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Home My WebLink About241865 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 353824 ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*******574.13* CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 241865 FM,�roN. DEPT#78792 CHECK DATE: 02/03/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1455230 574.13 FOOD & BEVERAGES U . INVOICE RXW Page 1 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1455230 01/20/2015 90569575 3798.9 1054 62 01/19/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 517201 NET 30 DAYS 2191 ENTER OFF OF 111TH STREETM 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 .IAN 3..0 2015 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: Thomas Bova ROUTE NUMBER: 2191 -- SHIPPED DATE: 01/20/2015 DRIVER ID: 3221171 STOP NUMBER: 10 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD I SHP ADJ UNIT NUMBER UNT PRICE PRICE DRY 3 3 0 CS 4260238 SAUCE,CHS NACHO SHLF STABL ORTEGA 4/107 OZ CS $51.4000 $154.20 1 1 0 EA 8036576 CANDY,M&M PNT 1.74 OZ M&M 48 EA EA $34.1400 $34.14 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 $19.9000 $59.70 FROZEN 5 5 0 CS 2011278 PRETZEL,KING SOFT BKD FZN SUPR PRTZL 50/5 OZ CS $34.8800 $174.40 1 1 0 CS 5403548 ITALIAN ICE,LMN DBL CUP FZN CHILL 12/16 OZ CS $21.5500 $21.55 1 1 0 CS 7175128 ICE CREAM CONE,VNL TFF BB CHAMP 2/12/4.6 OZ CS $21.4500 $21.45 1 1 0 CS 8187999 ICE CREAM BAR,CHOC TACO&VNL KLONDIKE 24/4 OZ CS $24.2400 $24.24 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 10 10 0 10 4 167.22 $327.24 FROZEN 8 8 0 8 4 99.74 $241.64 DELIVERY SUMMARY TOTALS 181 181 01 181 8 266.961 $568.88 Page 1 of 2 Usa INVOICE mom Page 2 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1455230 01/20/2015 90569575 37989 1054 62 01/19/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 517201 NET 30 DAYS 2191 ENTER OFF OF 111TH STREETM DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $574.13 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 $574.13 INVOICE SUMMARY Product Total $568.88 FUEL SURCHARGE $5.25 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 02/19/2015 $574.13 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. CUSTOMER SIGNATURE: .MICHELLE COMPTON SIGNED AT: 01/20/2015 04:21 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 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 1/20/15 1455230 Concessions _ 37989 $ 574.13 Total $ 574.13 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 I Voucher No. Warrant No. 353824 U S Food&&Pice.,�' Allowed 20 Dept 78792 P.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 574.13 } . i ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center i PO#or Board Members Dept# INVOICE NO. A.CCT#lTITL AMOUNT 1095-1 1455230 4239040 $ 574.13 1, 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 i January 30, 2015 $ 574.13 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund