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Home My WebLink About233133 05/28/14 CITY OF CARMEL, INDIANA VENDOR: 353824 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $*****7,404.09* ?q CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 233133 PO BOX 78000 CHECK DATE: 05/28/14 DETROIT MI 48278-0792 'DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2185373 575.30 FOOD & BEVERAGES 1095 4239040 2651512 6,828.79 FOOD & BEVERAGES ACCOUNT 11�fVQ14 � INVOICE C:UST?��CDIVIE_ R - NtlRC{�+i-IASEp ORDER ALES SALES DATE NO. ISS. DATE NO. NUMBER IBEf4 L_lft ' REP.' ORDERED 9069z2. 18s3: /0 'Li 14 OOs69�75 . 1c� c� OS/01/14 Route:-S28 2 f -- 4 ORDER NWIBER: 2337412 S li i __ _ R e m-i CARMEL -'CLAY F?�,RKS&RECREAT_. CARMEL" CLAY PARI4S'<RECREAT US Foods, Inc. To: 14:11 E. a. 16TH _ST ._ -To: 123S CENTR-AL PARK DRIVE E -' To: PO BOX "75000.. CARIYIEL - IN CARMEL' INi-. DEFT -1*78792 46032 -46032 DETROIT -317 -843 3 73_ Qc'7 0 9 At•E 'MICHELLE C 011PTON -DEPT "f' 00 .. Boo '',28 2a 18 ._ 13hiPFr 1v:.. J:r 301. CUMBERLAND RD . FISHERS IN ShipLl: 05/'02/14.._ Page 01 of 01 F'rt Tri Spc aaZ ENTER QFF QF__1 1 1TN STREET ! . F`,,t T r m-s NET 30 DAYS In st t tb;r Qtt/ -Sales Prod6r;t Descriptcn- Pack Size Label u r �riA'!C!�"I•+', F`riCi.n L'i1i.'� Extended Ordered Shipped Unit: 110imber D . Unit Price Price - DRY 1 1✓ EA 1183599 --CAMDY; !°& PLN— 1-69 OZ_._. . 48 EA II._G . SS. EA . 47. 9100 $ 47.;-9.1 s 1 E A 405 ,3 6: CAizIDY, BAF• ,�I'rl_K �1HOC 36i 1:,552 _ HERSHEY EA - -0s6.-6800 26:88 i v ,. . SHLr STABL �S/1:07 OZ -ORTEGA CS =3:13£300 215. 52 d o/ CS 4160-2138' .. SAUCE,-..CWS.-MACHO 1;..,.. 1,..� 1113 5597968 - CHIP, CORW ORIG T'FF SS TAG . 64/2'07_. . FRITOS `S 31. 6600 31, 66 1 1 ✓EA 8053126 - CANDY� RESES PNT BUTR CUP 36 EA REESE'S EA 26. 7300 26:73 a' •/ C'a 94636c#8 CHIP, TORTLA- CORN -YLW RND 6/2 LB EL PASADO c b 21. 1600 42. 32 FROZEi i - - '" 2011217th--- PRETZEL, KI1%1G "SOF T--DKD F•Z M 50117 OZ SUPR-PR T ZL -- — CS 3 ,. 2400 105. 72 ` 3-- 3.:✓.C� -2 "y �CS 7175128 ICE' CREAM COME, VML TFF' 2/12/4. 6 OZ BB CHAMP CS 23. 1600 46.32 1 1 CS 81:87999 - ICE'CREAK BAF;, CHOC- TACO R. VML24/4 OZ KLONDIKE CS 25. 9900 2S. 99 _: tr• PRODUCT CLASS RECAP TOTAL -DRY- PIECES-ORDERED:'-. . 1.0 . PIECES SI�I:F'PED, .. 1 _ .: _.- -ITEMS SHIPPED: b_ -391... 02 __._ TCITAL' FRDZFN PIECES ORDEREl --PIECES SHIPPED: ..6 SNIPPET?:. 3 178. 03 ),?343F INVOICE SUMMARY t FUEL SURCHARGE 6. 2E, TOTAL WOT SHIPPED: 30L "'3 PIECES 0 R D RE'D: 16 PIECES SHIPPED: 16 1T>'MS 'SHIPPED: 9 00, PRODUCT .TOTAL 1,769. OS =, c f CHARGES MAY.:p.7 2014_ ._ L.EAMOUNT. :� L 00 _ GEN AETAX iA r; This an}ount an estimate at i.s�i� of shipping- prior tor an;, ad ju,4rnents made -at deliver V: 575. 30 ` INVOICE Page 5 of 5 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2651512 05/16/2014 90569575 1054 62 05/15/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 251726 NET 30 DAYS 5191 ENTER OFF OF 111TH STREETM DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $6,846.57 Product Total Adjustments $17.78 CR Total Charges Adjustment $0.00 Total Allowance Adjustment $0.00 Sales Tax Adj: Rate:VAR $0.00 TOTAL ADJUSTMENT 17,78 DELIVERED AMOUNT $6,828,79 INVOICE SUMMARY Product Total $6,828.79 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 06/15/2014 $6,828.79 CUSTOMER ACCEPTANCE Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a) 1-1/2%per month or(b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable law. 370 CUSTOMER SIGNATURE: .MICHELLE COMPTON O�" U3�O 4 0 SIGNED AT: 05/16/2014 06:09 PM(UTC) We appreciate your business.Please visit our website www.usfood.com for a fast and easy way to order: Or contact customer service at: (800)253-0277 Page 5 of 5 Y INVOICE Page 1 of 5 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2651512 05/16/2014 90569575 1054 62 05/15/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 251726 NET 30 DAYS 5191 ENTER OFF OF 111TH STREETM BILL TO SHIP TO REMIT TO CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc. 1411 E.116TH ST 1235 CENTRAL PARK DRIVE E PO BOX 78000 CARMEL, IN 46032 CARMEL,IN 46032 DEPT#78792 ATTN:MICHELLE COMPTON Dept.:0 DETROIT, MI 48278-0792 (000)000-0000 (317)843-3873 (800)428-2118 SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS,IN DRIVER NAME: Chris Eads ROUTE NUMBER: 5191 SHIPPED DATE: 05/16/2014 DRIVER ID: 3228083 STOP NUMBER: 7 Page 1 of 5 INVOICE Page 2 of 5 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2651512 05/16/2014 90569575 1054 62 05/15/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 251726 NET 30 DAYS 5191 ENTER OFF OF 111TH STREETM INVOICE LINE DETAILS -[ QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE DRY 2 2 0 CS 738856 BAG,C OUT 4 LB PAPR WHT MONOGRAM 4/500 EA B CS $68.8500 $137.70 6 6 0 CS 779991 WATER,SPRG PLST BTL TWIST CAP THIRSTER 24/16.9 OZ CS $5.0500 $30.30 2 2 0 CS 791590 CONTAINER,FM 12 Z SQT WHT MONOGRAM 20/25 EA CS $20.6300 $41.26 1 1 0 CS 791616 CUP,FM 32 Z WHT MONOGRAM 25/20 EA CS $34.9000 $34.90 1 1 0 CS 814236 CUP, FM 16 Z WHT MONOGRAM 20/25 EA CS $17.0100 $17.01 1 1 0 CS 814541 CUP, FM 20 Z WHT MONOGRAM 25/20 EA CS $21.0000 $21.00 1 1 0 EA 1183599 CANDY,M&M PLN 1.69 OZ M&M 48 EA B EA $47.9100 $47.91 2 2 0 CS 1462803 SPOON,TEA MW WHT POLYP BULK PRIME 1000 EA CS $12.1200 $24.24 1 1 0 CS 1811215 PEPPER,JLP SLCD NACHO HOT ELPA/DELPA 4/1 GA B CS $34.2600 $34.26 1 1 0 CS 2961068 CUP,SFLE PLYST 2 Z TNSLT PTN MONOGRAM 12/200 EAB CS $41.6600 $41.66 10 10 0 CS 3256104 LID,CUP 12-24 Z BBL PLST WINCUP 1000 EA CS $17.1300 $171.30 1 1 0 EA 4053336 CANDY, BAR MILK CHOC HERSHEY 36/1.55Z EA $26.8800 $26.88 8 8 0 CS 4260238 SAUCE,CHS NACHO SHLF STABL ORTEGA 4/107 OZ CS $53.1500 $425.20 2 2 0 CS 4329397 KETCHUP,TMTO FCY SS FOIL PKT MONARCH 500/9 GR CS $14.9900 $29.98 2 2 0 CS 5311600 CONE,ICE CRM CAKE 22S FLAT JOY CONE 36/20 EA CS $50.6800 $101.36 2 2 0 CS 5329289 MUSTARD,YLW SS POUCH MONARCH 500/5.500 GR CS $12.5000 $25.00 2 2 0 CS 5585476 CHIP,PTATO BKD ORIG GLTN/FR BAKED LAYS 64/1.125 OZ CS $30.8000 $61.60 2 2 0 CS 5597604 CHIP,CHS CNCHY PLN SS BAG CHEE-TOS 64/2 OZ CS $32.7300 $65.46 2 2 0 CS 5597851 CHIP,TORTLA NACHO CHS TRGLE DORITOS 64/1.75 OZ CS $32.7300 $65.46 2 2 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $31.6600 $63.32 2 2 0 CS 5601679 CHIP,PTATO REG PLN SS BAG LAY'S 64/1.5 OZ CS $30.8000 $61.60 1 1 0 CS 5605431 CHIP,MULTGRN GRDN SALSA SS SUN CHIPS 64/1.5 OZ CS $32.7300 $32.73 1 1 0 CS 5605472 CHIP,MULTGRN CHEDR SS BAG SUN CHIPS 64/1.5 OZ CS $32.7300 $32.73 1 1 0 CS 5605522 CHIP,MULTGRN ORIG SS BAG SUN CHIPS 64/1.5 OZ CS $32.7300 $32.73 1 1 0 EA 6210777 CANDY,KIT KAT VNDG STD 1.5 Z KIT KAT 36 EA EA $26.7500 $26.75 Page 2 of 5 INVOICE Page 3 of 5 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2651512 05/16/2014 90569575 1054 62 05/15/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 251726 NET 30 DAYS 5191 ENTER OFF OF 111TH STREETM INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE 1 1 0 CS 6329213 RELISH,PKL SWT SS POUCH MONARCH 200/9 GR CS $15.3100 $15.31 1 1 0 EA 6717219 CANDY,BAR SNCKR SS DMSTC 1.86 SNICKERS 48/1.86 OZ EA $33.2600 $33.26 2 2 0 CS 6805923 TRAY,PAPR BORD FOOD 5 LB CLAY MONOGRAM 2/250 EA CS $32.4900 $64.98 2 2 0 CS 70D9988 SAUCE,CHILI HOT DOG W/BF CAN CHEF MATE 6/108 OZ CS $64.4800 $128.96 1 1 0 EA 8036576 CANDY,M&M PNT 1.74 OZ M&M 48 EA EA $33.4800 $33.48 1 1 0 EA 8053126 CANDY,RESES PNT BUTR CUP REESE'S 36 EA EA $26.7300 $26.73 2 2 0 CS 8355927 NAPKIN,DISPR INFLD WHT 6.5X10 EASYNAP 24/250 EA CS $56.6600 $113.32 2 2 0 CS 8461451 FORK,MW WHT POLYP BULK PLST PRIME 1000 EA CS $11.9400 $23.88 1 1 0 CS 8742934 KNIFE,MW WHT PLYST BULK PLST MONOGRAM 1000 EA CS $21.2100 $21.21 2 2 0 EA 8914855 STRAW,JMB 7.75"TNSLT UWRPD MONOGRAM 500 EA B EA $3.0300 $6.06 3 3 0 CS 9089079 POPCORN, RAW KIT W/OIL&SALT FANCY FARM 36/8 OZ CS $26.4000 $79.20 1 1 0 CS 9328311 WRAP,FOIL 12X10.75 INFLD POP MONOGRAM 12/200 EA B CS $111.7100 $111.71 1 1 -1 CS 9341223 CREAMER,HALF&HALF UHT DARY GLNVW FRMS 360/.375 OZ CS $17.7800 $0.00 5 5 0 CS 9463688 CHIP,TORTLA CORN YLW RND EL PASADO 6/2 LB CS $21.1600 $105.80 2 2 0 CS 9865767 GLOVE,CAST POLY LG TXTD AMBDX MONOGRAM 10/100 EA B CS $40.9900 $81.98 1 1 0 CS 9954371 LID,CUP 32 Z STRAW SLTD PLST MONOGRAM 10/50 EA CS $22.8800 $22.88 REFRIGERATED 2 2 0 EA 4365219 CHEESE,AMER SLCD 135 SUPRCR GLNVW FRMS 5 LB B EA $21.5200 $43.04 4 4 0 CS 4754982 ICE CREAM MIX,SOFT SRV VNL 4% PC VLY DRY 2/2.5 GA CS $30.6200 $122.48 READY TO EAT-Please refer to return policy 4 4 0 CS 9836933 ICE CREAM MIX,SOFT CHOC 4% PC VLY DRY 2/2.5 GA CS $32.2000 $128.80 READY TO EAT-Please refer to return policy Page 3 of 5 INVOICE Page 4 of 5 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2651512 05/16/2014 90569575 1054 62 05/15/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 251726 NET 30 DAYS 5191 ENTER OFF OF 111TH STREETM INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE FROZEN 3 3 0 CS 1792399 BEEF SUB, PTY MEATL VEG 3 CHEFS LINE 36/4.25 OZ CS $47.7300 $143.19 15 15 0 CS 2011278 PRETZEL,KING SOFT BKD FZN SUPR PRTZL 50/5 OZ CS. $34.3400 $515.10 10 10 0 CS 2260099 ICE CREAM SANDWICH,CKY&CRM BLUE BUNNY 24/4.5 OZ CS $22.5600 $225.60 10 10 0 CS 2639235 ICE CREAM CUP,CKIES&CRM ITTIBITZ 12/5 OZ CS $12.1200 $121.20 10 10 0 CS 2639250 ICE CREAM CUP,CKY DOUGH ITTIBITZ 12/5 OZ CS $12.1200 $121.20 10 10 0 CS 2639268 ICE CREAM CUP, BANA SPLT ITTIBITZ 1215 OZ CS $12.1200 $121.20 10 10 0 CS 2649796 ICE CREAM CUP,COTN CNDY ITTIBITZ 12/5 OZ CS $12.1200 $121.20 10 10 0 CS 3041423 CORN DOG,AM CN FZN STATE FAIR 48/4 OZ CS $36.4200 $364.20 7 7 0 CS 3328606 BUN,HOT DOG 6"SLCD TFF BKD HILLTOP HR 8/12/1.7 OZ CS $21.4100 $149.87 15 15 0 CS 3330099 HOT DOG,AB 6:1 6"RLR GRIL PATUXENT 10 LB CS $33.1500 $497.25 7 7 0 CS 5328604 BUN,HMBGR 4"SLCD TFF BKD FZN HILLTOP HR 8/12/2.1 OZ CS $21.9300 $153.51 15 15 0 CS 5383054 BEEF,PTY GRND 3 Z PUB FLAME CTLMN SLCT 53/3 OZ CS $51.8900 $778.35 10 10 0 CS 5404835 ICE CREAM SANDWICH,CHOC CHIP GOOD HUMOR 24 EA CS $21.0000 $210.00 10 10 0 CS 7175128 ICE CREAM CONE,VNL TFF BB CHAMP 2/12/4.6 OZ CS $23.1600 $231.60 10 10 0 CS 8187999 ICE CREAM BAR,CHOC TACO&VNL KLONDIKE 24/4 OZ CS $25.9900 $259.90 PRODUCT CLASS RECAP PRODUCT CLASS TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED ADJUSTED DELIVERED SHIPPED SHIPPED PRICE DRY 85 85 1 84 41 1,036.40 $2,521.10 REFRIGERATED 10 10 0 10 3 378.00 $294.32 FROZEN 152 152 0 152 15 1,184.13 $4,013.37 DELIVERY SUMMARY TOTALS 247 247 1 246 59 2,598.53 $6,828.79 Page 4 of 5 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 5/2/14 2185373 Concessions 36928 $ 575.30 5/16/14 2651512 Concessions 37018 $ 6,828.79 Total $ 7,404.09 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.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 7,404.09 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1095-1 2185373 4239040 $ 575.30 1 hereby certify that the attached invoice(s), or 1095-1 2651512 4239040 $ 6,828.79 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 I I. 22-May 2014 $ 7,404.09 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund