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223227 08/13/2013 F CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $2,800.90 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 223227 CHECK DATE: 8113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 308011142 1, 429 .40 FOOD & BEVERAGES 1207 4235000 308080947 127 . 64 BUILDING MATERIAL 1207 4239040 308080947 1, 243 . 86 FOOD & BEVERAGES Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO omm come from p a v 17A7� cusTO.:ae:R. BROOKSHIRE GOLF CLUB+++ ®�� ® 12120 BROOKSHIRE PKWY l TtaeKSOa 412940 308011142 4 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 62ND ST ? :>:>:at94:,E>:::<:::!ii INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER All CAR PT. 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RING BEER BT9 5/8" .. 86423 0855296 26.71 26.71 - I -...� .... .. ...........�:..... . . .- ............................................................ .... .........I........................... -.... . . ..... ��.��.��....","..".,......,............ . . ....,.........",,.................,.............,....,.......... .. 1. 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POTATO* FRY SKOR 48* PHANTM PLI07,14730409594 :1998501:::*:* 31.**6'2 ' '61.-2� I............... - I.....-1. .... - - . . ..... ''..''... . . ... .....:.-� ..;;;...... l/..'..'-.: .�'.'.'.'.'..... ..,,''..........,.........."..."....,.,.......��....... .........'....' . - - , . .- .. ....... ..",,...".,."..............,...,......'� ."::.:,:::..x.:.:...I X::: ..:. .: : �:�::: I..'',.... :::::::::::.:.:.:.:.:.:.:.:.:,:,:.:,:.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: :'::'::::::::,:::. ... I....�..I........I ��.�.... - -... - : : .... -- ::.:.:.: :* . .. . '.-... ............ ......-....- : :.. . .. �..... . :::::::::::::::::::::::::::::::::::---4 ...... -��.'.....". .. -............-�... .. w : : .... -- ::::�:::::::::: *.* ...,.*.�....'�'I'�.�....�.,.,.,..I :::::.w:::::'::::..... ... :0 .. AL * ::::::::::::::::::::::::::::::::::::::::::::.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:,:,:.:.:.:.:.:.:.:.:.:.:,:.:,:.:.:.:.:.:, . 1.8.3 12 .....- ..k** CANNED & DRY ***''.�....I.......... . I .: ...... - ...: -,, .....:.. ... ... ... .... ,...- 1-1........ - ... ::::::::.. ..:::::: '.'..�-F I................ .....................,........�.�.�,.�.,.,..",,...",.... ......... ...."......".....' - .. ..>::....... ................ , - ",..�...�::::::::::,:.:.:.:::�::::::: .. ..............".,.*.*............."...*"... :: ... ... i��ii��ii��i��]�� I. ................ ........................�...�..� , ::::::::::::::::::: .......''.,.,,.�................,...............,.".�.........."...................,................,.,�.I...... �. . ........... ....... ....... .......'...'...... " 22,97'°. , .. .. ................�. .......... . ,. ...................1-1---,........:::::::*"" ----m............. .11.1-...... ..... .....- �... . * ...1---- DNLY J. .. CT .qESTLE:SCANDY BAR 'BUTTERFINGER* 2 1' OZ 280*001159** 5198056 "22.97.......... -1. ....... �.�.......-,...�..'-. -1..... ... . , - ..... ... ... ......I....... ::::: ....... - - IS.... ...��...,.,............,.,. .....�.I....... ..........,..,.........",.,.....",...,..,.,.......",.,..........,...,.".,......,.,.�.........�.-.,.,.....,.,.",."".",...,.'':::::::::.** ** ..... ................ - �J::: ,��:'!��::: x�:�x��:��:�:�'�::::::: . ..........,.�'...,.....,...""��..".."..".��..''.,..,."...,.,.'...........................,......".....,..,...�.... ......,.....,.......,...,...,....."...".." . ..... ........ .... ........................... .. . I...... .. ........... . I�� F"I.......... .-....��ji:��:��i��i��.,.,.,....,.��........"""....�.....................,..........,.,...,.,...........................,.,.............,......."...�. ..�� :��i��i��:w. ...... * ** ....... ; .......... ��'.'. ,�"".'.'. .............' * ::: **** .......-... ..................,X, . ...... .:::��...............,.�............,,........ , ........ ..... .......I 1. ....,............�...,.................... ....... .. ....... XY .� ........'.".....-.:::::::* '-- ,..,�� . .... ..�.....:::::.::*:.:: .i::::i:i:*".,.............,...,....... " ''I''.., ................... . - ..�.�%.��.,...�-------,..'��...,..,.....,..,..,.,.,..I ... - is NtY36 HEY CANDY BAR**KIT* KA*T 1.5 OZ **** ' 24600 4599775 *2`2'.97 '**.... 22.97'' ..... �: .....'................... '..'.. ................. � I....I........ ...::.�..............................�............ .... �-.'."'.."......... ..........'.................... ��.-�� -, ...... "". I �� "'...............'.".I- ..... .....''......'........................:................................... . .... ...... ...... .... ...... . ...� ... 1-1-1 I .."...... ... - .........""'.......,'..... ..- .: �::::::-:::::' . P.- ................................ .............�.�.................". . ll� 2S. �NLY48 : Cf1591CXER-CANDY BAR SRI,Ckk , 1.86*OZ ........ 256479"1'793-837 ' 2'9:'.'99" "' """:59`.`96 ". .........,.......................................�....... .: .'.'...l..-l.::.:p�'- . ' 'l'.:.::::::':: ..'.:.:::..:: '.'.:.::::::: "::::: .."'.....'...' ::- ...... ' , .I�l * : " .................. :::.,...�........�.............. ... ....::::::::::::::::.... . ........-......�........ ..............1.1-.............11........''............�..........�.....:.:.:.:.:.7 ----....,-........ - ��::: .:.:.:.:-:.:..:.:-4' ...... . ::::. v A I 1)C r; 2 1� .9 IN SUB p . . 9 R !nl 1!5 IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 2 TOTAL E DELIVERY.SHORTAGE THIS INVOICE,,WE WILL NOT RECEIVED VWION 0 M�EIE v FOR ANY SHOR AGI� AFTER YOU HAVE GNED. PIECES RECE T TAX TOTAL DRIVER'S NO. PCs '3T.X,f NO. PCs I � SIGN DELVD. SIGN ^ - I REC. INVOICE I T �%J,Tg�Lcp qopg,�l.�l 11 i I &�Rt LJE�YRL�j�gR TOTAL , 0,',�g,�j 0 ?1�5-rLf2'L� Ill k'j�jl THE gjAg��? p�1�&'RC - , I g _4 Q'#�A A V 1 _ 'T _R, --BEFORE - RTAI A T U T LA H � ikTO OP$8.0 '� S M V R H S PAYABLE ON Off I DERIVED y FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS S FROM THE SALE OF THESE COMMODITIES UNTIL ON PAGE 2 o FULL PAYMENT IS RECEIVED. . Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO oft come from bEly.GA7�, custo;aE iz>. ;;.. BROOKSHIRE GOLF CLUB... .:. .. 12120 BROOKSHIRE PKWY WSW' eK s ar. 412940 308011142 4 3 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 2ND ST R°'? `' `' W 6 INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL MA' SN13� GARY LEVERENZ 1 CIVIC SQUARE DRIVER: BROWN, BRUCE 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. QTY PAC SIZE ITEM;. UiwET EXT:EtEDEb 2 T ITEM DESCRIPTIONOtx ;; ;a1�� aR:�e ° ORD S,. RY 38165 ,.. ..... ,;:. ... :: i ,. .... .:.:.:: .. N ??