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Home My WebLink About236059 08/13/14 1 CITY OF CARMEL, INDIANA VENDOR: 353824 CHECK AMOUNT: $****12,527.36" ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 236059 vy�TON�: PO BOX 78000 CHECK DATE: 08/13/14 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1503639 2,190.89 FOOD & BEVERAGES 1095 4238000 1503641 29.37 SMALL TOOLS & MINOR E 1095 4238000 1550892 262.10 SMALL TOOLS & MINOR E 1095 4239040 1601546 1,392.25 FOOD & BEVERAGES 1095 4239040 1713238 2,557.65 FOOD & BEVERAGES 1095 4239040 1723483 89.96 FOOD & BEVERAGES 1095 4239040 1725221 1,286.22 FOOD & BEVERAGES 1095 4239040 1757751 1,434.78 FOOD &BEVERAGES 1095 4239040 1829112 3,337.65 FOOD & BEVERAGES 1095 4239040 2996649 -53.51 FOOD & BEVERAGES P,CCC3t:11�i� IC�iVt7I iw It�l�e`b cF CUSTOMER PU"d 'HASE ORDER ��,!_�� SA,LES DA' "3E NO. , NO-O- ..' DATE 6�O. Irl' 3ER LO.0. REP. ORDERED.- 90r_569922 RDERED. ., PO BOX 79000 i 90r_569`i>22 �1'o3&4'1 07/15/1.4.. '9C�569S575 37333 �:'C)54' 0062 07/1-4/14- Route 22 E i �, . ` 320150 Sh , Remit • ORDEi�' i�iUi�'iiBER' CARMEL. CLAY i ARKS&REC'REA b CARME1 CLAY Pt�f KS&RECREA�T l�S ''F 60ds: 7ric . To 1!i i 1 E. 116TH ST To: 1235 CENTRAL P R�� DRTVE .E.� To. � . C:A,RMEL. Iiii � C,�1Ri`iEL... _ _ IN DEPT ;• 78792 . 4.6032 F' 6032 DETR C3I T . 111 31.7 - 4827B- 92 A•ct • MICHELLE-. COMPTON DEPT;8430wC18ry3- - 800" 42807 2118 Sr' 1pFrm:. .12301 CUMBERLAKIrt RD FISHERS IN 07/I:5/14- Page 01 of .01 . . 1-r tTra)s: . . pc,i.�.£. EI�i T ER OFF OF J. 1 i�f"i 1. STREET! �,v Tr ; � rr��_ : h�E�" 3C? DAYS :. - .1'ras�•r: .. .. duty. Cly. - Sales. Product Descripton Pack -Size Label C Weight • Pricing Unit ExtcAc,M Ordered Shipped Unit Humber d Unit Price 'Prf.e' DRY 3 3 EA 1595768 THERMOMETER, RFRIG FRZR -20/602 P14. , HDG/SUPER E 9. 7900 . $ 29. 37, **-PRODUCT CLASS RECAP TOTAL DRY. PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 1 29. :37 # INVOICE SU11MARY TOTAL W01 SHIPPED: 1. 80 PIECES ORDERED': 3 PIECE G -SHIPPED 3 SHIPPED: 1 , :K:�t•#?k•?kdk3k#3k#9:iklk•Yi•?k•�k?�#�'###)k#7kFt•}k•Yr�k###3k##3k�k#4kar•'.k#•�#k3F3kat3k9k####i#•##rik3k3»:k#?kh##?k:Ys#7"krY'3i-7i•a�##3kic3'e�'ikZk#�ksk . PRODUCT TOTAL _9 3 7 * F7deral ;ccupatanSaiet/ and Health Standards. Section 1910: 1'2OO on Hazard Communication requires manufacturers and distributors to provide . Material. ,_ -Safety Data Sheets o-i, non-food products defined - o be-'haza'rdous. Products � 7 __as. .clearing- products and pesticides are included- in :,the scope ,o the ;,.. -9--StaYdard: - In compliance with the lata.- MSDS 'are available to US Foods,-Inc. ,k. cur-,tamers and. can be obtained bi/ con•tac•t:ing -the ,Procurement- Manager in our # TAXABLE AMOUNT. � . 00 , rk district office or bw,t advising your sales repr eseh•ta•tive ak GEN SALES TAX % . 00 You, may con'tac,.t. KEVIKI BURTON ates � (37 .) ,S-85 - 6822. � :F3k3k#k•�i•#r`k;k3k34•ic?fiidik##3k#h•r#ik$k#a'kik#Tr�k�k�i••?k.'r###�•#i�vexk#3k###•tk?{?k9;?k3rk•?t•#}k3k•3k##.##�k#aka'r�i�•z`k3k3k##3f:`k�#ik3k#��k# This amount is an 6stima•te at time of shipping prior, to any adjustments made at .delivery: 29. 37 . Kd-- l/,,km CeS�01'IeS �• .P '� ' q ��f r JUL 18 2014 ' p JUL 18 2014 am _3'Y: IDIANAPOLIS/3V 3V ;dlanapolls Division /-Indianapolis(Fishers),IN46038 FINAL INVOICE 8111 To Ship To- ARMEL CLAY PARKS-PECREAT CARMEL CLAY PARKS-RECREAT 411E.116TH ST 1235 CENTRAL PARK DRIVE E 'ARMEL'IN 46032 CARMEL,IN 46032 00 000 0000 317 843 3873 dtentlom . Attention] MICHELLE COMPTON :ustomer Order DP: Dept Name; rumben Number: 10569575 0319835 nyolce Invoice PON: J r; Date; .503639 07/15/2014 37332 Freight 'erms; Terms; Er 30 DAYS DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $2203,01 Product Total Adjustment $12.12 CR Total Charges Adjustment $0,00 Total Allowance Adjustment $0.00 Sales Tax Adj 40A0 TOTALAD]USTMENT 412,12 CR DELIVERED AMOUNT $2190.89 DELIVERY ADJUSTMENTS ty Sales Unit Product Number Description Pack Size ;'.ode UNt Price 1 CS 2649796A ITTIBITZ,ICE CREAM CUP,COTN CNDY 12F2 9 OZ 12.12 INVOICE SUMMARY Product Level Product Total $2190,89 Allowance $0,00 - - Charge.. _ . . _ $0.00 Invoice Level Allowance 40.00 Charge $0,00 Tax Sales Tax Please remit this amount by 08/14/14 $2190.89 INDIANAPOLIS/3V PO BOX 78000 DEPT 078792 DETROIT,MI 48270 800 253 0277 DELIVERY INFORMATION PIECES ORDERED PIECES SHIPPED III PIECES DELIVERED ;RY 29 24 29 EHiIGERATED B B B ROZEN 79 77 76 TOTAL 111 109 10B )river ID: 3226655 touts Number: 22513V ;top Number: 005 ACCOUNT INVOICE INVOICE USTOMER FSE S RDER I� SALES SALES DATE NO. NO. DATE NO. "MMER rrll� V LOC : REP. ORDERED 9056992 ' 150363' 07/1'x/14 10569S7,. 37332 �2�G�V - C7Clb2 07/14/14 Pout 2251' t , bC — �� CL4 �- O=Ra��ER I�lil R: 3is3�i Bill �_ _ � .� _ __ _�_ ___ S _- R CARMEL CLAY RARl�.SQ;RECREA - CARMEL CLAY PAR�tStRECR1EATds, Inc . To:. 1:411 E_ 116TH ST To: 1x35 CENTRAL PARK DRIVE & '?504�1' CARMEL 7CV CARMEL,, IPi757"?2 4�iC�32 46(332 DETROIT !"i f 317 s�i 3 3573 -C}7 2 A t:t: DEPT k CO ?5 r�'1'i8 ShipFrm: 12301 CUMBERLAND RDFIST1ERS IN ,S<hip.C�: 07/15/1PAg e 02 of 02 Fr tTrrats: 5pz x 5 r PvtTrms: NET 34 DAYS Instr: _ My qty Sales - Product Descriptor Park Size Label C Weight Pricing Unit Extended Ordered Shipped Unit ' Number D Unit Price Price }...... FaFaF INVOICE SUAMARY Q TOTAL -NOaT- SHIPi='E : 1009. 91 PIECES ORDEREDn 11:1:- -PIECES SHIPPED: - 109 ITE!'iS QIPPED:7 -41:. E'.t�F'.Fi:)t#�•�•�•:F.F3r�••aF3;:!•'.f;F,f�?•'�Xk3f3f•�Fu3FlF3Frk}f••lF1F�f34iF3F#�:@ti'.F3E•}F?.tiF1F��3:'kiYii�'rti•lf•a;•a.Fku:,ifif§C•7k3F•�•�F7F3F•�;F#:k#3F�•lF3F'.F7F.ZF _ ._. ... _ PRODUCT TOTAL $ 2203. 01 )F; Federal Occupation .S.afety and Health Standards. Section 1910. 1200 on, Hazard i * C mmunica•tion reyu?res manufacturers and distributors to provide Material A i' *-Safety Data .Sheets on non-food - products defined to be hazardous. Products r *"such atcleaning produ�_•-ts and pesticides are included- in thescope of the Standard: In compliance with the law. NSDS are available to -US Foods, Inc. customers and can be obtained by contacting- the Procurement Manager in our :� TAXADLfI ANOUNT $ .00 A-district office or b�; advising your sales represen�t�a•tive. - • * OEM SALES TAX Z . . 04 *'' You may 'contact KEVIFd BURTON at phone 9 (371) 585 - 6822. Y'3C••Yr9S if••)'rv'C•�•)f'3'r�F it#E 3;tF#aF 3FsF'.C•�F•)F•k�?Fx`�•�1F�$:?E 3C•3C•'iF 3F YF�rF X 1F�#F•YrH•it 7F 2t'•lF?F3F DF Yr a@}E$F$F•?F 3F)FBF#aF•}F#3F�3FaCvi fie#3F�•$F kF•aF ac 3F�r�3F#�3F This amount is an' estimate at time -of shipping prior to any adjustments made at delivery: 220 1 JUL 18 .2,'014 ACCOUNT INVOICE INVOICE' CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO.. DATE NO, NUMBER LOC. ' . REP.- ' ORDERED 90569922 1.503639 07/19/14 90569S7S' 37 332 1054 0062 07/14-/14• Route: 2251. / S ORDER NUMBER: 319B35 Bill. Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAW PARKS&RECREAT US Foods, Iiic . To: 1dt 11 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: PCI BOX 79000 CARMEL IN. CARMEL. IN DEPT X75792 . 4 oCy32 4 6035 DETRO 11' MI . 317 843 337 y 4 5275-47:'2. A-t't:' DEPT. #k 00 800 428 2118 Sh ipF"rhi. 12301 C'UMBE.RLAND RD FISHERS IN Sh pD: 07/15 14 Page 01 of 02 Sp i t t4,7rtns. 'NEQtV Sales30DAYS Product De•scripton _ Pac�. Size -Label-_ r be:i. C Weight Pricing Unit Extended Urcl�rec3 St�'�piled "1 nJ t hiurr�Faer ! Unit' Price Price DRY 1.11 Cr,S 079161-6 CUP, Fk1 32 Z WHT 25/20 EA.. .. .... MONOGRAM . CS 34. 9000. . $ 3•x:90 .., .1 . . CS 0814236 CUP, F N'16 Z #,J!-!'(.. 20/2S EA . MONOGRAi"k CS 17:1200 1 r 7., 12 !, 5- t,13 . &260238 SAUCE, CHS, NACHO SHLF STABL 4/1.07 OZ OR'TEGA CS S3. 1500 265.15 ..S 4329397 f4ETCf-!UF', T!'tT0 FG1' tis f 7ZL`PKT ...,OU/9 GR' MONARCH CS 14.9900 2 _ r 5 597851 CHIP, TORTLA NACHO CHS TROLE 64/1.75 ,OZ DORITOS CS 32. 7300 65. 46 I t I - CS ..564S431. ' CHIP, NULTORN GRDN .SALSA SS 64/1.S 07 SUN- CHIPS CS 32' 2:7300 32. 73 l . t C a 5605472 CHIP, MULTGRN CHEOR SS BAG- 64/1. S OZ SUN CHIPS CS 3'2. 7300 32. 73- 2 C'S 5461451 FORK, NW-UHT POLYP BULK ��LST. . .1000 EA PRIME CS 11.. 9400 .23:88 5 a*r SCS 9463688 CHIP,, TORTLA CORN Y.LW RHD 6/2 .LB, EL PASADO CS 21. 1600 105. so 2 y 2, CS 9861767 GLOVE, CAST POLY-LG TXTD AMBDX1.0/100 EA' MONOGRAM B Ca' 40. 9900 61. 98 2 2 CS 9954371 LID, . CUP 3.2 Z STRAW 5LTD PL ST 10/50 Ef-z MONOGRAM CS 22.8800 4S. 761 REFRIGERATED 4 fi ' 4 C r 47E-4982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. S GA PC VLY DRY C s 31. 0000, 124. 00- READY 24. 00-READY TO, EAT - Please. Refer.'to Return Folic(-. 41t $ CS 983693;3 ICE CREAN MIX, SOFT CHOC 4%' 2/2. 15 uA PC VL Y DRY CS 32. 2000 1.28 80 READY TO EAT - Please Refer to Return Policy FROZEN 5 CS 21S7386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3' OZ ' BLUE B!.lNNY C'S 15.5000 77. 50 b?0,.� 2 CS 263923S ICS CREANCUP, C.hIES CRN12/? 9 OZ ITT7DI7'Z C I 1v'. 1?00 ,242. 40 g,--200 IS 130 CS 2;639250 ICE CREAM CUP.•' CKY DOUGH -12/S OZ I'TTIBITZ - CS 12. 1200 ?18. 16 C,srS CS 646 39268 CCE CREAN CUP, DANA SPLT' 12/5 OZ ITTIB.ITZ CS 12. 1200 60. 60 j 2'O6 tq 20 CS 2649796 :CCE CREAN CUP; COTA! CNDY 1.2/2. 9 OZ ITTIBI'TZ CS 12. 1200 242. 40 33 3 CS 3041423 CORN DOG, AN CN FZH 48/4 OZ STATE FAIR CS 36. 4200 1.09. 26 4 y' 4 CS E383054 BEEF, PTY GRND 3 Z PUB FLAME 53/3 OZ CTLM14 SLOT CS 55. 4500 22'1. 80 2 2 CS 540483�� ICE CREAff SA3�lD�3ICH, CHOC CH.;Lf' 24 EA - GOOD HUMOR CS 21. 0000 -42, 00 PRODUCT CLASS RECAP tae TOTAL- DRY PIECES ORDERED: - • 24 PIECES SHIPPED: 24 ITEMS SHIPPED: 11 736. 09 TOTAL- REFRIGERATED PIECES ORDERED: 8 PIECES SHIPPED': ' 8, ITEMS SHIPPED: 2 2S2. 80 j TOTAL FROZEN PIECES ORDEREf�: �9, PIECES SHIPPED: 77 ITEMS SHIPPED: 8 1214. 12 j ACCOUNT INVOICE ,: INVOICE CUSTOMER P - ORDER SALES SALES DATE , NO. NO' DATE NO. NUMB LOC. REP. ORDERED 90569922 ,16015. 6 07/18/,18 90569575 7353 .1054 -0062- 07/17/14 -k 2/,/� Route: 5252 ! 4. ��— ��"JwV��. ORDER...NUMBER: 323652 Bill -=-- Ship Remit . CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 E. 116TH ST "T6: 1235 CENTRAL' PARK DRIVEE To' PO BOX 78000 CARMEL IN CARMEL IN DEPT #78792 46032 46032 DETR O I T. MI 317 843 3873 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 . ShKprm: 12301 CUMBERLAND RD FISHERS IN ghip : 07/18/14 Page 01 of 01 F'rtTrms: SPCaa1 ENTER OFF OF i. 11TH STREET ! ! ! P.jt Trjns: NET, 30 DAYS Ins tr: Qrodered Shipped Units Produc Descripton - Pack Size Label CD Weight-- Pricing Price Unit Extinded DRY 1 1 CS 0814541 CUF', FM 20 Z WHT 25/20 EA MONOGRAM CS 21.0000 $ 21.-00 - FROZEN is 15 CS 2011278 PRETZEL; KING SOFT BKD FZM 50/5 OZ SUPR PRTZLCS 34. 8$00 . - 523.20 5 S CS 3041423 CORN DAG, AM CH FZH 48/4 AZ STATE FAIR CS 36. 4200, 182. 10 .5- 5 CS 3328606 BUN) HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP. HR CS 21. 4100 . 107.05 5 5 CS 3330099 HOT DAG, -Ab 6: 1 6" RLR GRIL 10 LB PATUXE14T CS 33. 1500 165.75 CS 5328604 BUN, H T-IGR- 4" -SLCD TFF BKD FZN8/12/2.-1 OZ- HILLTOP -HR . . : CS 21.,9300 109,..65 5 5 ' CS 53830-54F3EEF, �'TY GRhlO 3 Z F'UO FLAME 13/3-07; CTLMH SLCT CS.:.. 55 4500 277.-25 ## PRODUCT CLASS RECAP # TOTAL DRY -PIECES ORDERED: 1 PIECES SHIPPED:' 1 ITEMS' SHIPPED: 1 21-. 00 TOTAL FROZEN PIECES ORDERED: 40 PIECES SHIPPED: 40 ITEMS SHIPPED: 6 1365.00 ### INVOICE SUMMARY - FUEL UMMARY FUEL SURC14ARGE 6.25 TOTAL WGT SHIPPED: 524. 75 PIECES ORDERED: 41 PIECES SHIPPED: 41 ITE118 SHIPPED: 7 ###?Eft###•3f'.F##iF�E####�•fi•�)E#�##3i•�fxe#####�E'.k�•'.�#ii•#iE#'1F3E##'k##•iF#iF#3F######3F######3i•tiF'iti3:•k4�i•'�#3E#'k##:E## . # PRODUCT TOTAL $ 1386. 00 • Federal. Occupation Safety and Health Standards. Section 1910. 1200` on Hazard # * Communication requires manufacturers and distributors to provide Material # Safety Data Sheets on non-food products defined to be hazardous. Products CHARGES 6.25 • such as cleaning products and. pesticides -are included in the scope of the �. #' Standard. 'In compliance with the law. MSDS are available to US Foods, Inca *, customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT $ .00 # district office or bradvising your sales representative; 3z GEM SALES TAX % . 00 • You may contact KEVIN BURTON at phone (371) 585 - 6822. # # # 3t#l�#�4•#aF3(•3EIf3i'#�k352C3{•?##iP•34#9f)E#)4?t#3f if•#3@3EY•##3FaE3i•aE#?F�4�F3E#�{•ak#?E####$baE#9@##d'r#Ycx#3k3(�t•Yc�E#X#9F�F#3r'•?E 3f##34IE#3's . This amount is an estimate at -time of shipping prior to any adjustments made at delivery: $ 1392. 25. JUL 18 2014 �G -� ° n VENDOR SHIP INVOICE mss. Page 1 of 2 � ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1550892 07/16/2014 90569575 37333 1054 62 07/14/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 320151 NET 30 DAYS 100 ENTER OFF OF 111TH STREET!!!USF-PO#604722 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: DRIVER NAME: ROUTE NUMBER: 100 SHIPPED DATE: 07/15/2014 DRIVER ID: STOP NUMBER: 1 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP UNIT NUMBER UNIT PRICE PRICE DRY 3 3 EA 8349011 DISPENSER,STRAW 200 CPCTY TRAEX 1 EA EA $82.8000 $248.40 Shipment Tracking:015869586116862, FEDEX 1 1 EA 8681967 OPENER,CAN MNL S/S SWING-AWAY 1 EA EA $13.7000 $13.70 Shipment Tracking:015869586116824,FEDEX PRODUCT CLASS RECAP PRODUCT CLASS TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED SHIPPED SHIPPED PRICE DRY 4 