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Home My WebLink About240134 12/09/14 CITY OF CARMEL, INDIANA VENDOR: 353824 CHECK AMOUNT: $*******762.85* .I; ® ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 240134 PO BOX 78000 CHECK DATE: 12/09/14 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2811522 762.85 FOOD & BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP. ORDERED 90569922 2811522 11/25/14 90569575 37832 . 10540062 ' 11/21/14 Rom=e: 2251 / 3 ORDER- NUMBER-:- 4637E34* i BII Sh J.p R�pmit - - CARMEL OLAY PAR S&RECREAT CAPMEL CLAY. PARD.S&RECREAT US .Feads,_ 'the-. To: 14f1 E.- -116TH ST_ To: 1.235 CENTRAL PARS{_ DRIVE E To: - PO BOX 780,0�O' DE!'T #78792 CARMEL INCARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 8-4.3 3873 ? .. Att: MICHELLE COMPTOIV __ DEPT # 00 8Q0428 2112 Sh iFrty: 12301 CUMBERLAND RD FISHERS Ii!l 'Sh i pD. ' 11/25/14 Pag a_-02 of 02 FrtTrins Spe.1aI ENTER OFF OF.. 111TH. STREET! FvtTrws: NET 30 DAYS. rnstr: o•ty= Qty Sales Product- Pack Size Label C Weight Pricing- _ Unit: 'Extended Ordered Shipped Un' it Null).6, _ D Unit Price Price INVOICE SUMMARY FUEL SURCHARGE, 6. 25 TOTAL WGT-SHIPPED.- 318. 29. PIECES ORDERED: 24 PIECES SHIPPED;: 24 ITEMS'._SHIPPED:: 1.1 PRODUCT TOTAL 756. 60 -CHARGES - 6. 26 TAXABLE AMOUNT $ -00 GEN SALES TAX . 00 This amount is an estimate at time of' shipping prior to any -adjustment's made at delivery: $ 762. 85 S EDEC V _D 3n2014 i ACCOUNT - INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES 'SALFS DATE NO. NO. DATE NO. NUMBER LOC . REP. ORDERED 90569922 2811522 11/25/14 90569575 37832 1054 0062 !1/21/14 Route: 2251 3 ORDER NUMBER: 463784 B i I I Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1441 F. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: PO BOX 78000 DEPT *78792 CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 e43 387*3 48278-0792 Att: MICHELLE COMPfON DEPT # 00 800 428 2118 Sh i vF-rm: 12301 CUHBERLAND' RD FISHERS IN gh i pD: 1. 1/25/14 Page 01 o-P 02 F-rtrrms: spCial ENTER OFF OF 111TH STREET! ! ! Pf,rffrms: NET 30 DAYS ?'ns tr., 0tv 9ty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 2 2 CS 4260238 -SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 53. 1500 $ 106. 30 1 1 CS 5585476 CHIP, PTATO B14D ORIG GLTN/FR 64/1. 125 OZ BAKED LAYS CS 30. 8000 30-80 1. 1 CS E597604 CHIP, CHS CNCHY PLN SS BAB 64/2 OZ GHEE-TOS CIS 32. 7300 32.73 1 1 CS 5597051 CHIP, TORTLA NACHO CHS TROLE 64/1.75 OZ DORITOS CS 32. 7300 32. 73 1 1 CS 5605472 CHIP, MULTGRN CHEDR SS BAB 64/1.5 OZ SUN CHIPS CS 32. 7300 32. 73 1 1 EA 6210777 CANDY, KIT KAT VNDG STD 1.5 Z 36 EA KIT KAT EA 28. 9500 28:95 3 3 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/B OZ FANCY FARM CS 26. 4000 79. 20 4 4 CS 9463688 CHIP, TORTLA CORN YLU RND 6/2 LB EL PASADO CS 21. 1700 84.68 FROZEN 8 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 Oz SUPR PRTZL CS 34. 8800 279.04 I CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 23. 1600 23. 16 1 CS 8187999 ICE CREAM BAR, CHOC TACO & VML24/4 OZ KLONDIKE CS 26. 2800 20. 28 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: - 14 - PIECES SHIPPED: 14- ITEMS SHIPPED: 81 428. 12 TOTAL FROZEN PIECES ORDERED: 10 PIECES SHIPPED: 10 ITEMS SHIPPED: 3 328. 48 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 11/25/14 2811522 Concessions 37832 $ 762.85 Total $ 762.86 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with I C 5-11-10-1.6 , 20_ Clerk-Treasurer I Voucher No. Warrant No. I, 353824 U S Foodservice, Inc. Allowed 20 Dept 78792 P.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 762.86 ON ACCOUNT OF APPROPRIATION FOR- 109 Monon Center PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 1095-1 2811522. 4239040 $ 762.85 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 3-Dec 2014 i I $. 762.85 Accounts Payable Coordinator Cost distribution ledger classification if i Title claim paid motor vehicle highway fund I