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251362 11/04/15 �l CITY OF CARMEL, INDIANA VENDOR: 353824 ® ei ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $********40.13* CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 251362 DEPT#78792 CHECK DATE: . 11/04/15 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 1030424 40.13 GENERAL PROGRAM SUPPL 1081 4239039 1126345 40.13 GENERAL PROGRAM SUPPL 1081 4239039 2979226 -40.13 GENERAL PROGRAM SUPPL ACCOUNT VOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED tis. FOODS BILL SHIP _ :i.., REMIT TO: ' TO: ', I•, " �', . I- TO: ATT. SHIPPED FROM: f _ SHIP DATE: _ p, FREIGHT TERMS: SPECIAL ��l : PAYMENT TERMS: " 3 INSTRUCTIONS: QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ' ORDERED SHIPPED ✓ UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE � f. <.�.," �;..-r_+i• „_. i� ,. -: _ .6 lo ,'�:�_.il. _ ,, 11--•,;- ,.r . r,.. . �I •J � •�'j�ii V AJ „ A p 0�T q � "c015 m d Z g / r O The perble AgeegricalCo camitiesAslisted on U S.C.eiceereshaseler o these statutorytrustretains a trust st claim section the Visit www.usfoods.eom for a fast and easywayto order. LL Perishable Agricultural Commodities Act,1930(7 U.S.C.499e(c)).The seller of these commodities retains a trust claim over Hese X___ ��;y„_ commodities,all inventories of food or other products derived}tram these commodities,and any receivables or proceeds from diesels of these commodities until full payment is received. Ca CUSTOMERS SIGNATURE: i Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equa to the lesser of(a)1-A per month or of the maximum rate that the customer may lawfu'ly contract to Payand ir all events celculatea in accordance ,-:h applicable law y�e fjf L�`O[[1L�CIC[tLP.d2 WILL CALL INVOICE S' Page 1 of 1 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 1126345 10/16/2015 90569575 1054 62 10/14/2015 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 811075 NET 30 DAYS 9146 Michelle will pick up BILL TO SHIP TO REMIT TO RZEC IVE1 D 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 0 C T 2 3 2015 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 By: SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS,IN DRIVER NAME: ROUTE NUMBER: 9146 SHIPPED DATE: 10/16/2015 DRIVER ID: STOP NUMBER: 1 INVOICE LINE DETAILS QUANTITY I SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT I PRICING UNIT EXTENDED ORD SHP I UNIT NUMBER UNIT PRICE PRICE DRY 1 1 CS 5513429 CHIP,CORN REG SS FRITOS 104/1 OZ CS 1 $40.1300 $40.13 PRODUCT CLASS RECAP PRODUCT CLASS TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED SHIPPED SHIPPED PRICE DRY 1 1 1 6.50 $40.13 DELIVERY SUMMARY TOTALS 1 1 1 6.50 $40.13 INVOICE SUMMARY Product Total $40.13 Sales Tax Rate: $0.00 PLEASE REMIT THIS AMOUNT BY 11/15/2015 $40.13 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. Promotional allowances,cash discounts,prompt pay discounts,growth programs and all other incentives are retained by U.S.Foodservice®and do not reduce Product Price.Product Price is defined as the supplier,packer,or any vendor delivered cost or f.o.b unit price plus standard freight less off-invoice discounts or off-invoice allowances(i.e.,manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the invoice). 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 1 of 1 use CREDIT MEMO RXw Page 1 of 1 ACCOUNT NUMBER CREDIT MEMO NUMBER INVOICE NUMBER ORDER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP ! 90569922 2979226 1126345 815986 1054 62 CUSTOMER NUMBER CREDIT MEMO DATE INVOICE DATE ORDER DATE SPECIAL INSTRUCTIONS 90569575 2015/10/20 10/16/2015 10/20/2015 BILL TO SHIP TO REMIT TO [�Cmvurj 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 OCT 2 3 2015 CARMEL,IN 46032 CARMEL,IN 46032 IL EGG INSPECTION FEE PD ATTN:MICHELLE COMPTON Dept.:0 DETROIT,MI 48278-0792 BY: (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 I SALES I PRODUCT DESCRIPTION LABEL CREDIT TYPE PACK SIZE CODE WEIGHT I PRICING I UNIT EXTENDED UNIT NUMBER UNIT PRICE PRICE DRY -11 CS 15513429 ICHIP,CORN REG SS IFRITOS jorder Entry Error 104/1 OZ I CS 1 $40.13 ($40,13) I INVOICE SUMMARY Product Total $40.13 CR Sales Tax Rate: $0.00 AMOUNT $40.13 CR i Page 1 of 1 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 10)14/15 1030424 WB Tortilla Chips xx2836 $ 40.13 10/16/15 1126345 Duplicate Order xx2836 $ 40.13 10/16/15 2979226 Credit for Duplicate Order xx2836 $ - (40.13) Total $ 40.13 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$ $ 40.13 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 1081-11 1030424 4239039 $ 40.13 1 hereby certify that the attached invoice(s), or 1081-11 1126345 4239039 $ 40.13 bill(s) is(are)true and correct and that the 1081-11 2979226 4239039 $ (40.13) materials or services itemized thereon for which charge is made were ordered and received except October 23, 2015 Signature $ 40.13 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund