HomeMy WebLinkAbout224496 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 365677 Page 1 of 1
ONE CIVIC SQUARE GORDON FOOD SERVICE,INC
CHECK AMOUNT: $1,028.85
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
DEPT CH 10490 CHECK NUMBER: 224496
PALATINE IL 60055-0490
CHECK DATE: 9125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 926044054 1, 028 . 85 OTHER EXPENSES
Page:1 of 1
AIM a= P.O.Box 1787
Marketp INVOICE
GrandRapids,MI 49501-1787
aCe www.gfs.com INVOICE# DAT
E=[ E
1-800-968-7500 926044054 09/19/2013
0
TAL ROUTING# STOP# CUSTOMER# PURCHASE ORDER SALES# REPRESENTATIVE MP# MP LOCATION TERMS
N 100060884 1906 INDY-NORTH IN MP153 OUT 1905 Fishers 30 NET 10th
SHIP TO: CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032
ITEM CODE QTY DESCRIPTION CAT COST GUIDE SPECS UNIT PRIC TAX AMOUNT
4173500 20 CASE FRANKS BEEF Si#2-5#GFS 3 11.29 22.58 451.60
8371050 2 CASE COOKIE OREO SUPERCRTN 6-52.5Z NAB 1 8.99 53.94 107.88
1142780 1 CASE PLATE PPR 9"ECON WHT 12-100 KE 7 2.21 26.49 26.49
1526810 1 CASE MILK CHOC FAT FREE 40-8FLZ TRUMOO 6 18.14 18.14 18.14
6058910 100 CASE 1-16CT HOT DOG BUNS MARKETPLACE 1 2.49 2.49 249.00
4988831 2 EACH NAPKIN LNCH 1PLY 1/4 FLD 12-50OCT GFS 7 3.99 7.98
8713900 4 CASE COOKIE FUDG STRIPE 6-34.6Z KEES 1 6.99 41.94 167.76
PRODUCT CATEGORY SUMMARY NUMBER OF PIECES SUBTOTAL 1028.85
1-GROCERY 2-FROZEN 3-MEAT 4-SEAFOOD
524.64 451.6 TOTAL TAX
FREEZER COOLER WAREHOUSE 7.17
5-POULTRY 6-DAIRY -DISPOSABLES BSANITATION Customer's signature evidences receipt of all items listed and its promise to pay
18.14 34.47 the amount due to GFS.Customer agrees that if a check,draft and/or order of INVOICE TOTAL 1028.85
9-DISP.BEVG 10-PRODUCE 11-TABLETOP payment("Transaction-)issued for payment of this invoice is dishonored,GFS
may re-present the Transaction and issue a draft against the account upon
which the Transaction is drawn for a fee up to the maximum permitted by law. PAID 0.00
TOTALS BY TAX CATEGORY Received By: SALE NBR 4269
%RATE TAX %RATE TAX LANE NBR 03
The perishable agricultural commodities shown on this invoice are sold subject to the //✓ ^\✓` �
statutory trust authorized by section 5(c)of the Perishable Agricultural Commodities ./4 USER ID 41489
Act,1930(7 U.S.0 499e(c)).The seller of these commodities retains a trust claim over DATE 09/19/2013
these commodities,all inventories of food or other products derived from these
commodities and any receivable or proceeds from the sale of these commodities until TIME(GMT) 11:08:00
full payment is received.Eggs delivered in the state of Illinois include an Illinois Egg Signature
Inspection Fee in the price.Maryland MDA Inspection Fees at a rate of$.08 per dozen
*Accentance constitutes anreement to a time nrire differential of 1 1/2%Der month on the unpaid balance after the due
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gordon Food Service
IN SUM OF $
P.O. Box 1787
Grand Rapids, MI 49501
$1,028.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 926044054 1 120-851.00 I $1,028.85 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
SEP 2 3 2D13
Fire Chief
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))
926044054 $1,028.85
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