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247013 06/30/1 5 CITY OF CARMEL, INDIANA VENDOR: 353824 ® ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $""'13,293.56' CARMEL, INDIANA 46032 PO sox 78000 CHECK NUMBER: 247013 DEPT#78792 CHECK DATE: 06/30/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 107492 3,991.14 FOOD & BEVERAGES 1095 4239040 208572 660.62 FOOD & BEVERAGES 1095 4239040 354502 3,490.35 FOOD & BEVERAGES 1095 4239040 423881 626.73 FOOD & BEVERAGES 1095 4239040 7626 4,524.72 FOOD & BEVERAGES � ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP . ORDERED 90569922 0007626 06/09/15 90569575 38653 1054 8062 06/08/15 ' Route: 2292 / 7 ORDER NUMBER: 674625 8ill Ship RemitCARMEL 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 #79792 CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD 46032 4603P DETROIT MT 1317 043 3073 48278-0792 Att: MICHELLE COMPTON ' DEPT # 00 800 42B 2118 f0j T Frm. 12301 CUMBERLAND RD FISHERS IN f0iv& 06/09/15 Page 01 ' of 02 Frt s.- Social ENTER OFF OF 111TH STREET ! ! ! P t7rms: NET 30 DAYS Instr.' Aty 9ty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number Unit Price Price DRY 10 CS 0779991 WATER, SPRG PLST DTL TWIST CAP24/16. 9 OZ THIRSTER CS S. 2900 S2. 90 2 2v CS 0791616 CUP, FM 32 Z WHT 2EI20 EA MONOGRAM CS 36. 4800 72, 96 2 2` CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM CS 19. 9100 - 39. 82 2 & CS 001041 . CUP, FM 20 Z WHT 2S/20 EA MONOGRAM CS 22. 9200 45. 84 1 0/ 36/1. SSZ HERSHEY EA 30. 4800 30. 48 I I EA 40S3336 CANDY, BAR MILK CHOC 8 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS S2. 3800 419. 04 5 C cc 329397 KETCHUP, TMTO FCY 89 FOIL PKT 500/9 OR MONARCH CS 14. 8100 74. 05, 3 05 "i- S''311600 CONE, ICE CRM CAKE 228 FLAT 16/20 EA JOY CONE CS 50- 6800 152. 04 2 2 CS S329289 MUSTARD, YLU SS POUCH SOO/S. SOO GR MONARCH CS 12. B600 2S. 72 2 MjWwo CS SS97604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 33- 7200 67. 44 2 2VI S S5970SI CHIP, TORTLA NACHO CHS TROLE 64/1. 7S OZ DORITOSv CS 31. 3900 62. 78 2 2f CS S597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 33. 7600 67. 52 1 1001 CS S601679 CHIP, PTATO REG PLN SS BAG 64/I. S OZ LAY'S CS 31. 1200 31. 12 2 2 CS 5605431 CHIP, MULTGRN GRDN SALSA SS 64/I. S OZ SUN CHIPS CS 32. 6900 6S.36 2 2 CS E605472 CHIP, MULTORN CHEDR SS BAG 64/15 OZ SUN CHIPS CS 32. 000 6S. 10 1 1 . CS 560SS22 CHIP, MULTGRN ORIG SS BAG 64/1.5 OZ SUN CHIPS CS 33. 1200 33. 12 1 IV/ FA 6210777 CANDY, KIT KAT VNDG STD 1,S Z 36 EA KIT KAT EA 30. 000 30. 0 Z 2,R. CS 6329213 RELISH, PKL SWT SS POUCH 1 200/9 OR MONARCH CS 155800 31. 16 1 1�,/ EA 6717219 CANDY, BAR SNCKR SS DMSTC 1. 9648/1.86 OZ SNICKERS EA 3S. 4300 3S. 43 3 30 CS 6BOSS99 TRAY, PAPR MDW FOOD 5 LB CLAY 2/250 EA MONOGRAM CS 37. 5900 112. 77 3 30' A 7009980 SAUCE, CHILI HOT DOG W/ BF CAN6/10a OZ CHEF MATE CS 77. 2200 231. 66 5 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM Cs 27. 3600 13680 8 CS 9463698 CHIP, TORTLA CORN YLW RND 6/2 LP DELPASDO CS 21.0200 16816 2 CS 9954371 LID, CUP 32 Z STRAU -SLTD PLST 10/50 EA MONOGRAM CS 24. 1200 "Q8.24 REFRIGERATED 4 4�/ CS 4754982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. 5 OA PC VLY DRY CS 29.0000 116.00 READY TO EAT - Please Refer to Return Polic 4 4k,,/ CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. 5 GA KC VLY DRY CS 29. 5000 118, 00 READY TO EAT - Please Refer to Return Policy ' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. ' DATE NO. ZNUM8ER LOC . REP . ORDERED 90569922 0007626 06/09/15 90569575 38653 1054 0062 06/08/15 ' Route: 2292 / 7 ORDER NUMBER: 674625 8ill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foodsi Inc . � To: - 1411 E . 116TH ST To: 1235 CENTRAL PARK DRIVE E To: ' PO BOX 78000 DEPT #78792 CARMEL. IN CARMEL IN IL EQQ INSPECTION FEE PD 46032 46032 DETROIT M I 317 eq 3873 4S27S-0792 Att: MICHELLE COMPTON IDEPT 00 800 428 2118 ShioFrm: 12301 CUMBERLAND RD FISHERS IN Shiv& 06/09/15 Page 02 of 02 FrArms. Soczal ENTER OFF OF 111TH STREET ! ! ! P tTrms: NET 30 DAYS Ins tr: Aty Aty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number � D Unit Price Price FROZEN 2 21, CS 2157386 QhE1L=; ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY CS 16. 100 32, 30 4 4v CS 3041423 CORN DOG, AM CM FZN 48/4 OZ STATE FAIR CS 36. 6400 146.56 8 8 CS 3328606 BUN, HOT DOG 6" SLCD TFF BRD 8/12/1. 7 OZ HILLTOP HR CS 24. 6000 19680 is is CS 3330099 HOT DOG: AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 6000 504. 00 s 5v/ CS S38300 BEEF, PTY GRND 3 Z PUB FLAME S3/3 OZ CTLNN SLCT CS 66. 1900 330. 9S 2 2 ,"/ CS 876SOS9 BEEF SUB, PTY MEATL VEG 3 36/4. 25 OZ CHEFS LINE CS 48. 000 97. 10 PRODUCT CLASS RECAP ** - TOTAL DRY PIECES ORDERED: 79 PIECES SHIPPED: 79 !TENS SHIPPED: 29 2463. 35 TOTAL REFRIGERATED PIECES ORDERED: 10 PIECES SHIPPED: 10 ITEMS SHIPPED: 3 27046 TOTAL FROZEN PIECES ORDERED: S1 PIECES SHIPPED: sl ITEMS SHIPPED: 8 1790. 71 INVOICE SUMMARY TOTAL WOT SHIPPED: 2188. 08 PIECES ORDERED: 140 PIECES SHIPPED: 140 ITEMS SHIPPED: 40 PRODUCT TOTAL $ 4S24. 72 T E AXABLE AMOUNT $ 00 GEN SALES TAX . 00 F11N 2 2015 This amount is an estimate at time of 0-X'i'RRQq prior to any adjustments made at delivery: $ 4524. 72 ' - - | ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDERS� NO. NO. DATE NO. ER LOC . REP. ORDERED' 90569922 0107492 06/12/15 90569575 38690 1854 0062 06/11/15 Route. 5282 7 ORDER NUMBER: 6783i3 Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL. CLAY PARKS&RECREAT US Foods, Inc . To: To: To: . - PO BOX 78000"DEPT #78792 CARMEL IN CARMEL. IN IL EGG INSPECTION FEE: PD 46032 46032 DETROIT MI 317- 843 3873 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 Shi Fr : 12301 CUMBERLAND RD FISHERS IN Shipl� 06/12/15 Page O1 of 02 Fr spczaI ENTER OFF OF 111TH' STREET! | ! P �7rms: NET 30 DAYS Ihstr: �ty Aty Sales Prodbct Descriptoo Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 8 -W' CS 0779991 WATER, SPRG PLST 'BTL TWIST CAP24/16. 9 OZ THIRSTER- CS S. 2900 $ 42.32 2 4- CS 1462803 SPOON, TEA MW WHT POLYP BULK 1000 EA PRIME CS 13. 1000 26. 20 a 0- CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 52''3800 419, 04 3 -3-- CS 4329397 KETCHUP, TNTO FCY SS FOIL PKT 500/9 OR MONARCH CS 14. 8100 44. 43 2 -2- CS S329289 MUSTARD, YLW :SS POUCH SOO/S.SOO GR` MONARCH CS 12. 8600 25. 72 2 -0- CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 33. 7600 67.52 4- CS 6329213 RELISH, PKL SWT SS POUCH 200/9 OR M014ARCH CS 1S. S800- IS. 58 -e- CS 7009988 SAUCE, CHILI HOT 'DOG' W/ BF CAN6/108 OZ CHEF MATE CS 77. 2200 IS4. 44 3 -3- CS 9089079 -POPCORN, RAW -KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 27-3600 82. 08 10 i4t CS 9463688 CHIP, TORTLACORN YLW RND 6/2 LB DELPASDO CS 21.0200 210.20 2 �2_ CS 986S767 GLOVE, CAST -POLY LG TXTD AMBDX10/100- EA MONOGRAM B Co 35. 9-900 71. 98 REFRIGERATED 1 4- CS 4365219 CHEESE, AMER SLCD 135 SUPRCR 4/5 LB GLNVU FRMS B CS 54. 3200 S4. 32 5 -9- CS 4754982 ICE CREAM MIX, SOFT SRV VNL 4%2/2. 5 -GA PC VLY DRY CS 29. 0000 145. 00 READY TO EAT - Please Refer to Return Polic -X-,- CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. 5 GA KC VLY DRY CS 29.5000 147.S0 READY TO EAT - Please Refer to Return -PolicV FROZEN 2 CS 2157386 POPSICLE, ASSTGRAPE CHRY TWIN2/24/3 OZ BLUE RUNNY CS 16. 1500 32. 30 1.0 -Are- CS 3041423 CORN DOG, AM CN., FZN 48/4 OZ STATE FAIR CS 3& 6400 366. 40 10 +tl CS 3328606 BUN, HOT DOG 6" SLCD TFF BRD 8/12/1. 7 OZ HILLTOP �HR CS 24. 6000 246.00 10 Kl;* CS S383054 BEEF, PTY GRND 3 Z PUB FLAME 53/3 OZ CTLMN SLCT CS 66. 1900 661. 90 2 --Y' CS 8187999 ICE CREAM .BAR, CHOC TACO VNL24/4 OZ KLONDIKE CS 24'.2400 48, 48 3 o5i- CS 8765059 BEEF SUB, PTY MEATL ,VEG ,3 36/4.25 OZ CHEFS LINE CS 48. 5500 145. 65 TOTAL -DRY PIECES 'DROERED' 43 PIECESSHIPPED: 43 ITEMS -SHIPPED: 11 11S9. 51 TOTAL REFRIGERATED PIECES ORDERED: 11 PIECES SHIPPED: 11 ITEMS SHIPPED: 3 346. 82 TOTAL FROZEN PIECES ORDERED: 68 PIECES SHIPPED: 68 ITEMS SHIPPED: -9 2484. 81 ACCOUNT I CE INVOICE' CUS PURCHASEORDER SAL SALES NO. NO, DATE NO. NUMBER LOC . REP. ORDERED 90569922 0107492 06/12/15 90569575 38690 1054 0062 06/11/15 , Route:-5282 / 7 ORDER NUMBER: 678]13 . Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . ' To: ..To,: To: ' ' PO BOX 78000 DEPT #78792 CARMEL IN CARMEL IN IL, EGG INSPECTION FEE PD 46032 46032 DETROIT Mi 3 11 -(343' 3e73 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 42e 2118 60jFrm: 12301 CUMBERLAND RD FISHERS IN Shi06/12111; Page O2 of 02 Trms.' Spcz a� ENTER OFF OF 1117H STREET! ! ! P �7rms.� NET O DAYS Instr.' Qtv Aty Sales Product Descripton pack Size Label C Weight Pricing Unit ' Extended Ordered Shipped Unit Number D Unit Price Price INVOICE SUMMARY TOTAL WGT SHIPPED: 2017. 33 PIECES ORDERED: 122 PIECES SHIPPED- 122 ITEMS SHIPPED: 23 PRODUCT* TOTAL 3991. 14 TAXABLE AMOUNT $ . 00 GEN SALES TAX . 00 This amount is an ,estimate at time of shipping prior to anV adjustments made at de'livery: $ 3991. 14 ' r|�l�^ c�� ' ' ACCOUNT" l:kiV(3ICE, JNVC}7:CE. CUSI-01-IEP PURCHASE ORDE-f� )AI...,F,Ii SAL.)rS ;i_?A'1E 1\10. 1��C7. I:ATENO. NUMBER 1-00 , REF' E . ORDERED 0 S6�922 02i'}c3S)7'2 06/16/1S 90S6957S ,ye';03 :1.()S 4 0062 (:)6/1 E.*;/1.S -RoLte: 2191 r" 1 - --- OR-DER NUI*413ER: 681059.. CARMEL. '..,t_AY F ARK S&RL(:R:EAT-- —�-C-AP'h1FL- C-.-L AY- P->` PI'\-�,*i'c<RECI-'�F-A !" � US p 0 cl d s- I -- T'=c :- :1:41. 1.--T - -- -- —- — — --- - - - -— - - F'l7 i�C.7n ':Yf.<r}r�r, Ta1`F�l" # �;�i.J�_ 1 C:da:F21�1EL 7:N - _.. .CARh1 -;:C1 11_ r:%,;P :1:€'i 1'"i;Tl:L3!'y FEE F'D- -1 --- 317--84--3 qry /} - - -- ---- � ICI ,EPT 0) 0 x29 2"118Ath : - wClrFCI - Sh rpt='rm. 12:$0i C"UMBERL-AND RD FIE SHERS IN h-.i-phi 06/16/15 Page 02 -o'!•'- t;2 H".-t f rivs: .'piw x::gI ENTER OFF OF' 11. 1.TH -STR1~:1•..1_ ! t.!. F' tTr'ms: NET 30 DAY'S - - �'� tr -4tv QtV Sales Product Descriptor; - Pack Size Label C Weight Pricing Unit C-xtenr. ed Ord erer' Shi.ph?et; L1n;L'G. 1'1!PESiL7'r D Unit PT'ice price - INVOICE- SUMMARY F FEL_ SURCHARGE- - .5. d'.'::t 1 TOTAL 1,IGT Si1J:t'i`EG: !J=�6. >.�. PIECES ORDERED: r'IEC.,ES 51-1IPPI' 'D: 25 -111"S 'S1-1:t�PED: 1.:3 ! 5 -7 PRODUCT TSTA! �i��`�_.5 CHARGES S. 25, TAXABLE AMOUNT 4 . 00 GEN SALES TAX % . 00 41 _.'his acf;aun -is an estimate al, time e rf a:�i.plri.nt� pr rc;r�Lto�an�� adjustment--i... made at icli.jer��: � � c 5G L�r . ..� JUN_17 2015 17 tip• -- --- - , , ACCOUNT INVOICE INVOICE:=. CUSTOMER PURCHASE GIRDER SALES SALES DATE 1140. NO. DATE'.- NO, NUMBER Lt;'1C . REP . C11'^ P)ERED 90S69922 0208972 06/ 6/1 S ,90S6957'S _- W703 10t,y4 0062 06/1S/15' - _. R a u + . ; :a` 1 i 1ORDER Ni}i.1QR.;. 10100 _.......__ .....__-_ .._... _.._ si;� �.�_,._.._w.. __.,._.:_..____._.,_.. _- _..,..,..__..__.__,�, Re fn i,t _._- CARMEL Cl....AY F'AIRKS&RECRFAT��I CAF�:ME,L CL_rC"-�YM1 P,ARIr�S R1:.f`4�EAT U 7 fonds;, `Cot . To: � 1411. E 11FT'!-,. �T ToC '_cW_.,. �i�.�t=►;l1AL_ 4' �'�RK ORIVE - � To: - PO SOX 7`,-?CtC4�, BEF��'T �TS/��''r.? - C�r,Ri�ll»:!._ TIN CAP2!10- ":4�i � I!,_ EGO INSPECTION FEE PD 46032 ; 460:32 DETROIT _MI317 R43 1873 14BWS-0792 . - At t: MICHELLE Ci,MPT(21C! � DEPT # 00 800 422 2':i lS :.h iF}...m:_..,1.23��..1 CUMB��RL,�:i�!D._Ri3 W_ FISHERS _..._.._.._...�. IN Ship.D __._. 06/16/15 __..__._._. ..... ......._.. �.. ._.._ Page�01. !a i'= 02 Fr t f:r'iP:s: V-1 - - �C x::?1. ENTER OF'T' OF' 111TH ca�-''f.Y"^RET ! ! ! P.'�•-�'T ms: NE4+ ,- 0 DAYS':?- _ _ .x'str: - On Qtv =gales ProdL,'C•t . - Dkc:r.ip•tc�r� Pack -Si.ze Label C Weight Pric iog Unit Extended Ordered Shipped Unit Number _,.,._ ..___..._.._..._._..__._..,...__._... .._.._._. D Unit Price Price ........... _..... _......... ..._...._,,, i DRY __ _ _ 9 6 c`, C 0779971 WATER, `;P;�G F`LT' _x'=T .TWIST _C r? 4, .e�.9 THIRSTER ._ . . C;"� � 20(} 1 2 '� C'S 014236 CUP, FM 16 7 UHT 20/2'_n _Fri -MONOGRAM �' 19. 91�t0 _ 3_9. 82 ,•� 2 CO OR14541. CUP, FM �0 Z W T- 2x/20 FA" MONOGRAM, C5__ 22. 9201 -4�,_.-��?a� j. �✓ E:t`t 1t�1.1. ?1.S F'F'f�'F'E_f�:, 4!l_��_CLCD I•�r,Ci•9t7 Ht"JT' _ 1 CA t7FL.l�'ASLU Et E=;�? _ 1',�. �'10D 1'�`._I'1 C`S :32 610'4 -L:i:D: CUP' 12-?�4 BBL F'LST 1{?00 GA WINCur" CS 163. 0100 1.8. 61.- 2 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 52. :800 1.04. 78 1 1.✓ CS 99SI371. LTD, CUP 32 Z -c T RAW !a TP r QT 1000 EA i^iOh OPRAM CS 24. 1200 d4. Q / REFRIGERATED 2V CS. 47S4982 2 ICE CRETAN MIX, SOFT SRV VNL 4%2/2. S-GA PC; VLY DRY CS 29. 300 S8. 7%) READY TO EAT_ - Ple4se Refer to i~: Turn Polio 2 2v CS 9S36933 ICE CRE Ali MIX, _ SOF i :HOC 4% 2/2, 5 Cit`-_! A `3LY DRY Cin ;3:"!. 1900 60. 38 - READY TO FAT .- Please-Refer rt 'Re•�t�r'tl. P°olivy FROZEP! [ 4 Cts 2011278 PRETZEL, VINE_ SOFT I�i":i3 FZl'�i ' SO/5 OZ SUPR PRTZL Cs .36. 5900 1.46. w'�L: 1. 1� CS 21573,86 POPSICLE, Ai ST GRAPE GE{_RY WIP4Q424/3 OZ_ BnUE BUNNY C:!_i- 16. 1500 16. 1S ^✓ CS 2260099 ICE CREAM SANDWICH, CVY a CRM 24/4. S i1Z BLUE BUNNY Cs 23. 2300 46. 146 QS S40483S ICE CREAM -SANDWICH; CIIOC CHIP-24 EA GOOD HUMOR L' C;{s 8187?99 ICE _CREATE I".W _CHOC _TACO - VML24/4 OZ VLONDIKE CS 25. 1100 50. 22 iPRODUCT i_'LASS RECAP *4 TOTAL DRY PIECES ORDERED: Is PIECES SHIPPED: 15 ITEMS SHIPPED: 7 277. 1.0 1 TOTAL REFRIGER;TE D - PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 2 1.1.9.:08 1 TOTAL FROZEN PIE'CCS C7Ft:DEr"iFGt: 11 PIECES SHIPPED: 9 ITEMS SHIPPED: 4 2S9.0 | ACCOUNT INV ICE ' INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP . ORDERED 90569922 0354502 06/20/15 90569575 38721 1054 0062 06/19/15 _ Route: 6271 / 12 ORDER NUMBER: 686385 8ill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY 1---1AR1;',S�'.�RECREA i US Foadw inc . ` To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: PO BOX 78000 DEPT #78792 CARMEL I IN CARMEL. I IN IL EGG INSPECTION FEE PD 46032 14603P DETROIT M1 317 841 3973 48279-0792 Att: MICHELLE COMPT01",41 DEPT # 00 800 428 2110 ShioF � iD�rm123O1 CUMBERLAND RD FISHERS IN S� � 06/20/15 Page 02 of 02 Frt7rms. spWal ENTER OFF OF 111TH STREET ! ! ! P tTrms.' NET 30 DAYS Ihstr, Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended 3rdered Shipped Unit Number D Unit Price Price PRODUCT CLAW RECAP TOTAL DRY PIECES ORDERED: 44 PIECES SHIPPED: 44 ITEMS SHIPPED: 16 TOTAL REFRIGERATED PIECES ORDERED: a PIECES SHIPPED: 8 ITEMS SHIPPED: 3 284. 0 TOTAL FROZEN PIECES ORDERED: 49 PIECES SHIPPED: 49 ITEMS SHIPPED: 8 059. 1s INVOICE SUMMARY TOTAL WGT SHIPPED: 1637. 68 PIECES ORDERED: 101 PIECES SHIPPED: 101 ITEMS SHIPPED: 27 PRODUCT TOTAL $ 353S. 3S ALLOWANCES 45. 00CR, TAXABLE AMOUNT GEN SALES TAX 00 This amount is an estimate at time of shipping prior to any adjustments made at deliverV: 3490. 35 1 JUN 2 2 2015 By ' .r ACCOUNT INVOICE , INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO DATE NO NUMBER LOCI , REP. ORDERED 90569922 O354' 02 06/29/15 90569S75 38721 1054 0062 O6/19/15 _ Route: &71 / 12 ORDER NUMBER: 686385 8il3. Ship Remit ` I CARMEL CLAY CARMEL CLAY PARKS&RECREAT US Foods! Inc . � To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: PO BOX 7SO00 DEPT #7S792 CARMEL I N CARM21- I 1\1 1L EGG INSPECTION FEE PD 317 843 3873 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 ShioFvm� 123O1 CUMBERLAND RD FISHERS IN ShiaD� 06/20/15 Page 01 of 02 Frt7rms: Sp0a2 ENTER OFF OF 111TH STREET ! ! ! P t7rms: 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 p () ,3 5 3� � S S- CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS S1. 0000 20, 00 14. 8100 44. 4-3 3 Q 4329397 KETCHUP, TMTO FCY SS FOIL PKT SOO/9 GR MONARCH CS 2 2 CS E329289 MUSTARD, YLU 88 POUCH SOO/S. 500 GR MONARCH CS 12. 8600 2S. 72 2 2 CS 5585476 CHIPPTATO BKD ORIG GLTH/FR 64/1. 125 OZ BAKED LAYS CS 31. 9900 63. 98 2 2 CS SE97968 CHIP, CORN ORIG TFF SS BAB 64/2 OZ FRITOS CS 33. 7600 67. S2 i I CS S601679 CHIP, PTATO REG PLN SS BAG 64/1 . S OZ LAY 'S CS 31 . 1200 31. 12 2 2 CS 6329213 RELISH, PKL SUT SS POUCH 200/9 GR MONARCH CIS 1S. S800 31. 16 S 5 CS 6BOS899 TRAY, PAPR MDU FOOD 5 LB CLAY 2/250 EA MONOGRAM CS 37. 5900 187. 9s 0 3 CS 7009988 SAUCE, CHILI HOT DOG W/ BF CAN6/102 OZ CHEF NATE CS 77. 2200 231. 66 I I CS 891485S STRAW, JMB 7. 75" TNSLT UWRPD 24/500 EA MONOGRAM B CS 70. 7000 70. 70 2 2 CS 9089079 POPCORN, RAW KIT W/ OIL A SALT36/8 OZ FANCY FARM CS 2S. 200 S050 [5 21. 8700 6S. 61 3 3 CS 9865767 GLOVE, CAST POLY LG TXTD AMBDXIO/100 EA MONOGRAM B CS 3S. 9900 107. 97� REFRIGERATED 3 3 CS 47S4982 ICE CREAN NIXI SOFT SRV VNL 4%2/2. S GA PC VLY DRY CS 29. 0000 97. 00 READY TO EAT - Please Refer to Return Policu 3 3 CS ?836933 ICE CREAN MIX, CS 29. 000 READY TO EAT - Please Refer to Return PolicV FROZEN 10 to CS 2011278 PRETZEL, KING SOFT BKD FZN SO/S OZ SUPR PRTZL CS 36, S900 36S. 90, � CS 36. 9000 2�n 3v [S 23. 3300 233. 30 YOUR POWERBUY SAVINGS 30. 00� S S CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 7700 160. 85' 5 S CS S328604 BUN, HMBGR 4" SLCD TFF BKD F08/11/2. 1 &Z HILLTOP HR CS 23. 4200 117, 10, YOUR POWERBUY SAVINGS 15. 00-1. F, S, CS S383054 BEEF, PTY GRND 3 Z PUB FLAME 53/3 OZ CTLMN SLCT CS 66. 1900 330, 9S 2 2 CS S40483S ICE CREAN SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21- 0000 42, 00 5 5 CS 8765OS9 BEEF SUB, PTY MEATL VEG 3 36/0250Z CHEFS LINE CS 48. 000 242. 7S ' - ' � ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. No. DATE NO. NUMBER LOC . REP . ORDERED 90569922 0423881 06/23/15 90569575 38735 1054 0062 06/22/15 Route: 2292 / 5 ORDER NUMBER: 688865 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: ' po BOX 78000 DEPT #7879E CARMEL. IN CARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT III 317 843 3973 49278-0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 ShioFrm. 12301 CUMBERLAND RD FISHERS IN Ship& 06/23/15 Page 02 of 02 FrtTrms. Spczal ENTER OFF OF 111TH STREET ! ! ! P t7rms: NET 30 DAYS Instr.— Ott/ 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. 25 TOTAL WOT SHIPPED: 399. 29 PIECES ORDERED: 16 PIECES SHIPPED: 16 ITEMS SHIPPED: 6 PRODUCT TOTAL $ 621. 48 CHARGES S. 25 TAXABLE AMOUNT $ . 00 GEN SALES TAX % . 00 This amount is an estimate at time of shipping prior to anV adjustments made at deliverV: 626. 73 / _ _ ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES u* . k- NO. ' DATE NO. NUMBER LOC . REP . ORDERED 90569922 O4 �� 81 06/23/15 90569S75 38735 1054 0062 06/22/15 ' Route: 2292 / 5 ORDER NUMBER: 688865 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 ' pO BOX 78000 DEPT #78792 CARMEL IN CARMEL IN !L EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 943 3873 48278-0792 Att: MICHELLE COMPTON IDEPT # UV 800 42S 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN Shi l : 06/23/15 Page 01 of 02 FrtTrms: Spcial ENTER OFF OF 111TH STREET! ! ! P tTrms � NET 30 DAYS Instr. � Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended O--'red Shipped Unit Number D Unit Price Price DRY 2 2 CS S601679 CHIP, PTATO REG PLN SS BAG 64/1. 5 OZ LAY'S CS 31. 1200 62. 24 REFRIGERATED V 4 4 CS 47S4982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. 5 GA PC VLY DRY CS 29. 3600 117. 44 READY TO EAT - Please Refer to Return Polic 3 3 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. 5 GA A VLY DRY CS 29. 5000 88. 50 READY TO EAT - Please Refer to Return PolicV FROZEN 2 2 CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 7700 67. S4 4 CS 5363054 BEEF, PTY GRND 3 Z PUB FLAME S3/3 OZ CTLMN SLCT CS 66. 1900 264. 76 I CS E404835 ICE CREAM SANDWICHI CHOC CHIP 24 EA 'GOOD HUMOR CS 21. 0000 21. 00 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 62. 24 TOTAL REFRIGERATED PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 2 20S. 94 TOTAL FROZEN PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 3 3S3. 30 PO � � - ' --------- - -- - — --- ----- -- 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 6/9/15 7626 Concessions Waterpark 38653 $ 4,524.72 6/12/15 107492 Concessions Waterpark 38690 $ 3,991.14 6/16/15 208572 Concessions Waterpark 38704 $ 660.62 6/20/15 354502 Concessions Waterpark 38721 $ 3,490.35 6/23/15 423881 Concessions Waterpark 38735 $ 626.73 Total $ 13,293.56 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. Allowed 20 Dept 78792 K._ P.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 13,293.56 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 7626 4239040 $ 4,524.72 1 hereby certify that the attached invoice(s), or 1095-1 107492 4239040 $ 3,991.14 bill(s)is(are)true and correct and that the 1095-1 208572 4239040 $ 660.62 materials or services itemized thereon for 1095-1 354502 4239040 $ 3,490.35 which charge is made were ordered and 1095-1 423881 4239040 $ 626.73 received except June 25, 2015 $ 13,293.56 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund