243594 03/24/15 CITY OF CARMEL, INDIANA VENDOR: 353824
;@ ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $****•**837.57•
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 243594
DEPT#78792 CHECK DATE: 03/24/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2854688 837.57 FOOD & BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER _PURCHASE ORDER SALES SALES DATE _
NO. NO. DATE NO, NUMBER LOC_ REP. ORDERED
90569922 2854688 03/06/15 90569575 38147 1054 0062. 03/03/15
R o u t e,: 5282 / 9 ! .ORDER \1UMBER:, 5663E3.6-
Bill
663B.6.Bitl Ship 'Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT us Foods, Inc .
To: 1411 E. 116TH ST To: 1235 CENTRAL PARD DRIVE E To:
PO BOX 78000. DEPT #78792 ,
CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD
46032 46032DETROIT MI .
317 843 3873 48278-0792
Att: MICHELLE COMPTON DEPT # 00 800 428 ,2118
ShipFrm: 12301 CUMBERLAND RD FISHERS IN ShipD. 03/06/1S Page 02 of 02
F"rtTrms: spCi i ENTER OFF -OF 111TH STREET! ! E
PvtTrms: NET 30 DAYS Insvr:
Baty Qty Sales ProductDescripton Pack Size. . . Label C sleight Pricing Unit Extended
[Ordered Shipped Unit" Number D Unit Price Price
# INVOICE SUMMARY
FUEL SURCHARGE 5. 25
TOTAL WGT SHIPPED: 313.93 PIECES ORDERED: 2W PIECES SHIPPED: 25 ITEMS SHIPPED: is
PRODUCT-TOTAL $ 832. 32
- CHARGES 5.25
TAXABLE AMOUNT $ .00
GEN SALES TAX % :20
1,
This amount is an estimate at time of shipping prior to any adjustments made at delivery: 83.7. 57
MAR -1 x 2015
- ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER -SALES SALES DATE -
NO. NO. DATE NO. NUMBER LOC, REP. ORDERED
90569922 2854688 03/06/15 90569575 381.47 1054 0062 03/03/15
Route: 526E / 9 ORDER NUMBER: 566386
Bill CARMEL CLAY PARKS&RECREAT Ship CARMEL CLAY PARKS&RECREAT Remit US Foods, Inc .
To: 1411 E. 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-
Att: MICHELLE COMPTON DEPT$# 00873 800 4220 21E
18
ShipFrm: 12301 CUMBERLAND RD FISHERS - IN Shipi;+: 03/06/15 Page 01 of 02
FrtTrip : !3pc i.e. ENTER OFF OF 111TH STREET! ! !
PtTrms: NET 30 DAYS Instr-: -
K . qtV Sales Product. Descripton Pack Size Label . C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
1 1 CS 0791616 CUP, FM .32-Z WHT - 25/20 EA __ MONOGRAM CS 35. 1500 -35. 1s
1 1 CS --0814541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS .21...8500 21. 85
I 1 EA 1183599 CANDY, M&M PLM 1.69 OZ 48 EA M 11 M B EA 52. 3500 52. 35
1 1 EA 4453336 CANDY, BAR. MILK CHOC 36/1.S5Z HERSHEY EA 30.4800 30. 48
4 4 CS 4260238 SAUCE, CHS MACHO SHLF STABL 4/x.07 OZ ORTEGA CS 51. 4000 205. 60
J. 1 CS 5597604 CHIP, CHS CNCHY PLM SS BAG 64/2 OZ CHEF-TOS CS 32..5300 32.53
1 1 CS 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 31.3900 .31. 39
1 1 CS 56016.79 CHIP, ,PTATO, REG PLM .SS BAG 64/1.5 OZ LAY'S__ CS_ 30.0100 30. ;31.
1 1 CS 5605431. CHIP, MULT.GRN GRDN SALSA .SS 64/1.5 OZ. _SUM CHIPS CS 31.5400 31.54
1 1 CS 5605472- CHIP, MULTGRN CHEDR SS BAG 64/1. 5 OZ SUM CHIPS CS 31.3900 . 31. 39
1 1 EA 6717219 CANDY, RAR SMCKR SS DMSTC 1. 8648/1.86 OZ SNICKERS EA 34. 1700 34. 17
3 3 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 26.4000 79. 20
5 5 CS 9463688 CHIP, TORTLA CORM YLW RND 6/2 LB EL PASADO CS 19.9000 99.50
i i CS _9865767. GLOVE, CAST. POLY LG. TXTD AMBDXIO/100 EA M0140GRAM B CS 39. 7800 39. 78
FROZEN
2 2 CS 2011278 PRETZEL, KING SOFT B14D FZN 50/5 OZ SUPR PRTZL C5 38. 6900 77.:8
PRODUCT CLASS RECAP **
TOTAL DRY . _ PIECES ORDERED: 23 PIECES SHIPPED: 23 ITEMS SHIPPED: 14 754. 94
TOTAL FROZEN _ _ PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 , 77, 38
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
3/6/15 2854688 Concessions 38147 $ 837.57
Total $ 837.57
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. I Allowed 20
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 837.57
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
I
PO#or Board Members
Dept# INVOICE NO. CCT#/TITL AMOUNT
1095-1 2854688 4239040 $ 837.57 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
{� March 19, 2015
'P1
$ 837.57 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehible highway fund