�M�T.TQ :... . . P.O. BOX 713 A 7 INDIANAPOLIS IN SUB p 4 15 IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN gg ggAFTE 46206-7137 TOTAL 1429.40 E 59 37.1 940 FDOR ANY SHORAGE AFTER YIOUI HAVIE ESIGNE�IP IECEST R ECEIVE 0 MUSTE TAX Ar,P DRIVER'S NO. PCS CUST. NO. PCs TOTAL SIGN CU MM p7 g DpELpVD. H SIGN RE p g REC. INVOICE AU 7 I TH&H FRRZZISHHpplgggLYyESSAqFFGC�IIONL5CP O�OTHME,OP EI RIIEgHALgILETEAGRICLIT�TLRAIV COMEMApDITISESLpgCTUBAEg C3TI TO�J STHCE ggIgATT C7))OF YH ETR EgLT�ER p ; TOTAL 1429.40 THESE COEMMODITIES RETAINS A TRUST CLAIM OVER THESE COMMODITIES ALL ItJVEt,7TO fi;70F FOODyOC OTHER RODUCTS PAYABLE ON OR BEFORE I DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 8/30/13 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 $1,429.40 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 308011142 I 42-390.40 I $1,429.40 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, August 02, 2013 Director, Brook ire 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)) 08/01/13 308011142 Food $1,429.40 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 . - 4 CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things come from bELv .9 <: cu5 draeR.. BROOKSHIRE GOLF CLUB+++ I T2120 BROOK5HIRE PKWY )® c TR eK s oP 412940 308080947 2 1 SYSCO INDIANAPOLIS, LLC u CARMEL IN 46033 4000 W 2ND ST -.-..:�;::<::>;....... . ..... 6 INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEK AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE I DRIVER: DIALED, THIERNO CARMEL IN 460-12 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41; FR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE..11 S 4FENE UitiET EXTEND�13' .x . Q fY T: PAG SIZE ITEA!i QESCRIPTIbN, cp Pa1cF PFCE.I. * DAIRY *** 1�C .. S NL. 5 LB BRLCLS CHEESE AM12 ;YL 120 Sr;i 28131 6697114::...19,28 1.9.28 I.....,",', . ..: .:.: S NL LB A A L HEE DR 5 S S0 C . SE GH JACK .SHRD FCY 1:9.999GS. 24061$9 .;;;17,.40. 17 4.Q * : GROUP fiOTAL ;.: 6. $.:>::::. .:.. .: ..:: *.*..MEATS.::.***...::: ;.:;,:: S 6:::C::5: 05.3 OZ IREIMP BEEF RND PT G Y HM.. TJ 8 522.31 8].6010 53.6Q 12.7.,20 ;:..: ;: >::. . .... F S . 110 LB,. HNSVLE BR...TWURS.. 5X,.1 PRC.K SKLS 1.,OOQ21 2199198.:.;. 8.,8:•.;97..:. .:.;.:.:33..97 ... .-: ;:::>::;:. .:.:>;::>>.. :.:: "::::.;. S 110 LB BRLCLS FRANK.. ................................ALL-MEAT 5X1 6 IN 3773:5.=070 113773.b 24..97 74.91. 11 ;:.;.. S 45 LB TM PORK BBQ SHRED W/SCE 44.020 4871356 . .69.99 .... ,69,99.1. .< :»: r. S 247 OZ OLTEN PORK F�2ITTFZ �NLS HMST' 20009` 6583710 39:75 39.75 F OU S 2 6 OZ DV NCE PORK FRITTER. ..' F2AW 6606 .2205383 K UT >S'I'0 1 .. ........ .. GROUP TOTAL**,** . 345.82 L . ::.FTR_ l 5 0 LB.. RKB<$H <:HI. .KEN BR :T FA I>TA F'I: P ¢ . ::. ;:. U C G S J ** *SfiR 524.51 319593$ 4. J9 44 09 ** FROZEN *** GROUP TOTAL .44 b9 S 11;2 CT ` BRLCLS BUN H(?T DOC .>6 . 53<61:2 74:$9:$6 8:x.94..,: 69.8.. ..11 IF 1I CUT SW CAKE CARAMEL VAN:.CRNCH SLTD 25:48 08.4:9867 »75:.;:7 5.>.. .;:::;:.75..:x:5 ' :: S 2 SLB ANTI;ZR ONION RING BEER BTR 5/8" 3fl423 085:529'6.:. :26+:. :>,. 26.?1 S 5L6 YS >IMP POTATO >FRY SKON 3!J8 PHANTNI PL7 x734738:4095.9 k9 8907....;31 :6; 3 f�2 . --.. . ..,... . 11,11, S 96 CT I fi0 RQLL KAISER!HNY .B R 4: 2 1, 91 >:o 7 62 ... 32, ` . tJ'I` 5 A 9 :53 6.D. 65�20:>.:. S l 12 GT; MARTA TORTILLA FLOUR 8"` PRE�!S: k`RSH >:9018HT 0405692 ;7.5.5;0 5 50: ...:1:::11 GROUP TOTAL* * 284.x6... ��-.- :�:��ii�:�]:- :::::::[::::::::': :::.:::::::::::::::::::::::::::::: :.::X.:.:::::::::::::::: . :::::::::::,:.:::::::::::::::+��:::::::::::::"::::::::::::::...,.........I....... ' :::: :;:.:.*.:-:::: I.I. �...................'.....,...'..'"...,,,......... - ': Q . azh1 ra P.O. BOX 7137 z 1 2 19 17.9 283 I INDIANAPOLIS IN SUB I, IMPORTANT: PERISHABLE PRODUCTS ARE VN./OT ELIGIBLE FOR RETURN gg ggAFTE 46206-7137 TOTAL E �OR ANY SHORTAGCHECK ER ylOUl HVOIE ESIGNED IP PIECES RECEIVED MUSTE TAX O DRIVER'S NO. PCS COST. No. PCs TOTAL SIGN DELVD. SIGN REC. INVOICE I TH PER A RIC IT Rq L CO Op TI S IS Ep pN LJT� g INLV ICMEMApRE gE LDgCgUB gE C37p OU g7�{CE qg yAE7 T1'ORYHE7RgUEgLT p TOTAL o gU7EHpRIZI SEHp gg�yE ggEGCTIOUUNN S5LLI�C) OF 7MHME P RIEESSHALgLE7 AGGRIC ECOAM�OT ES DITIL�N ET �R ESI�F FO D�OR�CO TER PROOR T THESE COMMODITIES RETAI�S A TRUST LAIM OVER TH S M ODI I Al I v NTO I O O TH UC S PAYABLE ON OR BEFORE ONT. ON PAGE 2 1 DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL I o FULL PAYMENT IS RECEIVED. Good things CUSTOMERS ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO come pELV.. .1 CUSTDAQER " BROOKSHI RE GOLF CLUB+++ WS rR eK s QP 412940 308080947 2 2 SYSCO INDIANAPOLIS, LLC CARMEL IN 46033 4000 W 2ND ST E :>::>::: 6 INDIANAPOLIS, IN 46268 317-846-7431 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO - - CARMEL EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. f5 .... iT T <>:::: EXT!E[�OED:; K; ,,..I.QTY PAC SIZE;: ::. :ITEM D..ESGRIPTION » .. c:pr�E »PRI :: ;.. <>: PR1Gk a ** CANNED & DRY *** S NL 24 CT HERSHEY CANDY BAR PAY DAY, 80723 7030:414 .:1.6:59:`... ..:. 16::.59. , .: .. .. . FRITO LAY S 1.60 CT:: AYS.,, .. CHIP VA.RIETY. SYSCO/ 31$31 6586721 24.,9$ .. 4 ....96.... >:.:: :>: LB A S 1 2402 SE REC KETCHUP SQUEEZE BTL ...... HOUYA24 9617.2,1$ . 2.6..,$.7 . :.: 26..$7.. . 1— I >::.: ,.. .. >:.. .:.>::. :: S 5007/1602 SE REC MAYONNAISE PACKET FOIL 1606$54„ 1:606854 4.3.:.08 43,.0$.11 .., . >::>::::::::>::>:::: D S 1212 OZ. RENCHS MUSTARD. YELL,0W CL...$ SQUEEZE .11.111.1 4.1;5007677 473607Q 2:.0::9.2 ..... 20.92 . .1. 115 I S 481 7502 LANTER PEANUT .,SALTED 0770:8 9549379 25:9:7 .:::: 26:97 .. ;: . 1081 5 OZ AT VLY SNACK BAR GRANOLA, OATS. & HNY 3353b 3660370 .. 47,95 47,8.5 ...''. ........... . ... .. .. :: . ..... ........ .......... S 24500 ML URLIFE WATER....................................URII`IED 11476557 8108847 3.89 23.34 111.1. **Vie; CROUP TOTAL 255 68 .: t .;:.::::..::::::: ** PAPER & DISPOSABLE *** �' ,. ..: ;:.. >:::>:.>: S 000CT YS CLS FORK .PEAS BLK MEDHVY MDLNGTH YMWFES.Y5.8003370 ... 54,36... 54,36.11.11 ;. S 1$1500CT EORG P TISSUE TOILET CORELESS 2PLY WH 19378 6092605 57 65 57 65 S 800 FT EORG P TOWEL ROLL ENMOTION LRG 4AUTO .. 894609627761 69:'99 69.99 *: ; >. T »:: . :: GROU 0 L **.,.PRODUCE **'* . . fiA I.$2 00; __ S 112 CT YS IMP APPLE RED DEL FCY FRSH 7410608 1 .91 12.91 ”" ,: S 112 CT YS IMP LIME FRESH 7412570 12.87 12.87 J::,:.:::::�::"..!::�.��::,.:'::::::.�:::::�::.X,x::�:.ix::.::��:.xx::,:.:.x-�::.x ;::. :. : ... S . 15 LB ..: YS IMP ONION .RED FRESH JUMBO 1.039494 1039494 9..29 9..2:9., S 112 CT YS IMP ORANGE FRESH 47412604 11:76 11.76 :: »>: :: S 25 LB BRLIMP SALAD CHICKEN 51071 2510717.:.::41:6$ 41;0$ C 15X6 YS IMP TOMATO 1 LAYER FRESH 1008630 2 2.41 22.41 ", GROUP TOTAL'S*** 110,32 P.O. BOX 7137 - 22 1 1 23 18.9 360 INDIANAPOLIS IN SUB A IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g gAFTE 4206-7137 TOTAL e �OR ANY SHORTAGE AFTER VIOUI HAVIE ESI GNEO PIEC ST RECEIVED NM TAX v NO. PCS CUST. NO. PCs TOTAL DRIVER'S DELVD. SIGN SIGN RE C. INVOICE I TH7E pPER gEHpAgg�yE SgEGCRII UNL T5uRPL �O7MHMEOpEI7IIESg LgISE7E GpR�ryCUTLH IUg INLV ICMEMAp E oG ACg gEC37p U 57��{C� qg 977 �) RVH E7 SEgL�� p TOTAL THESE RCMMODITIESTR�ETAINCS AFTRUST PC RAIMAOVER�THESE TC OMMODITIES�IgL INVETNTORIES10F'FOOD�OCOTHER PROTSUCTS PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT• ON PAGE 3 o FULL PAYMENT IS RECEIVED. i CUSTOMERS ORIGINAL INVOICE Good things CONFIDENTIAL PROPERTY OF SYSCO .:; . come from pg{v A7 cusrbsESz . .. : <: BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY )/ c T.� eK $ OP 412940 308080947 2 3 SY5C0 INDIANAPOLIS, LLC iDt3: 5 .::>:>:> C ARME L iiiR I N 4 6 0 3 3 4 0 0 0 W 6 2ND S T ,:«.::.;::;:;::.;::::::.,:.. »;;;;;;:<.;;:.;;:.;;::,:.;;:.>:.;;;:.;:.;;;;:<,>;>;;;;;:,;.;:::.::<.» ; .;;;;::. >;:<:: :: ::: ;:. 317-846-7431 INDIANAPOLIS, IN 46268 DUE FRIDAY 4 WEEKS AFTER ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: DIALLO, THIERNO ... 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 N:; PAC SIZE T. RESCRI'RTION kTERR :::::::::::UN IT::::::::::: EXTEPIQE� T V C.0 11p. C ;PRICE .::I. ** DISPENSER ** rr I� .:.. . . 5 15 GAL,, OCACOL SYRUP. COKE CLASSIC 5Xl BIB 0425001.0 4:090593 67..98 67..58. S 12,5GAL INMAID SYRUP LEMONADE BLB 1.67.6029$ 89.08$32 :. 9,.$7 39 8 7'....::.::.:.... GROtJP..TOTAL** *:. ...... .... ... .. 1.0:7.t 5. : :.;:.. M H RG S. HGS FOR FUEL SURCHARGE »:' 5.00.: :;: • ::: ORD 5 RY 44 0.51 . 41721 111.1.. _ . . .. _.... ...':::::;:. :.:::.: .. >,:;; . .. . _... .....: ........ ... ........ .. ...1111 ..... .......... 1.11.1... ....... . 1.11 .1. ..... ............. . ............ I :: ....111.. _ ........ ........................ ,; ;::: .1111. . ... ,,1,1,1,,,,,,,1,,1... . _,.:::: .. . . .... _.. .. .. .. . a M .111.1 . 11 :::._ .. : N : P.O. BOX 7137 2 1.2 81 INDIANAPOLIS, IN SUB R ] IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN g gAFTE 4206-7137 TOTAL 1371.50 E 4 3 44 317.0 724 FOR ANY SHORISAGE AFTER VIOUI HAVIE ESI GNED(PIECES RECEIVED MUSTE TAX v NO. PCS CUST. NO. PCS i TOTAL DRIVER'S DELV0. gSI7EGNpp IIZZSSEE�� gggg�yyEESSgqEEGGCCRR 55L� Fc 7MryE pE7REg Lg E7 Goql LHIUgRgSLIGNMEMp E gE pqC Eg Tp �JST�{C qg gE7 �) �7yHER7ESCEgL�E p y INVOICE i THESE COMMODITIESTR�f TAI�CS� TORUHSTOPCLAIM AOVER�THESE Tt±OMMDo TIES,, IALI�IfIVENTORI SI OF FoOD�OR�COYHER PRODUCT PAYABLE ON OR BEFORE TOTAL 1371.rJ0 I DERIVED FROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 9/06/13 LAST PAGE o FULL PAYMENT IS RECEIVED. I VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,371.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 308080947 42-390.40 $1,243.86 1 hereby certify that the attached invoice(s), or 1207 308080947 42-350.00 $127.64 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, August 08, 2013 Director, Brookshi 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)) 08/08/13 308080947 Food $1,243.86 08/08/13 308080947 Cleaning Supplies $127.64 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