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301565 08/04/16
y r_CAq� CITY OF CARMEL, INDIANA VENDOR: 353824 ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $***"`8,733.95• :• ?,. CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 301565 DEPT#78792 CHECK DATE: 08/04/16 DETROIT MI 48278-0792 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 4239040 4,084.62 FOOD & BEVERAGES 1095 4239040 846365 4,649.33 FOOD & BEVERAGES Voucher No. Warrant No. 353824 U S FoodService, Inc. Allowed 20 Dept 78792 P.O. Box 78000 Detroit, MI 48278-0792 In Sum of$ $ 8,733.95 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 846365 4239040 $ 4,649.33 1 hereby certify that the attached invoice(s), or 1095-1 1051474 4239040 $ 4,084.62 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 July 28, 2016 Signature $ 8,733.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 7/19/16 846365 Concessions 40334 $ 4,649.33 7/26/16 1051474 Concessions 40352 $ 4,084.62 Total $ 8,733.95 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 moi. INVOICE MOM Page 4 of 4 ACCOUNT NUMBER INVOICE NUMBER INVOICE'DATECUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 905699226365=������''�'�- = 67/19/2016 f 90569575 1054 62 07/18/2016 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 94388 NET 30 DAYS 2192 ENTER OFF OF 111TH STREETM (DELIVERY SUMMARY TOTALS 160 148 1 1 147 39 1,969.55 $4,649.33 DELIVERY SUMMARY AS SHIPPED DELIVERY AMOUNT $4,709.31 Product Total Adjustments $59.98 CR Total Charges Adjustment $0.00 Total Allowance Adjustment $0.00 Sales Tax Adj: Rate:VAR $0.00 TOTAL ADJUSTMENT 59.98 DELIVERED AMOUNT $4,649.33 INVOICE SUMMARY Product Total $4,649.33 �SaallessT-ax--- _ _ _ _Rate:_ $0.00 � LEAP SE REMIT THIS AMOUNT BY 08/18/201_ 6 $4,649.33 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. CUSTOMER SIGNATURE: honor drop j SIGNED AT: 07/19/2016 10:02 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)428-2118 Page 4 of 4 tiss INVOICE Page 3 of 4 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 846365 07/19/2016 90569575 1054 62 07/18/2016 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 94388 NET 30 DAYS 2192 ENTER OFF OF 111TH STREETM INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE 1 1 0 CS 9865767 GLOVE,CAST POLY LG TXTD AMBDX MONOGRAM 10/100 EA B CS $37.1000 $37.10 REFRIGERATED 1 1 0 CS 4365219 CHEESE,AMER SLCD 135 SUPRCR GLNVW FRMS 4/5 LB B CS $59.3600 $59.36 5 5 0 CS 4754982 ICE CREAM MIX,SOFT SRV VNL 4% PC VLY DRY 2/2.5 GA CS $28.8500 $144.25 READY TO EAT-Please refer to return policy 3 3 0 CS 9836933 ICE CREAM MIX,SOFT CHOC 4% PC VLY DRY 2/2.5 GA CS $29.5000 $88.50 READY TO EAT-Please refer to return policy FROZEN 6 6 0 CS 2011278 PRETZEL,KING SOFT BKD FZN SUPR PRTZL 50/5 OZ CS $38.1900 $229.14 9 9 0 CS 2260099 ICE CREAM SANDWICH,CKY&CRM BLUE BUNNY 24/4.5 OZ CS $24.6700 $222.03 6 6 0 CS 3041423 CORN DOG,AM CN FZN STATE FAIR 48/4 OZ CS $37.8400 $227.04 9 9 0 CS 3328606 BUN,HOT DOG 6"SLCD TFF BKD HILLTOP HR 8/12/1.7 OZ CS $23.8000 $214.20 14 14 0 CS 3330099 HOT DOG,AB 6:1 6"RLR GRIL PATUXENT 10 LB CS $30.1700 $422.38 41 4 0 CS 5328604 BUN,HMBGR 4"SLCD TFF BKD FZN HILLTOP HR 8/12/2.1 OZ CS $23.8000 $95.20 11 11 0 CS 5383054 BEEF,PTY GRND 3 Z PUB FLAME CTLMN SLCT 53/3 OZ CS $63.8500 $702.35 12 0 0 CS 5404835 ICE CREAM SANDWICH,CHOC CHIP GOOD HUMOR 24 EA $0.0000 $0.00 *SUB* 0 0 CS 1258631 ICE CREAM SANDWICH,VNL CHIPS BLUE BUNNY 24/4.5 OZ $0.0000 $0.00 11 11 0 CS 7175128 ICE CREAM CONE,VNL TFF BB CHAMP 2/12/4.6 OZ CS $22.7500 $250.25 10 10 0 CS 18187999 ICE CREAM BAR,CHOC TACO&VNL KLONDIKE 24/4 OZ CS $24.6600 $246.60 1 1 0 CS 8765059 BEEF SUB,PTY MEATL VEG 3 CHEFS LINE 36/4.25 OZ CS $47.1400 $47.14 **PRODUCT CLASS RECAP** PRODUCT CLASS TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL PIECES TOTAL ITEMS TOTAL WEIGHT TOTAL EXTENDED ORDERED SHIPPED ADJUSTED DELIVERED SHIPPED SHIPPED PRICE DRY 58 58 1 57 26 873.43 $1,700.89 REFRIGERATED 9 9 0 9 3 387.60 $292.11 FROZEN 93 81 0 81 10 708.52 $2,656.33 Page 3 of 4 US6 INVOICE FOOM Page 2 of 4 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 846365 07/19/2016 90569575 1054 62 07/18/2016 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 94388 NET 30 DAYS 2192 ENTER OFF OF 111TH STREET!!! INVOICE LINE DETAILS QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE DRY 10 10 0 CS 779991 WATER,SPRG PLST BTL TWIST CAP THIRSTER 24/16.9 OZ CS $5.0100 $50.10 2 2 0 CS 814236 CUP,FM 16 Z WHT MONOGRAM 20/25 EA CS $18.8600 $37.72 1 1 0 CS 814541 CUP,FM 20 Z WHT MONOGRAM 25/20 EA CS $23.4000 $23.40 1 1 0 CS 1462803 SPOON,TEA MW WHT POLYP BULK PRIME 1000 EA CS $13.1000 $13.10 1 1 0 CS 1811215 PEPPER,JLP SLCD NACHO HOT DELPASDO 4/1 GA B CS $37.8800 $37.88 1 1 0 CS 3256104 LID,CUP 12-24 Z BBL PLST WINCUP 1000 EA CS $18.61001 $18.61 8 8 0 CS 4260238 SAUCE,CHS NACHO SHLF STABL ORTEGA 4/107 OZ CS $53.9800 $431.84 3 3 0 CS 4329397 KETCHUP,TMTO FCY SS FOIL PKT MONARCH 500/9 GR CS $15.2200 $45.66 1 1 0 CS 5311600 CONE,ICE CRM CAKE 22S FLAT JOY CONE 36/20 EA CS $47.8900 $47.89 2 2 0 CS 5329289 MUSTARD,YLW SS POUCH MONARCH 500/5.500 GR CS $13.2500 $26.50 1 1 0 CS 5585476 CHIP,PTATO BKD ORIG GLTN/FR BAKED LAYS 64/1.125 OZ CS $31.9100 $31.91 2 2 0 CS 5597604 CHIP,CHS CNCHY PLN SS BAG CHEE-TOS 64/2 OZ CS $33.9000 $67.80 3 3 0 CS 5597851 CHIP,TORTLA NACHO CHS TRGLE DORITOS 64/1.75 OZ CS $33.2700 $99.81 3 3 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $33.9000 $101.70 21 2 0 CS 5601679 CHIP,PTATO REG PLN SS BAG LAY'S 64/1.5 OZ CS $31.0600 $62.12 2 2 0 CS 5605431 ICHIP,MULTGRN GRDN SALSA SS SUN CHIPS 64/1.5 OZ CS $33.7500 $67.50 1 1 01 CS 5605472 