249445 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 353824
® 'r ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*****1,877.86*
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 249445
DEPT#78792 CHECK DATE: 09/09/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2250138 1,276.54 FOOD & BEVERAGES
1095 4239040 2466638 601.32 FOOD & BEVERAGES
.. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE OR.D54 -- SALES SALES DATE.
tea• - - -NO. DATE No. NUMBER LOC . REP. ORDERED
90569922 22 50138 DB/21./15 90569575 3a906 1051 0062 08/20/15
R o u t.e: 5282 .' 3, ORDER NUMBER: 750630
Bill Sh i p .. .. 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:_ PC.3 BOX 78000 REPT #78792 _
CARMEL IN CARMEL... IN IL E00 INSPECTION FEE PD
46032 46032 DETROIT M I
# 317 843 3873 48278-0792
Att: MICHELLE CLJs' PTON DEPT # 00 800 428 211€:1
L-..----.-----_— . . �.
shj pFrm: 12301. CUMBERLAND RD FISHERS IN `.ah i p& 08/21/15 Page 02 of 02
F r'tT'r ms: Social ENTER OFF OF 111TH STREET# # t
P �tTr`ms: NET 30 DAYS 15str:
v QtV Sales Product Descripton Pac#c Sire Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
ar
INVOICE SUMMARY
FUEL SURCHARGE S. 25
TOTAL UBT SHIPPED: 745. :35 PIECES ORDERED: 41 PIECES SNIPPED: 41 ITEMS SHIPPED: 16
i
�
PRODUCT TOTAL $ 127S. 29
i ALLOUANCES 4. 00CF
CHARGES 5. 2S
TAXABLE AMOUNT $ .00
SE#'# SALES TAX % .00
This amount isgars.. es•timate at time of
._�.,......._..�.....,..�_..._._.�..._.._..._._.,,._.._....,...�.._....�,_.... . ,_.�._...._................_,_,_�........ - ..M_....,. - .,.....__ 4h x P p a n g p r3or to anV an, a 'j s_tme n ts made ya t .d e l i gery: __. 1�.;a. 5
4
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ACCOUNT INVOICE INVOICE CUSTOMERSALES SALES DATE
NO. NO. DATE NO LOC. REP. ORDERED
90569922 2250138 O8/21/15 90569575 1054 0062 08/20/15
. - J
- '^ ' Route: 5282 / 3 ------�--- - ORDER NUMBER: 750630
8ill Ship RemitCARMEL. CLAY PARKS&RECREAT CARMEL CLAY PARKS&R-ECREAT US Foods, Inc .
'
To: iPO BOX 78000 DEPT #78792
1411 E. 116TH ST To: 123S CENTRAL PARK DRIVE E To:
CARMEL IN CARMEL IN IL EGG INSPECTION FEE PD ,
46032 46032 DETROIT MI
317 843 3e73 48278-0792
'
. .
4tt: ^
ShipFMm�' 123O1 CUMBERLAND RD FISHERS IN ShipD. 08/21/15 Page 01 of 02
FrtTrms�' SoczaJ ENTER OFF OF 111TH STREET ! ! ! `
P tTrms: 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
DRY
A' CS 0791616 CUP, FN 32 Z WHT 2S/20 EA .' ' MONOGRAM CS 36. 4800 $ 36. 48
CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM CS 19. 9100 39. 82
CS 081.4S41 CUP, FM 20 Z WHT 25/20 EA : MONOGRAN CS 22. 9200 45.84
POWER BUY 4. 00-
C, Av' CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ - ORTEGA CS 51. 0000 2SS. 00
of CS_ 4329397 KETCHUP, TMTO FCY SS FOIL PKT 500/9 OR, ; MONARCH CS 14. 8100 14. 81
Ir CS SE97968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 33. 7600 33.76
S CS 9089079 POPCORN, RAU KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 12S. 2S00 126. 21S
REFRIGERATED
3 CS 4754982 ICE CREAN MIX, SOFT SRV VNL 4%2/2. S GA PC VLY DRY CS 29. 3600 88. 08
READY TO EAT - Please Refer to. Re-turn Polic
GS 9836933 I"CE CREAN MIX, SOFT CHOC 4% 2/2.5 GA �C VLY DRY CS 29. 5000 88.SO
READY TO EAT - Please Refer to Return Policy
FROZEN
8 4K, GS 2011278 PRETZEL, KING SOFT P.KD FZN SO/S OZ SUPR PRTZL. CS 36.9100 295.28
4r CS 21S7386 POPSICLE, ASST GRAPE CHRY T 2-/24/3 OZ CS 16ISOO 16. 1S
'17,60099 ICE CREAN SANDWICH, CkY & CRM 24/45 OZ BLUE -BUNNY
e CS CS 23. S700 47. 14
'K4835 ICE- CREAM SANDWICH, CHOC CHIP 24- EA CS 21.0000 42. 00
PRODUCT (,LASS- RECAP
-TOTAL DRY PIECES-ORDERED: - 18 PIECES -SHIPPED: -18 JTEMS -SHIPPED: 8 602. 64
,- .----TOTAL REFRIGERATED PIECES-ORDERED: 6 - PIECES-SHIPP-ED:- , 6 --ITEMS -SHIPPED: -2 176. S8
I PIECES--ORDERED: 1-7 PIECES- SHIPPED:- - ----ITEMS--SHIPPED: 6 4964.07
TOTAL FROZEN 1.7
--------
`
INVOICE INVOICE CUSTnME SALES SALES DATE
� DATE NO. LOC. REP. ORDERED
9. 569922 638 08/28/15 9056957 \/ 1054 0062 08/27/15
Route: 528p� / 60iORDER NUMBER: 758O47
8iII _Ship Remit
CLAY PARKS&RENTEAT
-. f=...k=G6Aj,2ARKS,RECREAT CARMEL
T6: 1411 E. To: 123S CENTRAL PARK DRIVE E To:
PO BOX 76000 DEPT #78792
CARMEL IN CARMEL IN IL EQG INSPECTION FEE PD
4603e 46032 ' DETROIT P1 I
317 843 3873 J 4S27e-0792
Att: MICHELLE COMPTON DEPT # 00 j 800 428 2118
123O1 CUMBERLAND RD ��ISHERS 1NShipD: 08/28/15 Page 01 of 01
Fri;rmsSpcjaJ ENTER OFF OF 111TH STREET! ! ! .
Py.tTrMv NET 30 DAY;--' Instr:
Qty qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
r"*"*"-,---"-"-,",-----,--,"---",-*' ___ ___-_______ _______-__-__-_�__-__--__ -- ___-�__-----__� ______-_- --___'_ _ _ -
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
38986 $ 1,276.54
8/21/15 2250138 Concessions Waterpark 39013 $ 601.32
8/28/15 2466638 Concessions Waterpark
Total $ 1,877.86
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$
$ 1,877.86
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 2250138 4239040 $ 1,276.54 1 hereby certify that the attached invoice(s), or
1095-1 2466638 4239040 $ 601.32 bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
September 8, 2015
$ 1,877.86 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund