252157 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 353824
ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*******917.54*
CARMEL, INDIANA 46032 PO 80x 78000 CHECK NUMBER: 252157
DEPT#78792 CHECK DATE: 12/02/15
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1793129 917.54 FOOD & BEVERAGES
'
�CCOi�'TICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
t"IO , - NC) , ' DATE ' NO. NUMBER LOC REP � ORDERED
9O569922179�129 1 1/O6/l5 -9OS69575 1054 0062 I !/0S/1S
|Routw'5282 / Z --------� ORDER NUMBER: 834216 ^
8ill Ship Remit
To: 141L E. 116TH. ST _To4 1235.CENTRAL PARK DRIVE E To. 00 BOX 7aQ00 DEPT QW92
PARKS&RECREAT US
46032 46032. DETRO!"If" V41
-317 843 48278-0792
Att: MICHELLE COMPTON MEET- # CID 800 42B. 2118
W ipFrn/: I2301 CUMBERLAND RU . .. . ,FISHERS IN Sh1pQ 11/06/15 Page 01 of 01
Frt7rms: ci~e2 ENTER-OFT OF 111TH ETREET ! ! !
P tTrms: NET 30 DAYS' - - '__- __-_- '__-_' ._ Iostm ____--___--- - - - -
Qty Qty Sales Product ... Size ..Label... Weight Pricing JUnit Extended
Ordered Shipped-Urit'- _Number__- --_'___ ______-__.--____________ - '- - --__-___- '-D _-' -' '_ -Uuit- _ .}`rice Price
I JCS
6 ,6 CS 201127S PRETZELn-KING SOFT BVD FZN _SO/S OZ SUPR -P&W 1 CS 36. 4100 221. 46
I CS WS128 ICE-CREAM TONE4 VNL TFF 2/12/4. 6 OZ PB CHAMP _ CS 23. 5100 23. 51
P ROD-0-b-1-b LASS RESP
TOTAL DRY f0us MERS: 21 PIECES SHIPPED: 21 1TEMS SHIPPED: 6 649. 00
TOTAL FROZEN VECES ORDERED: 8 PIECES SHIPPED: - 8 ITEMS SHIPPED: 3 268. 54
WOT SHIPPED: 433.23 FIECES ORDEREW 29 PIECES SHIPPEK : 29- 7 ITEMS SHIPPED: 1i
PRODUCT TOTAL 917. 54
NOV 16 2
_4E.31 SALES TAX 00
`
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
11/6/15 1793129 Indoor Concessions 39220 $ 917.54
Total $ 917.54
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$
$ 917.54
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 1793129 4239040 $ 917.54 1 hereby certify that the attached invoice(s), or
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
November 23, 2015
Signature
$ 917.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund