HomeMy WebLinkAbout235222 07/22/14 CITY OF CARMEL, INDIANA VENDOR: 353824
t ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $""***7,492.28"
CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 235222
M, PO BOX 78000 CHECK DATE: 07/22/14
*ox DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1143899 1,834.86 FOOD & BEVERAGES
1095 4239040 1180129 2,765.13 FOOD & BEVERAGES
1095 4239040 1191023 312.39 FOOD & BEVERAGES
1095 4239040 1295193 1,262.55 FOOD & BEVERAGES
1095 4239040 1399193 1,317.35 FOOD & BEVERAGES
ACCOUNT INVOICEINVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
us
NO. NO. DATE NO. NUMBER LOC. REP, ORDERED
5,e 906992R 1).43899 C71021144 V0569575 1.054 0062 (717,!"02/14
- 2 114UMBER: 30( 714
FOOM 99 4
BILL CARVIE! CLAY PARKS&REICIREAT SHIP CAF�MEL CLAY PARKS',IkRECREAT REMIT U6, T-Oods, Inc .
TO: 1411 E. 116TH ST TO: 12:35 CENTRAL PARK DRIVE E TO:
PO BOX 78000
CARMEL. 1N CARMEL DEPT 07871?F_'
41.6032 46032 DETROIT 1v1'I
i B43 3073 48278--07?2
ATT. MICI-4ELLE COMPTON DEPT # 00 800 42B 2118
SHIPPED FROM: 12:30.1, CUMBERLAND RD FISHERS 13,11 I SHIP DATE: 07' JR/1 4 P a 01. 01
FREIGHT TERMS: SPECIAL Ck)FtTQME1`R t4ILL P/kJ
PAYMENTTERMS: NIET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL 0 WEIGHT
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
E
DRY
4 4-- CS 07--?991 WATER,- SPRG PLST BTL TWIST CAP24/16. ? OZ THIRSTER C,S 5. 1700 al 20.68'
7 1 CS .4260238 SAUCE, CHS MACHO SHILF -STARL 411Cj7 OZ ORTEGA CS.- '1153. 1300 372.05
1, CS 9326311 WRAP: FOIL, 12XI0. 73 INrLrj POP 1.2/200 EA H014106RAN B CS 111,7100 111.71
FROZEN
4 4 CS 2011278 PRETZI-L., 141146 SOFT DKD F71,4 50/5 0Z SUPR PRTZL CS 34.8800 139.52
A 10 CS 2639233 10! CREAN CU" ,- G1<1ES & CR'N 12/2.9 UZ ITTIBITZ CS 12. 1200 1271. 2 0
io 10 CS 2639250 ICE CREAM CUP, CKY -DOUGH 11215 Oz CS 12. 1200 121.20
J.0 10 €'S 2637268 TOE CREAM CUP, BAINA SPLT 12/5 OZ ITTIBITZ CS 12. 1200 121.20
io 10 CS 2649796 ICE CREAM CUP, COTM CHC'Y 12/2.9 UZ ITTIBITZ CS 12. 1. 00 121.20
5 5 CS 13328606 BUN, HOT D00 6" 81-C11) TFF n.'V 8/12/1- ' QZ HILLTOP HR CS_ 21 - 4100 107.05
10 CS "-a300?9 HOT DOG, AD 6: 1 6" RLR GRIL 10 I 's PATUXENT CS 33. 150D 331.5-4)
"583054 BEEF, Y GRIND 3 7. PUB FLAME '5 3/-
5' 5 CS 5, 3 OZ C 1�ILMN SLOT CS 53.5100 267,55
INVOICE SUMMARY x.**
TOTAL -11GT SHIPPED: 701. 15 PIECES ORDERED: 76 PIECES SHIPPED: 76 -
PRODUCT TOTAL 1834.86
F}, a
�7- 7UL TAXABLE AMnUNT . 00
UL 2 2014 GEN SALES 'TAX . 00
IT By 08/01/ia 'A PICI j 1834. $15
PLEASE REN11 T141S ANOUN HT
all inventories of food or other products derived from these commodities,and any receivables or proceeds from thesala of
The=alls,,,,=m, the statutory trust authorized by section 50)of file
"m a'd1�',`.A'heso commodities retains a trust claim Over hSO Visit WWW.USfoodS.Com for a fast and easy way to order.
commodities,
Perishable Ag Commodities X
these commodities until full
Interest shall accrue an allunpaid enbtal"'O'ce-s�ve'xdc�edig established credit tams at a rate al to the lesser of(a)106%per month or CUSTOMERS SIGNATURE:
(b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance wilh applicable law.. I . .
ACCOUNT 1'NYOICF , Ti:VOIC'E CUSTOMER PURCHASE ORDER SALES SALES DATE
No. NO. DATE1140. NUMBER LOC . REP. ORDERED
90569922 1180129 07/•0111/1• ?OS69S7S 372S6 10S4 0062 07/01/14
Route: x•11.3 :' 1 ORDER NUNBER: 299917
CARMEL CLAY e` P�#RKS&RECREAT ship � CARMEL CLAY PARKS&%RE=Cf�x:.A US Foods, Inc ,
T
o: � 1 'i 1 E: . 1 •�6TH S i T o: '1235 CENTRAL PARK.•DRI�•.`F E To:
PO DC#;; 7SO04
CARMEL IN CARMEL I#1# DEPT 078792
460Z2 46432DETROIT til I
317 -243- 3 _ 275-0792
Alt":
ia;'SC {-#ELL,E CUs`d#PT��#:i DEPT ii 00x'00 428 21. 1.S
;:hia�'s'm- 1=1 CUMBERLAND RD �'•T�:a'HERS�,.. _._. :#N rte '�.��. MC.'I'lO::ar`14 _..,.._..._ . _ _r Pyc�t�:�0 of 2
PASS,.��Y't}' , .. _c;'p it a l ENTER R O F' QF 111TH S eRE ETi € !
!r vt Trr s: , NET 30 DAYS .�n w Y'_:
��"t;3_. Shul'c�f . Sales Product • Descr:�p'ton Pick Size Label C.. Weight �°�.i.,win�� .. UniUnitExtended
Ordered hipped Unit . _Number_ D _ Un'it Price Price
( TAITAL .GID'• SHIPPED:. 1390. 61 . PIECES. ORDERED: 116 PIECES SHIPPED: 1.1�a. 1"t'EMS SHIPPED; .21
rif6F:•f,3F:`4'i:i#n•:F•?i3kx.rot?i•3E)4?43`s•iC:43�•z�F:�r:dr5�.7;'••Yr7ffif}f 3f 9k3'r$E•�'i•a•;F�ciY•Yt•3sie-Yrns�#:*•xY••�c�}r#f��r.• +i•t•ic�•3FdrY•••Er•Ar-YcfLr•�x .k•i��ca":�.rE•�•3c3#�:r)c
PRODUCT TOTAL. 1$ 2/65. 13
V Federal Occupation SaNty and. Health St ndards. Section'- &10. 1200'0 0 Hazard .
* Communication requires manufacturers and distributors to prav;ide Na"ter:ial
Y Safe"iv Data Sheets an naKfood products. defines{ 'tu be hazardous.
* sucy as cleaning -product s and pesticides are included in the scope Cf_ "the k _
S_tan,dard. In c m-pl.i.ance with •thd law. MSDS are available to HS #=oodsv inc. �
customers and can be ob tainyd by contacting the Procurement Manager in our TAXABLE AMOUNT S . 00 !
* district office or by Wising your sales representative. GEN SALES TAX Z . 00
* You may contact #„=;jIN BURTON at plone 0 4371 3 585 - 6822. X.
r iF
•'sF3f�f;f•9i•: ;t.)t,i3E�i�'cii•it•tl•�:sf}•;;§•�:K•#)Fib;E;i•firvi•; •?f'd•?:•3F)fi��•��•tE�f`%)s:�:c'.f•n;t•:,••}@3e)F•kfJi;S•�k•?tfiiff••ti•3f•?.LvCfi•�•?:;t•l;id•'s;•sr,•�i•ii�••Iki57:�7r#'.$}f
.. Y . r r, t �p- e a de
s h�.s, �a�oun' is � n es .mate at "t .mf= of sh z;ict rsr gar to rind justrnen"t mide c deliver : '?76 . 13
3 2014
ACCOUNT INIVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
1f0. NO. DATE' INIO. NUMBER LOC . REP. ORDERED
90S69922 1180129.. -07/03/1.4 9OS69575 37286 1054 0062 707/01/1-4
Rou ue: x-113 :' 1 ORDER NUMBER: P99817
I i. CCARMEL 'CL.A`7 PAR S&REC.REA?--, S!� i � Remi c
CARMEL CLAY PARN,S �RECREAT `� US Foods,4 Inc .
To: 1411 E. 1. 16Tl.,•1 ST � To: 1235 CENTRAL P(-'`,RK DRIVE E To:
PO. BOX 79000
CAR MEL 11V
CARMEL L I fel � DEPT 478792
I �!•6C?3�_' 1.6032 DETROIT III
! 317 843 3073 48278-._0792
Att: MICi-E.l:::LLE CO PTON DEPT 11* 00 [ eOO 420 2115
ShpF-'rm: 12301 CUMBERLAND RD FISHERS Iii! hip 07/03/14 Page Cil. of 02
�'r't T Y't"275: _... ... r T 7 11 , ! r I
� r-�,•;�� %�E41� R t...F•F- OF 1. 1'1"T�f STRET_"i
A+,_ Sty Sales Product, Descripton Pack Sind Label .. C weight Pricing Unit Ex•uendid
.Ordered Shipped Unit Number D Unit Price Price
DRY
�1{ 10 Cab 0779991 WATER, SPRO PLST BTC: TWIST CAP24/16:9 OZ THIRSTER CS S. 000 $ 21. 70
of 7 CS 4260238 SAUCE, CHS NACHO SHLF STABL /107 OZ - ORTE.GA CS S3. 100 372. 05
1 CS 5 x97851 CHIP, TOR T LA NACHO CHS TRO LE 64/1. 110 OZ DO ITOS CS 32. 7300 32. 7;3
I EA 6210777 CANDY, KIT KAT VNDG STD. 1.. 5 Z 36 EA KIT EAT EA 26. 7500 26. 75
EA 803126 CANDY, RF'SE7 F'HT IUTR CUP 36 EA RaE.'S_ a 1!A 26. 7300 S3. 46
✓ 4 4 f�,`w ?089079 POPCORN, ctAW KIT W/ OIL � r S 26. 4000
,. SALT36/8 36/8e.,;Oy� FANCY FARM �:�.�
d 1.- 1 CS 9;325 311, WRAP; FOIL 12XI0. S INFLD POP 12/"',..00 EA , . MONOGRAM B Cs 111.7100 111. 71.
r! L CHIP, ASST SS BAGT"AY MIX `/30 EA FRITO LAY F 30- CS �`t3i71CS 27. 65( 0
E ..
1 REFRIGERATED
5 CS `!�7'S4?82 E' CREAN MIX, SOFT SRV VNL 4%2/2. 5 GA PC VL.Y DRY Cs 30. 6200 153. 10
1 READY TO EAT - Please Refer to return Polic,, !
_ l
- FROZEN
✓2 2 C-.3 1.792399 BEEF SUB, PTY NEATL VEC 3 36/4. 2S OZ CHEFS L'I'NE CS 47. 7300 95. 46
`7 7 C'R 2011278 PRETZEL, -KING SU!-"T BKD ;=ZN l:,O/S OT S(JPR PRT'ZL r,:,`n.: 34.8800 244. 16
1 A 5 CS 2157386 P'OP'SICLE:, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY CS 1x. 5000 77. 50
! ✓10 10 CS 2639235 S'E'E CREAN CUP, CKIES I CRM 12/2. 9 OZ I'T'T'IBITZ CS 12. 1200 121. 20
J 0 7.0 CS 2619250 ICE CREAN CUP, CKY DOUGH 12/'S OZ ITTIBITZ C:5 12. 1200 121. 20
O 10 CS 2639268 ICE. CREAN CUP, DANA SPLT 12/5 OZ ITTIBI T Z CS 12. 1200 121.. 20
0 10 CS 2649796 * ICE CREAN CUP, COTN CNDY 12/2. 9 OZ ITT:I BIT Z ' [:S 12:1200 121. 20
'/. S 5 CS . . 1228606 BUN, HOT DOC 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HIT CS 21. 4100 107. 05
V10 1.0 CS 0330099 HOT DOG, AB' 6: 1 6" RLR GRIL 10 LLQ PATUXENT CS 33. 1E00 ;.331. 50
{ ✓ 2 2 CS S 32S6G4 BUN, HMVOR 4" SLCD TFF BBD F'ZMS/12/2. 1 OZ . HILLTOP HR CS 21. 9300 43. 86
OE S CS S323054 BEEF, PTY_ GRND 3 Z PUTS FLAME 53/;:3 OZ CTLCIN SLCT C:5 53. 51.00 ^67. 55 p
7 C S- S�r0:3S48 ITALIA" 10EI L!`N DBL CUP F N 12/1.6 02 CHILL CS 21._SSOO 12.0. S'5
� . PRODUCT CLASS RECAP u5
TOTAL DRY PIECES ORDERED: tib PIECES SHIPPED: 28 ITEMS SHIPPED: 8 809. 30
TOTAL REFRIGERATED PIECES ORDERED: S PIECES SHIPPED: 5 !TENS SHIPPED: 1 1.53. 1.0
TOTAL FROZEN PIECES ORDERED: 83 PIECES SHIPPED: 83 !TENS SHIPPED: 12 1802. 73
ACCOUNT INVOIC INVOIC .\ CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
use C36�i'9c'`I? i.i�; Ci"�': 7/C33,'1-4 '�G657w 1t} 4 0062 07/03/14
FOOM VERY ROUTE: LjdG7�'g ���i�Ss�31R �' ��.: 3 �JJ
BILL CARMEL CLAY ?,�+,F:I�.S&RECFt�.�-'�T HIP CARMEL, CLAY t��s� KS&RECREAT REMIT US Foods. Inc .
TO: 1411 E. ;E 16T1-1 ST TO: :1.235 C;E�l�'tRti^tL. F'e�R;�� R.1'�?:��1E E TO:
PO BOX 7544:.00
CARMEL IN CARMEL IN DEPT' fi�i5'I't",2
46032 4603e OE"C d O I T MI
317 64 3 3673 48278--070'2
ATT. MICHEL.L.E. 4::�1i' PTON IaEPT �i� 00 800 4R8 �1i.�
SHIPPED FROM:. 12:301 C U11'1B ER 1_.A,,Ig0 R D r I�1.4F-R IN SHIP DATE: 07/0-3/14
01 0.P 01
FREIGHT TERMS: SPECIAL C:USTOME R WILL
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED '' UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE
- --
_.- DRY /
't�. -. ,:7 - - ,�`A 'tom l �'3 CHIP, CO111' -- 41.4. 1 �, �' SSro f347,f FRTCS !(1.6600 63.32 T'.tl.
REFRIGERATED
3 3 - CS 9836933 SCE CREAM MIX, SOFT CHOC 4% 2.12. 3 13A . PC VLY DRY CS 3'2.2000 96.60
READY I'D CAT W Please Refer to f2retLwn
FROZEN
22 CS-3328606CS-3328606 1WN, - 140T DLC G" SLCD Y'FF BY9. 8/12/1. 7 OZ HILLTOP HRR - 21.4100 42. 82
_ 5_ CS --532860 4 BUW,` HMBGR 4"--SLCB TF F -BK -.FINS/12/2. :1 OZ , HILLTOP HR CS 21.9300 107. 65
v
INVOICE. Sk1INARY _
TC►3AL WGT SHIPPED: 237.60 P1EGES ORDERED: 12 PIECES SHPPED: tat.
fa'!'6t.DUCT TOTAL 312. 39
L - 8 2014
ANOU14T .00
FJUB --_ 4
GEM SALES TAX Z .00
PLEASE REMIT THIS F�t�£J�3t�T IiY 08/�E}`2i14i A1��SLS1T
The perishable agricultural commodives listedon this invoice are sold subject to the statutorytrust authorized by section 5t)of the Visit www.usfoods.com for a fast and easy way to order. G'
Pedshable Agricultural Commotlities Act,1930(7U.S.C.499e(c)).Theseller ofthese commodities retains a trust claim over these X �T
cammotlNes,all inventories of food or other products denved from these commodities,and any receivables or proceeds from thesale of
these cam modifies until full payment is received.
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)V/2%per month or CUSTOMERS ySIGNATURE:
(b)the maximum rate that the customer may lawfully contmcl to pay,and in all events calculated m accordance with applicable law.
ZUefEriceuateZlawc Suaureee
A4:.R::d'ZUI�€T0 1 •'• F't..r!?i;i-'Lw:~E_ d~OIRL��'d� . . °3N'�L..�� a�L.C;s` I3+aa+f"% i
3'fi r. 6'1 3. S�' Y d lL d�lUi�iBER chi?. Rid' . ORS211D
905699ae, 12921.93 P71GT/,sit. VIM.
. 37303 1054 0062. 07107/.I4
Rout 22" V d7RDER NU!"ll3E :303S44
till Ship Relil
M�„:r � ;�C� �AT 1i2R �L � _ f '� ; �7
To: : 411 s To: MUCARMEL
d'�
CARE!Ef•_
t V971431 A
AtV . MICHELLE , i.�`MPTON 1 JDEPT 0 f�0 . 8���428 211R , '
+Mfi r'rrr:
r' rr77 . J� �L ��fL i ”1 � ; R� .mr�x'-tel 0710 '` te Cr of. C2i230i f � c "E1TES
4:3F• .$ ;r. :lTH STREET [!
:TREET [!
.
JtTFps: NEE .3Oie rtAcuDelcripbo k SKe Lab 1 G Wei ht sn_
VnitExtended
DeOShin'ed hair Numb r € A
INVO CE SUMMARY
FUEL t#r;rfli d7d!E -6.
f
T6T� 111 . .E LzT.:SFllPKIN 514.90 f-dicks b ol, lgD. . . 42. F`:Ci=.CESr f-iZP0dri"J• i 742YAWSAMIAW . 12
�e•:�.zE�•�:K•Y••?k�t�.rE,:�X.3t•a:§F�•fifi•Y'r?,•r''.••?�••Yi•ifar?cis or•Y-�f•?cn:q•x8:?F•� E:'F3tr.?:�:?F;�Y•:«s?k•�'c�•aF•+`�••r`F.�••IFn)Fie?rY•�riri.3{ku3:�'f�sr�•�•Yri•#�.�Yr•Ik�@�aF ., ... _ _
zF PRODUCT TOTAL 12S6. 30
Feder.a:f oqupavlon »Safety and Health Standards. •`-_iisL':tion 1910. 1;'0p on Ward
d iF
� i rre �3be
. 10mmmanufacturers and distributors to provide Material
*- Safety Data Sheets
on nan-•f,;od. pruducGs defined to he hazardous F'roduc•t:s 6.25 .
* such as .c i.ea,y ung product and estici'cdes are included in 'ripe scipQ f the ,
* ;Mannar d. Ira compliance with the law. NSDS are available to US Poods, Inc.
i a: customers and can be obtai.ngd by con•t;ac•t;i,ng the Procurement: Manager in our � .. .. TAXABLE AMOUNT 7 . 00
§' dis'cr.ic oOfice US tai! Idv:i ��ni trcur sale. reprtasta•t:ive. i< GEN SALES TAX Z . 00
R. You may,contact PEa?I�! I,UNIO Kiri a-t; phon � 13711 SOS - 6022.01 k
F,:Fi<.iF•�YciFtES@k�•�t•�•'.r}nnir:{t:y.Nc�• H•ir.tsr:s�;F�k-ex`c'i!:�•ihvf�•ifk:Fi•�'is�iit•'a.z.it!E•�i�R•i#':Ei:ac'c3•?F�„"'•}FiF'x�ef•r�'�•ki;�,'•��f•irJF�:•iFiF id�•��Zic?{
-.
This amount i.s all e s•i;a.to a t e at t;._.rn t" of s h i pin g {� ._. �„M._..�._•..._...w:__..;�,r_,�,_._.,_:�
I__.�...__..__..�......,r.�..:._.,._..__M•,:._..�:..._....______.__.-..._....�_..�.....�..._,.._..__...�, . r i.ca r• U cr a n��' ad c�!s•t;m e n t s made at delivery:
vda23�r vJQL 2014
BY:-L--
a -
i'
ACCOUNT INVOICE INVOICE. . CUSTOMER PURCHASE ORDER SALES SALES ; DATE
NO. NO. I DATE NO, NUMBER LOC . REP. ORDEREID
90569922 1.2951.93 07/08/14 90569575 17300 1054 .0062. 07/07/14
R ra p to: 2251 !. - A ORDER €t€UMBER: , 303844
Ship weia
--CARi€`'12€._. CLAY. PARKS1:RFCREAT� CARMEL CLAY PARKS&RFCRISAT US Foods, Inc,.
To: , 1411 F. i16TH S`; To: 1235 CENTRAL PARK DRIVE F To:
PC] BOX 7800+0 ,
CAR€ EEL FN CARMEL` IN DEPT *78792
4.6032 46032 DETROIT MI
217 843 1273 48278-0792
t
-t t: L^ lICHLL �CC€'iT"�i fJ1 € _ __.. DE€'T tit? 800425 2118
Srr.zvFrw 12301 CUMBERLAND RD FISHERS IN S1aipD: 07/08/14 Page 01 of 02
spr_ ial ENTER CFF OF 111TH STREET ! t �.
P vt Tr ma: NET 30 DAYS I n tr .
AV Qtv Sales
product
Descripton Pack Size, L.ab4i - C- Weight Pricing Unit Extended
Ordered S€Appeci .Uvi�` Number _ €�. Unit i'rice Price.
�.._..,._....._..r_._.._...._..._._..__..._.._._.._._... r..._..:..._....._ ._r_r._r.�. �_._._..._...._.,,r._....,._...._�.__^__m....r..r_._..._....r,........_..._____._......,_..._......�,..._....._....._...__�__._._....._...r,...._.—- _._..,..._m.. ___"_. - -___- .r._.....__r..a.._...r
DRY
t 1. EA 1153599 CANDY, MZN PLN 1. 69 CIG A EA i'€ & N B EA 47. 9.100 47. 91
i._ .1. EA4053335 CANDY, RAF'{ -MILK .CHOC:_ 36/1. 55Z . HERSHEY EA . -27. 6100. 27-61
2_ .2 CS 4329397 'KE'TCHUP, T€'€TO FCY SS- FOIL PPT -500/9 .GR ' MONARCH. CS ._ 1 a4. 9�90�.0 29. 98. '
2 2 C., 7009988 SAUCE, CHILI. HOT DOG .W/ IAF CAN6/108 OZ CHEF, MATE CS FSB. 700 1.33.54
5 5 CS 9.463688 CHIP, TORTLA CORN YLU RND 6/2 -LD EL PASADO CS .21. 600 100. 80
2 2 CS 9865767 GLOVE, COSI' POLY LG TXTD A49RDX10/1.00 EA MONOGRAM R CS X40. ?900 8108
REFRIGERATED .
4 A =€7x349$2 ICE C€"EAN IX, SOFT SRV VNL 4%2/:2..S GA PC VLY DFi`;'. ..0 S 31. 6000 124. 00
READY
TQ EA.T Plea s- Refer. to Return Polic,f, i
FROZEN
IS CS 2011278 PRETZEL, KING SOFT idk'Lj r"I.N S0/5 CIL SU{--'Ci F'FtTZE. ?:,`S 34. 0600 174. 40 (f{
10 1.0 Q 2639250 ICE CREAM CUP, CKY DOUGH 12/5 OZ ITT.IBITZ. CS 1.2. 1200 121. 20
4 CS 304.1 423 CC34:€'1- DOG, AN Cil! FZH 48/4 OZ: , STATE FAIL: CS 36.4200 145. 68
4 ... 4 CS 5303054. . REEF, PTY GRND 3 Z .PUB FLAME 53/3 O7_. CTLMN SLCT .s'..S¢ 55. • 500 _ _221. 60
2 2 CS S 40 4535. ICE CREA€'F SANDWICH, . C€"€OC CHIP 2x4 E A GOOD HU€'€OR CS 21, 0000 42. 00
PRODUCT CLASS RECAP
TOTAL DRY PIECES 'ORDERE'D: 03 PIECES! SHIPPED: 13 ITEMS SHIPPED: S 427. 22
TOTAL REFRIGERATED PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 1 124. 00
\,._....____...__...._.._..._OZE.4'4 PIECES ORDERED: 25 PIECES SHIPPED: 25 ITEMS SHIPPED: —9 705. 0$
TOTAL .FROZEN _...�r._._..�.._.__...__._..`..._....�...._...�._,�.....__.-_......�.._...._",.._..._..._.._.._.._..___..__,.._.___......_.___rr_._...�___,.._....__,.._..._.r_r...w,._._________rr__..__."......_..._ _....,.�_..., —-._._.....w._ i
I / I
ACCOUNT . I!' V0ICE -' INVO!:'&jE' ',' CI USTC.3mn PURCHASE 0RDER SALES SALES DATE
NO. NO.. DATE 110. NUMBER LOC. - REP. ORDERED
Q0569922 1399193 07/11/14 ':=0569 S 5 37320 1054 0062 07/1.0/14
saute: =,252 4 QRUER NUMBER: 316516
:iJ.1 _. _._._._ •� �. r_.._., __ $hi.p Rerniia.
T• i.".Asr�f " €_ i;i_s�t' i�i��tdiSfi:T'cT� {`RENT. CARMEL C:I.._AY t�Fif�'FSv- &RECIR e�T { � 4!S !�'�a�c!v, IriC .
T o: L411 E. 116TH S' To: 1235 CENTRAL PARK DRIVE E To: • '
Pb iiox "0' 000
.AR11"VEL IN � CARMEL :6:N 3 DEPT' #78792
46 0'3- !_A•6032 DETROIT (moi I
317 843 3573 48278-0790
A t t: �_. 1111 C HELLE..._C..OMPT.0i~:4 DEPT 0 00 �eOO 42
_._...S'..,2 3. 19
°hipi"=rar: 12301 CUMBERLAND, RD FISHERS IN hipD: 07/11/14 Paige 02 of 02
F"r:i•Tzni!ns: ;:�'a-J._1.' ENTER OFF i71•� 111TH STREET! ! !
{, 7t;/. saze Pr-duct Descriptor, rack Size Label C Ueigh•t Pricing Univ Extended
Ordered. Shipped Unit Number D Unix, Price Price
TeX# INVOICE SUI NAR) **!X.
FUEL SURCHARGE 6. 2S
TOTAL WGT SHIPPED: ..7773. 84 PIECES ORDERED: 57 PIECES PHIPPED. 57 . ITEMS a[-t?'!'FED: 13
•}s•;@•1E•M•gi•o�3E�t�•;:it#isi@�?t� �:::��rY�••�#i,°tiE•}��s#•}k�:#?tii•le•�T:�'.E•:@• 3.°''tE•;f•)F•�:e?,'•k:���•k�•)i.•is3i•�t�:En•$F;E}i•k•:L••fi;,�••}.:�•�:•3:iF7`x3t•)Fii•�i•�t•i�ii••'1F ,
,e r
PRODUCT TOTAL q, 13,23. ?'2
Federal Occupa•tinrt Sa;t=tv and Health Standards. Section 1410. 1200 on Hazard �
? Cornfrtunicat can requires mt nufac•turers and distributors Ito provide Material
Safetv Data Sheets can note-food products. defined 'to be hazardous. Products CHARGES 6. 25 t
such as cleaning products and pesticides are included in -the scope 0 the ac �
�. Standard. In corltp lance with the larl. MSDS ar.e available 'to, US Foods, Inc.
customers and cal, be obtained lay,! c'on•tac ting *the Procurement {Tanager in our TAXABLE AMOUNT, $ ' UCi
ie district office or by advising ;our sales representative. GEN SALES TAI % . OS? {
YOU may contact KEV1J 113UR T ON at phone # (371) SSE - 6822. ac I
II � •tNi•�Y•3 �i:�••kY•3tiu•Yi.ii.ar•:�•�E`xrC:d?{Xc:k:N•ry.•?1is��•ir-r�wxx.�.3f•?k:�i�•fii�•Yrk'r3:•#�{•Yr:kic��;iFaF3;•#3f;.=#:��iESt�it••k�•�c;Etc'3F#IY?E•+`{•I�•3E•?f�•YF�Y�t••3E�@ '
This amount is in estimate at time ud' shipping' prior to any .adjus-tments made at delivery: ' 132?�--47
useFOODS _
INDIANAPOLIS/3V 3V
Indianapolis Divislon
3V-Indlanapolls(Fishers),IN46038
FINAL INVOICE
9111 To ShITTe
CARMEL CLAY PARKS-RECREAT CARMEL CLAY PARKS-RECREAT
1411 E.116TH ST 1235 CENTRAL PARK DRIVE E
CARMEL,IN 46032 CARMEL,IN 46032
000 000 0000 317 843 3873
Attention; MICHELLE COMPTON Attention; MICHELLE COMPTON
Customer Order Depth; pep[Namet
Numben Numbed
90569575 0316516
Invoice Invoice PON;
erl Datei
1399193 07/11/2014 37320
Paymen Freight
Terms; Termsl
NET 30 DAYS
�— DELIVERY SUMMARY
AS SHIPPED DELIVERY AMOUNT $1329,47
Product Total Adjustment $12.12 CR
Total Charges Adjustment $0,00
Total Allowance Adjustment $0,00
Sales Tax Adj 40,00
TOTAL ADJUSTMENT `F12.1CR
I
DELIVERED AMOUNT $1317,35
DELIVERY ADJUSTMENTS
Qty Sales Unit Product Number Description Pack Size -Code Unit —
Price
1 CS 2649796 ITTIBITZ,ICE CREAM CUP,COTN CNDY 12 2.9 OZ 12.12
INVOICE SUMMARY
Product Level
Product Total $1311.10
Allowance $0,00
Charge $0,00
Involce Level
Allowance $0,00
Charge $6.25
Tax
Sales Tax 50.00
Please remlt this amount by 08/10114 3 7,
INDIANAPOLIS/3V
PO BOX 78000
DEPT N7a792
DETROIT,MI 48278
800 253 0277
DELIVERY INFORMATION
PIECES ORDERED PIECES 6'HIPPED PIECES DELIVERED
DRY 12 12 12
REFRIGERATED 7 7 7
FROZEN 38 38 37
TOTALr 57 57 56
Drivel ID; 3229960
Route Number, 52523V
Stop Number, 004
CUSTOMER ACCEPTANCE
Interest shal accrue on al unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)1.1[2%per month a(b)the
max(murn rate that the customer may IavtUy contract to pay,and In all events calculated in accordance with applicable law.
Promotional alawances,cash discounts,prompt pay ciscounts,growth programs and other ecentives we retained by U.S.r-oodservce.TM and
do not reduce product cost.Product tint is defined as the supper,packer a any vendor dehvered cost or f.o.b unit pica plus standard freight
less off-invoice discounts or off-invoice alowances G.e.,manufacturer generated dscounts a allowances on padicdar items for sat periods of
time and which are speoficaly reflected on the invoice),
jao-'
Justri h
Date Fd Jul 1108,26;41 EDT 2014
We Appreciate Your Business.Please visit our website www.usfood.rom fur a fast and easy way to order.Or contact your sales
representative.
ACi',�UN I IilltlCi%CE Ii•4°,1�1.'CE CUS T 4!4�lER PURCHASE OR��i� SALE ; S�zLE� 3.A'TE
NO. NO, DATE NO. NUMBER LOC . REP. ORDERED
90569922 193 07/11/14 9056 9575 373cw.fJ 10S4 006P 07/10/14
Route: S"2'r--)c / 4 ORDER NUMBER: 316SI6
13i1.a. ._w .�m._ T � ship Remix
CARMEL' CLAY PARKS&RECR�'A �� 1M123S
CAR �=L CLAY PARKS&RECREAT US Foods Inc .
Ta. 14.11 T,--. 11.�3TH ST l o: CENTRAL. PARK DRIVE E To:
P47 BOX 748000
CAR[%IE:1._ IIN! � C.AWIk:4._ IN DEPT #78792
46C: 2 46032 DETROIT !�fa
317 484 3 3rd I3 A-8278-0792
At` ` E. C`
� -MICHELL0i' P T OI-� DEPT # 00 IE33 00- 428 2118 - --- _�
Shy .''pF � . 12301 r`i.iMBERL.AI' D RD FISHERS IN Sli i pV: 07/11/14 Page 01 of 02
Frt.Tr,t�J: Spr:x r� ENTER C?€'�= O 111T4�i STREET! ! !
rr�ycdat s: NET 30 DAYS .4n5 t+:
'u �-lty Sales, Praduct Descrip.-tun Park. Size Label C Weight Pr �.cin+ Unit ...Extended
Oril reci Shap eu' Unit h€u rr ;D Ur i.� Price Price
DRY
1. 1 CS 08.1.4-S41 CUP, FM 20 Z WHT 5/20 EA M0HOGRAN CS 21.0000 21. 00
4- 4 CS 42160238 SAUCE, CHS MACHO SHLF STABL. 4/107 OZ ORTE.GA C'.S 53- 1.500 212. 60
2 0 CS 43,219397 KETCHUP, TNTO .FCY as FOIL PKT SW/9 GR- NONARCH CS 14. 9900 29. 90
CS 9463688 C4lIPt TOL�TLA CORN `(LW Ri+fD LBEL_ PASADO CS 21. 160{ 105. 80
REFRIGERATED 9 i
4 =4 CS 471154982 ICC CREAN NIX, SOFT SRV VHL 4"/m 2. S GA PC- VLY DRY CS 31. 0000 124. 00
READY TO EAT Please er -to Return Polic
3 3 CS 936933 , ICE CREAN
Nixi. SOFTlea sCHOCr.4% r�.2/2. urCA,��i�d �C VI_Y' DRY . CS ;32..2000- 96. 60
REAFROZ EI+4
a SN CS 201.1275' PRETZEL, KING..SOFT BKD FZ4+9 50/5 Oz SUPR PR T Z!_ CS . 34. 8500 174..40
1:0 .LCA CCS ? 39235, ICE CREAN CUP, CKIES & CRN 2/2,9 OZ ITTIPIT7.' ._. :. CS..: 121: 1200 121-..2�?
to 10 CS 26J92SO ICE CREAN CUP, CKY DOUGH 12/5 •O% . ITT:[BITZ ._. C S 12. 1200 1.?1.. 20
c; 5 CS 2649796 ICE CREAM CUP, LOTH C i+1D Y• 12/2, � O'? ITTI ITZ I's 12..1.2'00 c0..60
CS 30414'13. CCIRH DOG, AN. CH FZa 4 �_ `4 STATE E R CS 36. 4200 .. 14 i
{ ,sif OZ .,t ATE r�Ia, :a ,.r _a.�i8.
C5 . 333Qb99 HOT DOt3t AIi b:.1 '� RLR GRT4_ 10 L i'A fiJAEi`IT CS 33. 1500, 66,30
d2 CS 5328604 BUN, H"BGR .4" SLCD.. TFF ffKD 4=Z148/12/2. 11 OZ HILLTOP HR CS 21.9300 43.i3r
at K PRODUCT, .CLASS RECAP. ..-x.
TOTAL DRY .. PIECES ORDERED: 12 PIECES SHIPPED: 12. -ITEMS SHIPPED: 4 . 369. 38
TOTAL REFRIGERATE-13 PIECES ORDERED: .7 'PIECES SHIPPED: 7 ITEMS-SHIPPED: 2 220. 60
TOTAL FROZEN PIECES ORD17-RED: 38 PIECES SHIPPED: 38 ITEMS .SHIPPED: 7 73:3. 24
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
7/2/14 1143899 Concessions 37288 $ 1,834.86
7/3/14 1180129 Concessions 37286 $ 2,765.13
7/3/14 1.191023 Concessions 37298 $ 312.39
7/8/14 1295193 Concessions 37300 $ 1,262.55
7/11/14 1399193 Concessions 37320 $ 1,317.35
Total $ 7,492.28
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 J/I
Detroit, MI 48278-0792 l In Sum of$
$ 7,492.28 1I
Y
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#ori
Dept
INVOICE NO. CCT#lrITL AMOUNT Board Members
Dept# �
1095-1 1143899 4239040 $ 1,834.86 1 hereby certify that the attached invoice(s), or
1095-1 1180129 4239040 $ 2,765.13 1. bill(s)is(are)true and correct and that the
1095-1 1191023 4239040 $ 312.39 materials or services itemized thereon for
1095-1 1295193 4239040 $. 1,262.55 which charge is made were ordered and
1095-1 1399193 4239040 $ 1,317.35 i received except
16-Jul 2014
I
$ 7,492.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title.
claim paid motor vehicle highway fund
i
Ilk