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Home My WebLink About250449 10/07/15 CITY OF CARMEL, INDIANA VENDOR: 353824 ® :I ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*****1,320.34* CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 250449 DEPT#78792 CHECK DATE: 10/07/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 199065 536.63 FOOD & BEVERAGES 1096 4239039 92419 783.71 GENERAL PROGRAM SUPPL ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE' NO. NUMBER - - - LOC.* REP. -ORDERED 90569922 0092419-- -09/15/15 90569575 __Sa96 - � - 1054 0062 O9/1 1/15 R0-ute: 2191 / 10ORDER NUMBER: 775191 Bill .__ - Sh-ip __ _ - R6mi CARMEL CLAY PARKS&RECREAT - CARMEL- CLAY AY PARKS&RECREAT To: 1411 E. 116TH ST - T6: 12 S_.-CENTRAL -PARK _DRIB --E- _ _. .. .--To: -- __ _ - - - -- - - - PO BOX- 78000 DEPT-'-#78792 CARMEL IN - C'ARMEL _-- =-- .. -___ � -- --TN---__.._-_-_.__ _._ ___-T f: EG"C;-`INSFaECT ION FEE--PD---- 46032 - - - 46032 - - _ - - -- - ---DETROIT--' _.... .. MI -843 873. . 48278=-0792.. Att: MICk4ELLE_ COMPTON------- - - DEPT-#._070 -__ ffal �t28-2118 _- _ -- --_ _- _. . -. . __ ._ _ __ -- ___-- -_ .___. ____ _ _-_._ - �t z tF'r'rrt: 12301 CUi'113ERLAhiIG_RT� FISHERS u ._.' `It�l gpL�. ^_ __d9%-15/1`S- -` ._ ___. Page 01 :cif;0I ler r S "c za1 _ENTER- OFF--OF--ri-i.TH_'STREET-i-i .i-__-_ _ r�',iffr rts: NET 30 -DAYS __ Ins ti : rQty ___ .Sales Pr dura "" De criptan py(fP-Size - - Lath C-44Jeagii�t F'i^acxn Unit: ---Ezte pled! Ordered Shipped Unit Number D Un itg _-P'ric6 Price ------ 16- ---16- 16 CS 5497284 COOKIE, CHIP AHOY -CHOC 100 CAL72/:B1`-OZ- -CHIPS AHOY._.._. . ._.__ .-_--_-______---CSV -29:4500 X471. 20 3 3 CS 780i483- --CRACKER, CHS PNT BUTR SNDWH'-SO24/6/4 'EA AUSTIN -. _ __-_ -_.-__-_CS . -21.7600. _ _ - 6S.. 28 REFRIGERATED 2 2 CS 0878173 ORANGE, CA CHO FRESH REF 138 EA CROSS- VALY CS_ 34. 7600 69. 52 2 2 CS 3331469 APPLE, GLDN DLC 125 CT -UA. FCY125 -EA CROSS VALY CS" 3S. 3!;00 70. 70 4 4 CS 6006555 - BANANA, YLW FRESH REF 40 LB PACKER CS 25. 4400 101. 76 # PRODUCT- CLASS RECAP TOTAL 'DRY PIECES ORDERED: 19 PIECES SHIPPED:, 19 ITEMS SHIPPED: 2 536. 48 TOTAL REFRIGERATED PIECES ORDERED: 8 PIECES SHIPPED: 8 ITEMS SHIPPED: 3 241.98 �+ INVOICE SUMMARY #. -FUEL SURCHARGE - - 5. 25 TOTAL. WGT SHIPPED: 399. 15 PIECES -ORDERED: 27- PIECES SHIPPED: 27 ITEMS SHIPPED: 5 PRODUCT TOTAL $ 778. 46 7SE ED- 201 CHARGES S.25 TAXABLE AMOUNT $ .00 ------- GEN SALES TAX . 00 This amount is an estimate at time of- shipping prior to any adjustments mad, at delivery: $ 783. 71 we INVOICE Page 1 of 2 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 199065 09/18/2015 90569575 39080 1054 62 09/17/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 781586 NET 30 DAYS 5282 ENTER OFF OF 111TH STREET!!! BILL TO SHIP TO REMIT TOr�- CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods,Inc. 1411 E. BOX 78000 DEPT#78792 CARMEL,N 6032 CARMEL6TH ST 1235 , N 4603TRAL 2RK DRIVE E IL GG INSPECTION FEE PD SEP 2 8 2015 ATTN:MICHELLE COMPTON Dept.:0 DETROIT,MI 48278-0792 (000)000-0000 (317)843-3873 (800)428-2118 BY: SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS, IN DRIVER NAME: Daniel Ireland ROUTE NUMBER: 5282 SHIPPED DATE: 09/18/2015 DRIVER ID: 3220930 STOP NUMBER: 3 INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP I ADJ I UNIT NUMBER UNIT PRICE PRICE DRY 1 1 0 EA 1183599 CANDY,M&M PLN 1.69 OZ M&M 48 EA B EA $52.5200 $52.52 1 1 0 CS 5585476 CHIP,PTATO BKD ORIG GLTN/FR BAKED LAYS 64/1.125 OZ CS $31.9900 $31.99 2 2 0 CS 5597604 CHIP,CHS CNCHY PLN SS BAG CHEE-TOS 64/2 OZ CS $33.7200 $67.44 1 1 0 CS 5597810 CHIP,TORTLA COOL RANCH TRGLE DORITOS 64/1.75 OZ CS $30.8200 $30.82 2 2 0 CS 5597851 CHIP,TORTLA NACHO CHS TRGLE DORITOS 64/1.75 OZ CS $31.5800 $63.16 2 2 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $33.7600 $67.52 2 2 0 CS 5601679 CHIP,PTATO REG PLN SS BAG LAY'S 64/1.5 OZ CS $31.1200 $62.24 1 1 0 EA 6210777 CANDY,KIT KAT VNDG STD 1.5 Z KIT KAT 36 EA EA $30.5800 $30.58 1 1 0 EA 6717219 CANDY,BAR SNCKR SS DMSTC 1.86 SNICKERS 48/1.86 OZ EA $35.4300 $35.43 1 1 0 EA 8036576 CANDY,M&M PNT 1.74 OZ M&M 48 EA EA $34.1400 $34.14 2 2 0 EA 8053126 CANDY,RESES PNT BUTR CUP REESE'S 36 EA EA $27.7700 $55.54 PRODUCT CLASS RECAP PRODUCTCLASS TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED ADJUSTED DELIVERED SHIPPED SHIPPED PRICE DRY 16 16 0 16 11 95.95 $531.38 DELIVERY SUMMARY TOTALS 16 16 0 16 11 95.95 $531.38 Page 1 of 2 U 1 INVOICE � Page 2 of 2 " ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 199065 09/18/2015 90569575 39080 1054 62 09/17/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 781586 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETM DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $536.63 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 $536.63 INVOICE SUMMARY Product Total $531.38 FUEL SURCHARGE $5.25 Sales Tax Rate: 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 10/18/2015 $536.63 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. -1v7 C CUSTOMER SIGNATURE: mark c SIGNED AT: 09/18/2015 10:54 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 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 9/15/15 92419- Tour de Carmel Snacks 2015 39066 $ 783.71 9/18/15 199065 Concessions 39080 $ 536.63 Total $ 1,320.34 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$ $ 1,320.34 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1096-60 92419 4239039 $ 783.71 1 hereby certify that the attached invoice(s), or 1095-1 199065 4239040 $ 536.63 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 October 1, 2015 Signature $ 1,320.34 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund