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249065 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 353824 ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $""'8,994.66' CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 249065 DEPT#78792 CHECK DATE: 08/26/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1266503 652.60 FOOD & BEVERAGES 1095 4239040 1697099 4,433.51 FOOD & BEVERAGES 1095 4239040 1790949 3,908.55 FOOD & BEVERAGES use INVOICE FCKW Page 1 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1266503 07/21/2015 90569575 38850 1054 62 07/20/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 717112 NET 30 DAYS 2191 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: Doug Replogle ROUTE NUMBER: 2191 SHIPPED DATE: 07/21/2015 DRIVER ID: 3222603 STOP NUMBER: 1 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE DRY 2 2 0 CS 3256104 LID,CUP 12-24 Z BBL PLST WINCUP 1000 EA CS $18.6100 $37.22 2 2 0 CS 5311600 CONE,ICE CRM CAKE 22S FLAT JOY CONE 36/20 EA CS $50.6800 $101.36 3 3 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $33.7600 $101.28 1 1 0 CS 9328311 WRAP,FOIL 12X10.75 INFLD POP MONOGRAM 12/200 EA B CS $128.7900 $128.79 2 2 0 CS 9954371 LID,CUP 32 Z STRAW SLTD PLST MONOGRAM 10/50 EA CS $24.1200 $48.24 FROZEN 3 3 0 CS 2157386 POPSICLE,ASST GRAPE CHRY TWIN BLUE BUNNY 2/24/3 OZ CS $16.1500 $48.45 3 3 0 CS 5404835 ICE CREAM SANDWICH,CHOC CHIP GOOD HUMOR 24 EA CS $21.0000 $63.00 3 3 0 CS 7175128 ICE CREAM CONE,VNL TFF BB CHAMP 2/12/4.6 OZ CS $23.5100 $70.53 2 2 0 CS 8187999 ICE CREAM BAR,CHOC TACO&VNL KLONDIKE 24/4 OZ CS $24.2400 $48.48 PRODUCT CLASS RECAP PRODUCT CLASS TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED ADJUSTED DELIVERED SHIPPED SHIPPED PRICE DRY 10 10 0 10 5 78.27 $416.89 FROZEN 11 11 0 11 4 66.70 $230.46 DELIVERY SUMMARY TOTALS 21 21 0 21 9 144.97 $647.35 Page 1 of 2 us, INVOICE FOOM Page 2 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1266503 07/21/2015 90569575 38850 1054 62 07/20/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 717112 NET 30 DAYS 2191 ENTER OFF OF 111TH STREET!!! DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $652.60 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 $652.60 INVOICE SUMMARY Product Total $647.35 FUEL SURCHARGE $5.25 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 08/20/2015 $652.60 CUSTOMER ACCEPTANCE Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a) 1-1/2%per month or(b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable law. 17 AUG 11 2015 CUSTOMER SIGNATURE: .MICHELLE COMPTON r v - SIGNED AT: 07/21/2015 10:34 AM(UTC) We appreciate your business.Please visit our website www.usfoods.com/order for a fast and easy way to order or contact customer service at:(800)253-0277 Page 2 of 2 ;) ACCOUNT- - .-Iii:Ui�II=_ Li+J.1'L?C L�,Lt i t,i'��R.. .?aJi,� F�,�1 _il3�I} R - - ` ,LES-_SAi... _ . .. I7 _TF�_.. L"A' E NCS_.- f`_. -NUMBER---- -- , LSCC•_' REP_.. _. _CJFZDEREL�- - SC>56r?5'2E 16' 7C�_9_S 08/04/15 r'QScw �S75-_ .7a£3S�?6 . - - 1.054 0062 _ GEi./G3:"15 Rosi e: 2194 �. ORDERNUMBER:NUMBER: - 73l SS2 CARMEL CLAY PARK&RECREAT I CARMEL. CLAY 1.•�Ar^tK;:s&RECREAT US Foods) It;C . To: 1 411 E. 116TH S'F' TD: 1235 CENTRAL PARK DRIVE E 70: F'Cl LiGX 78000 DEPT #_?B7'�2 CARMEL IN t ARMEL IN IL ECG INSPECTION .i-EE PD 460 3� 141-.)032 DETROIT MI 317 843 3873 4327B-0752 A,tt: MICHELLE COMPTON DEFT # 00 1 800 448 5118 Sh.i pt-vm: 1,8'.:01. -�,�U BERL_AND RIS FISHERS IN Shi pD. 08/Gtr;1'.�' Page 41 of DE Fr r�"?-rm5: - .30 iZ ENTER OFF OF 111TH STREET s s t IIf T�r.ms: NET _''.0 .DDA FS Ir)5tr: V qtV Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit, Number D Unit Price Price DRY 14 101§S 4779991 WA'T'ER, SPRG PLST BTL 'TWIST CAP24x/16. 9 OZ THIRSTER CS ;. 3900 $ 53. 94 ✓6 0741616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 36. 4800 72.46 i 2.1 2 ✓nC§ O��i'14236 CUP, FM 16 Z l�iHT 20/22 EA i�#("JitOGRAM CS 1,9. x'100 39. 5.x'. ' 2 3;.:5 L�83 4 41_ CUP, F i'# 2t WH1 '� "`4 E:A MCIf IiJGFtAhI C,S "2. 9200 "S.8�4 �, �. 6 6 ✓ �,S •42602303 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 51. 0000 306. 44 ✓ `.r5 43'24397 KETCHUP, T'4 rO Frr:Y SS FOIL PKT 500/9 GR MONARCH CS 14. 8100 '4. 62 1 i :S 5311640 CONE, ICE. CRM CAVE 22S FLAT -6/-0 EA JOY COME CS 54. 6804 50. 68 CS SSOS476 CHIP, PTATO BKD ORIG GLTN/FR 64.,`1. 125 OZ BAKED LAYS C'3 31. 9900 63. 45 21/ ::S SS 7604 CHIP, CNS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 33. 72+00 67. 44 2 ✓ '.S 5S511851 CHIP, TORTLA,NACHO CHS TRGLf- 64/1 , 7S OZ DORITOS CS 31. 5800 63. 16 ✓ CS SS97468 CHIP, CORNORIG 3FF SS BAG 64/2 OZ FPZITOS CS 33. 7600 67. 52 2 ✓C.'.3 5601679- CHIP: PTATO .REG. PLN SS BAG_ 64?`I. S.OZ LAYS _ CS 31. 1200 epi. 24 !. �✓ CS �t,�. 15431 CHIP, i"IGLF ai;tf_GPit3f'3 .S LSA v X4/'1.5 OZ SUN CHIPS CS 3'2. 6900 _ 3 ?.69 V C•Cy 56�'S4 2 CHIP', MULTGRN-.CHEDR SS BAG 6.4x/1. 5 OZ `UN CHIPS CS 32. 5504 6S. 10 56055'2'2 CHIP, MULTGRN ORTG SS BAG 64/7..S Lar SUN '"HIPS. CS 33. 1200 33. 12 I ✓CS 6329213 RELISH,, P9L SWT_ _SS POUCH 204/9 CR MONARCH CS 15. 6900 15. 69 t s ✓ G t? CYi<05 90 TRAY, PAPP 5 x 2/21S E , S S S9 # .,. S. #°#DW FQt7C} LIQ CLAS M ".10- A P�iL�NOGF<Ati L`P . . 37. x.00 37. .1, 22 CS. _. ',".009988 SAUCE, CHILI -310 ' DOOM W/ PF CAN6/108 02 - C_5 77. :200 154. 44 S. " t.,NEF' MATE 1 ✓ CS 932831.1 . WRAP, FOIL 12X-1-0. 75 INFLD € OP 12:/200 is A MONOGRAM B.. L S128. 7900 128. 79 # 7 `/ ✓ CS_ 4463688 :HIP, TORTLA CORN -YLW ,RND 6/2 LB. -DELPA.SDO CS 21. 8700 153. 09 POWER BUY _-. .. 7. 00- 2 . 40- :? /C6 Q95 4371 LID, CUP 32 Z •'.TRAW,--:SL'f D PLS 10/`'S0 EA MONOGRAM C:3 24. 1200 148. 24 REFRIGERAT.EC?, r_t ✓ C� 47' 4 82 -3CE_.CREAC7 i'3IX,_ ,803'=T.-+P�1 �JtiL. �r:n.;.F.:'. 5 -.Gt1 i-`t;- ttLY F}Fi`t -. --- CS 29. 3600 234. SS READY 'i CJ- L`AT - Please Refer ¢;o Fkeaturn- FoEc'r _ 0t ;✓. Cia S'i3w36'�33 ICC' CREAM MIX,__SOF=T CrHOC 47 ti ;'. '.,-` CA _. �'C t1LY DRY _._.. CS 29. $000 2'36. 00 - READY TO EAT Please Refer_ to _F<eturrt _Pglirq,, 9 FROZEN' Y - 3.0 1(7 t:;a tt11: 78 PRETZEL, 14ING SOFT BKG FZ1N 50/S OZ -SUPR" PRTZL C 36. 4100 :,369. 10 M `S x'157386 PC3PSIt LE, ASST GRAPE CHR`i TWIN2/24/3 07 BLUE BUNNY CS 16. 1500 48. 45 ✓ CS 2260099 ICL CREAM SANDWICH, CKY 3 CRN 24/4.5 OZ BLUE BUNNY C1 23. 5700 47. 14 8,/ _ 8✓ CS 3041423 CORN DOG, 4M Chi FZN 48x/4 07 STATE: FAIR CS 37. 5900 300. 64 C', 10,/ C 3,3286O6 DUN, HOT HOT._DOG 6" SLC:,D TFF BKD 8/3.',x/1. 7, S7__. HILLTOP HR- _-- CS 23.8000 238.00 15 ir, ✓ (.,,'S 3330;:199 HOT DOG, AI{ 6: 1. 6" RLR GRIL 14 LB PATUENT CS 33.7`00 'dot.. 5S 7 7✓ s.JS 5:328604 BUN,, i-ii"4BGR. 4" SLCD TF'F VKD F2518-1`12/2". I S7 HI:L..4_.TOP i�F' CS_ 23. 41200 163. 94 1 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP. ORDERED ' 90569922 1697099 08/04/15 90569575 38896 1054 0062 O8/03/15 Route: 2194 / 3 ORDER NUMBER: 731582 ' 8ill 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 CARMEL IN IL EGG INSPECTION FEE PD 46032 46032 DETROIT MI 317 843 1873 48278-0792 Att: MICHELLE COMPTON DEPT # 00 800 423 2118 ShigFrm.' 12301 CUM8ERL6ND RD FISHERS IN Ship&� 08/04/15 Page 02 of 02 FrtTrms. Spcia2 ENTER OFF OF 111TH STREET! ! ! P t7rms: 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 I C. 10 CS S383054 BEEF, PTY GRND 3 Z PUB FLAME S3/3 OZ CTLMN SLCT CS 66. 1900 661.10 2 CS S404835 ICE CREAM SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21. 0000 42. 00 ** PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDERED: , S3 PIECES SHIPPED: 53. ITEMS SHIPPED: 21 IS91. 91 TOTAL REFRIGERATED PIECES ORDERED: 16 PIECES SHIPPED: 16 ITEMS SHIPPED: 2 470, 88 TOTAL FROZEN PIECES ORDERED: 67 PIECES SHIPPED: 67 ITEMS SHIPPED: 9 2377. 72 INVOICE SUMMARY *** TOTAL WOT SHIPPED: 2306. 27 PIECES ORDERED: 136 PIECES SHIPPED: 136 ITEMS SHIPPED: 32 PRODUCT TOTAL $ 4440. 0 ALLOWANCES 7. 00CR AUG 5 2015 OEM SALES TAX .00 This amount is an estimate at time of shipping prior to any adjustments made at delivery: 4433. 51 - ' AC:C;f:JI.?1'tT INVOICE- INVOICE-.,t:isSTC'3t"!1`:Fd...... ._PURCHWeS GIRDERZA€.,ES DATE- NO. NO. NO. DATE NC: c - NUMBER - LOC:-. SEP . ?:`tRDERE1~'''- g05:6q922 1790949 08/07/15 90S6957S . :36 :21 1054 0("62 02/06/'15 Route: 528 r' -3 ORDER NUMBER: 735560 560 B i 1 s i Rc e m 3.' CARMEL CLAY PARKS&REC;RE.A�f � CARMEL CLAY PARKS&RECRL'AT "~€ �s S Foods,, Inc . To: 1411 E~ 116TH ST � To: � 1275 CENTRAL PARK DRIVE E � To: PO t3€:.tX 79000 DEFT #78792 CARMEL, IN '' CARMEL IN - I L. EGG i's:SPECT t ON FEE PD 46032 46032 DETROIT MI 317 543 3873 -45278-079 A t t: MICHELLE COMP TON DEFT # 00 200 428 21.1.2 ShipF'rm: IR301 CUMBERLAND RD FISHERS IN Sh.r.'pL7: 08/07;IS Page 01 of 02 Fr'tFr ms: :,9p?:'Z a,. ENTER OFF GF 111TH STREET! ! ! PvtTrms: MET .30 DAYS .I"nstr: tv Qtv Sales Product Desc ri.paTt Pack Size Label C Weight pr=icing Unit Extended Lir;:tarred Shipbed Upit Number D Unit trice Price ._.,. _.._ ._.,.__...,.._..__..._.............__ ____...... ._......._ _.......... _ DRY / :t0 1i7✓ Chi 07;'9991 WATER, SF''RG ``LST RTL. TaWISTI*60'�4/16. 9 OZ THIRSTER CS S. 3900 � 53. 90 1 1 7 EA 181121.r.•�" PEPPER, ,.3t. P SLCD NACHO HCtT^% 1 GA DE€ PASDO p z A 12.21a�:0 12. '_1 1 :t G4: -.3256104 LID, CUP 12-24 7. BBI �..,ST 1000 EA ;y WINCUP CS 1B. 6100 1B. 61 't. ✓ EA 40S3336 CANDY, $A€+: MILK CHOC1 � 36/1..SS 07 HERSHEY EA ;30. 4800 :30, 48 1 f 7 " a 4260238 SAUCE, CHS iti'.-'�.l..HO SHL.t" STA�t_ Y/107 OZ ORTEGA CS 510000 00 S7. 0+0 � 3 3 J CS 4329327 KETCHUP, T''tTA i.:C:Y SS FOIL FKj•I-00/9 OR MONARCH - CS 14.81.0:0 44. 43 1 ✓ CS 5311600 CONE: ICE: ,;:RM CAKE 22S FLAT 36/20 EA JOY CONE CS 50. 6800 50. 68 1 1 J CS 558547L CHIP, PTTfaTO BXD CRIG GLTH//✓ 6411. 12S OZ BA#�:ED LAYS - CS 31,9900 31. 99 1 1 � CS 097604 CHIP, CHS CHCHY PLN SS NAGA 64/2 OZ GHEE-TCS -- CS 33. 7200 33. 72 i 1. C:£: 507851 CHIT'-, TORTLA NACHO- CHS TROLE' 64/1.15 OZ DORITOS CS- . 31;1800 -31.58 2 21 CS 5597960 CHIP, t:;t}1•+N 11RIO--Tt=F SS BAG,- 64/2 OZ FRITGS CS 334600 67.52 " #. ✓ C''S E601679 CHIP, PTATO REG-PLN -SS ?�r-G 6�4/'t.. 5 OZ LATS 1;S �1. 1x'00 31. 12 I 1 J �` - 5605431 CHIP, MUL t"E:iRN--#�t"iDN SALSA -Gs- 64/1. 5- OZ Si.N (HIPS __-__ CS 3 6 0 2,�„�:., 1 c `S6>S'472 it•#Ii�',_ MUL.�'€'sI•iN-CHE'DR- ,�sS BAO'`- 64:/:1. . 5-OZ SUN CHIPS - C 2.-554.0 SS 1 1. J 1:6 ,�al�J�tr'.527 CHI", €UL.TCRN CtRIG--66 t~}AG � 64/1 :'5 -OZ SUN CHIPS �;S 33, 1200 ;33. 12 jj .-. . 2 "'./ 8.8. 6SOS899 -'tRA`t'�, PAPR MDW -FOOD- S LP �C:LIa`i°�200 A NOMOGRAM - �--- �- -- - {;:ze ;37. 5900 �-S 8 - 13{ ,' t'`�. CET.. 00%'` 88 SAUCE, � CHILI HOT-DOG OG W/✓T'F' CAN61108✓OZ -/ Ltik::1=..TIAT!✓ �."._ ;�;� .• 200 IS 4. 44 1 66 8355927 Nr��Pk 1 N, DI�tPR-- :1:Nt.-.�...Ca...-UHT 6a c- 024/250-CA E AS t'NA - -- - CB _ 5B. 0700- 58. 07 E3 t� CS '463608 CHIP, a r. ? �' r TORTLA Ci.TR#�4-YL,1 r�htD ` 6%=2 €..Fr L}ELr ASD#i l.�S 21. 0700 1. 4. 96 POWER BUY 8100 1 2 2 ./ CS : 9061767 Cib:OM'E 1:=NsST POLY t..0 't'. D A!1T{Di;IO/100 Esq MONOGRAM -1-2117 CS 3S.9900 71.. 98 6 - J CS 4754982 ICE CREAM MI-0 -SOFT SRV VNL 4: 2/2. S GAIA FC VLY €AY C.5 29. 3600- 174. 16 - READY 76. 16 - { ) ? 33 I£E-CREAI'lTO EA#.Ts�.> -S MrRefer- 4'"1, c.�, /2.Return Ai �?l'c66 VLY DRY - CS 29. 5000 177. 00 .. 6 fs CS �8:.=469'x' �...�... t �` • �4 5 / . READY TO EAT Please Refer �t:�r Return t"(xlic:,: i FROZEN - 10 iii CS 201.1278 PRE:TZE'L, KING- SCtFT -I'RD -t=ZN . 50/6 OZ £L3PR PRT'ZL CS 36, 9100 369. 10 JJ .. _,C - ...1573& ,POPSI:t 1,_k,t.,.SANDWICH,` ST-GRAP -CHRY TW IM/f g/3 t��Z BLU BUNNY _. .- CS 16, 000_,i1 ,... -16. 1.5 i 2 C�, .-2600. 9 ICE CREAM -Yr & CRM 24. x,.-..a C..,,. :CLUE BUNNY CS 2:3: �, _0 47. 14 - 10. CS. 90�':3.4 '3 ....Ci.lEi€t- G3�1~, _s�1.1-Cal-..i=a.:i� �41~r`4_,3i _.,S'('r�7'E.F'�'sTr;- . . �..;�` - .., ...i. £ri. . _0 8 C;_t �3,�1;,s0u - 0Ut''t.... HOT.000.,`-- St_CL�-T'F'r I'{tCll . ..8;1.2 f.�.. ,'- OZ--HILLTOP.C?'F'- l-3R __-_ CS - ;3: c..>,.)a��1- 1.?3".).-40 1!: jK0 C, , 33::f0ra '7 €dl1T -C�Cti�r- a3E ah: 1--u{<` Ri�R GfiI1._ �..1Ca-.L6 /PATUXENT C8 33.7700 337, 70 C? 8� -CS 5328604 - I:sUN, t"If'1BOR.14,-BLC�i -:t'K,� BKD' FZNBtl2/2. 1� 0Z _...HILL TCti•'--HFA _ C"S, 23. r4`l00 �6 - S 8 . - CS 5383Ct:..4 BEEF, l 0`00 3._,... F`UB. FLAle E ...3::3 007.. - C:TLI•M SLCT CS 66. . ,0 529.52 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. ND DATE NO, NUMBER LOC � REP , ORDERED 90569922 179O�49 08/07/15 9056957S 38921 1054 0062 O8/06/15 ^ Route: 5282 / 3 ORDER NUMBER: 735560 8ill Ship Remit To: 1411 E. 116TH ST To: To: CARMEL. I AN CARMEL IN 1L EGG !NGPECTION FEE PID 46032 0032 DETROIT M I 1317 S43 3a73 48278-0792 Att: MICHELLE COMPTON IDEPT 4 00 Boo 4% 211S ShioFrm: 12301 CUMBERLAND RD FISHERS IN Ship& Page 02 of 02 FrtTrms., Spcial ENTER OFF OF 111TH STREET ! ! } P t7rms.' NET TO 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 CG S404835 ICE CREAN SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21.0000 42.00 I- CS 7175128 ICE CREAM COME, VNL TFF 2/12/4:6 CZ BB CHAMP CS 23. 000 23. S1 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 48 PIECES SHIPPED: 48 ITEMS SHIPPED: 20, M6. 23 TOTAL REFRIGERATED PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 2 353. 16 TOTAL FROZEN PIECES ORDERED: 62 PIECES SHIPPED: 62 ITEMS SHIPPED: il 2167. 16 INVOICE SUMMARY TOTAL WGT SHIPPED: 2056,56 PIECES ORDERED: 122 PIECES SHIPPED: 122 ITEMS SHIPPED: 33 PRODUCT TOTAL $ 016. 55 ALLOWANCES 800CRI TAXABLE AMOUNT .00 GEN,SALES TAX X 00 This amount is an estimate at time of shipping prior to anv adjustments made at deliverv: 3908. 0� ' AU G 10 2 015 _' ' - ------------ 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 7/21/15 1266503 Concessions Waterpark 38850 $ 652.60 8/4/15 1697099 Concessions Waterpark 38896 $ 4,433.51 8/7/15 1790949 Concessions Waterpark 38921 $ 3,908.55 Total $ 8,994.66 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$ $ 8,994.66 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 1266503 4239040 $ 652.60 1 hereby certify that the attached invoice(s), or 1095-1 1697099 4239040 $ 4,433.51 bill(s) is(are)true and correct and that the 1095-1 1790949 4239040 $ 3,908.55 materials or services itemized thereon for which charge is made were ordered and received except August 20, 2015 $ 8,994.66 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund