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224660 09/25/2013
CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 1� ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $1,919.97 CARMEL, INDIANA 46032 PO BOX 7137 INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 224660 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 309121014 1, 110 . 72 FOOD & BEVERAGES 1207 4239040 309191101 809 . 23 FOOD & BEVERAGES I 11 ' �M I . F CUSTOMER'S ORIGINAL INVOICE CONFIDENTIAL PROPERTY OF SYSCO Good things I r . come from . ::b�tv-::04T.";,...��::::::::7ZUFTE;�� ��,'O,�.Ff. �'g �:��i:�:�i�]i��ii:ii��7�i���i�i���i���i���i�������i�:�����:�i�i�i���i���I _ ::.. .. �':��. V::-1- ** I ", . ...... - '2 1" Z18 ; :..1,a 12120 BROOKSHIRE PKWY bqsco. :::::.:.:':.::X::....''..."'. 0 1 . All 41 : 'le ' ;4 ............ ....... 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ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $1,110.72 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 309121014 I 42-390.40 I $1,110.72 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, September 12, 2013 Director, Brooks A4e 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)) 09/12/13 309121014 Food $1,110.72 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer . I I . � I I 0 I I i ; I ) CUSTOMER'S ORIGINAL INVOICE � , Good things I T I CONFIDENTIAL PROPERTY OF SYSCO I come from -0150::Mn ::::::i�i���i��:�c�o,$'[.O�40.�R�����:�������i����i��i�i:. BROOKSHIRE GOLF ,:/ : 12120 BROOKSHIRE PKWY :45ysco- TR CK S OP 412940 309191101 0 1 � � CARMEL ... `+::. ,N 46268 ....il +': .:.::.:.:.:: :::::::::::::::::,::::::::::::::::::::::::::::::::::::,:, �.. 4448 �... .,: ERM . � - . 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'- -..-��. .....- � ....1- ......... ... .... ... ... .. - . -...I............. . : :.......I'..y....,.:: +.:-:.:.:..:.............:. - " �i::: �:: : , :: ::: : : : -::: : :.:.+.:.:...:.:.+.:.:.......:.....::.:...::�..:....'w'q'::+++':'...+ ' . I. ..: , :+: .p. ..:.:...:.:...: :..:..:..:-..: .-.:..: -...%. .::.:+:+............,'...:'' +,,........- ..-..+...+,+ I ," :=: • +++: ..:... :. �gtoq. :;: ...,::.T"9,:;:;:::�:::;:;:::::::::::::::�::::::::::.::::::;++.++ � P.0. BOX...7137 I ... ..: 4: -l 87 .ITH Plprwq T INDIANAPOLIS; � IN SUB , IMPORTANT: PER�ISHABLE PRODUCTS AR�E eNOT ELIGIBLE FOR REWT'URN RAFTE TOT AL 809.25, 289 Do RIVA NYSHo RAAG1A FCET H la, ,VAVlC , ,E WIPL ECOS RECEIVED M� T E TAX Pit pn . NO. PCS COST. NO. PCs TOTAL DRIVER'S DELVD. i EC. i SIGN I SIGN R I � INVOICE I TH IRRIOA G,% LT5UI( 0 0 U' �jll ' Y RU T RCP --. TOTAL 809.25 S . 'pg . � C? 'Fy � Ir " ' Ng 'CO�A Hp�R C '11- Pllk'�M�1�'�Y�Ll Ik gX'?. ?SiTlt`R,'��Jtjfg,� � 0 1 'h? C'� . I I R TA �T'RSU' T EL A M V R H S, ODI I AL Opp � PRODUCTS, M�g�j I '� I H , A -� ,�H.� 1 UNTIL C S PAYABLE ON OR BEFORE ERIVEDYFROM THESE COMMODITIES, AND ANY RECEIVABLES OR PROCEEDS'S FROM THE SALE OF THESE CO 10/18/13 LAST PAGE I D - COMMODITIES o FULL PA MENT IS RECEIVED. I �. . ! � VOUCHER NO. WARRANT NO. ALLOWED 20 Sysco Indianapolis LLC IN SUM OF $ 4000 W 62nd Street Indianapolis, IN 46268 $809.25 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members 1207 I 309191101 I 42-390.40 I $809.25 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, September 20, 2013 Director, BrookAre 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)) 09/19/13 309191101 Food $809.25 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