244360 04/15/15 CITY OF CARMEL, INDIANA VENDOR: 353824
t ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*******761.55*
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 244360
DEPT#78792 CHECK DATE: 04/15/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 806720 761.55 FOOD & BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES LSATE
NO. NO. DATE NO. NUMBER LDC . REP. ORDERED
90S69922 0606720 04/03/15 90S69S7S 38292 1054 0062 04/02/1S
Route: 5282 9 ORDER NUMBER: 599610
Bili Chip Rem it
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
PO BOX 78000 DEPT #78792
CARMEL IN CARMEL IN 1L EGG INSPECTION FEE PD
46012 46032 DETROIT MI
317 843 3873 48278-0792
At t: DEPT # 00 800 428 2118
Shifrm: 12301 CUMBERLAND RD FISHERS IN ShipD: 04/03/11 Page 01 of 02
Frt rms: spCial
PvtTrms: NET 30 DAYS Instp.-
Otey qtV Sales Product Descripton Pack Size Label C Weight Pricing unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY ro
I 1v EA 4053336 CANDY, BAR MILK CHOC 36/1. S5Z HERSHEY EA 30. 4800 30. 48
6 3 - CS 4260238 SAUCE, CHS MACHO ;HLF STABL 4/107 OZ ORTEGA CS 50. 5000 I51. 50
i I - CS 5597851 CHIP, TORTLA NACHO CHS TROLE 64/1. 75 OZ DORITOS CS 31. 3900 31. 39
1 1 - EA 6210777 CANDY, KIT RAT VNDG STD I. S Z 36 EA KIT RAT EA 29. 5000 29. 50
i I EA 6717219 CANDY, BAR SMCKR SS DMSTC 1. 8648/1.86 OZ SNICKERS EA 34. 1700 34. 17
1 1 ,/ EA 8053126 CANDY, RESES PNT DUTR CUP 36 EA REESE'S EA 26. 7900 26. 79
5 E ,- CS 908 079 POPCORN: RAW KIT W1 OIL & SALT36/8 OZ FANCY FARM CS 26. 4000 132. 00
3 3 - CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 19. 9000 59. 70
FROZEN
6 6 � CS 2011278 PRETZEL, KING SOFT BKD FZM SO/5 Oz SUPR PRTZL CS 35. 8300 214. 98
i I CS 540308 ITALIAN ICE, LMN DBL CUP FLIM 12/16 OZ CHILL CS 21. S500 213E,
i I - CS 8187999 ICE CREAN BAR, CHOC TACO & VNL24/4 OZ KLONDIKE CS 24. 2400 24. 24
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 16 PIECES SHIPPED: 16 ITEMS SHIPPED: 8 495. 53
TOTAL FROZEN PIECES ORDERED: B PIECES SHIPPED: 8 ITEMS SHIPPED: 3 260. 77
............. ------
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP . ORDERED
90569922 0806720 04/03/15 90569575 38292 1054 0062 04/02/15
Route: 5282 / 9 ORDER NUMBER: 599610
Bill Ship Remit ^
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
�
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:CARMEL IN CARMEL 11\1 IL EGO INSPECTION FEE PD
PO BOX 78000 DEPT *78792
�
46032 46032 - DETROIT P11
317 843 3873 48270-0792
�
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Att: DEPT # 00 800 428 2112 �
�
ShjoFrm.' 12301 CUMBERLAND RD FISHERS IN -Q& 04/03/15 Page 02 of 02 �
F>tTrms: f7pczal
P tTrms: NET 30 DAYS Instr:
My Qty 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 WOT SHIPPED: 332. 66 PIECES ORDERED: 24 PIECES SHIPPED: 24 ITEMS SHIPPED: 11
PRODUCT TOTAL $ 7S6. 30
riot CHARGES S. 2ES
TAXABLE A11OLINT $ .00
[APR 0-7 2015 GEN SALES TAX % . 00
This amount is an estimate at time oi shipping prior to any adjustments made at delivery: $ 761. 0
�
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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
4/3/15 806720 Concessions 38292 $ 761.55
Total $ 761.66
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 2p
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$,
$ .
7611.55 -
I
ON ACCOUNT OF APPROPRIATION FOR "
-109 M6hbh'Center :.
PO#or INVOICE NO. CCT#/TITLt AMOUNT Board Members-.
Dept#
1095-1. 806720, 4239040 $ 761.55 I 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
1' received except
April.9,_2015
- f
-
$ 761.55 Accounts Payable.Coordinator .
Cost distributioh ledger classification if 1, Title
claim paid motor vehicle highway fund
r; .