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HomeMy WebLinkAbout223662 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $3,722.99 CARMEL, INDIANA 46032 PO BOX 7137 d INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 223662 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4235000 3004743 69 . 99 BUILDING MATERIAL 1207 4239040 307040743 1, 117 . 76 FOOD & BEVERAGES 1207 4239040 308151141 1, 362 . 03 FOOD & BEVERAGES 1207 4235000 308221330 38 . 78 BUILDING MATERIAL 1207 4239040 308221330 1, 134 .43 FOOD & BEVERAGES I . ; . Good things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO &bvm come fr :s is / 01.:�: �iii :x_A Vt) ly'+... itjS T. 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I v rl[PC rPr)Cr \A/T P.O.IBOX 7137 .. I...... � 2 l 5 20 15.7 265 INDIANAPOLIS IN SUB .I ' IMPORTANT: PERISHABLE PRODUCTS ARE NOT ELIGIBLE FOR RETURN AFTEF 4206-7137 TOTAL E DELIVERY. PLEA WE WILL NOT BE R MRLE I 1, ,�,E CHECK THIS INVOICES, 1, TAX v FOR ANY SHORTAGE AGE AFTER YaU HAVE - PIECES RECUFDO T I ;. - AGR F WITH P Fr,Fq ,11 . No. PCS [CUST . �� . I TOTAL I DRIVER'S --T-�,PCs : DELVD. SIGN 4. : SIGN I I INVOICE - ---L�L-- ; TOTAL THJ,P�,R�01�g,,j &TUR T : f?,L� Ul?�,J�(7�p.�H� �q R T I ZU S . C &0Cfl[7P;-AY-A-BLE ON OR BEFORE _y .Ty 1�AU 2 L.�TonH 0� I 1�.�A�L �? �Tl j�A P� H C 909 \ 1 71 T . I pIR Aff A U T 9 R N,Np 9 ,,� DERIVED FROM THESE COMMODITIES, AND AP PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL ONT. ON PAGE 2 0 FULL PAY MENT IS RECEIVED. I i - - I VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,173.21 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 308221330 42-390.40 $1,134.43 1 hereby certify that the attached invoice(s), or 1207 308221330 42-350.00 $38.78 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 22, 2013 Director, Broo hire 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)) 08/22/13 308221330 Food $1,134.43 08/22/13 308221330 Trash liners $38.78 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 3 f 1 Good things DELIVERY COPY CONFIDENTIAL PROPERTY OF SYSCO --pay:DXTE,-- *CUSTIOMER.'.'.-'�:v;"'.':me.;'.•comefrom BROOKSHIRE GOLF CLUB... 12120 BROOKSHIRE PKWY SijSc qcF 0P'1 412940 307040743 6 1 SYS�O INDIANAPOLIS, LLC "/ou CARMEL IN 46033 400 W 62ND ST 44,4A TER ? INDIANAPOLIS, IN - 46268 1 317-846-7431 E FRID W EK M NARR WTv7py CITY OF CARMEL R015FWA GARY LEVERENZ I CIVIC SQUARE MIVER: RF INCORPORATED HEREIN BY REFERENCF7 -ARM T. IN 46032 EQUAL OPPORTUNITY A14D AFFIRMATIVE A IRF't Mr At FR r(J-14 4TEW-�`-` 'DffS IPTION MICE: D PACN :.,:.SIZE:-% ........ .... DAIRY ......• .......:1.6.95....... .. ... .... '69711,4 :16,.­ . . 1 C S DNL Y 5"•LB......BBRLCLS -CHEESE AMER YEL 120 'tm 28r3l ..... ... .... . W FjY........ .....NI,I' 5 ..LB ASASOL ..qHEE:SE CHDR JACK SHP F, C S :::-. G90UP.:'T0TALt-** 3 kiW MEATS ... ..... ... S .....6 1:;:.9,EIM..P:'.B.EEP GRN PTY HMS TJ B160103 Z F `e 7'• JHO�V.4.E BRATWUR�T.JXI P 1 0�0.0 1:::2�9 9 1:�B - 'F S ... 5X 7736 CS 11 LB BBRLCL'S EAT" F "'i4,97 ""'A."' 1 x, FROZEN ..... %......... ........... .... ..... . . ... .........% % S, 't ­ikp. HEES9tT'l­dK_'MOZZ BRD 3':25- 8 925767 23.86 F 'S mtv, B­­ C ..­.] .................. .. ............................ . ....... .......... .......... ...... 2 l_/W071_4l30.2i82 7--8-1.3-f-1.1 '24'.48' F 'I 'CS 244.2502 3KRSIMP e-1 85 ......... .... ......... 26...71' Its .5.:...... ' 1' '* .7— . 6­ 5246 ­'�6. 1 F 42. LB rANTLZR ONIOk­RING;l'BEEW*BITR .......... ............ AED ........... Mup":1 DRY AIN 3 D I CS: 6"CT­ E GG BREAKFASt 61A-­'5Stl ki`ff' R"I""G R"'"' b005872"42 2'6-"45*" 26% f5: ? ........ .... .. ........ ....... 255386" 1 'WAY 771785 C IT"'ONLY36CT 4ARS 'CANDY**BAR MILKY t.............. t.59 DATA' CT itkSHEY 'CANDY"BAR" AY A 80723" 70'30114"' 1• ' _ 2 .99 " AA ICKER CANDY 25647917938D . C *�Y46 &U 00­519776 `7`22.97 UT-BUTTER' UP CT"REE8ES­­ CANDY`_'P*E*XN­ -C. 7., jNL 3 6­�' C IS 4. 4•66 C ...IS ONM 3'9*"&,­­1 Wbi-Sk V 2:*-'l 7 Z .70 9 2 5 1 4.74 SKITTLE FRUIT CHEW ...... ..... .. . .............:..: ............ ... .. .... .... `31'831``618`6721... . . .......... .9 AR­ ........ 24'.'-98 "" 8:: 2e' D 3 �S ­160"'CT 'AYS :'NI 0 V I ftiSY96.0/F.R.I TO LAY.. ........... _S 221 OZ kRIZONA DRINK _ktMER' LITE 0554968' 14.'9 ii 14T. D' ...... ... .......... .. ......... ...81 GA7- D lE240Z'­4S ­ RZCKETCHup­S0UEE7E BTL "HOUYA24" 961721 6. .... . ..... W71 - - CLOSE: % fame busr :7 0 t. UPEN: /:UU 200 Pm BOX 7137 INDIANAPOLIS IN SUB 30 14.4 387 9 lmpoT- E I H 8 8 PR U T E ftlalb�j�.RR 46206-7137 TOTAL I� PE 11 M %AFTEF VERY H 17 U, ff.W Wl� Iffi W T„PE 'r TAX 110. PCs COST. NO. PCs TOTAL Is ELVO. SIGN!: REC, INVOICE rDRIVER' I I SIGN A�tp?� T ON OR BEFORE TOTAL .11HC FAYABIE .L DERIVED FROM THESE COMMODITIES, A 0 ANY RECEIVABLES OR PROCEEDS FROM THE SALE or THESE COMMODITIES UNTIL �OAT. ON PAGE 2 FULL PAYMENT IS RECEIVED. Good things DELIVERY COPY CONFIDENTIAL.PROPERTY OF SYSCO come from Oay.:DATE::: BROOKSHIRE GOLF CLUB... 7ZO4113 mcc "MUCK Slop: 12120 BROOKSHIRE PKWY S jrp u 412940 307040743 6 2 INDIANAPOLIS, LLC CARMEL IN 46033 40001 W 62ND ST INDIANAPOLIS, IN 46268 444A 317-846-7431 D UE FRIDAY 4 WEEK A TE ORDER T' Cj,�h�101 NQRMaj DEL RY CITY OF CARMEL Mk'9� !Y 'ARY LEVERNNZ I CIVIC SQUARE DR ER: -ARMEL IN 46032 FCUA1 OPPORTUNITY FION CL OF 41* FR rO-14 so 7g;na aNn Rn.741 HFPFIN RY PVFFAFM IPACI 6 Ex .. T,PFD QTY q. jL ...... ........ � .708:BW379 D 7%1 .,.'.29.:87'­ 87,%' D M A .- - 2* 13',i:OZ kREZ 2 SAUCE:,�,MARI NARA`;�TlPPI NG 6460380 : _9 518403'::::29:98:= ': ...... -COMA .......... xv D:;"' 7: 67 810.8,847 D CS' 24 500:�ML�URLJFEAATER'�'-.PURI F.1ED1:4:-'-: gROUP T�*%*- 5 610, PAPER,'3-­-DI SP.0 ABLV" ............. LVER "::::: ::569372::69385.0,0 D S DNLY 5000%,':3YSCO.,—:..For uSHEET.) 10'.75rN-.`,SI :Z�: 4100 jC' T SYSn"CrO GL 69. D y, .-:CS-: �RG .1AUTO::.:-: ............:0.94:60' 952 �ENMOTION::'L GROUP TOTAL**** . ... ........ 122.A 3 PRODUCE 12::'CT,' 3YS,%-` MP...APPLE..ILEA"DEL" CY-ERSIT 2 5-063599 7�9674..'......- ........... # M%-:NAT-.:LETTUCZ",.'RQMAI'N4."GOIJM::SNGI;S. . ...... ....... ....... ........ ....... .............. ........ .4 J CS %`112. iY IMP.:ORA�iPfi"FRESH. ...........­­ ­­ ­­­_­­`­7 12604'-.11" 6:: ......... .. C ............ GROUP"TOTAL""' '92.)7....... ... ....... ... 4210OWN U� ..2 D:­:'­:''I CS :DIZT`' 541:BI'D.'.A:`. 6T. ..... ............ 2UP TOTAL*'*** 5%.01 T., E., ............ :'MIS( .......... ..... ...... 7: 7. ........ . RD JfW RY 4" ....................... .... ........ ....... k: "MU AM CLOSE: 2:uu PM OPEN: *MWT 70. X-ASE-c- PI IT 101 PrS Osq WT P.O. BOX 7137 21 1 22 453 INDIANAPOLIS SUB PR UCT 46210N6-7137 TOTAL 1187.75 JR EL I I lE P' Y, UIN'AT k I TAX 4,- 10 52 30.11 840 NO. PCs COST. No, PCs TOTAL DRIVER'S DELVD• SIGNI REC, INVOICE SIGN I A A 0 TOTAL 1187.75 VB AL C PAYABLE ON Ott BFFORE 'ff LR WA N I' FR 09AV LES OR RbI OM T E SALE 8/02/13 LAST PAGE OERIVEDFROM THESC COMMODITIES, AND ANY FIECEIVA I FULL PAYMENT IS RECEIVED, Il VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,187.75 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 307040743 42-390.40 $1,117.76 f hereby certify that the attached invoice(s), or 1207 3004743 42-350.00 $69.99 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 Monday, August 12, 2013 Director, Brooks e 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)) 07/04/13 307040743 Food $1,117.76 07/04/13 3004743 Cleaning Products $69.99 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 I . :i . i ! I ' G6od things CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO I... .. owt come from .. I I I I:::::::::::::::::; . ...... . . + 7 C,jjS .:::j:uv :(� : -:::+:::.:,::,::.:.:.::........�+",.,....++'.... ::::_A.- �_ - ;L;��., T.P��.�]�ii�:]�ii�i������::�:���7�:+"::.. ......6._X..F:,:.NjAM, :::::+: ........ :::::OEt.v::t,A.T,I� , - .. ­11......... - � . I Ok���i��:����:�i���ii�i�O.�A��'�i:��i�i:i�:::::-::-::::----::::-:+:-::::+:-:-::::-:-­ . - . � 11 � co, �:���i�iT�Pg���:�§'f:'C.�p+�i'i���i 412940 308151141 6 1 � bl/S +::: /Olt CARMEL :::�:�:::�:�i��PP,,T.�:�:�:�:]:�:�:j��i .. .. ,++�j�pg.;H449..Qg�"9.,.......'�,��.�.................,..........,.+�...................................�........ ... .........�... , ; ..... ........ . . , I - - ..........,.,,....,..... .. ..� ..:.:.:+:.:.:.:.:.:.:.:.:.:.::::::::::::::::::::::::::::::::::,* . ._.. ..."+++,...,.,.,........+........ :::T .+ ::::;: -,,.**+: '...... qq... ­ :: +:: +::+ v . , * , �, :A+Ncvs�,::: FkF::S0k,Ift+&T,..Tn:+_ , ::::::: , _: . ::: , ­ I - 4457 :::'..-F,'R:M`::::::�::::::� ::::;:::PA§T::.hlIF,.FIAf �,;� +q 4 64i�� , �j�,j#.��i;�.�+++++������;������� . �. . 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' . -.... :' � CLOSE: 2:UU PM :,.::::::.::::::..:,::: .:,:.:.:.:.:.:.:.::: ..4�.,]. .0 :::::;:;:;:;:; : :...:.:.:.:.: r&Qrc co 1� TnT Pr'Q rl[pp rp0q�Z Wl . .::::: .:.::: X . f .. I,:'"::::::: ::::::::::::::::::::-:-:-: � I I P•O. BOX 7137 2 11E 13.2 308_ . IN SUB ONEPORTANT FISHABLE PRODUCTS 46206-7137 TOTAL 1 7 E17 LIVERY. ARE NOT ELIGIBLE.FOR RETURN AFTEF I I , I �LPEEA�AE,CHECK THI� INVOICE,,GW WILL NOI BE R%PON,�I�LE � FOR ANY SHORTAGE E AF,TER YOU HAVE SIGNED. PIECES RECEIVED MUST TAX - . NO. PCS C ST. NO. PCs TOTAL DRIVER'S DELVD. SIGN ; SIGNS -.=y I REC. I INVOICE � TH �%OA�t�j SAATT� D N TqI f�L�,'113%�jo E I A . I ��I�R CIL FO op �'� INV21C A NTI '7 1 T - - TOTAL TaH T , gLk -�S C� & A, ��:AqR S �V S 2 0 gA�o I .�JTA V�RPRODUCTS, I T A R, H kC&A M D10 IV?, AL INV N'To I OP 9 PAYABLE ON�ORBEF�ORE I DERIVED FROM THESE COMMODITIES. RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES I _ o FULL PAYMENT IS RECEIVED. I ; . CUSTOMERS ORIGINAL INVOICE. NVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things , come from pgty >7ATI ;cuSTPME:k. BROOKSHIRE GOLF CLUB+++ 12120 BROOKSHIRE PKWY l® Cv TR. K.$:°P 412940 308151141 6 3 SYSCO INDIANAPOLIS, LLC I CARMEL IN 46033 4000 W 62ND ST .I... .... . INDIANAPOLIS, IN 46268 317-846-7431 i �' DUE FRIDAY 4 WEEK AFTER 'ORDER CITY OF CARMEL 1 CIVIC SQUARE DRIVER: JACKSON, JEFF CARMEL TN 4A012 EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFIR 60-1.4 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN BY REFERENCE. QTY FAC SIZE EM: UNET d ITEM DE:SCR)PTI:ON ::< :I:.: C.0.M::. ?k1 CE PRkCE' `I. ORD S RY 48688 >:: >:: �. ;.. .. .: .. .11 ;:::> _ . .. ..::: :: 0:; r :: .. .: .. . . .. . ,...::.. .......... . ....::... ....:: :. .;:: . ....._. ........ ........ _ _ ... __.. - _ . :: .::: N i�M� bra. P.O. PDX 7137 z INDIANAPOLIS IN SUB R IMPORTANT: PERSISHABLE PRODSUCTS AREE� NOT ELIGIBLE FOR REETURN$$��gAFTE 4 206-7137 TOTAL 1 1362.03 v 3 6 39 34.1 575 �OR ANY SHORTAGE AFTER YOU HAOVIE SS IGNEO IPEC ST RECEIVED MUBTE TAX v DRIVER'S 7NO+ PCS COST. NO. PCs TOTAL INVOICE I SIGN REC. i SIGN TOTAL 1362.03 1 THE PEI gE�{pAggLyE ggEGC�yICU�yLTSUICjL COMMODITIES `I IS E7E GpR�ryC UTL�{I�IgR IgNLV IC MA E gE LppCg7UB Eg C37p O E qg AE7 O �{ RU Q I AUTHORI OM OD T ESTIOET INCI QF THE PERISHABVE THE E TCOMM�� IEg�IA�L�ItJVENTjF21ESl��J gT�{C D�$R�CEf SEgL�EIRCT$ I THESE C M R A S A TRUST CLAIM O R S OF'FO'O TH Pf20D PAYABLE ON OR BEFORE 1 DERIVED FROM THESE COMMODITIES. AND ANV RECEIVABLE$ OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 9/13/13 LAST PAGE 0 FULL PAYMENT IS RECEIVED. VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,362.03 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 308151141 I 42-390.40 I $1,362.03 I 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 16, 2013 Director, Brookshifj 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)) 08/15/13 308151141 Food $1,362.03 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