4 2 7.60 $262.10 (DELIVERY SUMMARY TOTALS 4 4 2 7.60 $262.10 INVOICE SUMMARY Product Total $262.10 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 08/15/2014 $262.10 JUL 2 2 2014 1211 Page 1 of 2 VENDOR SHIP INVOICE Page 2 of 2 i ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1550892 07/16/2014 90569575 37333 1054 62 07/14/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 320151 NET 30 DAYS 100 ENTER OFF OF 111TH STREET!!!USF-PO#604722 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. Promotional allowances,cash discounts,prompt pay discounts,growth programs and all other incentives are retained by U.S.Foodservice®and do not reduce Product Price.Product Price is defined as the supplier,packer,or any vendor delivered cost or f.o.b unit price plus standard freight less off-invoice discounts or off-invoice allowances(i.e.,manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the invoice). We appreciate your business.Please visit our website wvvw.usfood.com for a fast and easy way to order. Or contact customer service at: (800)253-0277 JUL 2 Page 2 of 2 IJ CREDIT MEMO FOAM' &WA Page 1 of 1 ACCOUNT NUMBER CREDIT MEMO NUMBER INVOICE NUMBER ORDER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP t 90569922 2996649 1180129 318860 1054 62 CUSTOMER NUMBER CREDIT MEMO DATE INVOICE DATE ORDER DATE SPECIAL INSTRUCTIONS 90569575 2014/07/16 07/03/2014 07/13/2014 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 (000)000-0000 Dept.:0 DETROIT,MI 48278-0792 (317)843-3873 (800)428-2118 IMPORTANT NOTICE THE PRICE SHOWN ON YOUR INVOICE MAY NOT BE NET OF ALL DISCOUNTS,ALLOWANCES AND INCENTIVES. ANY INCENTIVE,DISCOUNT OR ALLOWANCE PROVIDED IS PROVIDED AS A DISCOUNT WHICH MAY SUBJECT YOU TO REPORTING AND/OR DISCLOSURE REQUIREMENTS UNDER APPLICABLE FEDERAL OR STATE LAW. INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED UNIT NUMBER UNIT PRICE PRICE FROZEN -1 I CS 5383054 BEEF,PTY GRND 3 Z PUB FLAME CTLMN SLCT 53/3 OZ CS $53.51 ($53.51) INVOICE SUMMARY Product Total $53.51 CR Sales Tax Rate: 0.00 $0.00 AMOUNT $53.51 CR JUL 2-9 � Z094 )3 Page 1 of 1 i ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDESALES SALES DATE 1\10. NO. . DATE !\10. NUMBER � D� LOC . REP. ORDERED 90569922 1713233 07/22/1A 90569575 37356 l�(61"`1 � 1054 0062 0.7/21/14 A'IRoute: 2251 / 3 ORDER NUMBER: 326443 Bill Ship Remit; CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . , To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: CARMEL IN CARMEL IN DEPT0#787920 46032 46032 DETROIT MI 317 843 3873 48278--0792 Att: MICHELLE COMPTON DEPT # 00 800 426 2118 ghipp,Frm: 12301 CUMBERLAND RD FISHERS IN Sh ipD: 07/22/14 Page 02 of 02 �F'r t rms: SPL.a,al ENTER OFF OF 111TH STREET! ! ! PvtTrms: NET 30 DAYS . Ina tr: dty Sty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered .Shipped Unit Number D Unit Price Price 9Fk# INVOICE SUMMARY TOTAL WGT SHIPPED: 1338.S3 PIECES ORDERED: 105 PIECES SHIPPED: 105 ITEMS SHIPPED: 22 ��F��:x•aF•r��.�F��F�•a��•��•aF�aF�F�F�a��F?F�F�F�tt•�F��F�,L�F��F��•�•�F��F,�� ••�3t��F��F��F�F•�:��F�•��•ttaF�Fu��FaF�F� PRODUCT TOTAL $ 2557.65 * f=ederal ,Occupat on.Safe•ty and Health Standards. Section 1910. 1200 on Hazard � * Communication requires manufacturers and distributors to provide Material aF x Safety. Data Sheets on non---Food products defined to be hazardous. Products # * such as cleaning. products and pesticides are included in the scope of the*. .Standard. In compliance with the law. MSDS are available to .US Foods, Inc. * customers and can be obtained by contacting t!?e Procurement Nan,ager in our TAXABLE AMOUNT .00 * district office or b► advising Vour sales representative. � GEN SALES TAX % _00 * You may contact l4EVI4 BURTON at phone 0 (371) 585 - 6822. � 3FiF#7FaFiFH�]k34#�•iF�raF�FH3F)FfiF)F5F1i��3i1FdF3FiF3F#��i H�•;F�@�S'�)F��3F�ikH#3F#��FaF•A�#�F�FiF�[�#�#t)e#�iF3r��F�F�x�aF3F�•7F#•TF)F This amount is an estimate at time of shipping prior to any adjustments made at delivery: $ 2557.6E X•JI� JUL 2 2 2014 BY: i ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. Iy0. DATE 110. NUMBER LOC. REP. ORDERED 901569922 1713238 07/22/14 90569575 37356 1054 0062 07/21/14 R o u t e: 2251 f_. 3 ORDER NUMBER: 326443 Bill S h i p _ - -. �__-__ _ Remit CARMEL CLAY. PARkS&RECREAtT CARMEL CLAY PARKS&RECREAT US Foods, Inc . � To: 1411 -E. 116TV-1 ST To: 123.5- CENTRAL TRAL PARD DRIVE E To: PO BOX 78000 CARMEL CARMEL_ IN DEPT #78792 46032 46032 DETROIT MI .3873 .. . 48278- 1792 Att: MICHELLE COMPTON DEPT # 00 801 Q 428 2118 - ahiaFrty: 12301 CUMBERLAND RD FISHERS � IN Shipp_ +07/22/14 L� _ Page 01 of 02 Frt*Trms: ,!pcial ENTER OFF OF 111TH STREET! ! ! PutTr ms: NET 30 DAYS Ins tr: di.v ' Qty Saxes Produr_•t Descrip•ton Pack Size Label C . Weight Pricing Unit Extended Ordered Shipped„ Unit Number D Unit Price Price DRY 9.0 10 CS 0779991 WATER, SPRG PLST BTL TWIST CAP24/:1.6. 9 OZ THIRSTER CS 5. 1700 $ 51.70 ✓1 1 CS 0791590 CONTAINER, FM 12 Z SQT.WHT 20/25 EA . MONOGRAM CS 20. 6300 20. 63 6 CS 4260238 - SAUCE, CHS NACHO .SHLF STABL. 4/107 OZ ORTEGA CS 53. 1500 318.90 V2 2 CS 5597969 CHIP, CORN ORIG TFF SS RAG 64/2 OZ FRITOS CS 31. 6600 63.32 1 CS 5605522 CHIP, NULTORN 13RIG SS BAG' 64/1.5 OZ SUN CHIPS CS 32.7300 32.73 �1 1 EA 6210777 CANDY, KIT KAT VND,G STD 1. 5. Z 36 EA KIT KAT EA 26. 7500 26.75 . 1--1 . . ' . 1 EA 6717219, CANDY, BAR SNCKR SS DNSTC 1..86x48/1.86 OZ SNICKERS EA 33.2600 33. 26 lll%✓4 4 CS 9463688 CHIP, TORTLA CORN ,.YLW RND 6/2 LB EL PASADO CS 21. 1700 84.68 REFRIGERATED l�2 2 EA 4365219 CHEESE, AMER SLCD 135 SUPRCR 5 LB GLNVW FRMS B EA 21. 5200 43.04 4/5 5 CS 4754982 ICE CREAM MIX, SOFT SRV VNL 412/2.5 GA PC VLY DRY CS 31. 0000 155.00 READY TO EAT - Please Refer to Return Policy 4i 3 3 CS 9836933 ICE CREAN MIX, SOFT CHOC 4% 2/2. 5 GA F'C VLY DRY CS 32.2000 96.60 READY TO CAT - .Please Refer .to Return _Policy/ FROZEN . 4 4 CS 1792399 BEEF SUB, PTY NEATL VEG ..3 36/4.25 OZ CHEFS .LINE CS 47. 7300 190.92 7 CS 2639235 ICE. CREAM, CUP, CKIES .& CRM 12/2.9 OZ ITTIBITZ CS 12. 1200 84.84 10 10 CS 26392SO ICE CREAN CUP-, CKY DOUGH :12/5 OZ ITTIBITZ CS 12. 1200 121.20 5 CS 2639268 ICE CREAM CUP,'. RANA SPLT 12/5 OZ ITTIBITZ CS 12. 1200 60.60 Ni' 5 5 CS 2649796 ICE CREAM CUP,.- COTN .CNDY 12/2.9 OZ ITTIBITZ, CS 12. 9.200 60. 60 z/7 7 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 36.x4200 254..94 2 CS 3328606 BUN, HOT DOC`.•, 6° SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 21. 4100 42. 82 5 15 CS 3330099 HOT DOG, AJC 6: 1 611 RLR GRIL 10 LR PATUXENT CS 33. 1500 . 497.25 5 CS 5403548 ITALIAN ICE, LNN DBL CUP FZN 12/16 OZ CHILL CS 21. x500 107. 75 till . 5 5 CS 5404835 ICE CREAM SANDWICH, .CHOC CHIP 24 EA GOOD HUMOR CS 21. 0000. 105. 00 4. 4. CS' 8.187999 ICE CREAM RAS:, CHOC TACO VNL24/4 OZ KLONDIKE CS 26. 2800 105. 12 PRODUCT CLASS RECAP .. - . TOTAL DRY PIECES ORDERED: 26 PIECES SHIPPED: 26 ITEMS SHIPPED: 8 631.97 TOTAL..REFRIGERATED PIECES ORDERED: 10 PIECES SHIPPED: 10 ITEMS SHIPPED: 3 294.64 i TOTAL FROZE14 _ PIECES ORDERED: 69 . PIECES SHIPPED: 69 'ITEMS S14IPPED: 11 1631.04, • 1 ACCOUNT -WVOICE-� ;,'INVOICE,-, CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED s nf Ci C?J::}// y ,�".is..{{'�7" p :El f / ��•} `c i t. c_ tc• t f'" tpr^ J (meq, ��/�) r.., O 7 4._., f�-�v f�'"� l.f��r'1 C_,.!.I'J. •''�f....A..t•5..1 I l ,1:.[..,1 f '€' /Y�.l,.r l„t rV,.i{� '.� J r''-1�� CUi")l./'.1��,./"h 4.F f.f LJ L:_ 0 . t....1:.r i..�. L)SO � Y t // � I I r . FOODS �ELIVERY-ROUTE: 9.5 !' i 1f,�.• -I(�,`'1.)�w�' 3'�,: }cul.. BILL `f j.;?,.s r S�.•5r b. P�, r^21 y; r j_. -,' C R€1 - 01 y,•. .. 't'R,t'j='v..fix, n •�' _ �, c,, t,,_i ,r. .=%to 1 SHIP r1t� tk I.-. t�7€....1=1' j, �:_.1 ;t I , REMIT tJ > c r:) a € t`t G TO: x. ,• �, 1. 3. .di.2'3,1 CENTRAL. ��t'�€Vi f;j�'NE' F TO: TO: P C-1 BOX 78000 .i.N �t••,€r'�( €��...�._ ,. :I.�'� Is'}'aF_•:!--l` :,:� }'1x.L.l_I: r Iq�tvSP`i t`.6i 4 7 :riT i� }rit•t '-10 4mac' ATT. a s ' %t i �.L• �a:.t .,' u._s�t SHIPPED FROM: i`„ '}i iiiviiS;:IJi€... .l i 1 P° :€.31-1E:R=i:r i 14! 07.•l is 2) : Aj SHIP DATE: {f^?- 13I"€ .i ?e'r.?.1....i... FREIGHT TERMS: € FI -x('L ; yJ L SPECIAL PAYMENT TERMS: INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E ORYY I CS 0814236 f JF'a F'11 16 `' i:.1€.j?' 20/25 EA I'1i:1NO)GRA1'1 CS 200 :{ 17. 12 GS p3:-':513 9;' f>Er's"'t:1li.li`, Ti'ITO FI-Y -3S FOIL, P "f ,5iiii�� int, i``llNlfa C:li CS :t"i. �ii.00 30.�l ? ;a � ce�� a:4l ! t_i : ) � � �� n : : r � �.1; 7� 1f _t I - r � ;r LL. `-46 21.4100 42.1-112 f:k`1'AL 1 G", Srd:p'PPE-C): ^6. 591L:1,E I?s;;1:1L-R-E:1?: r'':1.ECES 11H7FrPED: 5 ANOUNT . 00 60 N SALES TAN 00 F-1 AF;�i�IT "E z fS �iNC ANT BY t)-1/1-1 1 li14 I';i=tt�11(�T 81: , 06 RE CEIVED INFO 3 2014 perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by sec tion 5�)of the Visit www.usfoods.eom for a fast and easy way to order.., Perishable Agricultural Commodities Act,1939pU.5.C.499e(c)).The seller of these commodities retains a trustclaim everitese'• v •{v/' 6 -- commodities,all inventories of food or other products derived from these commodities,and any receivableXs or proceeds from of, 1 these commodities 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)Vk%bar'month:or CUSTOMERS SIGNATURE: CUSTOMER COPY r (b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with appl oabie law. e r ecve ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED ?0569922 C1757751 C()7/23/14 VO 56-9 57 5 37 363/ 1054 0062 07/�273/1-1 use '_ . i c - . . )ER NUMBER: 32.9205 Y uTr ORL 9965 FOODS Y ROUTE: BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMITS S Foods, Inc . 1411 E. 116TH ST 12:35 CENTRAL PARK DRIVE E TO: P� TO: TO: BOX 7�000 11\1 CARMEL - e C112 CARMEL T #78/ 46032 46032 ETR IDIT MI 317 943 3873 48278-0792 ATT. MICHELLE COMPTON DEPT # 00 800 42S 2-118 SHIPPED FROM: 12301 CUMBERLAND RD FIS�AERS' IN SHIP DATE, 07/23/14 page 02 of OF FREIGHT TERMS: NET -30 DAYS % SPECIAL customer w b PAYMENTTERMS: INSTRUCTIONS: QTY. CITY. SALES PRODUCT C PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL 0 WEIGHT ORDERED SHIPPED UNIT NUMBER E D UNIT PRICE PRICE INVOICE SUMMARY TOTAL WGT SHIPPED: 543. 55 PIECES ORDERED: 57 PIECES SHIPPED: 57 PRODUCT TOTAI- 1434. 478 TAXABLE ANDUNT . 00 GEN' SALES 'rAx IX . 00 PLEASE REMIT THIS AMOUNT BY 08/22/14 At JUL 2 4 2014 BY I authod ed by section 50)of the Visit www.usfoods.com for a fast and easy way to order. T11=1 1.1.�-'=mm C.499e old:111or.1,10,11.11 1.111.U1.1r.1 Truels retaInse trust claim over these x parl rc commodities,all Inventories of food or other product derived from them commodities,and any receivables or proceeds from thesale of these commodities until full payment Is received. CUSTOMERS SIGNATURE: Interest shall accrue on a unpaid balm exceedingarms at a rate equal to the lesser of(a)Vh%per month of (b)the maximum I the I'lestablished eldf in all vents calculated In accordance m applicable law.rate that ...nor may lawfully contract to pay, I ACCOUNT INVOICE INVOICE.... CUS"I"Oh'1ER "�JLJ3GHASE ORDER SALES SALES DATE NO. NO. . DATE 1\10. BER LOC. REP . ORDERED 90569922 1.e294.12 07.'/25/.11• 905695`-/S Q 3 73E30 1054 07062 07/24/44 Route: 5252 f 4'- ORDER NUMBER: 330676 Bill Ship - Remit CARMEL CLAY' PARKS9,RECREAT CARMEL CLAY ,PARI,CS&RECREAT US, To: 1411 E. 116TH ST To: 11235 CENTRAL PARK DRIVE E To: P,O BOX 7BOOO CARMEL IN CARMEL Its DEPT #78792 46032 46032 DETROIT i 11 31-7 843 3573. . 48278-0792 Att: MICHELLE COMPTON DEPT #. 00 . 800. 428 21183 Sh i pm: 1-23071 CUMBERLAND RD FISHERS IN Sh i pD. 07/85/14 Page 02 of 02 Fr"tinri7S: SpciWil. ENTER OFF OF 111TH STREET!.! ! P,,tTrfns: NET 30 DAYS Jnm tr: Oty Qty Sales Product Descripton Pack Bine Label C Weight Pricing Unit Extended Ordered Shipped Unit . Number D Uni•t•. Price . Price V 3 CS. . x;328604 BUN, HMBGR 4° SLCD TFF BKD FZNB/12/2. 1 07 HILLTOP HR 4S 21. 9300 65.79 ,6 5 CS E403548 ITALIAN ICE, LMN DBL CUP FZN . J.2/16 OZ CHILL CS 21, 500 107.75 V 5 CS 5404835 ICE CREAN SANDWICH,_ CHOC CHIP 24 GA GOOD HUMOR CS 21.0000 105.00 5 CS 71.75128 ICE CREAT! CONE, VNL TFF 2/12/4.6 OZ B8 CHAMP CS 23. 1600 115. 80. 5.. 5 CS._., 8187999 ICE CREAM BAR, CHOC..TACO. A V'NL24/4-OZ KLONDIKE CS 26. 2800 131.40 ** PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 46 PIECES SHIPPED: 46 ITEMS SHIPPED: 21 1353.92 TOTAL- REFRIGERATED PIECES ORDERED: 10 PIECES SHIPPED: 10 ITEMS SHIPPED: 3 295.84 TOTAL FROZEN PIECES ORDERED: 81 PIECES SHIPPED: 81 ITEMS SHIPPED: 12 1687.89 3f INVOICE SUMMARY TOTAL WGT: SHT.PF'E8:. 163.9'. 69 PIECES.ORDERED: 137 PIECES SHIPPED: 137 ITEMS SHIPF'E,D::. 36 _ #�3F?F�e3e�c�4#�#•i$�4k�'i•#14ak1Eik3E�A•X3E3F�$E?E#�#��t3E•,'�.•3E$f�t'i(M H)t?F�}573!•#�•SEX•#a'c3E�t?F$E��'i•#i•3{•a'.�E)k�k�t•:�i()E fi[•#3k��i•�aE3E?E)F#3L•#9k�E PRODUCT TOTAL 3337. 65 Fed6ral' Oecupatiire Sci'F ty and. Health Standards. Section' 1910.`1200 on Hazard.. � Communica�ti.on requires- manufacturers and distributors to provide Material � Safety Data Sheets on non—•Food products defined to be. hazardous. 'Products � such as cleaning products and pesticides are included in the scope of the Standard. . In compliance with the law. MSDS are available to US Foods, Inc. customers and can be obta.ined, by contacting_ tt-ze Procurement Manager in our ?� TAXABLE AMOUNT00 35 'dis-tr�ict office or b�,+ advising your sales representative.' u OEM SALES TAX � . 00 You may contact KEVIF! BURTON at phone 0 (371) 585 — 682:. ��•��a��3��•��?��-g•�?�•rs:�•��x��•��•��t•��?��:�?��•gat•�?��•��•;x�:�3�?�•�n��•�•��f��x�:��• This amount is an estimate tit time of shipping prior to any adjustments made at delivery: 3337. 65 �C IV D JUL l 2014 ACCOUNT INVtJI:CE INa10ICE CtJSlC?i"IER' PURCHASEORDEPt, SALES SALES DATE 1\10. NO. DATE NO. NUMBER, LOC . REP. ORDERED 90569922 182911.8 07/25/14 90569575 37380 1054 0062 07/24/14 Route: 5252 t 4 ORDER NUMBER: 330876 Bill _ ._ __--------- Ship - Remit -- CARMEL CLAY PARKS&RECREAT CARMELCLAY PARKS&RECREAT : US Foods, . Inc e. 7'o:. . 1411 E. 116TH ST . .. To-: 1235 CENTRAL PARK DRIVE. E. To.: PO B O X 79000 _ CARMEL, IN CARMEL IN DEPT #78792 46032 46032 DETROIT MI 317 843 3873 48276-0792 At t: III I CHEL.L.E COMP TSN DEPT #. 00 800. '428 2118 ShiFr,n?.- 12301 CUMBERLAND RD . FISHERS IN .h?pD: 07/25/14- Pege 01 of 02 rrt rias: 5pci.al ENTER OFF OF 111TH STREET! ! t P(4rrms: NET 30 DAYS In5f,r: div Qty Sales Product DescriptoD Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit NUiiier D Unit Price Price V7. - DRY . CS 0779991 WATER, SPRO PLST BTL TWIST CAP24/16. 9 OZ THIRSTER CS 5. 1740 $ 25.85 CS, 0791616 CUP, FM 32 Z'.UHT 25/20 EA MONOGRAM CS .34.9000 . 34. 90 1 CS .. 0814236 CUP,-- FM 1.6 Z WHT 20/25 EA MONOGRAM CS 17. 1200 17. 12 ' CS 0814541 CUP, FM_20 Z UHT, 25/20 EA MaNOGRAM CS 21.0000 21,: 00 2 CS 1462803. ..SPOON, TEA MW WHT POLYP.BULK 1 444 EA PRIME C8 . .12. 1200 24. 24 X11 . 1 EA 4053336 CANDY, BAR MIL?` CHOC 36/1.552 HERSHEY EA 27. 6104 27.61 6 CS 4260238 SAUCE, CHS NACHO SHLF STALL 4/107 OZ ORTEGA CS 53. 1504 318.94 I 'CS 4329397. KETCHUP, TMTO FCY SS FOIL PKT 500/9' GR MONARCH CS 15. 0100 15.41 1� 1 CS ES97604 CHIP, GHS CHCHY PLN SS BAG 64/2 OZ CHEF-TOS CS 32.7340 32. 73 ✓ . 1. CS. S5978S1 . CHIP, TORTLA NACHt! CHS TROLE 64/1.75 OZ .. DORITOS . CS 3`.7300 32 : 73 2 CS 5597969 CHIP, CORN ORIG TFF SS _RAG 64/2 OZ FRITOS CS 31.6600 63.32 1 CS. ' 5601679 CHIP, PTATO REGP'LN SSBAG 64/1.5 OZ LAY'S CS 30.8000 30. 80 1 CS 5645431 CHIP, MULTGRN GRDN SALSA SS 64/1.5 OZ SUN CHIPS CS 32.7300 32. 73 V2.. 2 CS 5605472 CHIP, MULTGRM CHEDR SS BAG 64/1.1 .Os SUN CHIP'S CS 32.7300 65.46 .f 3. 1 EA 6717219 CANDY, BAR SNCKR SS DMSTC 1. 8648/1..86 OZ SNICKERS EA 33. 2600 33.26 6 CS, 68059'23 TRAY, PAPR EORD._FOOD _5 LB CLAY2/250. EA MONOGRAM CS 32. 4900 15 4. 94 1 CS 7449988 SAUCE, CHILI HOT DOG W/ BF CANE/148 OZ CHEF MATE CS 72. 1440 72. 10 1 EA 8036576 CANDY, M&M� PNT1. 74 OZ. 48 EA M & M EA 33.4800 33.48 1 1 CS 9089079 POPCORN, RAW KIT U/ OIL & SALT36/8 OZ FANCY FARM CS 26.4000 26.40 V ' 8 CS 9463488 CHIP,' TORTLA CORN YLW RNID 6/2 LB EL PASADO CS 21. 1700 169. 36_ 2 CS 9865767 GLOVE, CAST, POLY LG TXTD AMBDX1..0/100 CA MONOGRAM B CS 40.9900 81.98 REFRIGERATED '' EA 4365219 CHEESE, AMER .SLCD -138 SUPRCR 5 LB GLNVW FRI16 B EA 21.5244 43. 04 _ 4 CS 4754982 ICE CREAN MIX, SOFT. SRV VNL 4%2/2. 5 GA PC VLY DRY CS 31.0004 124.00 READY TO EAT - Please Refer to Return Polley 4 4 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. S GA F'C VLY DRY CS 32. 2000 128.80 READY TO EAT --._.Please Refer to Return Policy. � FROZLr1 0 10 CS , 2011278 PRETZEL, KING SOFT BKD rFZN 10/S OZ SUPR PRTZL CS 34.8800 348.80 5 5 CS 2157386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY CS 15.5004 77. 50 0 10 CS 2639235 ICE CREAM CUP, CKIES & CRM 12!2.9 OZ ITTIBITZ CS 12. 1200 121. 20 4 10 CS 2639250 ICE CREAM CUP, CKY DOUGH 72/5 OZ , ITTIBITZ CS 12. 1244 121. 24 10 CS 2649796 ICE CREAN CUP, COIN CNDY 12/2.9 OZ ITTIBITZ CIS 12. 1200 121.20 V , 5 CS ;332860c BUN, HOT DOD 6" 'LCD. T F F BKD,. 8/12/1. 7, .OZ HILLTOP HR CS 21. 4100 107.05 8 CS 0-330099 HOT DOG, AB 6: 1 6" RLR GRILL 10 Lb PATUXENT CS 33. 1500 265.20 ACCOUNT i NVOiCF= INVOICE CUSTOMER PURP. SE ORDER SALES SALES DATE!\10. - i:if t, ' DATT 1\10. nIUM ER LOC . REP. ORDERED 9056991.'2 1925241 07/29/14 90S69S7E 37��9& :1.054 0062 07/28/14 _ ! taut :: 2251 / 4 ORDER NUMBER: 333671 CARMEL. CLAY PARKS&RECREAT CARMEL CLAY P- ARKS&RECREAT US Foods, Inc . TV: 133.110E. 116TH ST T o: 1235 CENTRAL PARK DRIVE E To: PO BOX 78000 CARMEL. IIS! CARMEL Iii! DEPT 078792 46032 46032 DETROIT MI 317 841 3873 49272-07982 Ate.,: MICHELLE COP'rPTON �DEPT 00 800 428 2118 Sh i vF-rm: 18301 CUMBERLAND LAND RD FISHERS IN Sh nom: 07/29/14 Faye 02 of 02 FW Arms. _ ,�. PAal ENTER OFF FF OF 111TH ',STREET! ! ! F'vt Trrr,�:;: MET 30 DAYS - - - - ins&V. O'ty Qty males Product Descr'ipton Pack Size Label C. Weight Pricing tlni•t Extended Ordered Shipped Unit - N1.1r:!bep. D 011ii Fr ice Price :r INVOICE SL)I`NARY FUEL SURCHARGE 6.2S - TOTAL WOT S!-!IPPEW 715. 40 PIECES ORDERED: 52 PIECES SHIPP& S2 ITEMS SHI€="PEO: 13 PRODUCT TOTAL $ 1277. 979. 97 Federalt, aOccu � iton� �afr ta/�randr!{ett'lhS}�alldrdSt�c+licyni` if7l?L3�?� rr {i oazar�l xk Y •x ! * Communication requires manufacturers and distributors 'to provide Material Safe•tV Data Sheets on non-food products defined •t*o be, hazardous4 Products CHARGES 6.25 *. such as cleaning products andpesticides are included in the scope of the * Standard. It compliance with the law. MSOS are available to US Foods; Inc. * cus'tomer's and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT $ . 00 *• district office or bu advising your sales, representative. 4 GEN SALES. TAX :f . 00 You -mai, contactVEVIri BURTON a•t phone 4 4371? ESE - 6822. iE�}:lt•�3f�ea�5:::i'r3e1.S7:�n�••a•i�i;•is3s.•�n�'..r•r3E3:•;i•��r�:rh�z3E�.�.sF:;�r••x��';E3:#x3;r•Y;r.��:i•::�'r,•1;t"•s�.;�'•�� @�xk::�•:i•;e�vF�E}ii�3t This amount is an estimate at time of shipping prior to an;, adjustments s made at delivery: 1286. 22 P, C]E.IVDI]J JUS' 8 A ZA14 U ' ^ ACCOUNT, INVOICE INVOICE* CUSTOMER PURCHASE ORDER SALES DATE NO. NO DATE NO. NUMBER LOC . REP . ORDERED ' | 9O569922 1925f21 07/29/14 90569575 37394 1054 0062 07/28/14 | � | Route� 2251 � 4 ORDER NUM8ER� 333671 | Bili �Shio ' Remi V | . . | � To� � — ---- - � �116TH ST To: 1E35 CENTRAL PARK To' | � � 1 � ' CARMEL - ION DEPT #78792 | � � | | ! Att� � | ' | – � /Shi Frw 12301 CUMBERLAND RD FISHERS IN Ship& 07/29/14 Page 01 of 02 | FrtTrms.. spcial ENTER OFF OF 111TH STREET! ! ! � /P tTrms�' |NET 38 DAYS � � | wtu� - .� Qty Sales ' Product Descrip+on ' Pack ~�r -� Label C Weight Pricing Unit Extended �r � |Or� e�tShipped Unit — Number - . ' � , - -- '� D Unit Price Price � | � | � | � | � � � | � � � of 3 CS 9089079 POPCORN, RAW KIT W/ OIL SALT36/8 OZ FANCY FARM CS 26. 4000 79. 20 � � | | � REFRIGERATED V� 2 CS ?836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. S OA VLY DRY CS 32. 2000READY TO EAT n Please Refer to Return Policy � 'A 2: CS 47S4902 ICE CREAM MIX, SOFT- SRV VNL 02/25 OA PC VLY DRY CS 31. 0000 . 62. 00 | 64. 40 FROZEN S V, CS, 263923S 10E CREAM CUP, CKIES & CRM 12/2.9 OZ ITTIPITZ CS 12. 1200 60. 60 3 3 CS 26392SO ICE CREAM CUP, CKY DOUGH 12/S OZ ITTIBITZ CS 12. 1200 36. 36 .5 5 CS 26497% ICE CREAN CUP, COTN CNDY 12/2.9 OZ ITTIBITZ CS 12. 1200 60. 60 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDEREk 2S PIECES SHIPPED: 2 S ITEMS SHIPAM -6 TOTAL REFRIGERATED PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 2 126. 40 TOTAL FROZEN PIECES ORDERED� 23 PIECES SHIPPED: 23 ITEMS SHIPPED: S 438. 08 | | � ' | f�/ 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 Dept78792 P.O. Box 78000 Detroit, MI 48278-0792 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/15/14 1503641 Kitchen accessories 37333 $ 29.37 7/15/14 1503639 Concessions 37332 $ 2,190.89 7/18/14 1601546 Concessions --– __ _37353 �$ _ 1,392.25 7/16/14 1550892 Kitchen accessories 37333 $ 262.10 7/16/14 2996649 Credit for bad product $ (53.51) 7/22/14 1713238 Concessions 37356 $ 2,557.65 7/22/14 1723483 Concessions xx907 $ 89.96 7/23/14 1757751 Concessions 37363 $ 1,434.78 7/25/14 1829112 Concessions 37380 $ 3,337.65 7/29/14 1725221 Concessions 37394 $ 1,286.22 Total $ 12,527.36 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with le 5-11-10-1.6 ,20_ Clerk-Treasurer i L _ — Voucher No. Warrant No. 353824 U S FoodService, Inc. Allowed 20 Dept 78792 P.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 12,527.36 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1095-1 1503641 4238000 $ 29.37 1 hereby certify that the attached invoice(s), or 1095-1 1503639 4239040 $ 2,190.89 bill(s)is(are)true and correct and that the 1095-1 1601546 4239040 $ 1,392.25 materials or services itemized thereon for 1095-1 1550892 4238000 $ 262.10 which charge is made were ordered and 1095-1 2996649 4239040 $ (53.51) received except 1095-1 1713238 4239040 $ 2,557.65 1095-1 1723483 4239040 $ 89.96 1095-1 1757751 4239040 $ 1,434.78 1095-1 1829112 4239040 $ 3,337.65 1095-1 1725221 4239040 $ 1,286.22 7-Aug 2014 $ 12,527.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund