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HomeMy WebLinkAbout246566 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 353824 ( ;,• ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*****5,278.16* CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 246566 DEPT#7879IT MI 48278-0792 CHECK DATE: 06/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 2424767 648.83 GENERAL PROGRAM SUPPL 1095 4239040 2624769 2,427.60 FOOD & BEVERAGES 1096 4239039 2721362 61.63 GENERAL PROGRAM SUPPL 1095 4239040 2847417 2,140.10 FOOD & BEVERAGES r ` � ITS-: INVOICE j JUN -4 2015 f Page 1 of 3 1B Li- ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOC-ATION_-- SALES-REP.=I DATE ORDERED 90569922 2624767 05/29/2015 90569575 38610 1054 62 05/28/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 660568 NET 30 DAYS 5282 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 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: Michael FranceMahorney ROUTE NUMBER: 5282 SHIPPED DATE: 05/29/2015 DRIVER ID: 3223320 STOP NUMBER: 3 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP I ADJ I UNIT NUMBER UNIT PRICE PRICE DRY 1 1 0 CS 61028 MARSHMALLOW,WHT STD JET PUFFED 24/10 OZ CS $39.8300 $39.83 1 1 0 CS 383323 PLATE,PAPR 6"WHT LW MONOGRAM 10/100 PK CS $17.6600 $17.66 1 1 0 CS 383406 PLATE,PAPR 9"WHT RND LW MONOGRAM 10/100 PK CS $33.7700 $33.77 8 8 0 CS 779991 WATER,SPRG PLST BTL TWIST CAP THIRSTER 24/16.9 OZ CS $5.2900 $42.32 1 1 0 CS 6190797 CRACKER,GHM HONY REC SLEV KEEBLER 10 LB CS $33.7700 $33.77 1 1 0 CS 7946098 COOKIE,CHOC CHIP BULK SHLF MONARCH 324 EA CS $22.2600 $22.26 1 1 0 CS 9122441 CUP,FM 8Z WHT DART 40/25 EA CS $19.9400 $19.94 6 6 0 CS 9753971 CHIP,ASST SS BAG TRAY MIX FRITO LAY 2/30 EA CS $29.5800 $177.48 REFRIGERATED 2 2 0 CS 878173 ORANGE,CA CHO FRESH REF CROSS VALY 138 EA CS $34.7600 $69.52 2 2 0 CS 3331469 APPLE,GLDN DLC 125 CT WA.FCY CROSS VALY 125 EA CS $35.3500 $70.70 1 1 0 CS 6342026 CARROT,BABY PLD FRESH REF CROSS VALY 4/5 LB B CS $22.8800 $22.88 READY TO EAT-Please refer to return policy 1 1 0 CS 7331614 CELERY,STICK 4"FRESH REF CROSS VALY 4/5 LB B CS $30.5200 $30.52 READY TO EAT-Please refer to return policy FROZEN 1 1 1 0 CS 1948645 BAGEL,PLN 1 Z MINI SLCD THAW HILLTOP HR 144/1 OZ CS $23.6800 $23.68 1 1 1 0 CS 7640667 SANDWICH,PNT BUTR&JELLY SMUCKERS 72/2.6 OZ I CS 1 $44.5000 $44.50 Page 1 of 3 INVOICE Page 2 of 3 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 2624767 05/29/2015 90569575 38610 1054 62 05/28/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 660568 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETM PRODUCT CLASS RECAP PRODUCTCLASS TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED ADJUSTED DELIVERED SHIPPED SHIPPED PRICE DRY 20 20 0 20 8 326.34 $387.03 REFRIGERATED 6 6 0 6 4 196.00 $193.62 FROZEN 2 2 0 2 2 20.70 $68.18 DELIVERY SUMMARY TOTALS 28 28 0 28 14 543.04 $648.83 DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $648.83 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 $648.83 INVOICE SUMMARY Product Total $648.83 Sales Tax Rate: $0.00 PLEASE REMIT THIS AMOUNT BY 06/28/2015 $648.83 Page 2 of 3 � ' | ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE � NO. NO. DATE NO, NUMBER LOC . REP . ORDERED � 9�569922 2721362 06/02/15 9O569575 38610 1054 0062 06/01/15 ' Route: 2291 / 1O ORDER NUMBER: 663680 8iII Ship Remit To: To: To:CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARK8&RECREOT US . �I P-4 IL EGG !NSPECTION FEE OD � PO BOX 78000 DEPT #78702 CARMEL I . 317 843 3873 48278-0792 � Att: MICHELLE CbMP.TOhi IDEPT 0 00 800 428 2118 _ SbioF .rm12301 CUMBERLAND RD FISHERS IN 60i�D� O6/O2/15 Page 01 of 01 � |FrtTrmsSpcza2 ENTER OFF OF 111TH STREET ! ! ! � �P PtTrms� NET 30 DAYS Instr. �ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price 2 2 5006440 BANANA, TURN FRESH REF 40 LB PACKER CS 28. 1900 56. 38 ** PRODUCT CLASS RECAP wn- TOTAL REFRIGERATEE, PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 56. 38 *** INVOICE SUMMARY an* FUEL SURCHARGE' WGT SHIPPED: 00. 00 PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: I PRODUCT TOTAL S6, 30 CHARGES GEN SALES TAX % . 00 This amount is an estimate at time of shipping prior to any adjustment5 made at delivery: 61. 63 | | � /UN — 4 2015 | . , ACCOUNT . .INVOIC.E INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE - NO. NO. DATE iVO. NUMBER LOC. _ REP.. ORDERED 90569922 2624.769_ .__ 05/29/i 5. 90569S7S . 38611 10 54 0062. 05/28/15 - - R o_u t e: 5282 / _ - 3 nRDEf NUMB : 661445 Bi.11 - .-Ship- _ Remit ---- - j CARMEL, CLAY. PARKS <RECREAT. . GARMEL._CLAY. PARKS&RECREAT US Foods, Inc . � .. . To: 1411. E. 116TH ST To: _1235 CENTRAL PARK. DRIVE E To: PO BOX 78000 DEPT 478792 CARMEL IN CARMEL IN IL. EGG INSPECTION FEE PD _4603 .'. 46432. . DETROIT M I _3.17 . 843. 3873 . 482 78--4792 Att: MICHELLE COMPTON DEPT # 00 .. 800 .428 2118 Shi.pFrm: 12301 CkJMBSERLAND RD FISHERS IN Shipp: 05/29/15 Page 01 of 02 Fr t Trms: :.�pc iaX ENTER OFF OF 111TH STREET! ! ! PvtTrms: NET 30 DAYS In tr�: 4ty Qty Sales Product _Descripton Back Size Label. C Height Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 3 3 CS . 0779991 WATER, SPRG PLST BTL. TWIST CAP24/1.6.9 OZ THIRSTER CS 5. 2900 $ 15. 87 2 2 CS 0791616 CUP, FM 32 Z. -WHT 25/20 EA MONOGRAM CS 35. 1500 70.30 2 2 CS 0814236 CUP, FM 16 Z WHT 20/25 EA. MONOGRAM CS , 19. 1900 38. 38 2 2 CS 08.14541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM .. CS 22. 1000 44. 20 1 1 CS 1462803 SPOON, TEA MW WHT POLYP BULK 1000 EA PRIME CS 12. 6200 12. 62 2 2 CS 3256104 LID, CUP 1224 Z BBL PLST 10.00, EA WINCUP CS 17. 7700 35. 54 1 1 ,EA . 4053336 CANDY, RAR MILK..CHOC 36/1.5SZ HERSHEY EA 30.48.00 34. 48 3 3 CS 4260236 SAUCE,, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 52. 3500 157. 14 2 2 CS 4329397 - KETCHUP, TMTO FCY SS- FOIL..PKT 500/9 OR _MONARCH CS 14.8100 29. 62 4 4 CS 5311600 CONE, ICE CRM.CAKE 22S FLAT 36/20 EA JOY. CONE CS x0.6800 202. 72 2 2 CS 5329289 MUSTARD,. YLW _SS POUCH 500/5.500 OR MONARCH CS 12. 8600 25. 72 POWER BUY 2. 00- 1 1, CS 5585476 CHIP, PTATO BKD ORIG GLTN/FR 64/1..125 OZ RAKED LAYS CS 31. 9900 31. 99 2 2 CS 5597604 CHIP, .CHS CHCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 33. 7200 67. 44 2 2 CS ES97851 CHIP, TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 31..3900 62. 78 1 1 CS 5597966 CHIP,_ CORN.-ORIG .TFF SS BAG 64/2 -OZ FRITOS CS 33.7600 33. 76 1. 1 CS 5601679 CHIP, PTATO REG PLN SS RAG 64/1.' OZ LAY'S CS 31. 1200 31. 12 1 .1 CS 5605431 CHIP, MULTGRN.GRDN SALSA SS. 64/1.5 OZ SUN CHIPS CS 32. 6900 32. 69 3 3 CS 5605472 CHIP, MULTGRN CHEDR. SS BAG 64/1.5 OZ SUN CHIPS CS 32.5500 97. 65 . 2 2 CS 6805899 TRAY, PAPR MDW FOOD. 5 LR CLAY 2/250 .EA .MONOGRAM CS 36.0400 72. 08 2 2. CS . 0355927 . NAPKIN, DISPR INFLD WHT 6.5X9.024/250 EA _ EASYNAP CS 56.0000. . 112. 00 1 1 CS 9328311 WRAP, _FOIL.12X10. 75 _INFLD_POP 1.2/200 EA MONOGRAM D CS 123.3000 123. 30 3 3 . . CS .9463688 CHIP, TORTLA _CORN YLW RND 6/2 LB- DELPASDO _ CS 21. 0200 63.. 06 2 . 2 . CS 9865767 .GLOVE, CAST POLY LG TXTD AMBDXI0/100 EA _ MONOGRAM B. CS 35. 3500 70. 70 2 2 CS 9954371 LID, CUP :32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 23. 0400 46.. 08 REFRIGERATED - 3 3 EA 4365219 . CHEESE, .ANER SLCD 135 SUPRCR. 5 LB GLNVW .FRMS B EA 18.2600 54. 78, - 3 3 CS. 4754982. _ICE .CREAM MIX,_ SOFT SRU VNL 4%2/2. 5 ..GA PC VLY DRY CS 29..0000_ . 8.7..0.0 READY_ .TO.:EAT_ - .Please_ Re•F_er _to Return. Policy. .. _ 2 2 CS 9836933 . ICE CREAM MTX,. -_SOFT CHOC 4% 2/2.5 GA h:VLY DRY CS 29.5600 x9. 00 READY TO .EAT - Please Refer to Return Policy FROZEN 1 1 CS 21x7386-_. POPSICLE,. -ASS.T GRAPE.CHRY. TWIH2/24/3 OZ _ BLUE RUNNY CS 15. 3500 15`.35 3 3 CS- 3328606.__BUN,, HOT ;DOG-.6." SLCD TFF_BKD _8/1,2/1.7 OZ HILLTOP HR- CS 23. 6700 71. 01 6 . 6 CS 3330099 . HOT_ DOG, .AB.6: 1 6" RLR GRIL 10_-LB PATUXENT CS 33. 6000 20 1.60 | ACCOUNT INVOICE INVOICE , CUSTOMER PURCHASE ORDER SALES NO. I NO. IDATE NO, NUMBER LOC . REP. ORDERED 9056992E 2624769 05/29/15 90569575 38611 1054 0062 05/28/15 � �oute� 5282 / �5 ORDER NUMBER: 661445 Bill Shi'p- - Remit CARMEL CLAY PARKS&RECii�EEAT CARMEL CLAY PARKS&RECREAT US Foods-) Inc . To: 1411 E. 116TH ST To: To: PO BOX 78000 DEPT #78792 CARMEL IN CARMEL IN IL EGG INSPECTION FEE .PD 46032 46032 DETROIT MI 317 843 -3873 , 46278-0792 - Att: 5hoF�m: 12301 CUMBERLAND RD FISHERS IN 05/29/15 Page 02 of 02 FrtTrms: spcial ENTER OFF OF 111TH STREET! ! ! p tTr*/s: NET 30 DAYS Instr: | Oty Aty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended � Ordered Shipped Unit Number D Unit Price price POWER BUY 12. 00- | 3 3 CS 5328604 BUN, HMBGR 4" SLCD TFF DRD FZNS/12/2. 1 OZ HILLTOP HR CS 22. 5500 0. 6S C' 330.95v 5 CS 5383054 BEEF, PTY GRND 3 Z PUB FLAME 53/3 OZ CTLMN SLCT CS 66. 1900 2 2 CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 23. 5100 47. 02 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 47 PIECES SHIPPED: 47 ITEMS SHIPPED: 24 .1507.24 TOTAL REFRIDERATED PIECES ORDERED: 8 PIECES SHIPPED: 8 ITEMS SHIPPED: 3 200.78 TOTAL FROZEN PIECES ORDERED: 20 PIECES SHIPPED: 20 ITEMS SHIPPED: 6 733. S8 INVOICE SUMMARY TOTAL WOT SHIPPED: 964.53 PIECES ORDERED: 75 PIECES SHIPPED: 75 ITEMS SHIPPED: 33 PRODUCT TOTAL $ 2441. 60 ALLOWANCES 14.GOCIR TAXABLE AMOUNT $ .00 OEM SALES TAX % � � � � � � | � � . 00 ] This amount is an estimate at time of shipping prior to anV adjustments made at deliverV: $ 2427.60 � � -� ` � ACCOUNT C ` . INVOICE CUSTOMER PURCHASE -ORDER uRDER - SALES SALES DATE "ENO. -NMBER E DNC . iaCS0A" ' � :R 90569928 2847-417-00/05/1S-90569575 38638 :;.053• - 0062 -06/04/1 5 Route: 5288 / B__ ORDER NUMBER: 669157 . B i 11 S h-i p _�__ _ __.__ -__. _,�-_.:_._ -Remit CARMELCLrAY PARKS&RECREAT CARMEL.--CLAY . !'A1-dF S&RECREAT US Fondano To: 1. 1.11 E. 1. i�.,TH ST .To: 1235 CENTRAL, PARK DRIVE E To: � , 1' 1''0 BOX .f.780DEPT DEPT #787'92 CARMEL IN CARMEL IN � 1L EGGCTICON FEE PD 4603E 46032 ,E"i`RG I l" M I . _: 317 843 3873- 43278-•-0792 - Att: MICHELLE CC�l�1PT1�1�1 - {{DEFT # 00 - BOO 4r 83 2118 Sh ipPrm: 18301. CUMBERLAND RD FISHERS IN S0pD: 06/05/1.5 Pace- 01 of Dir Fr t Trm : .19. �_ �i ENTER OFF OF 111TH STREET 1 1 1 Pvtirms: NET .30 DAYF Product De'.. .zrr�_tr; 4t qty scrip•ton Pack- Size Label : C Weight Pricing Unit Extended Orderer! Shipped Unit Number D Unit Price Price / DRY 1S 5 -Cs 0779991 WATER, SPRO PLST BTL TWIST-CA1='24/1&. 9 OZ THIRSTER Cs 5. 2900 26. 4S 1 EA-- 1811 215 PEPPER, ►LP SLCD NACHO HOT- 1 GA DELPASDO . B EA 12. 2100 12, 21 S CS 4260238 SAUCEi-- CHS NACHO SHLF STABL 4/107 CS"/'_ ORTEGA CS S2. 3800 261. 90 j ps 1 CS SE97351 CHIP, TORTLA NACHO CHS TRGLE 64/1. 75 OZ DORITOS CS 31, 3900 31.39 I I EA 6210777 CANDY, KIT KAT VNDG STD 1. 5 %: .:36 EA KIT -KAT EA 30. 5800 30. EF � 2 CS 632921.3 RELISH, PKL SWT SS POUCH -- .200/9 OR MONARCH CS 15. 5500 31: 16 I CS 68OSS99 •i RAY'; PAF'R NDW FOOD S LB CLAY 2/250 EA MONOGRAM C5 37. 000 37. 59 1 CS 7009988 SAUCE, CHILI HOT DOG-W/ BF--CAN6/10; OZ - CHEF -MATE. CS 770200 77. 22 r&s 1 ' EA 8053126 CANDY,- .RESES PNT BUTT: -CUP - 36 EA REESE'S 1- 27. 77Oa 27. 77 1 EA 8914855 - STRAW, LEMB 7.75" TNSLT UWRPD 500 EA MONOGRAM B EA 2. 95 00 2. 95 1 1 'CS 9089079 POPCORN; RAW- KIT W/ OIL 8 SALT36r'8 O7 FANCY FARM CS 27. 3600 :::7: 36 ✓1 1 CS 9328311 WRAP, FOIL 1.2XI0.7S INFLD POP 12/200 EA MONOGRAM B 08 128. 7900 128. 79 00 3 ' CS 96463688 CHIP, TORTLA CORN YLW RND 6/2 LB DELPASDO CS 21. 0200 63. 06 s 2 CS 9865767 GLOVE,- CAST POLY LG TXTD Ai' BDX10/1.00 EA MONOGRAM D CS 35. 9900 71. 98 REFRIGERATED . � i EA 4365219 CHEESE,- AMER SLCD-13S SUPRCR 5 LB GLNVW FRMS B EA 18. 2600 18. 26 3 CS 4754982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. 5 GA PC VLY DRY CS 29. 0000 87. 00 - READY TO EFT - Please Refer to Return Pnl.ic Q/' 2 CS 9836933 ICE CREAN MIX, SOFT CHOC 4r ' /ter. S GA h VLY DRY CS 29. 5000 59. 00 --READY TO EAT -- Please Refer to Return Policy FROZEN 8 CS 2011278 PRETZEL-, KING SOFT BKD FZN- SO/S OZ SUi"R PRTZL C;:i 36. 5900 292:72 I CS 21S73S6 POPSICLE; ASST DRAPE CHRY TWIN2/24/3 OZ BLUE•i BUNNY (is 15.3500 15. 35 6< 4 CS 33::8606 BUN, HOT' DOG 6" SLCD TFF BKD 8/1 /1 7 OZ HILLTOP HR C3 24:6000 98. 40 W 5 CS 33300`x'9 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 6000 168. 00 R 3 -CS S .Ei328604 BUN, HNBPR 4- SLCD- T FF BKO 00/12/2. 1 OZ HILLTOP HR CS 23. 4200 70. 26 v- __. c ._. _ CS 5383054 BEEF& PTY GRND Z. PUB FLAME 5 3/3 OZ CTL MH SLOT- Cis 66. 1.900 33(;. 95 3 _ E. � CS S404030 ICE CREAN SAWDWIC H, -CHOC CHIP- 24 EA GOOD HUMOR 1 ' _ CS 8107990 ICE CREAM BAR,- CHOC TACO ° VNL24/4 OZ KLONDI'KE C;:: 24. 2400 121. 20 i 91! 1 CS 5765059 BEEF SUB, PTY f IEA T L VEG 3 36/4.25 OZ CHEFS LINE CS 48. 000 48 03 PRODUCT CLASS RECAP �c TOTAL DRY- - -PIECES ORDERED: 26- -- PIECES BHIPPED: 26- ITEMS S1i1:1=`PED: 14 830_ 41 TOTAL REFRIGERATED PIECES -ORDERED: 6- PIECES SHIPPED: 6 ITEMS SHIPPED: 3 04. 26 ............ _.� ACCOUNT INVOICE INVOICE --CUSTOMERY� - PURCHASE ORDER -SALES SALES DATE - NO'. ?A l: _ 1 O . .... r111O- AJe•aTE ._ IEO. ..-NUMBER LOC . - REP __. .ORDERED- "9C}S69922 2847417 -06/05/15 90S69S7S 38638 .i.l_s:- e 0vC - 06/04/1S _ Route...-SESS../ S t7;•:T.ER NUMBER --66"• IS7 Bill S h i p R e rn it - CARMEL•. CLAY PARKS&RECREAT" CARMEL_ CLAY PARKS&RECREAT L!S T nods, - Inc To: 11.11 E. 116TH ST To: 1235 CENTRAL.. PARK DRIVE E To: � PO BOX 78000 PT #78792 CARMEL IN CARMEL. 1y I _' W g . INSPECTION TIO , T'EE PIS 46032 f 46032 - DETROIT MI 317 843 3873 48278-0792 Att: MICHELLE CCJMPTON 17EPT 1.1- . 00- 800 428 21. 12 tih.ipF'rrn: - 1,T01 CUMBERLAND-RD RL.A�I.D RD I�ISHERS , IN �.h i nD: 06/OS/15 Page 02 .of 02 •_ faAw 1 ENTER OFF f.7I= 111TH STREET! ! ! PvtTrms: NET O DAYS J.'r 5tr: Oty - qty rale:, ' Pro:luct - Qescripton Pack Size Label - .0 Weight Pricing Unit Extended OrdAred Shipped Unit Number D Unit' Price Pric=e TOTAL FROZEN PIECES ORDERED: 37 PIECES SHIPPED: 32 !TENS SHIPPED: 8 :i.14S43 �# INVOICE St11"11'IAR ?� 3 0TAL WGT SHIPPED: 1025. 4 PIECES ORDERED; 6? PIECE'S SHIPPED: 64 ITEMS SHIPPED: 2S PRODUCT TOTAL $ 2140. 10 TAXABLE AMOUNT . 00 GEN SALES TAX 00 Thin. amount is an estimate at time o•1" shipping prior to any ad jus•tmen•ts madrr at delivery: $ 2140. 16 JU/V 4 ' - '9 2015 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 biii(s)) PO# Amount 5/29/15 2624767 Family campout 6/5/15 38610 $ 648.83 6/2/15 2721362 Family campout 6/5/15 38610 $ 61.63 5/29/15 2624769 Concessions 38611 $ 2,427.60 5/29/15-- - 2847417 Concessions - - 38638 $ 2,140.10 Total $ 5,278.16 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 X20_ 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$ $ 5,278.16 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#orBoard Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1096-60 2624767 4239039 $ 648.83 1 hereby certify that the attached invoice(s), or 1096-60 2721362 4239039 $ 61.63 bill(s)is(are)true and correct and that the 1095-1 2624769 4239040 $ 2,427.60 materials or services itemized thereon for 1095-1 2847417 4239040 $ 2,140.10 which charge is made were ordered and received except June 11, 2015 $ 5,278.16 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund