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Home My WebLink About225101 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1 ONE CIVIC SQUARE SYSCO FOOD SERVICES CARMEL, INDIANA 46032 PO BOX 7137 CHECK AMOUNT: $573.39 INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 225101 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 309261125 573 . 39 FOOD & BEVERAGES CUSTOMER'S ORIGINAL INVOICE Good things CONFIDENTIAL PROPERTY OF SYSCO gm come from V/S c BROOKSHIRE GOLF CLUB... Aft 12120 BROOKSHIRE PKWY 412940 309261125 a 4 1 SYSCO INDIANAPOLIS, LLC 4010 CARMEL IN 46033 4000 W 62ND ST .;t3OUTE:+_:.::j.�.j::: I : , 11 1................ ......... 7.11 97� ...........I................ INDIANAPOLIS, IN 46268 __A44R 317-846-7431 —DUE FRIDAY 4 WEEKS AFTER ORDER RMAL DELIVERY CITY OF CARMEL _MA',' S GA Y LEVERENZ 1 CIVIC SQUARE DRIVER: SCALES, JOHNNY CARMET. 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. :jTEM'::::: SIZE �i�i�:�::ITEM SCRIPTION::: PAC14 .. ....'' ��: I.:::::.::.:::: :::::::: :::::: " .: :: �f i: q a X MEATS ................. q. I CS: 6 0 5...3. 0 F I REI MP BEEF GRND PTY HMS:TYLE TJ 8 62231 X. 64 1`2* 64++'. .......... q -::+:.: -5: ..................... ............. .... ... ............. ............... 1 CS 110 LB JHNSVLE BRATWUR5T X. PRCK SKLS 100:Q:21 J 3 7 ........... — V . X: ... ... ..................... —--- F CS 11Q..LB BRLCLS FRANK ALL7MEAT x IN 3773.6.— , 1137.73d .....24.97 74.911" . ........................ ...... ..... X 14: 1 S 2 O OLTEN PORK `Fl+�fT: Ttk+ B:NL§ HMSTY 200094 6583710......39.75. ... 212 ...................... T..O.TA..L* . ......d.d ... +.................d. ... ........................ CAN NED & DRY ........ . ..... ......... .... ............ .......... .............d::::::d: ... ....... '2 iC S DNLY48 CT NICKER CANDY BAR SNICKER�' 1.86 OZ n 1 ' 256479793837 ..........2:9_•98... ... .98' X:+.:::20 92:CS 1612.75ZEINZ MUSTARD SPICY BRWN SQZ CLASC 802310! 152381...6 .....20.92' .......... .. ......... ........... :X ...... ...... ............ _2.. .... . ...... CS i753 OZ + "—ASASOL SAUCE CH89SE MACHO POUCH ZTP 761 7132 _02 11 i 0387763 "69.98 ..... ...69.9811 ............. ..... 0 2 CS 135 LB SYS +9EL ,SHORTENING'F CLR'ZTF 10 5 2 1 451901 2`5...98 61 ... .. ................ 1 ...... ..... ............. ........................ .......... PAPgk++& DISPOSABLE T*9 ...... .............dd..: L-9 2S jkLY500CT SYSCO FOIL ++S+ f0 IN SILVEk::" . ....... W" 6 911 *98 8:50 0..... ........ 2 5.'9'6 .................. ....... .......... ............... ..........d....... ... ..... . +FT 3EORG P TOWEL ERMOTI*ON LRG 4AUTO++. '6 9.98; 13 CS : :686160 9.96;- 7761 ... GROUP TOT .......... ... .......... . ................... ...... PRODUCE 4 d +++..* ................................. .......d ............ .. ........ ..... I CS 15 LB SYS: IMP ONION RED FRE S H....J . . .UMBO '+++++ ........d............. X xx ........ ----...... ..............ddd ....... .... :wwp.............. .............. ...... ........... MIS CHhRGES :HGS FOR FUEL+ SURCHARGE ...... 5.00 X.:+++ ................ X X ............. ... X: x .. .........d.... .... .. . ......... .. .... .... + . . .... :::ORD S 1 ... ..... .. .... . . .... . ............d— .. .. ......d.: .............. *+'*'* ............... ............... ...... +: .......... ..... ... .......................d—dd- ........... ..................... . .................. .... d ..... ....... d ............. ................d ............. x :4 X NE i00 AM + 01 IT TQT Prr Llju6N: 2:uu P.O. BOX 7137 J.1 3 16 10.6 267 INDIANAPOLIS IN SUB R IMPORTANT: PER�ISHABLE PRODa UCITS IARE NOT ELIGIBLE BLE FOR REJTPURN IAF T E 46206-7137 TOTAL 573.39 v 1 3 10.6 267 F OVNY S H AADCAFTER I I U HAVE E,IWNE WIPL ECEOT RECEIVED TAX DRIVER'S.ER'S NO. PCs ICUST.-AZ No. PCs TOTAL I DELVD. SIGN SIGN REC. 1. INVOICE TH N A ��Ul_ t FONIP lt�E I TOTAL 573.39 C, C R T , g�I�A� C j4g I C K6f�'� '640 RIC RX0?D M I I T cy _gl PAYABL� ON OR BEFORE H � U T LAM R AL I V 0" S 0 ' PAY E OF THESE COMMODITIES UNTIL ,V�rog�gq I DERIVED THESE M CITIES, AND ANY RECEIVABLES FROM M THE SAL LAST PAGE FULL PA NT is RECEIVED. ! 1 10/25 13 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)) 09/26/13 309261125 Food $573.39 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 $ -R 37 Indianapolis, IN 4fr2.68 '7c37 $573.39 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 309261125 I 42-390.40 I $573.39 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 26, 2013 72nif A 411A , Director, Brook . ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund