HomeMy WebLinkAbout228714 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 359366 Page 1 of 1
ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $395.99
CARMEL, INDIANA 46032 PO BOX 7137
oa INDIANAPOLIS IN 46206-7137 CHECK NUMBER: 228714
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 311211036 395 . 99 FOOD & BEVERAGES
CUSTOMER'S ORIGINAL INVOICE
GoodtNngs CONFIDENTIAL PROPERTY OF SYSCO
from
BROOKS HIRE GOLF CLUB... gm come xi*: jX':j�
12120 BROOKSHIRE PKWY bys C 412940 311211036 0 1
SYSCO INDIANAPOLIS, LLC
CARMEL IN 46033 4000 W 62ND ST
INDIANAPOLIS, IN 46260
317-846-7431 R DUE kFRIDAY 4 WEEK AFTER ORDER 9 NORMAL DELIVKHY
CITY OF CARMEL F FRENZ
JOHNNY
1 civic SQUARE DRIVER:ESCALE CAl, Oj
ARMFT, IN 46032 ECAM OPPORTUNITY AND AFFIRMATIVE ACTION CLAUSES OF 41 CFR 60-1.4. 60-250.4 AND 60-741.4 ARE INCORPORATED HEREIN IW REFERENCE.
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I DERVED FROM THESE COMMODITIES. AND ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL 12/2'0/13 LAST PAGE
2 FULL PAYMENT IS RECEIVED.
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))
11/21/13 I 311211036 I Food I $395.99
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sysco Indianapolis LLC
IN SUM OF $
PO Box 7137
Indianapolis, IN 46206-7137
$395.99
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 311211036 I 42-390.40 I $395.99 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
Tuesday, December 17, 2013
Director, Brookshi olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund