HomeMy WebLinkAbout301319 07/28/16 u' "F CITY OF CARMEL, INDIANA VENDOR: 353824
d ONE CIVIC SQUARE U S�FOODS CHECK AMOUNT: $""'7,312.99`
=Q; CARMEL, INDIANA 46032 PO B x 78000 CHECK NUMBER: 301319
M_�oN DEP #78792 CHECK DATE: 07/28/16
DETOIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 0638657 2,138.04 FOOD & BEVERAGES
1095 4239040 0660278 74.40 FOOD & BEVERAGES
1095 4239040 0748488 5,174.95 FOOD & BEVERAGES
1095 4239040 2982575 -74.40 FOOD & BEVERAGES
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 7,312.99
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1095-1 638657 4239040 $ 2,138.04 1 hereby certify that the attached invoice(s), or
1095-1 748488 4239040 $ 5,174.95 bill(s) is(are)true and correct and that the
1095-1 660278 4239040 $ 74.40 materials or services itemized thereon for
1-095=1 —2982575 4239040--$—(7-4.40)—which-charge-is-made-were-ordered-and—
received
$ (74.40) which-charge-is-made-were-ordered-and received except
July 20, 2016
PAM14��
Signature
$ 7,312.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNT CUSTOMER PURCHASEORDER SALES SALES DATE
NO
lotNO. NUMB Er LOC , REP . ORDERED
9O569922 9O5�9575 } \ /� /) 1054 0062 07/11/16
= 1)119
_
' ' ORDER NUMBER: 87805
8ill Ship Re
To: j 1411 E116TH ST To: 123S CENTRAL PARK DRIVE EEP
To '
Or
CARMEL IN CARMEL I N FIE PD
46032 46032 -0 E IRA a-1 Mi
317 843 3873 8278-0792-
Att: MICHELLE COMPTON DEPT # 00 500 A28 2118 '
;hi�Frm. 12301 CUMBERLAND RD FISHERS IN Shi�D� O7/12/16 Page 02 of 02
'rtTrms: SpczaJ ENTER OFF OF 111TH STREET! � !
' t7rms: NET TO DAYS Ihstr-'
Ito Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
rdered Shipped Unit Number D Unit Price Price
*** INVOICE SUMMARY ***
TOTAL WGT SHIPPED: 984. 46 PIECES ORDERED: 64 PIECES SHIPPED: 64 ITEMS SHIPPED: 20
* * PRODUCT TOTAL i 2138. 04
* Federal Occupation Safety and Health Standards. Section 1910. 1200 on Hazard *
* Communication requires manufacturers and distributors to provide Material *
* Safety Data Sheets on non-food products defined to be hazardous. Products *
* such as cleaning products and pesticides are included in the scope of the *
* Standard. In compliance with the law. MSDS are available to US Foods, Inc. *
* customers and can be obtained by contacting the Procurement Manager in our * TAXABLE AMOUNT $ . 00
*-district office -or bu advising your sales representative. * GEN SALES TAX % . 00
* You may contact KEVIN BURTON at phone # Q71) 585 - 6822m �—
* *
This amount is an estimate at time `
JUL 132016
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE ^`
�O. NO. DATE NO. NUMBER / LOC . REP . ORDERED
90569922 0638657 07/12/16 90569575 1054 0062 07/11/16
7N7
Route: 2192 / 3 � \ �~ ORDER NUMBER: 87805 -
8ill Sbip RemitCARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT
To: 1411 E. 116TH STTo� 1235 CENTRAL PARK DRIVE 2 Tod1 1 PO BOX 7@000 DEPT h72792T7 843 3973 48278-0792 ^
CARMEL. 10.1 !CARMEL I N 1L Egg INSPECTION FEE PD
46032 146032 DETROIT ml
Att: { 800 428 2119
L
7hioFrm: 12301 CUMBERLAND RD FISHERS IN ShipD: 07/12/16 Page 01 of 02
-rtTrms: Spczal ENTER OFF OF 111TH STREET{ ! !
' tTrms� NET 30 DAYS Instr�'
�ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
/rJered Shipped Unit Number D Unit Price Price
DRY
1 1 CS 181121S PEPPER, JLP SLCD NACHO HOT 4/1 GA DELPASDO B CS 37. 8800 $ 37.88
6 6 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 53. 9800 323.88
2 2 CS 4329397 KETCHUP, TMTO FCY SS FOIL PVT 500/9 OR MONARCH CS 15. 2200 30. 44
1 1 CS 559780 CHIP, TDRTLA NACHO CHS TRGLE 64/1. 7S OZ DORITOS CS 33. 2700 33.27
1 1 CS 507968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 33. 9000 33. 90
1 1 CS S605472 CHIP, MULTGRN CHEDR SS BAG 64/1.S OZ SUN CHIPS CS 33. 7200 33. 7S
3 3 CS 68OS899 TRAY, PAPR MDU FOOD S LB CLAY 2/250 EA MONOGRAM CS 38. 6600 11S. 98
1 1 CS 70099B8 SAUCE, CHILI HOT BOB W/ BF CAN6/108 OZ CHEF MATE CS 74. 4000 74. 40
1 1 CS 83SS927 NAPKIN, DISPR IMFLD WHT 6. SX1024/250 EA EASYNAP CS 59. 9800 S9. 98
1 1 CS 846140 FORK. MW WHT POLYP BULK PLST 1000 EA PRIME CS 12.000 12.0
3 - 3 CS__ 88 CHIP, TORTLA CQRN YLW RND 6/2 LB DELPASDO CS 22. 3100 66.93
1 1 CS 9865767 GLOVE, CAST POLY LO TXTD AMBDX1O/1OO EA -MONOGRAM B CS 37. 1000 � �� 37. 1O
REFRl8ERATED
2 2 CG 47S4982 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PC VLY DRY CS 28.8S00 57. 70
READY TO EAT - Please Refer to Return Policy
i 1 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. S GA PC VLY DRY C8 29.5000 29. 50
READY TO EAT - Please Refer to Return Policy
� FROZEN
� 12 12 CS 2011278 PRETZEL, KING SOFT BKD FZN SO/S OZ SUPR PRTZL CS 38. 1900 458. 28
4 4 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 37.8400 1S1.36
i S, S CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23. 8000 119. 00
� 8 8 CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 30. 1700 241. 36
4 4 CS 5328604 BUN, HMBGR 4" SLCD TFF BKD FZN8/12/2. 1 DZ HILLTOP HR CS 23. 8000 9S. 20
6 0 CS 5404835 ICE CREAM SANDWICH, CHOC CHIP 24 EA GOOD HUMOR
6 CS 12060 ICE CREAM SANDWICH, VNL CHIPS 24/4- S OZ BLUE BUNNY CS 20. 9300 12S. 58
** PRODUCT CLASS RECAP **
TOTAL DRY PIECES ORDERED: 22 PIECES SHIPPED: 22 !TENS SHIPPED: 12 860. 06
TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 2 87. 20
TOTAL FROZEN PIECES ORDERED: 39 PIECES SHIPPED: 39 ITEMS SHIPPED: 6 1190. 78
| C[Kj
DA _-NOL.- PIlYqBER._ -LOC . -..-REP .. ORDERED
'i7 92
Cr' 233.2000
PlRfljDUfT_ CLASS- RECAP
1 POOL
c -AXABLE AMOUNT .00
This aatou-n-t is av; ces-hiplate at tial,
r ------- - -- - '-- '-- - -' -- --- --' ---- ---- - --- - --' -
-ACCOUNT_- J\�]� PURCHASE ORDER- - 'SALES' __ D�TE' -
___ DATE_-_ _'NO- - -NUM8ER _. _ '_ _ _ LOC_ __REP. ORDERED_ _
, �D58�922 O7�84B� O7/15/16 �O�69575 �- 1O54 0062 O7/14/16
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ACCOUNT INVOICE Jl�`.�IICE CUSTOMER PURCHASE ORDER SALES SALES DATE
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FREIGHT TERMS: SPECIAL 9,1'1_7 11-J E-3 0 P
PAYMENTTERMS: INSTRUCTIONS:
C
QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
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The
perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section 50)of the
Po,lshable AgdCLItUMI Commodities Act,1930(7 U.S.C.499e(c)).The seller of these commodifies,retains a trust claim over Hesee Visit www.usfoods.com for a fast and easy way to order.
commodities,all inventories of food orother pmductsdedved from these commodities,and anY receivables or proceeds from thesaleof X/
these comel'edifieS Infil fall payment Is received.
Interestaccrue on all unpaid balances exceeding established credit tens at a rate equal to the lesser of(a)VIA per month or CUSTOMERS SIGNATURE:
(b)the maximum rate that the customer may lawhilly contract to pay and in all events calculated In accordance with applicable law. 1,0-_JA 11,'74.—
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Page 1 of 1
ACCOUNT NUMBER G5E0ITAMEM022=INVOICE NUMBER ORDER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP
90569922 298257,5 638657 93827 1054 62
CUSTOMER NUMBER CRE ID T MEMIJI� INVOICE DATEL`` ORDER DATE SPECIAL INSTRUCTIONS
90569575 07/18/2016
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
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 SALES PRODUCT DESCRIPTION LABEL CREDIT TYPE PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED
UNIT NUMBER UNIT PRICE PRICE
DRY
1 CS 7009988 SAUCE,-CHILI-HOT-DOGW/-rREFM�E----IMispiCke—d-Prodac-t--j-6/-I08OZ CS $74.40
BF CAN
INVOICE SUMMARY
Product Total $74.40 CR
Sales Tax Rate: $0.00
AMOUNT $74:40 CR` }"
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