242105 2 /10/2015 CITY OF CARMEL, INDIANA VENDOR: 353824
ONE CIVIC SQUARE U S FOODS
CHECK AMOUNT: $""***1,006.14*
s. � CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 242105
9�'frori' DEPT#78792 CHECK DATE: 02/10/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1866355 1,006.14 FOOD & BEVERAGES
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO, NO. DATE NO. NUMBER LOC . REP . ORDERED
90569922 1866355 02/03/15 90569575 38040 1O54 0062 02/02/15
Route: 2291 / 14 ORDER NUMBER: 531736
8i1l Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS','-.,.RECREAT US Foods, Inc .
To: To: 1235 CENTRAL PARK DRIVE E To:317 643 3873 48278-0792
*
PO BOX 78000 DEPT #78792
CARMEL IN CARMEL. I PN IL EGG INSPECTION FEE PD
46032 46032 DETROIT MI
Att' |
. MICHELLE COMPTON DEPT # 00 800 428 2118 �
ShjoFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 02/03/15 Page 02 of 02
FrtTrms.- spcial ENTER OFF OF 111TH STREET! ! !
t ms.' NET 30 DAYS Instr.'
Qty. 9ty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
INVOICE SUMMARY
FUEL SURCHARGE S. 2S
TOTAL WGT SHIPPED: 360. 47 PIECES ORDERED: 33 PIECES SHIPPED: 33 ITEMS SHIPPED: 23
PRODUCT TOTAL $ 1000. 89
CHARGES 5. 25 �
TAXABLE AMOUNT $ . 00
GEN SALES TAX Z . 00
This amount is an estimate at time of shipping prior to anV adjustments made at deliverV: $ 1006. 14
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO DATE NO. NUMBER LOC . REP . ORDERED
90569922 1866355 02/03/15 90569575 38040 1054 0062 02/02/15 ^
Route: 2291 / 14 ORDER NUMBER: 531736
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
°
To: 1411 E. 116TH ST To: 1835 CENTRAL PARK DRIVE E To:
PO BOX 73000 DEPT* #78792CARMEL I N CARMEL loll IL EGG INSPECTION FEE PD
46032 46032 DETROIT MI! 317 843 1877 48278-0792
Att: MICHELLE COMPTON DEPT # 00 800 428 2118
12301 CUMBERLAND RD FISHERS IN ShipI : 02/03/15 Page 01 of 02
FrtTyms: 6pczaI ENTER OFF OF 111TH STREET! ! !
P tTrms: NET 30 DAYS Instm
qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
CUP, FN 16 Z WHT 20/2S EA
CS 081.4236 MONOGRAM CS 17. 1200 17. 12
i I EA 1183599 CANDY, MAN PLN 1.69 OZ 48 EA N A M B EA S2. 3500 S2. 35i I EA 4053336 CANDY, BAR MILK CHOC 36/1.SEZ HERSHEY EA 27. 6100 27. 61| I CS 0814541 CUP, FN 20 Z WHT 2S/20 EA MONOGRAM CS 21. 8500 21. 85
4 4 CS 4260238 SAUCE, CHS MACHO SHLF STABL 4/107 OZ ORTEGA CS S1. 4000 20S. 60
1 1 CS ES97604 CHIP, CHS CHCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 31. 5500 31. 55
1 1 CS ES97BEl CHIP, TORTLA MACHO CHS TROLE 64/1. 75 OZ DORITOS CS 30. 4500 30. 4:5
I I CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.S OZ LAY/S CS 29. 1100 29. 11
I I CS 5605431 CHIPI MULTGRN ORDN SALSA SS 64/1.S OZ SUN CHIPS CS 30. S900 30. 5?
I i CS S60S472 CHIP, NULTGRN CHEDR SS BAG 64/1.S OZ SUN CHIPS CS 30. 000 30. 4r,
1 1 CS E605522 CHIP, MULTGRN ORIG SS BAG 64/1.S OZ SUN CHIPS CS 31. 0200 31. 02
i i EA 6210777 CANDY, KIT KAT VNDG STD 1. S Z 36 EA KIT KAT EA 26. 7600 26. 76
1 1 EA 6717219 CANDY, BAR SNCKR SS DMSTC 1. 8648/1. 86 OZ SNICKERS EA 34. 1700 34. 17
1 1 EA 8036S76 CANDY, MAN PHT 1.74 07 48 EA N A 'N EA 34. 1400 34. 14
4 4 CS 9069079 POPCORN, RAW KIT W/ OIL A SALT36/8 OZ FANCY FARM CS 26. 4000 10S. 60
i i CS 9341223 CREAMER, HALF a HALF UHT DARY 360/. 375 OZ OLNVU FRMS CS 17. 0900 17. 09
4 4 CS 9463688 CHIP, TORTLA CORN YLU RHD 6/2 LP EL PASADO CS 19. 9000 79. 60
FROZEN
i I CS S403S48 ITALIAN ICE, LMN DBL CUP FZN 12/16 OZ CHILL CS 21. 000 215S
I I CS 075128 ICE CREAN CONE, VNL TFF 202/4. 6 OZ BB CHAMP CS 23. S100 23. 51
PRODUCT CLASS RECAP **
TOTAL DRY PIECES ORDERED: 28 PIECES SHIPPED: 28 ITEMS SHIPPED: 19 861. 87
TOTAL FROZEN PIECES ORDERED: 5 PIECES SHIPPED: S ITEMS SHIPPED: 4 139. 06
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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
2/3/15 1866355 Concessions 38040 $ 1,006.14
Total $ 1,006.14
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
120
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$
I
$ 1,006.14
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
i
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1095-1 1866355 4239040 $ 1,006.14 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
' f
j
February 5, 2015
i
$ 1,006.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund