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Home My WebLink About241162 1 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 353824 b i ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $*******664.98* CARMEL, INDIANA 46032 DEPT 78792 CHECK NUMBER: 241 162 9.y`,roN`o PO BOX 78000 CHECK DATE: 01/13/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 707578 664.98 FOOD & BEVERAGES r' U56 INVOICE cJ'j,�cEssius Page 2of3 FOOM foa5- I- 42.?RQ LO ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 707578 12/23/2014 90569575 37926 1054 62 12/22/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 494513 NET 30 DAYS 2251 ENTER OFF OF 111TH STREET!!! 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 19 19 0 19 13 217.63 $638.18 FROZEN 1 1 0 1 1 9.08 $21.55 DELIVERY SUMMARY TOTALS 20 20 0 20 14 226.71 $659.73 DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $664.98 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 $664.98 INVOICE SUMMARY Product Total $659.73 FUEL SURCHARGE $5.25 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 01/22/2015 $664.98 7 FD JAN 01 Page 2 of 3 U56 INVOICE FOO M Page 3 of 3 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 707578 12/23/2014 90569575 37926 1054 62 12/22/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 494513 NET 30 DAYS 2251 ENTER OFF OF 111TH STREETM 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. V rYr' CUSTOMER SIGNATURE: mark. SIGNED AT: 12/23/2014 12:16 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 3 of 3 INVOICE Page 1 of 3 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 707578 12/23/2014 90569575 37926 1054 62 12/22/2014 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 494513 NET 30 DAYS 2251 ENTER OFF OF 111TH STREET!!! 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 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: 2251 SHIPPED DATE: 12/23/2014 DRIVER ID: 3228083 STOP NUMBER: 4 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP I ADJ UNIT NUMBER UNIT PRICE PRICE DRY 1 1 0 EA 1183599 CANDY,M&M PLN 1.69 OZ M&M 48 EA B EA $52.1700 $52.17 1 1 0 EA 4053336 CANDY,BAR MILK CHOC HERSHEY 36/1.55Z EA $29.8800 $29.88 3 3 0 CS 4260238 SAUCE,CHS NACHO SHLF STABL ORTEGA 4/107 OZ CS $53.1500 $159.45 1 1 0 CS 5597604 CHIP,CHS CNCHY PLN SS BAG CHEE-TOS 64/2 OZ CS $32.7300 $32.73 1 1 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $31.6600 $31.66 1 1 0 CS 5601679 CHIP,PTATO REG PLN SS BAG LAY'S 64/1.5 OZ CS $30.8000 $30.80 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 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 $28.9500 $28.95 1 1 0 EA 6717219 CANDY,BAR SNCKR SS DMSTC 1.86 SNICKERS 48/1.86 OZ EA $35.4500 $35.45 1 1 0 EA 8053126 CANDY,RESES PNT BUTR CUP REESE'S 36 EA EA $28.9200 $28.92 3 3 0 CS 9089079 POPCORN,RAW KIT W/OIL&SALT FANCY FARM 36/8 OZ CS $26.4000 $79.20 3 3 0 CS 9463688 CHIP,TORTLA CORN YLW RND EL PASADO 6/2 LB CS $21.1700 $63.51 FROZEN 1 1 1 0 CS 5403548 ITALIAN ICE,LMN DBL CUP FZN CHILL 12/16 OZ CS 1 $21.5500 $21.55 Page 1 of 3 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 12/23/14 707578 Concessions 37926 $ 664.98 Total $ 664.98 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, MI 48278-0792 In Sum of$ $ 664.98 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 707578 4239040 $ 664.98 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 January 8, 2015 Joha17 nn"," $ 664.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund