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Home My WebLink About238216 10/15/14 CITY OF CARMEL, INDIANA VENDOR: 353824 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $*****1,290.17* CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 238216 PO BOX 78000 CHECK DATE: 10/15/14 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2978806 -90.59 FOOD & BEVERAGES 1096 4239039 624230 1,030.44 GENERAL PROGRAM SUPPL 1095 4239040 998113 350.32 FOOD & BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES "ALES DATE NO. NO. DATE NO. .. _ NUMBER LOC . REP. ORDERED 906`9922 0998113n 09/30/14 "90S6'=57'_s- —37633 1054 0062 09/29/14 !;'cute: 22S1 >` 3 ORDER NUMBER: A-05123 L i:� r•_ _.._______.. �_ _ _,. _ __..____.__ ._ ___- ;s i p R e mit ' CARMEL CLAY PARKS&RECREAT � ! CARMEL CLAY PARKS&RECREA'T U8 Foods, Inc . To: 1.411 E. i1.6T!_.{ ST To: � 1 35 CENTRAL PARK DRIVE E TO: PO .SOX 0000 DEPT 470792 €.:ARMEL.. I#r! I GAR{{EL IN IL EGG, INSPECTION FEE PD 46032 146032 DETROIT MI 117 843 1873 4927e-0792 Att. MICHELLE CLjMPTON DEPT 4 00 pp 800 428 L-110 ,F h i pFr't77: 12301 CUMBERLAND RLQ FISHERS IM Sh i p4: 09/30/14 _ Page 01 of 01 FrtTr ryas. fpc yl ENTER OFF OF 111TH STREET! ! ! 4ty Pty Sales Product Gescripton _ Pack Size . Label C .Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price ._ ........ DRY 2 CS 4260238- SAUCE, CHS NACHO_S€-{LF STABL 4/107 Os-- OR`f-EGA CS 53. 1560 t- 106. 30 J 1 EA 6210777 CANDY, KIT KAT VHDG STD 1.5 Z 36 EA !SIT KAT EA =8, 900 .28. 9S t 2 C!3 . 9099079 . POPCORN, RAID KIT W/ OIL a SAKT36/8OZ FANCY FARM _ CS �6._�0G�0 52. 80 i 1 CS 946308--CHIP, TORTLA CORN YLW -RML7 .6/21B , EL F'ASADO CS 23..1.700 _21. 1.7 :i CS 970971 —CHIP, ASST 58 BAG T :AYi MIX :/30 EA FRITO LAY AS 2T'000 274S c, , i 1 CS ?954371 LID, CUP 32- Z STRAW LTD F'LST 10/50, Eta NOMOGRAMCS 22-8800 22-88 FROZEN �,.�';) .�� f a, 1 CS 201121S PRETZEL, KING.;OFT BKD- FZ!'�! cp/s O4. SUPT. F'R T ZL. 34- 0000 34. 88 '• 1 CS 7175128 ICE. CREAM COME, VML. TFF 2/12/4. 6 OL BI~ CHAMP CS 23. 1600 23. 16. y 1. CS 8187999 ICE CREAN BAR, CHOC TACO 2 tiNL24/4 OZ . KLONDIKE CS 26. 2800 26. 28 *a PRODUCT LASS RECAP .TO'Y'AL DRY PIECES ORDERED: 8 F'IECES..aHIPPEO: 8. ITEMS SHI'PPET. V 259, 7S. TOTAL FROZEN PIECES ORDERED: 3 PIECES :SHIPPED: 3— :.ITEMS SHIPPED: - —Z , 84. 32 :INVOICE SUMMARY tt x x FUEL SURCHARGE 4 6. 25 TOTAL WOT SHIPPED: 135.99 F'I:ECES.ORDERELS: 11 P IECEA Sf{1'F' 'ED: 11 13EMS SHIPPED: F•RODUC T. TOTAL 344. 07 CHARGES 6. 2S SEP 3 02201 j f TAXABLE AMOUNT 00 y GEN SAB_E TAX This amount is Westima-L•e it time of shipping prior to a y adjustments mads: at delivery: $ 350. 32�� i INVOICE Page 1 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 624230 09/18/2014 90569575 37572 1054 62 09/08/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 381209 NET 30 DAYS 4281 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 DEPT#78792 CARMEL, IN 46032 CARMEL, IN 46032 IL EGG INSPECTION FEE PD (000)000-0000 Dept.:0 DETROIT, MI 48278-0792 (317)843-3873 (800)428-2118 SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS, IN DRIVER NAME: Patrick Baker ROUTE NUMBER: 4281 SHIPPED DATE: 09/18/2014 DRIVER ID: 3221617 STOP NUMBER: 12 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT I PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE DRY 25 25 0 CS 779991 WATER,SPRG PLST BTL TWIST CAP THIRSTER 24/16.9 OZ CS $5.1700 $129.25 8 8 0 CS 5708839 COOKIE,CHOC CHIP 1 Z MINI CHIPS AHOY 48/1 OZ CS $26.1400 $209.12 V 7 7 0 CS 6151161 SNACK BAR,GRNLA CHWY ASST SS NATURE VLY 120/1 OZ CS $40.3900 $282.73 ✓ 3 3 0 CS 7801483 CRACKER,CHS PNT BUTR SNDWH SQ AUSTIN 24/6/4 EA CS $23.7100 $71.13 8 8 0 CS 8002776 COOKIE,CHIP AHOY SS CHIPS AHOY 4/12/1.4 OZ CS $28.2800 $226.24 REFRIGERATED 4 4 0 CS 6006555 BANANA,YLW FRESH REF PACKER 40 LB CS $26.4300 $105.72 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 51 51 0 51 5 763.02 $918.47 REFRIGERATED 4 4 0 4 1 160.00 $105.72 DELIVERY SUMMARY TOTALS 551 55 01 551 61 923.021 $1,024.19 Page 1 of 2 r l q INVOICE Page 2 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED �+ 90569922 624230 09/18/2014 90569575 37572 1054 62 09/08/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 381209 NET 30 DAYS 4281 DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $1,030.44 Product Total Adjustments $0.00 Total Charges Adjustment $0.00 Total Allowance Adjustment $0.00 Sales Tax Adj: Rate:VAR $0.00 TOTAL ADJUSTMENT 0.00 DELIVERED AMOUNT $1,030.44 INVOICE SUMMARY Product Total $1,024.19 FUEL SURCHARGE $6.25 ✓ Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 10/18/2014 $1,030.44 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. RW �\JJCJu lJ�/ 1��1 ► I �-�1 0- 3 752- CUSTOMER SIGNATURE: tracie m SIGNED AT: 09/18/2014 05:22 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 2 of 2 CREDIT MEMO Page 1 of 1 ,s9-- ACCOUNT NUMBER CREDIT MEMO NUMBER INVOICE NUMBER ORDER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP 90569922 2978806 0 372682 1054 62 CUSTOMER NUMBER CREDIT MEMO DATE INVOICE DATE ORDER DATE SPECIAL INSTRUCTIONS i 90569575 2014/08/30 00000000 08/30/2014 DIV1054"PROMO"MY KITCHEN PROMOTION 07/27/14-08/23/14 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.: 10 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 ASA 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 I CODE WEIGHT PRICING I UNIT EXTENDED UNIT NUMBER UNIT PRICE PRICE INVOICE SUMMARY Product Total $0.00 Sales Adj-CUSTOMER REBATE $90.59 CR Sales Tax Rate: 0.00 $0.00 AMOUNT $90.59 CR Page 1 of 1 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 9/30/14 998113 Concessions 37638 $ 350.32 9/18/14 624230 Food for Tour de Carmel 37572 $ 1,030.44 8/30114 2978806 Credit for rebate '-- " -_ -__.-__-. --- -._ .:. ____ -- ---_-- - : ._ __ ___.._(90:59) Total $ 1,290.17 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. 353824 U S Foodservice, Inc. Allowed 20 Dept 78792 P.O. Box 78000 Detroit, Ml 48278-0792 . In S.um of$ $ 1,290.17 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center r I,. Po#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 109571 998113 4239040 $' 350.32 I"hereby certify that the attached invoice(s), or 1096-60 624230 4239039 $ 1,030.44 j bill(s)is(are)true and correct and that the 1095-1 ' 2978806 4239040 $ (90.59) f materials or services itemized thereon for which charge is made were ordered and - - - - - - ------- ---- received except i; 9-Oct 2014 $. .1,290.17; Accounts Payable Coordinator Cost distribution ledger classification if :' Title claim paid motor vehicle highway fund