CHIP,MULTGRN CHEDR SS BAG SUN CHIPS 64/1.5 OZ CS $33.7500 $33.75 1 1 0 CS 5605522 CHIP,MULTGRN ORIG SS BAG SUN CHIPS- 64/1.5 OZ CS $33.7500 $33.75 1 1 0 EA 6210777 CANDY,KIT KAT VNDG STD 1.5 Z KIT KAT 36 EA EA $31.1400 $31.14 21 2 0 CS 6329213 RELISH,PKL SWT SS POUCH MONARCH 200/9 GR CS $15.9300 $31.86 2 2 0 CS 6805899 ITRAY,PAPR MDW FOOD 5 LB CLAY MONOGRAM 2/250 EA CS $38.6600 $77.32 1 1 0 CS 7009988 SAUCE,CHILI HOT DOG W/BF CAN CHEF MATE 6/108 OZ CS $74.4000 $74.40 1 1 -1 CS 8355927 NAPKIN,DISPR INFLD WHT 6.5X10 EASYNAP 24/250 EA CS $59.9800 $0.00 1 1 0 CS" 9328311 WRAP,FOIL 12X10.75 INFLD POP MONOGRAM 12/200 EA B CS $128.7900 $128.79 41 4 0 CS 19463688 CHIP,TORTLA CORN YLW RND IDELPASDO 6/2 LB CS $22.31001 $89.24 Page 2 of 4 US, INVOICE Foom Page 1 of 4 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 86365 07/19/2016 ] 90569575 1054 62 07/18/2016 FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS 94388 NET 30 DAYS 2192 ENTER OFF OF 111TH STREET!!! BILL TO SHIP TOREMIT TO CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT (JS Foods,Inc. 1411 E.116TH ST 1235 CENTRAL PARK DRIVE E SPO BOX'78000DEPT#78792 CARMEL,IN 46032 CARMEL,IN 46032 IL EGG INSPECTION FEE P,D ATTN:MICHELLE COMPTON Dept.:0 DETROIT,MI 48278-0792 (000)000-0000 (317)843-3873 j800)-428 2-118 SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS,IN DRIVER NAME: Jesse Esteban ROUTE NUMBER: 2192 SHIPPED DATE: 07/19/2016 DRIVER ID:. 3220777 STOP NUMBER: 3 REUr��J �� JUL 21 2016 BY: Page 1 of 4 ACCOINTV 1MMOICE ( INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE. No, DATE NO. NUMB0 LOC . REP . ORDERED 9056V?2c 10SI474 07/26/16 10569S7S 982(.,, 1054 0062 07/ES/16 19 !RmUMBER: 10196- Hill rh CARMEL CLAY PARKS&RECREAli- ZCARMEL CLAY PARKS&RECREAT -1 US Foods, To: 1411 E, 116TH S-11' To: 1235 CENTRAL PARK DRIVE E X To: / 1 1 PO soX 78000 DEPT #78772 CARMEL ! CARMEL IN IL EGG 1NEPECTION FEE PON 46032 146032 DETRO11" 111 ' 317 B43 QS73 - 48278-0792 Att: `�` �._ 42B 21. 12 _ ��ipF �) m 12301 CUMBERLAND RD FISHERS IN ShipD� 07/26/16 - - — Page 02 of 02 rrtTrms. l ENTER OFF OF 111TH STREET! ! i ' " tTrms: NET 30 DAYS Ihstr. 6ty qty Sales Product Descripton Pack Size Label C Weight pricing Unit Extended }rdered Shipped Unit Number D Unit Price Price ACCif-L-,�IT IN\ICJICE INVOICE CUSTOMER PURCHASE ORDER BALES SALES DATE rd) NO. DATE NO. NUMBER LOC REP . ORDERED 90569922 1051474 07/26/16 90569575 9920 1054 0062 07/25/16 Route: 2192 / 3 ORDER NUMBER: 101963 EPIl Ship Beo:i1CARMEL inc .t To: 1411 E. 116TH ST - TTo: PO BOX 78000 DEPT #78792 CARMEL IN ICARMEL IN IL EGG !NSPECTION FEE PD 46032 146032 PETROIT ?41 ' 317 843 3873 48278-0792 Att: MICHELLE COMPTONIDEPT 0 00 SOO 42S 2118 < 7hipFrm� 12301 CUMBERLAND RD FISHERS IN ShiPD� 07/26/16 Page 01 of 02 ��tTrms. SpczaJ ENTER OFF OF 111TH STREETI ! l � tTrmsNET 30 DAYS Ihstr: Ay Qty Sales Product Descripto-r.. Pack Size Label C Weight PricinUnit Extended )rdered Shipped Unit Number D Unit- Price Price ������� ����� ��� ....... �������� ' DRY _ is CS O779991 WATER, SPRG PLST BTL TWIST CAP24/16. 9 OZ THIRSTER CS 5. 0100 $ 75, 1S 1 CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM C5 18. 8600 18. 86 1 CS 081041 CUP, FM 20 Z WHT 2S/20 EA MONOGRAM CS 23. 4000 23. 40 1 CS 14628O3 SPOON, TEA MW WHT POLYP BULK 1000 EA PRIME CS 13. 1000 13. 10 1 CG 18i1215 PEPPER, JLP SLCD NACHO HOT 4/1 GA DELPASDO F, CS 37. 8800 37. 8-8,` 3 CS 32S6104 LID, CUP 12-24 Z BBL PLST 1000 .EA WINCUP CS 18. 6100 55. 83 10 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 DZ ORTEGA CS 53. 9800 539. 80 � 1 CS 4329397 KETCHUP, TMTO FCY SS FOIL PKTSOO/% GR MONARCH ' _ ` C9 1S. 2200 15. 22 � 1 CS S585476 CHlP, PTATO BKD ORIG GLTN/FR 64/1,.12S OZ BAKED LAYS CS 31. 9100 31. 91 � xr1 1 CS SS97604 CHIP, CHS CNCHY PLN SS BAG 64/2 `OZ CHEE-TOS CS 33. 9000 33. 90 � 2 CS 55978S1 CHIP, TORTLA NACHO CHS TRGLE 64/1. 75 OZ DORITOS CS 33. 2700 66. E4 � w^ 1 1 CS S597968 CHIP, CORN ORIG TFF SS BAG 64/21OZ FRITOS CS 33, 9000 33. 90 � 1 CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.5 OZ LAY'S CS 31. 0600 31. 06 � Vol 1 CS S60SS22 , CHIP, MULTGRN ORIS SS BAG 64/0S OZ SUN CHIPS CS 33. 700 33. 75 1 EA 6717219 CANDY, BAR SNCKR SS DMSTC 1. 8648/1.86 OZ SNICKERS EA 36. 1500 36. 15 � 4 CG 680S899 TRAY, PAPR MDW FOOD S LB CLAY 2/2SO EA MONOGRAM CS 38.6600 1S4. 64 � 2 CS 7009988 SAUCE, CHILI HOT DOG W/ BF CAN6/108 OZ CHEF MATE CS 74. 4000 148. 80 � 1 EA 8036576 CANDY, MAN PNT 1, 74 OZ 48 EA M & M EA 34, 1400 34. 14 � 1 CS 8461451 FORK, MW WHT POLYP BULK PLST 10001A PRIME CS 12 SSO0 12.SS � 3 CS 8742934 KNIFE, MW WHT PLYST BULK PLST 10001EA MONOGRAM CS 23. 12010 69. 36 � 1 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 24. 6800 24. 68 � imp 1 CS 9328311 WRAP, FOIL 12X10. 7S INFLD POP 12/200 EA MONOGRAM B CS 128. 7900 128. 79 7 CS 9463688 CHIP' TORTLA CORN YLW RHO 6/2 LB DELPASDO CS 22. 3100 156. 17 y 1 CS 9864257 STRAW, JMB 7. 70 B TNSLT UWRPD SO/250 EA MONOGRAM CS ' ' ' `'~ 79- 90 � � 2 CS 9865767 GLOVE, CAST �OLY LG POLY AMBDX1O/100 EA MONOGRAM B CS ^ «� 1 1 CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 24. 4300 24. 43 REFRIGERATED .^� 2 CS 47S4982 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PC VLY DRY C6 28, 8S00 S7, 70 - READY TO EAT - Please Refer to Retdrn Polic"� 1 EA 9477145 CANDY, M&M PLH GS REF 38/1.69 OZ & M B EA 4S. 3400 45. 34 CS 9836933 ICE CREAM MIX, SOFT CHOC 4% 2/2. 5 GA PC VLY DRY CS READY TO EAT - Please Refer to Return Policy - --� -' FROZEN S CS 2011278 PRETZEL, RING SOFT BKD FZN S0/S OZ SUPR PRTZL CS 38. 1900 CS 2260099 ICE CREAM SANDWICH, CKY & CRM 24/4.S DZ BLUE BUNNY CS 3 � _........