247520 07/15/15 I,. f
CITY OF CARMEL, INDIANA VENDOR: 353824
ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*****8,283.23*
:. CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 247520
DEPT#78792 CHECK DATE: 07/15/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 541675 2,761.13 FOOD & BEVERAGES
1095 4239040 722626 3,001.21 FOOD & BEVERAGES
1095 4239040 817571 2,520.89 FOOD & BEVERAGES
us's
F0009 VL
INDIANAPOLI5/3V 3V
IndlanapJ
olis Division UN 2 9 2019
3V-Indlanapolis(Fishers),IN46038
FINAL INV(-- 1
---------_---------------
-_ '-- --8111
CARMEL CLAY PARRS-RECREAT CAF MEL CLAY PARK'S-RECREA7 i
1411 E.116TH ST 12.3 CEIJTRAL PARE.DRIVE E
CARMEL,IN 46032 CAF MEL,IN 46032
000 000 DODO 31)643 3873
Attentiom MICHELLE COMPTON At !ntiom MICHELLE COMPTON
Cu6tomer Order Det to: Dept Name:
Numbers Nwttber:
90569575 -- -----0693410 ---- ------
'
ACCOUNT IN | CE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO . DATE NO. NUMBER LOC. REP . ORDERED
. . . 90569922 0541675 06/26/15 90569575 38747 1054 0062 06/25/15
' Route: 5191 / 8 ORDER NUMBER: 693410
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Fqods, Inc .
To: To: To: PO BOX 78000 DEPT #78792
CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD
.4.60!2 46032 DETROIT M I
317 843 3873 48273-0792
AttA MICHELLE COMPTON 190T--4--00 000 A-2-9 2118
~
�hioFrm: 12301 CUMBERLAND RD FISHERS IN ShioD� 06/26/15 Page 02 of 02
��tTrms. Spc�ial ENTER OFF OF 111TH STREET ! ! !
r tTrms� NET 30 DAYS Instr.
dty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
]rdered Shipped Unit Number D Unit Price Price
INVOICE SUMMARY
TOTAL WGT SHIPPED: 1445. 04 PIECES ORDERED: 9i PIECES SHIPPED: 91 ITEMS SHIPPED: 22
PRODUCT TOTAL 2834. 85
ALLOWANCES 15. 00CR
TAXABLE ANOUNT . 00
GEN SALES TAX . 00
This amount is an estimate at time of shipping prior to anV adjustments made at delivery: $ 28 V. 85
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO NO. DATE NO NUMBER LOC . REP . ORDERED
90569922 0541675 06/26/15 90569575 38747 1054 0062 06/25/15
" . ^ .
Route: 5191 / B ORDER NUMBER: 693410
DiIl Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKE&RECREAT US Foods, Inc .
To: 141i F. 116TH ST To: 1215 CENTRAL PARK DRIVE E To: PO BOX 78000 DEPT #78792
CARMEL CARMEL IN IL EGG INSPECTION FEE PD
46032 46012 DETROIT M I
317 943 3873 48278-0792
Att: MICHELLE COMPTOtA DEPT # 00 800 428 2118
�hioFrm. 12301 CUMBERLAND RD FISHERS IN ShipD� 06/26/15 Page 01 of 02
�rtlrms: Spcia2 ENTER OFF OF 111TH STREET ! ! !
Q tTrms: NET 30 DAYS Insm
wty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
}rdered Shipped Unit Number D Unit Price Price
ACCOUNT IN --ICE INVOICE CUSTOMER QRCHAqE ORDER -SAL I ES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REFORDERED _
90569922 0722626 07/02/15 90569575 38780 1054 0062 07/[)1/15
Route: 4282 / ' 2 - ORDER NUMBER: 699392
Bill Ship RemitCARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
v
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To.
PO BOX 79000 DEPT #7e792
CARMEL IN CARMEL IIN 1L EGG INSPECTION FEE PD
46032 46032 DETROIT MI
. 317 843 3873 46278-0792
Att: MICHELLE COMPTON IDEPT # 00 900 428 2110
Shi�Frm� 12301 CUMBERLAND RD FISHERS IN ShipD� 07/02/15 Page 02 of 02
Frt7rms: spclal ENTER OFF OF 111TH STREET! ! !
ms� NET ]O DAYS Instr.
dt°� Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price price
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 36 PIECES SHIPPED: 36 ITEMS SHIPPED: 13 777. 02
TOTAL REFRIGERATED PIECES ORDERED: 9 PIECES SHIPPED: 10 ITEMS SHIPPED: 2 312. 00
TOTAL FROZEN PIECES ORDERED: 47 PIECES SHIPPED: 47 ITEMS SHIPPED: 9 1933. 19
INVOICE SUMMARY
TOTAL WOT SHIPPED: 1648. 39 PIECES ORDERED: 92 PIECES SHIPPED: ?3 ITEMS SHIPPED: 24
PRODUCT TOTAL 3022. 21
1 Federal Occupation .Safety and Health Standards. Section 1910. 1200 on Hazard
Communication requires manufacturers and distributors to provide Material ALLOWANCES 21. 00CR
Safety Data Sheets on non-food products defined to be hazardous. Products
such as cleaning pj9ducts and esticides are included in the scope of the
Standard. In compliance with the law. MSDS are available to US Foods, Inc.
customers and can be obtainqd by contacting the Procurement Manager in our TAXABLE AMOUNT $ .00
You may contact KEVIA BUNTIsing You at phone-# (371) SOS - $822.
This amount is an estimate at time of shipping prior to any adjultments made at delivery: 3001. 21 .
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER . LOC . REP . ORDERED
90569922 0722626 07/02/15 90569575 3878O _ 1054 0062 07/O1/1�] �
/ .
Route: 4282 / 2 ORDER NUMBER� 69939��
8i l l Ship RemitCARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT- US Foods, Lnc .
'
To: 1411 E. i16TH ST To: To:
PO BOX 7SO60 DEPT #0792
CARMEL IN CARMEL I 1\1 1L EGG INSPECTION FEE PD4
46032 46032 DETROIT MI ,
317 843 3873 48279-0792
Att: MICHELLE COMPTON DEPT # 00 600 4ES 2118
-
ShioFrm.� 12301 CUMBERLAND RD FISHERS IN ShipD�' 07/02/15 Page 01 of 02
Fri�rms. Spczal ENTER OFF OF �111TH STREET ! ! !
P tTrms: NET 30 DAYS Instr:
0ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
is is CS 0779991 WATER, SPRG PLST BTL TWIST CAP24/16.9 OZ THIRSTER CS S:2900 79. 3-S,
I I CS 0791616 CUP, FM 32 Z WHT 2S/20 EA MONOGRAM CS 36. 4800 36. 48
1 1 CS 0814236 CUP, FM 16 Z WHT 20/2S EA MONOGRAM CS 0. 9100 19. 91
i I CS 0814S41 CUP, FM 20 Z WHT 2S/20 EA MONOGRAM CS 22. 9200 22. 92
1 i CS ES97BEI CHIPI TORTLA NACHO CHS TRGLE 64/1. 7E OZ DORITOS CS 31. 3900 31. 39
1 1 CS SS97968 CHIP, CORN ORIG TFF GS BAG 64/2 OZ FRITOS CS 33. 7600 33. 76
1 1 CS S605522 CHIP, NULTGRN ORIG SS BAG 64/1. 5 OZ SUN CHIPS CS 33. 1200 33. 12
1 EA 6717219 CANDY, BAR SHCKR SS DMSTC 1. 8648/1. 86 OZ SNICKERS EA 3S. 4300 35. 43
1 1 CS 6805899 TRAY, PAPR HDW FOOD S LP CLAY 2/2SO EA MONOGRAM CS 37. 5900 37. S9
2 2 CS 84614SI FORK, MW UHT POLYP BULK PLST 1000 EA PRIME CS 12. 9100 25. 82
REFRIGERATED
4 0 - CS 4754982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. S GA PC VLY DRY
READY TO EAT - Please Refer to Return Policy
*SUB** s CS 863779S ICE CREAN MIX, SOFT SRV VNL S%2/2. 5 GA PC VLY DRY CS 32. ?000 164- SO
READY TO EAT - Please Refer to Return PolicV
5 5 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. S- GA PC VLY DRY CS 29. 000 147. 50
READY TO EAT -- Please Refer to Return Policy
FROZEN
5 s CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 36. 5900 182. 9S
2 3 CS 21S7386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY CS 0. 000 48. 41-3
2 2 CS 2260099 ICE CREAM SANDWICH, CKY & CRM 24/4. 5 OZ BLUE BUNNY CS. 23. 2300 46. 46
2 2 CS 3041423 CORN DOG, AN CN FZN 48/4 OZ STATE FAIR CS 36. 9000 7330
7 7 CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23. 3300 163.31.
YOUR POWERBUY SAVINGS 21. 00-
8 - 8 CS 3336099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 7760 27016
16 16 CS S383OS4 BEEF, PTY GRND 3 Z PUB FLAME 53/3 OZ CTLMN SLCT CS 66. 1905 1059-04
. 2 2 -GS S404835 ICE CREAN SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21. 0000 42.00
2 -2 CS 717S128 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 23. 5100 47.02
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AuCC1l1N"f Ii�VOIGE_ INVOICE CUSTOMER - -PURCHASQORDER_ _ ._ -. S�;L.ES S il_ES -- -DATE-
ACCOUNT
NO. -- NO. _ DATE NO - NUMBER ;� ;= LOC . -REP. _-ORDERED
9O569922- O 17 a 71 07/0711S 90569575. 38799_-, 1054 - 006g-
Route: 2192 / 4 ORDER NUMBER: 702976
B i 1 1 Ship 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 IL ECO INSPECTION FEE PD
46032 46032 DETROIT' MI
317 843 3873 A-8278-0792
Att: MICHF_•LLE_COMPTON DEPT # 00 ^, 800 429 2118
Shi F'rm 12301 CUMBERLAND RD FISHERS IN Sh p�: � 07'/O7/15 Pare 02 of 02
FrOrms: 5pcial ENTER OFF OF 11'1TH' STREET± 1
P tTrms: NET 30 DAYS Ins tK
1? Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Drdered Shipped Unit Number D Unit Price Price
INVOICE SUMMARY
TOTAL WGT SHIPPED: 1317. 11 PIECES ORDERED: 79 P'IECE'S SHIPPED: 79 ITEMS' SHIPPED: 24
}(#�FakiF�r#�t•#7�#####�4)F######�rI�iE34##############.##�k#-��.94##�4•i4######?4Si#3Fik#7F#�########?�iE#�#####3f •�t�
a� # PRODUCT TOTAL $ 2520. €3.9� �,
cu
Federal Ocpation Safety and Health Standards. Section 1.910. 1200 on Hazard #
, # Communication requires manufacturers and distributors to provide Material
x•
Safety Data Sheets on non-food products defined to be hazardous. Products
• such as cleaning products and ppesticides are included in the scope of the
# Standard. In comRliance with the law. MSDS are available to US Foods, Inc. �
# customers and can be obtained bycontacting the Procurement Manager in our � TAXABLE AMOUNT v . 00
• di tpir.t office or by advising your sales representative. # GEN SALES TAX � . 00
• You may contact KEVlh! BURTON at phone # (371) 585 - 6822. �
�t�3EiE#aF##•#####�r#ae##•7F##3r#####�•#�t######3�3��•�F######•##:t##t��t#z####�##�E#��c#ik####�#�E•�#F#####i�
This amount is an estimate at time of shipping prior to any adjustments made at delivery: '6 2520. 89
JUL Or 7 2015
-
BY.
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP. ORDERED
90569922 0817571 07/07/15 90569575 38799 1054 0062 07/06/15
'
Route: 2192 / 4 ORDER NUMBER: 702976
Bill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US To: ToTo-
� � '
PO BOX 78000 DEPT #78792
CARMEL. IN CARMEL IN IL EGG INSPECTION FEE-' PD
46032 46032 DETROIT MI -
31.7 243 3273 49278--0792
� '
Att: MICHELLE COMPTON DEPT # 00 800 428 2118
5hioFrm� 123O1 CUMBERLAND RD FISHERS IN /7
i� . 07/07/15 Page 01 of 02�rs: social ENTER OFF OF 111TH STREET! ! !
p NET 30 DAY-- In t
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
qcejEsjion
Description Amount
te attached invoice(s)or bill(s)) PO#
38747 $ 2,761.13
aterpark38780 $ 3,001.21
Waterpark 38799 $ 2,520.89
7/7/15 817571 Concessions Waterpark
Tota) 1 $ 8,283.23
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
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 8,283.23
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
--------------------------
PO#or
Dept# INVOICE NO. CCT#/TITLE AMOUNT Board Members
1095-1 541675 4239040 $ 2,761.13 f hereby certify that the attached invoice(s), or
1095-1 722626 4239040 $ 3,001.21 bill(s)is(are)true and correct and that the
1095-1 817571 4239040 $ 2,520.89 materials or services itemized thereon for
which charge is made were ordered and
received except
July 9, 2015
$ 8,283.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund