CARMET. IN 46032 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41•:V�� FR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. ::::JTEM QTY,: ........ . SIZE: E :Y.: y: PAC S.CRIPTION T X..... MEATS P...8 ..... ...... ...... 622Sl' 916 0 55 IeF : 2:::::C S 605.3 N IRE IM EEF GRND PTY HMSTYLE TJ 8 01' 3 '62' i 2- .... ...... .... ..... ...... .... ...... .. ........ ....... ..... .... . .. . ...........v 7 C14 �CS 11Q LB jH0.5VLE: BRATWUR T 100+ 6, : S PRCK...SKLS . ......... 0.21 1 X. 2 1.9 9 J8, 3 .. .... X., ... ..... X -X . .......... .. ........ ........ 4 CS 119 LB BBRLCLS FRANK ALL-MEAT 5XI. 6, 1 N _37736.-.Q.70 1.1�3773.6. 24.97 ........99,H ............. .......... ... ..... ........ ........ I CS 276 OZ ADVANCE PORK :FR:I TER BRD 6 0 6 2 2 0 5 3' 39.48,+ '39"."'9+8 eF ....... ....... :GROUV::TOTA4k***::: q POULTRY * • CS 110 LB BRK8USH CHICKEN BRST FAJITA VIL ST9P 5�45 M69`�8+"43`.'62 43*.62 4: .. ...... 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CS,:. �9,6.�:CT 117 . ::.+ :22...: 0 :::HN Tj R�A :257::i, X:: .............. . ...... ........ ........ ............ .9 4:: 1:.CS ::::243.940:z:rNPRIDE:::+::SANDWICH::,::SAUS EGG:+.::+CHS:::::CRO IS ::I:W-.::: 2::b 51.9.6:5:8l::v::.2'. 9:6 .+ R 1:::::C,:S:::: l 2 12 :::C T r:::NARlA T,ORTI+:L:LAF:LO.UR��8:�!!,..PRE+SS :F H. , .......... .......... .......... .... .... GROUP TOTkL****' ... ... .......... :X ..... ................... ...... ... ........ .. ... ................ ...... . .......... I C S+:::::::::::::: ...... ------ .9 X 160 :CT AY . F �::::tAly :24'." RIrM .......... .......... ... ..... .... ........ ------ -------- ....... Z CANTER SNACK. X., CS . ....... .. ........ ............. X .................J.932.0.9.9.0.26..4.9.3.6.5 98 1`4 2: $ X", N :0 CSA7:22:::: Z PL ANTE ::':,SNkCK:. RAIL::: -:9 9�� ::::;M:: :X::,: VT i��&�i CHOG;:'..].� QQ+27:4 . ..... .... .. ..... X` :UU AM CLOSE: z:u ................ N rIIAF (-.Pr)qc MIT OPEN: U JJM .... X CPT IT TQT D�c ............ v P.O. BOX 7137 2 2C 1 21 118.1 290 INDIANAPOLIS N SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 462106-7137 TOTAL FRIDAY ' WEEAKA 4 0 E. iM ER. TAMBR RICH E DELIVERY.SHORTAGE CHECK THI� INVOICE WE WILL NOT RECEIVED REjP N M�ELE v FOR ANY SHORT AGE AFTER Y U HAVE SIGNED+ PIECES RECEIV Do T TAX �rPr WITH P Fr.Fl; RIL DRIVER'S NO. PCs PST. NO. P C S TOTAL SIG DELVO SIGN REC. INVOICE TH P L 0 TRLL5T TOTAL l0bV A )50C PAYABLE ON OR BEFORE u T A�'L �C LJIT�YJRAl N�,?O'Co IL� op. Y 0 0 VjtBftjjj WCPH, 11 7H SE M R E T 1111:1 A T In, MgM"M v R HESE COM ODI I , C . rT,, LIN M6160c 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL CONT. ON PAGE 2 0 FULL PAYMENT IS RECEIVED. Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO ��®��®�come from OAT,5 BROOKSHIRE GOLF CLUB... 4bll,'414171P.12120 BROOKSHIRE PKWY 12940 307110867 8 2 4 SYSCO INDIANAPOLIS, LLC Z008 CARMEL 4000 ....... IN 46033 W 62ND ST 777?�q� INDIANAPOLIS, IN 46268 4448 ......bbb.........— Al A N C, :SUB 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER ORMAL DELIVERY CITY OF CARMEL MA* SN GUY T,FVFRPlJ7 1 CIVIC SQUARE DRIVER:--STAMBRQ,RICHARD CARMET, IN 460-12 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. tx 0, SIZE: :.: N OE'.x T Y N P N TEM.DESCRIPTIO ....... :1 c :::CS �::::2:. ...... _qg�� .... ... ... 11476.557: 810:8.8. 3 a 5:0:0:::MLPURL .-.+++.-.-. I . . � � I : . 1, ::: :;::: ::::.r ...... .... ....... ...b.... . .. 4 + ::::::::.. . ......... ............. GROUP: T: OTKL**** 8.4 7" .......... k k::::PAPER DI: POSABLV%:*t*: ..... .. . ...... ............ .... ....... ............ ........... ...... ....905 4 29::* 21`19' J#D I C:S:: 112 5.ybs::::CL.S .:.�FI:�:LM:iP.+V,C:::200.OFT::..:::ROLL �SLI'-+.++-+++.+++::C.u�-r++k,',:'� ........ :9. W ... .......... :.:::..:::.>;;:::_>_:.::.:_.:'<::::. A. C N:...3:9: 9 9 :5 3: :'-.7.84: JV:iiiiii-�:::-:::79:::' 4 1:0 01 C T SY :.::�:,US C E:::::L' TEX::::TI)SV WDAF.R ++8:::::AEDi. :' jLOV X P ... .......... ........... ........ 5- .44 ...... I S C:S: 10 100 C�T SXS:�:C L5��::GLOIVVP= CAST::::1):I::S:P::::::MFD:. ... ........ . . ....... ..... .... .. I S �NLY 5,0.00T:��SERENE STRAW::� PLAS��VRPD..'.'ZMBQ: -.7�::::75T. T JT+'--++.:: R2.4.:::0++�+.,b:..9.1-.5-1+61:""",",3..: ,..9: -.-::::::X:... :3-+��-: _RP —S—w. .9 9.++.. :3 A: :::T:':':': 7:8 ::6:0.:9:2::6:05:::::::5: 5: + C.S: 1:8150 OCT 3.EORG P..++TI:SSUE::::+.TOI LET:::::::c0RELESS*::2,PL T.* 0 :: E LRG+b::::4 :':::8.94:6:0.. :.':::96:2'7:7::6:1:::: 6 9i� 9':::: ---v I CS :,.:.68:0.0�i��FT3EORG,i��p:::::::::TOWEL,:.:,R Lt::.:: NMOTT ..... ................ ....... ............... ;:::::::2:2-l- :2-':-D 8:9++I+b��:3:2.+**'��:::i:�:��6��,;."i��9-91 ".6' :9 9.:: NLY5.O.00T 8 ROWN::+��ii�:i i:::�:WRAP�,+.+..,DR.Y+++:.:WAX+DEL L��;1:2%1 O+�*.715i.�: Sol, ....... ........ GROUP TOTAL**** .............. ............. ................ ... ......3 413.3..... ... . .... ...... ............. ......... ...... CHEM T.ClkL::: (EYST0.N.:::::CLFANER: M+ULT.Ti��iiSURFAC ��RTU ORNG:: : 6100063:::76828' C:S:::: 32U... GROUP TOT O"* 1:8 ........ .......... .......... k* PRODUCE�::*:...... ... . .:.2 5 L B:::: 3BRLTMP::SALA+D.:::.C,H:I:C:KEN::::::::::' . .......... . ... ....... .......... I S C S :-,-14 ... . .... ...... 27 LB 3Y:S�:::CLS,::::::S ............ ..................... ..................... ........... . ... . . ..... ... . . ..... .. .... .... ...... ............. ............ O'ul:, b I ......ll--- -'...++..+b.** :...:b 5 :::25 LB B.B.R IMP:::�SALAD::TUNA:�:,ALBACORE::�, 1194 :251 943: .......... . .... ----- ............ DUT5TOCK .............. PICKLE 711+17.'+68049 672424+9' * 5 LB SYS CLS SAL! /CELERY +& 41.6 ............. I FC 15X6 SYS IM.P b TOMATO-111 1 : LAYER...:FR E SH+*:* : : .." 10086*30' 15.87 "1'S'+.*87... ..+: :..:GROUP TL : .::>:«::<::>:.<_:;.< ::>::::>::>::;;:>:<:><:::>::::>::; .... DISPENSER *** + I.b I S 5 GAL 5X1 -BIB 04250010` ` ' 46+50593 67.98 67.98 WOD :j::: ........ .... .. ..... ..... ...... OCACOL SYRUP COKE CLASSI a S GAL O+CkCbt+ SYRUP COKE DIET 5.+ XT BIB X+ [4 2 7 3 54 6 T'.+9*8 "'67".9 OPEN: /:UU AM CLOSE: --T7.MT-PM rl JEIP GPOCc MIT P.O. BOX 7137 2 2 26 17.5 537 INDIANAPOLIS SUB IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 462OIN6-7137 TOTAL DEL ERY.'SHORTAGE THI&INVOICE81WE WILL NOT RECEIVED IV ER Y HAVE GNE , I v FOR ANY SHOP AGE AFT D. PIECES RECEIV 0 M T A r'PFF WITH P,FrFq BILpn TAX DRIVER'S No. PCs ICOST. No. PCS TOTAL SIGN DELVD. SIGN REC. INVOICE TOTAL TUHf,,��II lff�j 0 A TI �O.THE g�@ Cy 'U T .Ty C� V�R E 0 T4g ODII -0 Cl LAO FTORI MME I fj9y�[Cf g.T,20 AL FROM V NTo I PAYABLE ON Off'BEFOR NES 'ATI U T � I L� lsgocp� C M I I R ll L A w I Mullis op S�s M V R H S DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FIR M THE SALE OF THESE COMMODITIES UNTIL CONT. ON PAGE 3 o FULL PAYMENT IS RECEIVED. GoodtNngs CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come from BROOKSHIRE GOLF CLUB... 7777 12120 BROOKSHIRE PKWY S�/SCO 412940 307110867 8 3 SYSCO INDIANAPOLIS, LLC 208 CARMEL IN 46033 4000 W 62ND ST INDIANAPOLIS, IN 46268 --i4A4A4a8-- 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER yyNnyal"n ORRXr; DEL puxim==7194 N IVERY CITY OF CARMEL MAI SN - RENZ 'Ui 1 CIVIC SQUARE DRIVER.: TAMBRO,RICHARD ARMEL IH-- 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. j:j ......... env My M: 40;:....SIZE.:.::. ..T :01 BE0,00 PTO GROUP TO 135.96 1-10 RDEjjUMMART,,, 'A TUSAMAn, WRIN'T I M AR 1`0 goilloR !!limit ITU�! so halmab AM hav i 10100h.1 do SMOMEK ii:i tip Alto A 11A,[ Q al!Rt!Nt;MINIMUM mopick 1 millift 1 EMIM too I ....... ... . ......... 1 is W WN611 got? M A& Go 1 to.RAU WIF 41 AMMINIPT11 litillilimill 19 siolliolliguld 244 Wo M Otto ........ .. [Asti 11 R MIE 4 son ............. ........... . ... ..... - .. ............. ON SAN Q it I Allb 1, XMIN 3017 Top MITI I�� ON"101 V twill togillitoR loolooll ...... ------- 111MIN111111 MINIMUM . ..... I too 1 Z 1 is 0 Rio :�i logliocill molms"!mut wills Roilloolli 01411111now of 11441773004 to Mw 1 A IF 111, Ards k2lb Un'. VIA oa!AmlilR ithimi!NOI ilmigIvs0lict is Hapagnummi x N' rArF:r, CM IT TQT Wc I rIIRr rlZr)CC IAIJ OPEN: 1:UU AM CLOSE: 2:uu PM P.O. BOX 7137 INDIANAPOLIS N SUB a PERIS"BLE PTH0§1JI&TS0�ARE WNOTWEILLILGIBLE FOR RE URN AFTEF 006-7137 TOTAL PLEA E V CE E NOT BE RE 4 1390.98 E HO j,;0 MU E L E 44 3 47 35.6 8 2 OF PffifisTRMAGEHAEFCTIER Y 0 HAVE SIGNED. PIECES RECEIV TAX .ALaE F W DRIVER'S Na PCS ICUST.X PCs TOTAL DELVD. SIGN SIGN REC. INVOICE I TH ATVURai rOINArn)MIT11:1 TOTAL 1390.98 ��A�tjE �&j§e�02�'OIC 0 P.g �q Cf V�Rj "C T U' J�j J�l 8T RC�F � LAIXA 0 'T WU , �HIPRO (TIES�M-VLR�711FTA M PAYABLE ON 0R B E F 0 R E8 0 9 13 LAST PAGE DERIVED FROM THESE COMMODITIES.UST ANY RECEIVABLES OR PROCEEDS SALE OF THESE COMMODITIES UNTIL 'LL 'y. �S o F ENT 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)) 07/11/13 307110867 Food $1,205.69 07/11/13 307110867 Cleaning Supplies $185.29 I 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 $1,390.98 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 1207 307110867 j 42-390.40 j $1,205.69 I hereby certify that the attached invoice(s), or 1207 307110867 �3o/,rrc`. $185.29 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 12, 2013 Director, BrooksheptGolf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund