HomeMy WebLinkAbout248553 08/12/15 y ..t49y
CITY OF CARMEL, INDIANA VENDOR: 353824
® =1 ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $****1 1,862.29*
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 248553
'Mrro� DEPT#78792 CHECK DATE: 08/12/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239040 1181162 1,181.95 FOOD & BEVERAGES
1095 4239040 1372890 5,131.33 FOOD & BEVERAGES
1095 4239040 1475809 3,911.68 FOOD & BEVERAGES
1095 4239040 1600856 2,222.53 FOOD & BEVERAGES
1095 4239040 1657887 596.75 FOOD & BEVERAGES
1095 4239040 2972793 —1,181.95 FOOD & BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
: NO. O. - NO. NUMBER .LOC. REP. ORDERED
90069 88 (181162
9575 ' RECOVERY 1054 0062 07/17/15
00 _
ER raUMBER: 714925
BILL `' CARMEL. CLAY PAt�frC'..3�. RECREAT• SHIP CARMEL. CLAY Pt•�til�iS&REt�C EA 1
::RE�IT tib 'I '�t�ti�, Inc .
14.11 E. 116TH ST 1835 C:ENTkAL, PARK DRIVE E
TO: TO: PO BOX rr8000 DEPT # *78' 92 '
CARMEL_ IN Ca�RMEL. IN IL. EGG INSPECTION F•E1w Pyr.
4t 3r? s e 4.603? �u r, :JR01 T I
317 843 38: 3 48c `t�'�—
ATT. MICHELLE COMPT01\1 DEPT # 00;.. b 89Q 488 2118
tSHIPPEDFROM; .. ; '1- Ck.)MBERL»�irwD. RD �,s•i1SHER.� .. ..-_. -1i�{ �SHIPDATE: Z�7/1�I i Ps1��'' t�i Of l�1
- .-- ---'-- .- --___--- _ -'. ---._-_-_ RECOVERY DELIVERY TODAY" AP'P'ROVED .BY AMADOR
FREIGHT TERMS: "'� SPECIAL � •
PAYMENT TERMS: T '30 �Y�� »Vr3 '' INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED '� UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
FROZEN
35' 35 rS- 333005`9' 4�O I" k?.1JG—,,.AFS:--6:-i`- 6'" RLR -GRIL----
-- -TOTAL
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The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section Sit)of the Visit www.usfoods.com for a fast and easy way to order. -
Perishable Agricultural Commodities Act,1930(7 U S.C.499e(cp.The seller of these commodities retains a trust claim overt X
commodities,all inventories of food or other products derived from these commodities,and any receivables or proceeds from theme of
those commadibes until full payment is received. CUSTOMERS SIGNATURE:
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal fo the lesser o((aj 1-1/,%per month or
I (b)the maximum rate Nat the customer may lawfully contract to pay,and In all events calculated in accordance with applicable law. y/C �L `OLUL DUdGaLP.QC
CREDIT MEMO Page 1of1
FOODS
J;E
IT MEMO NUMBER INVOICE NUMBER ORDER NUMBER PURCHASE ORDER# SALOCATION SALES REP
793 0 719230 p'---
4 62
DIT MEMO DATE INVOICE DATE ORDER DATE SPECIALINSTRUCTIONS
/07/22 00000000 07/22/2015
BILL TO SHIP TO REMIT TO
CARMEL CLAY PARKS&RECREAT CARMEL235 1
us Foods,Inc.
1411 E.116TH CE TRAL ARK DRIVE EEAT PO BOX 78000 DEPT#78792
CARMEL,IN 460303
2 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
IMPORTANT NOTICE
THE PRICE SHOWN ON YOUR INVOICE MAY NOT BE NET OF ALL DISCOUNTS,ALLOWANCES AND INCENTIVES. ANY INCENTIVE,DISCOUNT OR ALLOWANCE PROVIDED IS PROVIDED AS A
DISCOUNT WHICH MAY SUBJECT YOU TO REPORTING AND/OR DISCLOSURE REQUIREMENTS UNDER APPLICABLE FEDERAL OR STATE LAW.
INVOICE LINE DETAILS
QUANTITY SALES PRODUCT DESCRIPTION LABEL CREDIT TYPE PACK SIZE CODE WEIGHT P UNITPRICI� CEPRNCE IT EXPRICE D
UNIT NUMBER
FROZEN
35 CS 3330099 HOT DOG,AB 6:1 6"RLR PATUXENT Mispicked Product 10 LB CS $33.77 ($1,181.95)
GRIL
INVOICE SUMMARY
Product Total $1,181.95 CR
Sales Tax Rate: $0.00
AMOUNT //�N•D $1,181.95 CR
Page 1 of 1
ACCO(R4T INV010E CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP. ORDERED
1056?922 1372890 07/24/15 90569575 38866 1054 0062 07/23/15
Route: 5282 / 4 ORPtR .UMBER: 721141
8iIl S.113'.p Ren-it '
CARMEL CLAY PARKS&RECREA
To: 1411 E. 116TH ST - T"� ' ' Joi IPO BVJ 78000 DEPT #7S792CARMEL '
-' - ' CARMEL -N '
Att:
fh I - m: 12301 CUMBERLAND RD FISHERS IN 00"A 40 Pa M 07/24/15 Face 01 or 02
Fi'tFrms. I ENTER OFF OF 111TH 8TREET! ! <
f' tTrms: NET 30 DAYS Instr:
Gy qty Sales Product 0escriptun Pack Size, Label C ueigbt _Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
���.. �������� ���`�
DRY �
) is CS 0779091 WATER, spRe PST BTL TUIST CAP 16. 9 8Z THIRSTER CS 5. 3900 $ was
--3 3 CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM Cs 36. 4800 109. 44
^�4 4 CS 0814236 CUP, FM 16 2 WHT �0/2S EA MONOGRAM CS 19, 9100 77. 64
4 CS O814S41 CUP, FM 20 Z WHT �2S/2O EA MQNOGRAM CS 22 9200 g
�2 2 EA 181121S PEPPER, JLP SLCO NACHO HOT 1 GA DELPASDO B EA 12. 2100 24. 41
3 CS 22SE396 CONE, ICE CRN CAKE FLAT BOTH 28/45 EA JOY CONE CS 69-9800
9n� 9 CS 4260238 SAUCE, C SHLF STABL 4/107 OZ GRTEGA S1. 0000 09. 00
�/
4 4 �ES 4329397 KETCHUP, TMTO FCY SS FOIL PVT S0O/9 OR MDNARCH CS14. 8100 59. 24
�2 2 CS 5311600 CONE, ICE CRN CAKE 226 FLAT 36/20 EA JOY CONE CS 50.6800 101. 36
�2 2 CS E329289 MUSTARD, YLW SS POUCH 500/5. 500 OR MONARCH CS 13. 1300 26. 26
^ � 3 CS SS8S476 CHIP, PTAT8 BKD 8RIG { 'TN/FR 64/1. 125 OZ BAKED LAfS CS 31.9900 9S.97
5 CS 5597604 CHIP, CHS PLN SS BAG 64/2 OZ CHEE-TOS CS 33. 7200
S - S CS S597851 CHIP, TORTLA NACHO CRS TRGLE 64/1. 75 OZ DORITOS �S 31. S800 157, 90
4 CS S597968 CHIP. CORN OKIG TFF SS BAG 64/2 OZ FRITGS C5 33. 7600 HS. 04
/^4 4 CS 5601679 CHIP, PTATO REGPLN SS BAG 64/1. 6 OZ LAY~S. Is 31. 1200 24 48
*2 2 CS 560E431 CHlP, MUL7GRN GRDN SALSA SS 64/1. 5 OZ SUN CHIP5 C5 32. 6900
,~3 3 CS 660S472 CHIP, MULTURN CHEDR SS BAG 64/1.5 OZ SUN CHIPS CS 32.500 97. 6s
~^2 2 EA 6210777 CANDY, KIT MAT VQDG STD 1. 5 Z 36 EA KIT KAT _ 30. 000 61. 16
2 2 CS 6329213 RELISH, PKL SWT SS POUCH 200/9 OR MONARCH CS is.6 -�
900 3 38
"4 4r CS CS 6305899 TRAY, PAPR MDW FOOD S LB CLAY 2/2% EA MONOGRAM CS 37. 000190. 31
"/32 2 EA 8053126 CANDY, RESES PQT PUTR COP 36 EA REESE'S _ FA 27. 7700
3 CS 83SS927 MAPKIH, DISPR INFLD WHT 6 5Xi024/2S0 EA EASYN�P CS �8 0700 17 2
�3 3 ~ CS 89148S5 STRAW, JMB 7, 70 TNSLT DW� PD 24/S00 EA MONOGRAM B CS 70'7OOO ' -
0% q CS 9009079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 25. 200 101. 66
/^10 10 CS 9463688 CHIP, TQRTLA PORN YLW RNQ 6/2 LB DELPASDO CS 21, 8700 218. 70
REFRIGERATED
�/3 3 CS 47S4982 ICE CREAM MIX, COFT SRV VNL 4%2/2.5 GA PC VLY DRY CS 29. 3600 28. 08
READY 10 EAT - Please Refer to Beturn Policy
FRUZ0.4
S CS 2011278 PRETZEL, WIN 50/5 OZ SUPR PRTZL 36. 5900
5 CS 24/4 5 OZ _ 23.5700
2 CS 3041493 CORN . AM Q« FZN 48/4 OZ STATE FAIR CS 370800 75. 16
2 12 CS 3328606 BUN, qOY 000 6" SLCD TrF DKD 8/12/1. 7 OZ WILLTOP HR CS 23.3300 279. 96
QO 10 CS 3330099 HOT DOG. AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 33. 7700 337, 70
� O 10 CS 53830S4 BEEP, PTY GRND, 3 Z PUB FLAME 53/3 OZ CTLhN 5LCT
~~^ ' -
{ _.________ _
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SA-ES SALES DATE
NO. NO.
DATE: NO, NUMBER LOC. REP, ORDERED
90569922 1372890 U7124/15 90569575 38866 1054 0062 07123/15
'
Route; 5282 / 4 ORDER NUMBER: 721i41
8ill CARMEL CLAY PARKS&RECREAT Renit
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
Fu WOX 20000 DEPT #22792
CARMEL 1 N, ^,"`'"-`- 1N ` JQ i.~" E^ ' ^ON ' EE . = ,
1317 843 3873 4827B-0772
Att�
' '
ShjpFrm: 12301 CUMBERLAND RD FISHERS IN ShiP& 07/24/15 Page 02 of 02
FrtTrms: spWal ENTER OFF OF 111TH STREET ! ! !
P t7rms. NET 30 DAYS Instr:
dyy Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
irdered Shipped Unit Number D Unit Price Price
u� S CS 5404835 ICE CREAM SANDWICH, CHOC CHIP 24 EA GOD0 HUMOR CS 21. 0000 10S. 00
�5 3 CS 7175128 ICE CREAM CONE VNL TFF 2/12/4. 6 OZ BB CHAMP CS 235100
~^� 5 CS 8107999 ICE CREAM BAR, CHOC TACO & VNL24/4 OZ KLONDIKE CS 24. 2400 121, 20
- 0 PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 104 PIECES SHIPPED: 104 TEMS PP 300 . 00
1 TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: ITEMS SHIPPED: 1 02.08TOTAL FROZE, PIECES ORDERED: 57 PIECES SHIPPED: ITEMS SHIPPED: 7 1952. 25
TOTAL WBT SHIPPED: 2004, 56 PIECES ORDERED: 164 PIECES SHIPPED: 164 ITEMS SHIPPEO: 35
PRODUCT TOTAL 5131. 33
Federal Occupation Safety and Health Standards. Section 1910. 1200 ,on Hazard
Communication reguires manufacturers and distributors to provide Material
Safety Date Sheets an non-facd products defined to be hazArdous.' Products
such as cleaning products and phsticides are included in the scope of the
6 MSDS are ayailable to US Foods, inc.
Standard. Ip compliapce with thp law.
customers and can 6e obtaQqd by contacting the Procurement Manager in oup TAXABLE AMOUNT S
district office or bs advIsing your sales lepresentativa. A OEM SALES TAX
You may Contact Kul, PURTON- at phoh 1 (371) 585 - 6822.
Thisamount is an estimate at time of shipping prior to any ad'"ustmen'ts made at delivery: I S 13 1. 0'5'
JUL 2 9 2015
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP. ORDERED
90569122 1475809 07/28/15 90569575 38879 1054 0062 07/27/15 _
Route: 2191 / 4 - ORDER NUMBER: 724037
8ill Ship Remit
To: - 1411 E. 116TH ST - Ton1235 'To�-
' ---- ' -
- - _
CARMEL
' -- I-L EGG INSPECTION FEE-PD
---- - --- ---
DETROIT- MI
- ' ' .� _
Att: - - DEPT - -
ShjpFim: 12301 CUM8ERLAND- RD ' --F'ISHERS - IN SMjo27 O7/28/15 ----- �� ' - Page 01 of 'O2
F-tirrms: ' - -� - ��/cial 'ENTER OFF 'OF 111TH-STREET{ ! ! '
P tTrms�' NET 30 DAYS - -- - - ' -- - ins tr�' --- - - - - - -- - -
dty-- Qty � Sales Product ' Descr�pton - - - ' PackSizsr- ' Label -'C-'Weight -Pricing - --Unit- Extended
Ordered Shipped Unit Number --' --- ---- -- - --- ' ---- --- - - - - - ' -D- -------- -Unit- ' - Price Price
F10-
DRY-
.0 CS 0779991 WATER, SPRO PLST BTL TWIST CAP24/16. 9 OZ THIRSTER CS S. 3900 $ S3. 90
'I CS 32S6104 LIDi -CUP 12-24 2 BBL- PLST 1000 EA - WINCUP CS 18. 6100 18. 61
s CS -4260238 SAUCE, CHS NACHO- SHLF STABL 4/107 OZ ORTEGA A S1. 0000 408. 00
4 4 Ca S329289 MUSTARD, YLU SS- POUCH SOO/S.500 GR MONARCH CS 13. 1300 S2.0
-CS 6329213 RELISH, PQ -SWT SS POUCH - 200/9 G - MONARCH IS: 6900
I EA 6717219 CANDY, PAR SNCKR SS DMSTC 1. 6648/1:8& OT SNICVERS EA 3S. 4300 3S. 43
PAPR MDU FOOD S LB CLAY 2/2SO' EA MONOGRAM CS 37. 5900 75. 18
CS 6805899 TRAY,
I CS 9328311 WRAP, FOIL QX100S INFLD POP 12/200 EA MONOGRAM B CS 128. 7900 128. 79
POWER BUY 7. 00-
1 CS 9865767 GLOVE, CAST POLY LG TXTD AMBDXIO/100 EA MONOGRAM p CS 3S. 9900 3S. 99
REFRIGERATED -
6 CS 47S4982 ICE CREAM MIX, SOFT SRV- VNL 4%2/2. S GA PC VLY DRY CS 29. 3600 176. 16
- READY TO EAT - Please Refer to Return Policii
6 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/25 GA PC -VLY DRY CS 29. 000 177. 00
READY TO EAT Please Refer to Return Policy
� FROZEN
| ��2 12 CS 2011278 PRETZEL, KING- SOFT BKD FZN S0/5 OZ - SUPR PRTZL CS 36.9100 442. 92
|
V/1 1 CS 21S7386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY ' CS 16. 1SO0 16. 1S
| 1 *40 10 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 37.5800 37S. 80
| 7 CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23. 8000 166. 60
|
is CS 3330099 HOT DOG, AB 6:1 RLR GRIL 10 LB PATUXENT CS 33. 7700 S06.5S
� 6 CS 5328604 BUN, HMBGR 4" SLCD TFF BKD FZN8/12/2 1 OZ HILLTOP HR CS 23. 4200 140. 52
12 CS 5383054 BEEF, PTY GRND 3 Z PUB FLAME S3/3 OZ CTLMN SLCT CS 66. 1900 794.28
^�� 1 CS 876S059 BEEF SUB, PTY MEATL VEG 3 36/4.25 OZ CHEFS LINE CS 48. 000 48. SS
-
** PRODUCT CLASS RECAP **
TOTAL DRY PI : 40 PIECES SHIPPED: 40 ITEMS SHIPPED: 12 1074. 15
TOTAL REFRIGERATED PIECES ORDERED: 12 PIECES SHIPPED; 12 ITEMS SHIPPED: 2 353. 16
| TOTAL FROZEN PIECES ORDERED: 64 PIECES SHIPPED: 64 ITEMS SHIPPED: 8 2491.37
L
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER' SALES SALES DATE
. NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 14758( 9 07/28/1S 90569575 38879 1054 0062 07/27/15
R e u t e Y21.51 ! 4 ORDER NUMBER: 724037
_.-.,.__:_ .._____.. - Sri i p �._ �_ L._:..:___... �_;_ __ ._�.._�__ Remit
CARMEL CLAYPARKS&RECREAT � ARhrl"L LA°t PARKS&RECREAT US
S F• oods, .
To: 1411 E. 116TH ST To: 1.235 CENTRAL. PARK DRIVE E To:
PO BOX 78000 DEPT #78792
CARMEL_ IN CARMEL IAN IL EGG INSPECTION FEE PD
46032 46032 DETROIT III
317 643 3873 _ 48278-0792
A•tt: MICHELLE COMPTON DEPT # 00 800 428 2118
ShioFrrr: 12301 +CUMBERLAND RD � FISHERS � _ W IN Sh:p& 07/28/15 - Page 02 of 02
FrArms.*`'!`E'r'rs: Epcial ENTER OFF OF 111TH STREET? !!
Pug;E-rws: NET 30 BAYS fn5tr:
r�•t��._ Q•I:.,t ales Product Descripte:n - Pack Size Label C Wsigh•t Pricing Unit Extended
jard6red Shipped Unit Number _. _ D. __ . -- unit Pr ice Price
77
- - -INVOICE SUMMARY
TO s••A#:_06T SHIPPED: 2010 -95- PIECES ORDERED: 116 PIECES SHIPPED: 116- -ITEMS SHIPPED: - -22 - -
PRODUCT
2 _ -PRODUCT TOTAL $ 3918. 68
:+e Federal Occ:upatiow Safety- and Health Standards.- Section 1910. 1200 on Hazard --
* f:;�r�:fur�ic:a�t:i:rn -requi es manufacturers and distributorsto provide Material A _- ALLOWANCES7. OOGR
*-Safety Data Sheets on non-food -pro-ducts- defined-to- be hazardous. -Products
*- such as cleaning 4rroAuc•ts and �re,ticides- are included in •Lk scope of the- _.#-
# * S-t�apdar•d. In c�ampliance with the l.-aw. -MSDS- ars availab-le to US Fonds: Inc. -# - - -
* customers and can be obtained by contacting-the -Procurement Manager in our *- - -TAXABLE AMOUNT $ .00
* district office. or .tv advising your--s es-�represen�tat. ve•. - # --GEN-SALES TAX . 00
*-You may contact KEVIN BURTON at phone A (371) 0S - 6822. -#- --_ -- -
:q•#if:4#3F:3•J.'•i�'�±9F�rdi�f?�4i"?#:#xF:+4#3:•tf#?k#9{•�##iF?Edf##i�at••'tF#r##s�'?dl6r`F#�6i4##?E«F?#�?F##:#+EiEi'r��f##tF3t9F�i3'r?i•?4•i}i+t#•#�9f#####3t•3f#' -- — --
This-amount is an-estimate at time- of shipping prior to any adjustments trade at delivery: S 3911. 63
LUL2 9 2015 I
Iy:
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER— SALES SALES DATE
' NO. NO-. DATE NO. NUMBER LOC . REP . ORDERED
9D569922 160O856 07/31/15 90569575 38891 ' 1054 0062 07/30/15
'
Route: 5282 / 3 ORDER NUMBER: 728SD1
8ill ShipRemit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECRiA' T US Foods, inc .
To: To: To: PO BOX 78000 DEPT #787?2
CARMEL. IN CARMEL 11\1 IL EGG INSPECTION FEE PD
46032 46032 DETROIT M I
317 843 3873 48278-07?2
Att: MICHELLE COMPTON
__
ShioF �rm12301 CUMBERLAND RD FISHERS IN ShipD� 07/31/15 Page 02 of 02
Frt7rms: SpciaJ ENTER OFF OF 111TH STREET ! ! !
PvtTrwa: 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
INVOICE SUMMARY
TOTAL UOT SHIPPED: 1500. 13 PIECES ORDERED: 75 PIECES SHIPPED: 75 ITEMS SHIPPED: 21
PRODUCT TOTAL $ 2227, 53
Federal Ocqupation.SafetV and Health Standards. Section 1910, 1200 on Hazard
* CommuricatioD requires manufacturers and distributors to provide Material ALLOWANCES 5. 00CIR
* Safety' Oata Sheens on not-food products defined to be hazardous: Products
* such as clsaning products and pesticides ,ava-included in the-scope of the
j Standard. in -compliance with the- lawy--MSDS- wre available to-US Foods, Inc .
* Customers and--can be o&tainyd Q-cantar.tin - the Procurement -Manager iw our TAXABLE AMOUNT
4 You M-av--contact-KEM BURTON at -ph-own 4 (371) SBE "' 6822.
This amount is an estimate at time of shipping prior to anV adjustments made' at delivery: 222253
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-- -- -
AUG-7 2
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
PO569922 1600856 07/31/1 '
'
R t 5282 / 3 ORDER NUMBER: 728501
8ill Ship �� Remit
CARMEL CLAY PARKS&RECREAT «S Foods, Inc -
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
- PO BOX 7eOOO DEPT #79792 1
CARMEL IN CARMEL IN 1L EGG INSPECTION FEE PD
46032 46032 DETROIT Mi
317 843 3873 4B278-0792
Att: L- H E L L E COMPTON ) DEPT # OO 800 422 2119
ShipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 07/31/15 Page 01 of 02
Fr�TrmsSpcial ENTER OFF OF 111TH STREET{ { !
P tTrms: NET 30 DAYS Instr:
qity Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
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
7/17/15 1181162 Hot dogs ordered - Sausage patties delivered $ 1,181.95
7/22/15 2972793 Hot dogs ordered - Sausage patties delivered $ (1,181.95)
7/24/15 1372890 Concessions Waterpark 38866 $ 5,131.33
7/28/15 1475809 Concessions Waterpark 38879 $ 3,911.68
7/31/15 1600856 Concessions Waterpark 38891 $ 2,222.53
8/3/15 1657887 Concessions Will Call order 8/3/15 38894 $ 596.75
Total $ 11,862.29
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 20
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 11,862.29
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or Board Members
INVOICE NO. ACCT WTITLE AMOUNT
Dept#
1095-1 1181162 4239040 $ 1,181.95 1 hereby certify that the attached invoice(s), or
1095.1 2972793 4239040 $ (1,181.95) bill(s) is(are)true and correct and that the
1095-1 1372890 4239040 $ 5,131.33 materials or services itemized thereon for
1095-1 1475809 4239040 $ 3,911.68 which charge is made were ordered and
1095-1 1600856 4239040 $ 2,222.53 received except
1095-1 1657887 4239040 $ 596.75
August 6, 2015
1P*0"VX0j
$ 11,862.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund