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HomeMy WebLinkAbout248068 07/28/15 CITY OF CARMEL, INDIANA VENDOR: 353824 G' +. CHECK AMOUNT: $****13,522.41 ONE CIVIC SQUARE U S FOODS f• CARMEL, INDIANA 46032 PO 80x 78000 CHECK NUMBER: 248068 DEPT#78792 CHECK DATE: 07/28/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1048476 1,924.09 FOOD & BEVERAGES 1095 4239040 1152229 7,901.67 FOOD & BEVERAGES 1095 4239040 934471 3,696.65 FOOD & BEVERAGES ` _ �r ACCOUNT INVOICE INVOICE COSTOMER PURCHASE ORDER SALES SALES DATE NO. , NO. DATE NO. ; NUMBER LOC . REP . ORDERED 90569922 0934471 07/10/15 90569575 38820 1054 0062 07/09/15 Route: 5282 / 4 ORDER NOER: 707125 Bill Ship RemitCARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . ' To: 1411 E. 116TH .ST To: 123a .CENTRAL PARK DRI VE E _ ' _-_ ' CARMEL IN CARMEL IN -GG IL E INSFECTIQN FEE PD - 46032 46032 DETROIT MI 317 843 3e73 48272-0792_ Att: MICHELLE COMPTO N L DEPT # 00 ' 800 428 2118 60ipF �rm12301 CUMBERLAND RD FISHERS IN Shi�D� 07/10/15 Page 02 of 02 FrtTrms: Soczal ENTER OFF OF 111TH STREET ! ! ! P tTrms. NET 30 DAYS Instr: _ Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price 2 2-/ CS 2260099 ICE CREAM SANDWICH, CKY & CRM 24/4. 5 OZ BLUE BUNNY CS 235700 47. 14 6 61 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 37ZEBOO 225. 48 10 10J CS 3320606 BUN, HOT DOG 6" SLCD TFF BVD 0/12/1. 7 OZ HILLTOP HR' CS 23. 33PO 233. 30 10 10' CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33.7700 337. 70 4 42 CS S328604 BUN, HNBGR 4" SLCD TFF BKD FZNS/12/2. 1 OZ HILLTOP HR CS 23. 4200 93. 68 2 21 CS S40483S ICE CREAM SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21.0000 42. 00 2 2 CS 717SI28 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 23. 000 47. 02 2 2j CS 8187999 ICE CREAM BAR, CHOC TACO & VNL24/4 OZ KLONDIKE CS 24. 2400 48. 48 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 53 PIECES SHIPPED: 53 ITEMS SHIPPED: '27 1540. 07 TOTAL REFRIGERATED PIECES ORDERED: 12 PIECES SHIPPED: 12 - ITEMS SHIPPED: 2 353. 16 TOTAL FROZEN PIECES ORDERED: S2 PIECES SHIPPED: 52 ITEMS SHIPPED: a, INVOICE SUMMARY TOTAL WGT SHIPPED: 1782. 98 PIECES ORDERED: 117 PIECES SHIPPED: 117 ITEMS SHIPPED: 40 PRODUCT TOTAL $ 3696. 6S • Federal Occupation Safety and Health Standards. Section 1910. 1200 on Hazard • Communicition requires manufacturers and-distributors to provide Material • Safety Data Sheets on non-food products defined to be hazardous. Products • such as cleaning products and pesticides. are included in the scope of the • Standard. In compliance with the law. . ,MSDS are available to US Foods, Inc. • customers and can be obtainyd by contacting the Procurement Manager in our TAXABLE AMOUNT , OT • district office or bj advising your sale s representative. GEN SALES TAX . 00 • You may contact KEVI BURTON at phone # (371) S85 - 6822. This amount is akh-timate at time of shipp-ing-grior to anyydjuifiefts made at delivery: $ 3696. 65 — - —` ^� `= _- ' ACCOUNTf. INVOICE INVOICE CkJStOMER_ _ F�URCHASE. -0RDEl�.. .. - SALES _SALES__ __ DA 'T'E, NO. NQ._ DATE. NO.. _ . NUMBER, -- LOC.. .. _R.E'). ,._.._ORDERtED' . 9t?S69922 .0934471 07/10/1 S 90S69S7.5 ;38820 _ .. 1054 006207/09/IS Route: S282 / 4 ORDER NUMBER: 707125 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 DE'F'T #78792 CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 843 3873 48279--0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 Sh i pF-rm. 12 301 CUMBERLAluD RD W- FISHERS IN Sh i pD. 07/10/15 Page 01 of 02 Fr,t rms: spCial ENTER OFF OF 111TH S"i"REET' ! ! PvtTrins: NET 30 DAYS Ins tr: 6tE1 Q'tV Sales Product Descrip-ton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY S CS 07'79991 WATER, SPRG i='LST BTL TWIST CAF'24t16. 9 OZ THIRSTER _ CS S. 2900 $ 4 . 32 2✓ 2 CS 0791616 CUP ... _, FM 32 ZWHT. 25/20 EA MONOGRAM CS 36. 4800 72. 96 2'� 2 CS 0814236 CUP, Fri 16 Z WHT 20/'25 EA MONOGRAM CS 19.9100 39. 82 2✓ 2 CS 0814541 CUP, FM 20 Z WFIT 25/20 EA MONOGRAM CS 22. 9200 45. 84 1 1. EA 11$3.599 CANDY, M&M PLN 1. 69 OZ 48 EA M & M B EA 52. 3500 52. 35 1✓ 1 CS 3256104 LID, CUP 12-24 Z BBL PLST 1000 EA WINCUP CS- 18. 6100 18. 61 1✓ 1 EA 4053.336 CANDY, BAR MILK .CHOC 36/1. SSZ HERSHEY EA 30. 4800 :30. 48 5� 5 CS 4260238 SAUCE, CHS NACHO SHL_F. STABL 14/107 OZ ORTEGA CS 51. 0006 2SS. 00 i, 1 CS 4329397 KETCHUP, TMTO FCY SS FOIL_ PKT 504/9 GR MONARCH CS 14. 8100 14_.81 1 1 CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36120 EA JOY CONE CS 50. 6800 50. 68 2✓- 2 CS 55976014 CHIP, CHS CNCHY PLN SS BAG 614/2 OZ CHEF-•TOS CS 33. 7200 67. 44 2`/ 2 CS 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1. 75 OZ DORITOS CS 31. 3900 62. 'l8 2k/ 2 CS SS97968 CHIP, CORN ORTG TFF SS PAG 64/2 OZ FRITOS CS 33. 76GG_- 67. S2 2✓ 2 CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1. 5 OZ LAY'S CS 31. 1200 62. 24 SALSA SS c SUN CHIPS __ . 7 c 2 2 CS 56051L3.1 CHIP, MULTGRN _GfCii�l. SAL.ti� ,�_• 64/1. .2 OZ CS 3.. 6900 6 . 38. 2 2 CS 560547'2 CHIP, MUL..TGRN _t'HEDR SS BAG 64/1.. 5 OZ SUN CHIPS CS 32. 5500 65. 10 2 ✓ 2 CS 560SS22 CHIP, MULTGRN _DR'IG ,SS BAG 64/1. S OZ SUN CHIPS _.CS 323. 1200 66. 214 1�✓ 1 EA 6210777 CANDY, KIT .KAT VNDG STD 1. 5 Z 36 EA KIT KAT EA 30. 5800 30.58 1✓/ 1 CS 6329213 RELISH, PKL SWT. SS. POUCH 200/9 GR MON-ARCH -CS 1S. 57800 15.58 1 1 EA 671.7'219 CANDY, BOR SNCKR SS,.DMSTC 1. 8648/1. 86 OZ SNICKERS A. 3S. 43=60 3S. 43 1%/ `1 CS 6805899_ TRAY, PAPR NDW_.i`OOD-.S _LB CLAY :_f:?S0 itiA _.. __ � IONOGRAM --._._ CG 37.S960- ;37. ..9 1%! 1 CS 7009988 SAUCE, CHILI HOT'boo W/ BF CAN6/108 OZ CHEF 11ATE CS '7. 2200 77. 22 1 1 EA. -8053126 _ CANDY, RESES.-PNT._BUTR CUP 36 EA FEEGE'S EA 27. 7.700 27. 77 4. ? CS 9039079 POPCORN, RAW KIT W/ OTi_ � SALT36/8 OZ FANCY FARM - CS 25. 25�?C �;0. 50 3 N4� 3 CS ._-9463688_. _CHIP,. TORTL4. CORN .YLW. RND 6/2 LB - DE1_PASDO __,.._.. C`S* 21. 8760 65. 61 2 CS- 9865767 - GLOVE, CAST POLY -LG TXTD AMBDx10t1GG EA MONOGRAM D . -- .. CC 35. 9 �?G ?1. 98 2 CS -. 9954371.- LID, Cur 32 Z, STFiWL:TD PEST 14/50 EA MCJhICItRr= _ ._ CG 24. 1 240 - 48. 24 . REFRIGERATED._. 6 ✓ 6 CS .-4.754982_- -- ICE_ CREAM MIX, SOFT_SRV VNL 4%'2/2. 5_ GA PC .',SLY DRY CS meq. 3600 176. 16 HEADY TO EAT _-- Plea-e ,Refer. to' Return r'�al.S.c�/ - 6 -� b CS,. _.9336933._- ICE CREAK MIX,_._SOFT CHOC 4% 2/2. S GA _ i'C VLY DRY CS 29. 50�J0 177. 00 - -- -.-- --_ _--.READY TO EAT_ = Pl_ ase_Ref'r-.,oto, Return -P-1-1c,�t Ff1OZEN - 5 CS 2011278 PRETZEL, KING SOFT BKD_ FZN 5415 OZ _ SUPR PRTZL co 36. 5900 182. 9S I. J i CS 2157386 ' VOPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE: BUNNYi: CS "6. 1S00 .16. 1S / ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP. ORDERED 90569922 1048476 07/14/15 90569575 38827 1054 0062 07/13/15 Route: 2 ` 1 / -3 ORDER NUMBER: 709409 . Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc.. To: 1411 E. 116TH ST To: 123S CENTRAL. PARK DRIVE E To: PO BOX "78000 DEPT #78792 ' CARMEL IN - 4603P 46032 DETROIT MI 31.7 843 3873 4827B-0792 Att: M.ICHELLE COMPTON DEPT # 00 800 428 2116 ShjoFrm: 12301 CUMBERLAND RD FISHERS IN ShipD� 07/14/15 Page 01 of 02 FrtTrms: Spczal ENTER OFF OF 111TH STREET ! ! ! P tTrms: NET 30 DAYS ' - Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY V,4 4 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 51. 0000 $ 204. 00 2 CS 4329397 KETCHUP, TNTO FCY SS FOIL PKT SOO/9 GR MONARCH CS '14. 8100 29. 62 vv12 2 CS 7009988 SAUC�E, CHILI HOT DOG W1 BF CAN6/108 OZ CHEF MATE CS �7. 220_0 1S4. 44 S 5 CS 986S767 GLOVE, CAST POLY LG TXTD AMBDXIO/100 EA MONOGRAM B CS 3S. 9900 179. 9r, REFRIGERATED V1 6, 6 CS 47S49B2 ICE CREAN NIX, SOFT SRV VNL 4%2/2- 5 GA PC VLY DRY CS 29. 37600 176. 16 READY TO EAT - Please Refer to Return' Polic READY TO EAT - Please Refer to Return PolicV FROZEN 7 7 CS 2011278 PRETZEL, KING SOFT BKD FZN SO/S OZ SUPR' PRTZL CS 36. S900 2S6. 13 vIr" 2 CS "IS7386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ- BLUE BUNNY CS 16. 1500 32. 30 V/ 2 2 CS 2260099 ICE CREAM SANDWICH, CKY A CRN 24/4. S OZ BLUE BUNNY a 23. 5700 47. 14 V,3 3 CS 3041423 CORN DOG, All CN FZN 48/4 OZ STATE FAIR CS 3-7. S800 112. 74 t��2 2 CS 3328606 BUN, HOT DOG 6" SLCD TFF BRD 8/12/1. 7 OZ HILLTOP HR CS 23. 3300 46. 66 S CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 7700 168.85 2 CS 53218604 BUN, HMBGR 4" SLCD TFF BKD FZN8/12/21. 1 OZ HILLTOP HR CS '913. 4200 46. 84 2 CS 540483S ICE CREAM SANDWICH, CHOC CHIP 24fEA GOOD HUMN CS 121. 0000 42. 00 2 2 CS 717S128 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ PR CHAMP CS 23.S100 47. 02 PRODUCT,;.,CLASS RECAP TOTAL DRY PIECES ORDERED: 16 �IECES SHIPPED: i6 'IT-EMS SHIPPED: - S 633. 62 TOTAL REFRIGERATED PIECES -ORDERED: 12 RIECES SHIPPED: 12 -ITEMS SHIPPED: 2 353. 16 TOTAL FROZEN PIECES ORDERED: 29 PIECES SHIPPED: 29- -ITEMS SHIPPED: -10 Q311 06 ' - - '- -- - - - ACCOUNT. INVOICE INVOICE _CUSTOMER_ ...P_URCHASE -ORDER_._._-..__. __-SALES ..SALES DATE. NO.- NO. DATE ___ ,_NO-._. .-. _.. .NUMBER ._ _-_-_. LOC-..-.__REP.. .____ORDERED__ _ .90569-922 1048476 07/14/15 9OS6957 . 35827 _ ._ 1i,.54_.__._0062____-.07/_.13/,.1.5 S . Route: 2321- 3_ ._._..-___._... _-_ .___ -.. -....__..-_..ORDER.. N.UMBER.:___7094.69..._ Bill Sh-i.p. ._ _ Remi.t_ .._.__ CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT . i US Foods, Inc . To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: . . - PO BOX 7S000 DEFT #•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 ShipFr,rr: 12301 CUMBERLAND RD FISHERS IN ShzpD. 07/14;15 Page 02 of 02 Fr�ffrms: Spc x.al ENTER OFF OF 111TH STREET! ! ! PvtTr (ns: NET 30 DAYS Instr: 4•ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number I D — - Unit Price Price I ?� INVOICE SUMMARY FUEL SURCHARGE 5. �5 TOTAL WGT SHIPPED: 1125. 76 PIECES ORDERED: . 57 PIECES SHIPPED: 57 ITEMS SHIPPED: 17 PRODUCT TOTAL 1918. 84 • Federal Occupation Safety and Health Standards. Section' 19.10:1200 on Hazard • Communication requires manufacturers and distributors to pr-ov.ide Material • Safety,, Data Sheets on non--food products defined to be ha.za.r..dous. Products CHARGES 5.25 suc.h_as cleaning products and,pesticides. are, included i_n-.the scope of.- :the Standard. In compliance with. the law. . MSDS are avai.lab-le .:to U.S._.Foods,, Inc.. u_. .. * _customers and can be obtained_ by contacting the Procurebent-Nan-ager, in_ our• -- TAXABLE.AMOUNT $ . 00 *-district office or .b;,+ advising your sales. r.epresen-tative. _ . GEM SALES.-TAX J . 00 _You may contact KEVIpI BURTON at -ph.one .## (371).,585• �• 61822."; � This amount is an estimate at. time- of._,s.hipping prior to any adjustments rude at deIiverV': - � 19214. 09 _.. JUL- .1 4 2015 ' ACCOUNT CE INVOICE TOMER PURCHASE ORDA SALES SALES DATE NO. NO. NO. -NUMBER LOC . REP . ORDERED 90569922 115222 5 90569575 38839 1054 0062 07/16/15' Route� 5282 / 2 ORDER NUMBER: 713975 8ill Ship RemitCARMEL. CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREA*'r US _ To: IkIl E. 116TH ST To: 1123S CENTRAL PARK DRIVE E Toi PO BOX 7SO00 DEPT #7S792 . CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 843 3973 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 whipFrm� [] 12�O1 CUMBERLAND RD FISHERS IN Shi�D� O7/17/15 ' Page O1 of O2 Frt7rms�' Spczal ENTER OFF F 111TH STREET ! � .t /r t7rms: 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 ACCCIt_:CtT if+f�'IIICF' i,it,�►J1s'E C!..}8'Ti:)ME:R `{_�RCHABE ORDERSALES SALES DATE NO. P110. DATE NO, - NUMBER LOC . REP , ORDERED 90569922 � 4 � 1 . :.2 a� 9S , � Route: 5282 12 _. ORDER ML)MBER: 13 71; Bill S h 4A P Remit CARMEL CLAY PARKS,&.RECREAT CARMEL CLAY PARI cZ&RECREAT � .CsS r o,ad s T1 . To: 14.11 E. 116Tl-i ;.=1'T --r o: 12,35 CENTRAL PARS,. DRIVE E To: P8 BOX 7e0('10 DEPT- CARMEL IN CARMEL IN IU_ EGG INSPECT-ION FEE PD 1 317 843 3873 48278--0792 4;,t: MICHELLE COMPTON DEPT # 00 eOO 4*28 2119 ..._.. ... -.._____....____......_ m._...____.. .._.._-..__ � _.- _._�_._.. _ ....._ ..._ __.___..__ ..__ _ �__ .._..,..,...___�.. __.._._.__.__.___.,_._..t _'hJpFrf-n. 12301. Ck)MBERLAND RD FILUiERS IN .'.�hipD. ?;','17/1.8 Page 02 oc tit;: F~s,.,f T;`ifc S r is F ENTER OFT' 8F_ 111TH STREET! ! ! P' tTrins: NET 30 DAYS Iris t r.- d.tt,, Qtir Sales PvodLst-t Descripton Pack Size Label C veight Pricing Unit Extended Ordered Shipped Uni"1• Number D UnIt Price Price FROZEN - Fi , g oL, „ ,: :r SUPR PRT'7.L CS 36. S900 548. 85 '� Ub V1, zd r•� ;.2 :��e .. -a BLUE �4.i�i(�� CS 16. 1S^OO 3'2. 3D 12 CS 2260099 SCG CREAM SAND4 CH[ CK x# CRM 24,x4.5 t7i BLUE' BUNNY CS 23. 57 00 282. 84 t t" '3 s rs -' /4 02' STATE FAIR CS 37.S800 S63. 70 ' 8 �v 33286 . J � '��t`ff TPF��D 3..`1 - .O?. HILLTOP HR i.:8 '13. '7300 41'.}'. �4 �c '' �r3s:099 H01 406, AD 6: 1 L" RLR GRIL 10 LB PATUXENT CS 33, 7700 1.181.e5 1.� CS 53 _ '. s d.. i /. .?rrt. 1 OZ HILLTOP HR' Cs 23. 4200 304. 46 } �.., r,- .,, ;le c', EFFF, ■ !,11 1! 21 ' f!;1JE1- F6AAE 9 ' CTLNO ISLCT Cs 66. 1900 661. 90 x2 12 CS E40483ca ICE CREAM Sa'a DUICH, _CHOC CHIP 24 Erb GOOD HUMOR CS 21, 0000 2S2.00 1.S 15 CS 71.S128 ICE C;FAM COME: VNL TFF 2/12/4. 6 Cil BE CHAMP ._ . Cs 23. 5100 352. 5 15 CS 81.87999 ICE. t'F;F.AM BAR, CHOC TACO LstdL 24/4 OZ KLOND IKE CS 24.22400 363. 60 t 4* PRODUCT-CLASS RECAP TOTAL DRY , d PIECE'S ORDERED: 79 PIECES SHIPPED: 79 ITEMS SHIPPED: 30 2473. 16 I'OTAL REF-RIGERPiTED PIECES ORDERED: 14 PIECES SHIPPED: 1.11 ITEM SHIPPED: 3 464. 0 { 'UTAL FRO'E€d PIECES OR€?ERED: 1,6'2 PIECES SHIP EsD: .1 ITEMS SHIPPED: 1•i "64. 1.9 t 44* INVOICE SUMMARY'. 4 i'..s„A{__ t,3tuT •_141T'. E_D: 3344. 18 PIECES,-ORDERED ._S..d PIECES SHIPPED: 2..d.3 _UIEF'i.� SHIPPED: 44 iiG$4 {iF�# ?ktYl �t#4 � i#$' �r #4FiFU# 4+1 ? ;F: ' kk7$'7F4?F �:K?f: ?4 �F?h4< xstiiE#?tk:dic3Eif7ri43r&3a?4?d�?Tti4# _... - - PRODUCT TOTAL 7901. 67 ?{ F;�derA- kT}rU'pa ian `?,a•Fott/ and Health Standardls. Section 1.91.0. 12GU� �n Haxarrl 4Y �..L'�osajt.3n,i,{.,r]•a4ion requires fR6i:it`�"aC•�-l.:r rs an IZ's rl'butortr to ivrd:ivide _H t r a x # :waft ettf' Data Sheets, on non.».. o-old prOdd.sc is dfe'- ',.npd to be Fsazardo-u � radUscts 4 v: rkuch as c Uc;dnis,sT Tsr_c; �tc"t c-nd pe:>-racid �dre ixsc1i led "i #.he ccefie C<F the r 5 n d a r d In compli•�r.c.e with the law. MSDS are available toUS F6ods, Inc. cia,c.'�.omer s and c.a.? be z�b� airsed by c.t`�'�_�;,�;"��rsc.. ' t��,: Proc ure>r.i.en•.?�� :a..+��r.��.-c`�' � 1r�rt�ItU.�.�r��'iOUNI'- - ;i"' - ��.t;i,T`irz: sF lc�� � ias, i4`�isz.7. ;.t�ts,r sales _r presentative. :i�EF# ,t1L TriX ,4, - 06, _ 9 BURTON 4 gats �aas,P �:ts�sf:a>�". 6+F.�,slf� �>� ,p_`a,7_ne # (373.`r 6822. F?iidi+#,,••?.e• F-�•�:��;r',31•Y{•3i•�Eit•i+4:tFi�1F�?•��?�:�}i�#14�.�34�'3E:+eyi;xa¢t�K;�F#�F�•�?€#3f?�•�i?-PA�:dc�•�F:R3;•:+:��i#�xc3'r;s;3s•Yt�+f�?G3i�34�?&rrn�F?'r3?•?E This, am=: ant, s• a..:�_n ?stifilate at t•iss,,o of. ship{a:.n9 prior to an Sf ad "is iaents rstat�e az, t7el .titer,,: 7901. 67 FJJ1 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 bill(s)) PO# Amount 38820 $ 3,696.65 7110115 934471 Concessions Waterpark 38827 $ 1,924.09 7/14/15 1048476 Concessions Waterpark 38839 $ 7,901.67 7/16/15 1152229 Concessions Waterpark —Total $ 13,522.41 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$ $ 13,522.41 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1095-1 934471 4239040 $ 3,696.65 1 hereby certify that the attached invoice(s), or 1095-1 1048476 4239040 $ 1,924.09 bill(s)is(are)true and correct and that the 1095-1 1152229 4239040 $ 7,901.67 materials or services itemized thereon for which charge is made were ordered and received except July 23, 2015 $ 13,522.41 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund