HomeMy WebLinkAbout231909 04/23/14 4
CITY OF CARMEL, INDIANA VENDOR: 353824
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $ .****848.02*
:. CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 231909
PO BOX 78000 CHECK DATE: 04/23/14
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1273873 848.02 - FOOD & BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP. ORDERED
90569922 1273873 04/04/14 90569575 36815 1054 0062 04/02/14
Route: 5282 / 8 ORDER NUMBER: 204429
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
To: 1411 E. i16TH ST To: 1235 CENTRAL PARK DRIVE E To:
PO BOX 78000
CARMEL IN CARMEL IN DEPT #7B792
46032 46032 [ DETROIT Mi
317 843 3e73 48276-0792
Att: MICHELLE COMPTON, DEPT # 00 900 428 2118
ShioFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 04/04/14 Page 02 of 02
FrtTrms: spcial ENTER OFF OF 111TH STREET ! ! !
P tTrms.' NET 30 DAYS Instr.
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
INVOICE SUMMARY
FUEL SURCHARGE 6. 2S
TOTAL WGT SHIPPED: 323. 66 PIECES ORDERED: 2S PIECES SHIPPED: 2S ITEMS SHIPPED: 12
PRODUCT TOTAL $ 841. 77
CHARGES 6. 25
TAXABLE AMOUNT
GEN SALES TAX Z . 00
This amount is an estimate at time of shipping prior to any adjustments made at delivery: 848. 02
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP. ORDERED
90569922 1273873 04/04/14 90569575 36815 1054 0062 04/02/14
Route: 5282 / 8 ORDER NUMBER: 204429
Bill Ship Remit
CARMEL. CLAY PARKS&RECREAT CARMEL "LAY PARKS&RECREAT US Foods., Tnc ,
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
PO BOX 7e000
CARMEL IN CARMEL IN DEPT #78792
46032 46032 DETROIT Ml
317 843 3873 48278-0792
Att: MICHELLE COMPTON DEPT # 00 800 428 211S
ShioFrm. 12301 CUMBERLAND RD FISHERS IN ShipD: 04/04/14 Page 01 of 02
FrtTrms: Spczal ENTER OFF OF 111TH STREET ! ! !
P tTrms: NET 30 DAYS Iris tr:
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
I I CS 0791616 CUP, FM 32 -1 WHT 25/20 EA MONOGRAM CS 34. 9000 34. 90
I I CS OBI.4541 CUP, FN 20 Z WHT 2S/20 EA MONOGRAM Co 21. 0000 21. 00
4 4 CS 4260138 SAUCE, CHS NACHO SHL.F STABL 4/107 OZ ORTEGA 53. 8800 215. 5"
I I CS SE978SI CHIP, TORTLA NACHO CHS TRGLE 64/1. 7S OZ DORITOS CS 32. 7300 3273
I CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1. S OZ LAY'S CS 30. 8000 30. 80
1 1 CS 560S431. CHIP, MULTGRN GRDN SAI-SA SS 64/1. 5 OZ SUN CHIPS CS 32. 7300 32. 73
1 1 CS S605472 CHIP, MULTORN CHEDR SS BAG 64/1. S OZ SUN CHIPS CS 32. 7300 32. 73
1 1 CS 560SS22 CHIP.- MULTGRN ORIG SS BAG 64/1.S OZ SUN CHIPS CS 32. 7300 32, 73
1 1 EA 6210777 CANDY, KIT KAT VNDG STD I- S, Z 36 EA KIT KAT EA 26. 7SOO 26. 7S
6 6 CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 21. 1600 126. 96
1 1 CS 986S767 GLOVE, CAST POLY LG 'rXTD ANBDX10/100 EA MONOGRAM B CS 43. 4800 43. 48
FROZEN
6 6 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 3S. 2400 211. 44
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: i9 PIECES SHIPPED: 19 ITEMS SHIPPED: 11 630. 33
TOTAL FROZEN PIECES ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPIED: 1 2111 44
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353824 U S FoodService, Inc. Terms
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/4/14 1273873 Concessions 36815 $ 848.02
I
Total $ 848.02
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
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
.Dept 78792.,.
P'.,Q. Box 78000
Detroit, MI "48278-0792 . In Sum of$
"`new address per letter
$ 848.02 2/24/2014
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 1273873 4239040 $ 848.02 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
17-Apr 2014
5 �P
$ 848.02 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund