HomeMy WebLinkAbout301870 08/11/16 *° CITY OF CARMEL, INDIANA VENDOR: 353824
CHECK AMOUNT: S'•*"11,805.35'
..� e ONE CIVIC SQUARE U S FOODS
4. CARMEL, INDIANA 46032 PO BOX 78000 CHECK&NUMBER: 301870
DEPT#78792 CHECK DATE: 08/11/16
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1177862 5,925.07 FOOD & BEVERAGES
1095 4239040 967440 5,880.28 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$
$ 11,805.35
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#ITITL AMOUNT Board Members
Dept#
1095-1 967440 4239040 $ 5,880.28 1 hereby certify that the attached invoice(s), or
1095-1 1177862 4239040 $ 4,489.78 bill(s) is (are)true and correct and that the
1095-1 1289054 4239040 $ 1,435.29 materials or services itemized thereon for
which charge is made were ordered and
received except
August 4, 2016
Signature
$ 11,805.35 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
7/22/16 967440 Concessions 40349 $ 5,880.28
7/29/16 1177862 Concessions 40377 $ 4,489.78
8/2/16 1289054 Concessions 40395 $ 1,435.29
Total $ 11,805.35
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
tt
INVOICE AUG 02 2016
Page 4 of 4
I3Y
ACCOUNT NUMBER tNVO1CI=NUMBER t v iNVG}IGE�diIT CUSTOMER NUMBER PAIRCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
_ 1054 62 07121!2016
90569922 90569575 L *-tq
t
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPE tt f IONS
98539 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETIII
(DELIVERY SUMMARY TOTALS 194 194 1 193 401 2,760.03 $5,880.28
DELIVERY SUMMARY
AS SHIPPED DELIVERY AMOUNT $5,914.03
Product Total Adjustments $33.75 CR
Total Charges Adjustment $0.00
Total Allowance Adjustment $0.00
Sales Tax Adj: Rate:VAR $0.00
TOTAL ADJUSTMENT 33.75
DELIVERED AMOUNT $5,880.28
INVOICE SUMMARY
- ----—_ --—---
Product Total $5,880.28
Sales Tax Rate $0.00
PLE` AS RENItf THIS<ANtOL1NT BY 0812`112016'f $5,88028
CUSTOMER ACCEPTANCE
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)1-112%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: .MICHELLE COMPTON
SIGNED AT: 07/22/2016 11:17 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
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ACCERnIT CUSTOMER CHASE ORDER SALES SALES
ORDERED
NO. NUMBER LDC. REP.
Route: S282 4 ORDER NUMBER: 98539
Bill Ship
CARMEL CLAY PARKS&RECREAT V'
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
4. PC BOX
CARMEL IN CARMEL I 1\1 -10 EGO- INSPECTIONJE!
46032 46032 DETROIT P I,
i717 843 3373
Att: MICHELLE COMPTON I DEPT 0 00 '0 428 2110I .' j I................ ....... .....................---------
7h Fr � G. CUMBERLAND RD FISHERS IN Shi�D� 07/22/16 Page 01 of 02
r�t�rms. Spcza! ENTER OFF OF 111TH STREET! ! !
' tTrms.' NET TO DAYS ' Ins W.
My Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
/rdered Shipped Unit Number D Unit Price Price
--
DRY
CS O779991 R. PLST BTL TWIST CAP24/16� 9 OZ `- O10O $ 60. 12
`�------�, CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGR N S 37.2200 37. 22
-�-------�, CS 0814236 CUP, FM i6 Z WHT 20/2S EA MONOGR N S 18. 8600 18. 86
-�--^�_--�' CS 0814541 CUP, FM 20 Z WHT 2S/20 EA MONOGR S 23. 4000 23. 40
-------0 CS 32S6104 LID, CUP 12-24 Z BBL PLST 1000 EA WINCUP is 18. 6100 37. 22
EA 4053336 CANDY, BAR MILK CHOC 36/1.0 OZ AERSHEly EA 31. 4400 31. 44
CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 DZ ORTEGA CS 53. 9800 539. 80
~�------1` CS 4329397 KETCHUP, TMTO FCY SS FOIL PVT SOO/9 OR MONARCH CS 15.2200 60. 88
CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS 47. 8900 95. 78
CS E329289 MUSTARD, YLW SS POUCH 500/5. S00 OR MONARCH CS 13. 200 13. 2S
�-------�� CS SS97604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 33. 9000 33. 90
4------T CS SS97851 CHIP, TORTLA NACHO CHS TRGLE 64/1. 7S OZ DORITOS CS 33. 2700 33. 27
�--------�^ CS SS97968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOSCS 33. 9000 33. 90
�-`._----� CS S601679 CHIP. RIAIQ REQ PLN SS LAI 64/1. 5 OZ LAY'S 6� L- `l�^ CS 310600 31. 06
1 1 CS 560S431 640.5 OZ SUN CHIPS ~ ' � / ' ' CS 33. 700
�-------& CS S60472 CTTTT-MU[TGRN CHED AG 64/1. 5 OZ SUN CHIPS CS 33. 7SO0 33. 75
EA 6210777 CANDY, KIT KAT VNDG STD 1.S Z 36 EA KIT KAT EA 31. 1400 31. 14
CS 6329213 RELISH, PVL SWT SS POUCH 200/9 OR MONARCH CS 15. 9300 31. 86
CS 6805899 TRAY, PAPR MDW FOOD S LB CLAY 2/20 EA MONOGRAM CS 38. 6600 77. 32
+�-----`I- CS 7009988 SAUCE, CHILI HOT DOG W/ BF CAN6/108 OZ CHEF MATE CS 74. 4000 74. 40
�------� EA 8OS3126 CANDY, RESES PNT BUTR CUP 36 EA REESE'S EA 27. 7700 27. 77
0-------t CS 84614S1 FORK, MW WHT POLYP BULK PLST 1000 EA PRIME CS 12- 000 12.1S
e----~--11 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 24. 6800 74. 04
&4~---To CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB DELPASDO CS 22. 3100 223. 10
-0-------t CS 99S4371 LID. CUP 32 Z STRAW SLTD PLST 10/0 EA MONOGRAM CS 24. 4300 24. 43
�
REFRIGERATED
� �--~----0 CS 436S219 CHEESE, AMER SLCD 13S SUPRCR 4/S LB GLNVW FRMS B CS S9.3600 S9. 36
4------- CS 4754982 ICE CREAM MIX, SOFT SRV VNL 4%2/2. S GA PC VLY DRY CS 28- 8500 230. 80
READY TO EAT - Please Refer to Return Policv
-��-----+� CS 9836933 10 CREAM MIX, SOFT CHOC 4% 2/2. S GA PC VLY DRY CS 29- SOOO 177. 00
READY TO EAT - Please Refer to Return Policy
FROZEN
40-----77~ CS 201278 PRETZEL, KING SOFT BKD FZN SO/S OZ SUPR PRTZL CS 38- 1900 08. 28
0------I" CS 2157386 POPSICLE, ASST GRAPE CHRY TWIN2/24/3 OZ BLUE BUNNY CS 21- 9900 109. 9S
� ~�-------4- CS 2260099 ICE CREAM SANDWICH, CKY & CRM 24/4�S OZ BLUE BUNNY CS 24. 6700 197.36
ACCOUNT INVOIC� INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE '
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED ~
9O569922 0967440 07/22/16 90569575 1054 0062 07/21/16
Route: 5282 / 4 ORDER NUMBER: 985]9
8ill Ship Remit
To: To: To: PO BOX 78000 DEPT *�C-7i�2
Att:
7hjpFrm.' 123O1 CUMBERLAND RD FISHERS IN 9/1ipD: 07/22/16 Page 02 of 02
rrtTrms.' Spczal ENTER OFF OF 111TH STREET! ! !
' tTrms. NET 30 DAYS Instr.
dity Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
/rdered Shipped Unit Number D Unit Price Price
��------�� CS 3O41423 CORN DOG, AM CN FZN48/4 OZ STATE FAIR CS 37- 84100 264. 88
CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23.800O 285. 60
CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 1O LB PATUXENT CS 30. 1700 603. 40
4------�~ CS 5328604 BUN, HMBGR 4" SLCD TFF BKD FZN8/12/2. 1 OZ HILLTOP HE. CS 23� 8O0O 190. 40
CS S333054 BEEF, U LAME S3/3 OZ CTL11N SLCT 8 O ?57. 75
*SU CS 12S8631 ICE CREAM SANDWICH, VNL CHIPS 24/4. :.) OZ BLUE BUNNY CC Zg. �j00 '109. -10
CS 717S128 ICE CREAM CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 22. 7SOO 182. 00
CS 8187999 ICE CREAM BAR, CHOC TACO & VNL24/4 OZ KLONDIKE CS 24. 6600 246. 60
�---`—~-�' CS 876S0S9 BEEF SUB, PTY MEATL VEG 3 36/4� 2S OZ CHEFS LINE CS 47. 14OO 47� 14
** PRODUCT CLASS RECAP **
TOTAL DRY PIECES ORDERED: 63 PIECES SHIPPED: 63 ITEMS SHIPPED: 255 1694. 21
� TOTAL REFRIGERATED PIECES ORDERED 1S PIECES SHIPPED� 1S ITEMS SHIPPED� 3 467. 16
� TOTAL FROZEN PIECES ORDERED: 116 PIECES SHIPPED: 116 ITEMS SHIPPED: 12 3752. 66
� *** INVOICE SUMMARY ***
� TOTAL WGT SHIPPED: 2766 O3 PIECES ORDERED: 194 PIECES SHIPPED: 194 ITEMS SHIPPED: 40
�
PRODUCT TOTAL $ S9'1 4. 03J
Federal Occupation .Safety a-nd 14--alth 'Standerds. Section 1910. 12100 on Hazard
CommuniCatiOn requires and dis;-tributors -to provide r1aterial
Safe-ty Data Sheets on i..,roducts defi7led to be hazardous. Products
such as cleaning products and sp�-sticides are included in 'the scope of the
iy.- Standard. J:n com�liance vtith the law. MSDS are available tO US Foods, Inc.
customers and cin be ob-t---O.ned bl,/ cc)yr%ac-ting the $1 r Ln our TAXABLE AHOUNT 00
amot.)YO., i-s ii-rn estimatP at time Of ShippiDg Prior to a-iiy adjustments made at delivevp-: 5-914. 03
g INVOICE
r Page 4 of 5
ACCOUNT NUMBER INVOICE NUMBER id `INVOICE DATE> CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
905699221 177862 � rz1 07l29720T6� 90569575 9876 1054 62 07/28/2016
ro
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS
105465 NET 30 DAYS 5282 ENTER OFF OF 111TH STREET!!!
**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 74 74 1 73 30 1,059.66 $2,127.96
REFRIGERATED 20 20 0 20 4 852.20 $634.57
FROZEN 62 55 0 55 10 562.96 $1,727.25
DELIVERY SUMMARY TOTALS 156 149 1 1 148 44 2,474.82 $4,489.78
DELIVERY SUMMARY
AS SHIPPED DELIVERY AMOUNT $4,564.18
Product Total Adjustments $74.40 CR
Total Charges Adjustment $0.00
Total Allowance Adjustment $0.00
Sales Tax Adj: Rate:VAR $0.00
TOTAL ADJUSTMENT V9 .40
DELIVERED AMOUNT $4,489.78
INVOICE SUMMARY
Product Total $4,489.78
Sales Tax Rate: — $0.00
PLEASE REMIT THIS AMOUNT BY 08/28/2016 — x` :$4,489:78
AUC 0 j '� i16
BY:
INVOICE
Page 2 of 5
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
90569922 1177862 07/29/2016 90569575 9876 1054 62 07/28/2016
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS
105465 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETM
INVOICE LINE DETAILS
QUANTITY SALES IPRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED
ORD SHP ADJ UNIT NUMBER UNIT PRICE PRICE
DRY
12 12 0 CS 779991 WATER,SPRG PLST BTL TWIST CAP THIRSTER 24/16.9 OZ CS $5.0100 $60.12
1 1 0 CS 791616 CUP,FM 32 Z WHT MONOGRAM 25/20 EA CS $37.2200 $37.22
3 3 0 CS 814236 CUP,FM 16 Z WHT MONOGRAM 20/25 EA CS $18.8600 $56.58
2 2 0 CS 814541 CUP,FM 20 Z WHT MONOGRAM 25/20 EA CS $23.4000 $46.80
1 1 0 CS 1462803 SPOON,TEA MW WHT POLYP BULK PRIME 1000 EA CS $13.1000 $13.10
1 1 0 EA 4053336 CANDY,BAR MILK CHOC HERSHEY 36/1.55 OZ EA $31.4400 $31.44
9 9 0 CS 4260238 SAUCE,CHS NACHO SHLF STABL ORTEGA 4/107 OZ CS $53.9800 $485.82
4 4 0 CS 4329397 KETCHUP,TMTO FCY SS FOIL PKT MONARCH 500/9 GR CS $15.2200 $60.88
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 5597604 CHIP,CHS CNCHY PLN SS BAG CHEE-TOS 64/2 OZ CS $33.9000 $33.90
2 2 0 CS 5597851 CHIP,TORTLA NACHO CHS TRGLE DORITOS 64/1.75 OZ CS $33.2700 $66.54
3 31 0 CS 5597968 CHIP,CORN ORIG TFF SS BAG FRITOS 64/2 OZ CS $33.9000 $101.70
2 2 0 CS 5601679 CHIP,PTATO REG PLN SS BAG LAY'S 64/1.5 OZ CS $31.0600 $62.12
1 1 0 CS 5605472 CHIP,MULTGRN CHEDR SS BAG SUN CHIPS 64/1.5 OZ CS $33.7500 $33.75
2 2 0 EA 6210777 CANDY,KIT KAT VNDG STD 1.5 Z KIT KAT 36 EA EA $31.1400 $62.28
2 2 0 CS 6329213 RELISH,PKL SWT SS POUCH MONARCH 200/9 GR CS $15.9300 $31.86
1 1 0 EA 6717219 CANDY,BAR SNCKR SS DMSTC 1.86 SNICKERS 48/1.86 OZ EA $36.1500 $36.15
2 2 0 CS 6805899 TRAY,PAPR MDW FOOD 5 LB CLAY MONOGRAMSG 2/250 EA CS $38.6600 $77.32
1 IM00j VMi2§jL7009988 SAUCE,CHILI HOT DOG W/BF CAN CHEF MATE 6/108 OZ CS $74?m i $0.00
1 1 0 EA 8036576 CANDY,M&M PNT 1.74 OZ M&M 48 EA EA $34.1400 $34.14
1 1 0 EA 8053126 CANDY,RESES PNT BUTR CUP REESE'S 36 EA EA $27.7700 $27.77
1 1 0 CS 8355927 NAPKIN,DISPR INFLD WHT 6.5X10 EASYNAP 24/250 EA CS $59.98001 $59.98
1 1 0 CS 8461451 FORK,MW WHT POLYP BULK PLST PRIME 1000 EA CS $12.5500 $12.55
t
d" C3
INVOICE
Page 3 of 5
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
90569922 1177862 07/29/2016 90569575 9876 1054 62 07/28/2016
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS
105465 NET 30 DAYS 5282 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
4 4 0 CS 9089079 POPCORN,RAW KIT W/OIL&SALT FANCY FARM 36/8 OZ CS $24.6800 $98.72
2 2 0 CS 9328311 WRAP,FOIL 12X10.75 INFLD POP MONOGRAM 12/200 EA B CS $128.7900 $257.58
7 7 0 CS 9463688 CHIP,TORTLA CORN YLW RND DELPASDO 6/2 LB CS $22.3100 $156.17
1 1 0 CS 9865767 GLOVE,CAST POLY LG TXTD AMBDX MONOGRAM 10/100 EA B CS $37.1000 $37.10
2 2 0 CS 9954371 LID,CUP 32 Z STRAW SLTD PLST MONOGRAM 10/50 EA CS $24.4300 $48.86
REFRIGERATED
1 1 0 CS 4365219 CHEESE,AMER SLCD 135 SUPRCR GLNVW FRMS 4/5 LB B CS $63.4300 $63.43
8 8 0 CS 4754982 ICE CREAM MIX,SOFT SRV VNL 4% PC VLY DRY 2/2.5 GA CS $28.8500 $230.80
READY TO EAT-Please refer to return policy
1 1 0 EA 9477145 CANDY,M&M PLN SS REF M&M 36/1.69 OZ B EA $45.3400 $45.34
10 10 0 CS 9836933 ICE CREAM MIX,SOFT CHOC 4% PC VLY DRY 2/2.5 GA CS $29.5000 $295.00
READY TO EAT-Please refer to return policy
FROZEN
8 8 0 CS 2011278 PRETZEL,KING SOFT BKD FZN SUPR PRTZL 50/5 OZ CS $38.1900 $305.52
4 4 0 CS 2157386 POPSICLE,TWIN ASST ORNG CHRY BLUE BUNNY 2/24/3 OZ CS $21.9900 $87.96
5 5 0 CS 2260099 ICE CREAM SANDWICH,CKY&CRM BLUE BUNNY 24/4.5 OZ CS $24.6700 $123.35
10 10 0 CS 3328606 BUN,HOT DOG 6"SLCD TFF BKD HILLTOP HR 8/12/1.7 OZ CS $23.8000 $238.00
13 13 0 CS 3330099 HOT DOG,AB 6:1 6"RLR GRIL PATUXENT 10 LB CS $30.1700 $392.21
5 5 0 CS 5328604 BUN,HMBGR 4"SLCD TFF BKD FZN HILLTOP HR 8/12/2.1 OZ CS $23.8000 $119.00
5 5 0 CS 5383054 BEEF,PTY GRND 3 Z PUB FLAME CTLMN SLCT 53/3 OZ CS $63.8500 $319.25
7 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
2 2 0 CS 7175128 JICE CREAM CONE,VNL TFF BB CHAMP 2/12/4.6 OZ CS $22.7500 $45.50
2 2 0 CS 8187999 ICE CREAM BAR,CHOC TACO&VNL KLONDIKE 24/4 OZ CS $24.6600 $49.32
1 1 0 CS 8765059 BEEF SUB,PTY MEATL VEG 3 CHEFS LINE 36/4.25 OZ CS $47.1400 $47.14
INVOICE
Page 5 of 5
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
90569922 1177862 07/29/2016 90569575 9876 1054 62 07/28/2016
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS
105465 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETM
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: .MICHELLE COMPTON
SIGNED AT: 07/29/2016 11:01 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
INVO
dC ()n V Page 1 of 5
ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED
90569922 1177862 07/29/2016 90569575 9876 1054 62 07/28/2016
FREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS
105465 NET 30 DAYS 5282 ENTER OFF OF 111TH STREETM
BILL TO SHIP TORN
CARMEL
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT IJS�Foods lnc `'r`
1411 E.116TH ST 1235 CENTRAL PARK DRIVE E PO.BOX`78000_QE.P.T:#78292
CARMEL, IN 46032 CARMEL,IN 46032 IL EGG-INSPEGTI_ON'_FEE PD
ATTN:MICHELLE COMPTON Dept.:0 DETROIT;MI=48278;0792:,
(000)000-0000 (317)843-3873
SHIPPED FROM: 12301 CUMBERLAND RD,FISHERS,IN DRIVER NAME: Jason D Fletcher ROUTE NUMBER: 5282
SHIPPED DATE: 07/29/2016 DRIVER ID: 3223259 STOP NUMBER: 4
Td;-- -CENTRAL PARK--DR I VE E 1-b-,
CARMEL Mill
E L)41\D}
� l ENTER OFF OF 111TH STREET
T ! { i
��� -' - - - -__
-- - -S���--' -[���l-----C-lJ --Uhit'
-Dtdt-.__-}�/�bl�r----_.________--___`___`-_'---_'__--''
READY TO EAT - Please Refer 'o R�cur-r-i-Pol,
3 72.78
RL
TOTAL REFRIGERATED PIECES ORDERED: S PIECES SHIPPED: S. ITENS ISHIPMD: 2,
TOTALFROZEN SHIPPED' ITEMS-SHIPF"ED: S_
-- - -- -' - - - - '- - - -' - ' --- - - - - - '-
.- - -'- -- --' --- -'-' -- '--------- -- '----- ------------- --' - - - - -- ' ---- ---' '- - - -'- - -
,( C t a;�t�IT. __l:t�i' C . rL T.IrI'y%�7 tM _. �.l:�S_1"t7("( R -f'��ICHr� F _LJFxL Fl - - ";I_"F. SALES= DATE
r; NO, NO. rjATE NO. N(„MBER Loc . RE . - C)RDEf EB
d:•��"� art ..`+ ry; L?3` i �(:_._ �7.fCt^c_f::L i=' IJS !�'7�
9-9i_6_- . _ __ _ _ 1-0S4 006 09/01/16 _
Route: __7
�� _.� ___ ._ _ _ - - e,t�rn i -
CARtlk• L_ _uL_A'i' f�AR;f:Ss<R {;:R ti _ CARMEL C.L.AY._F�>f1RK'SsaREC_REAT _ SUS_ Folds -Inc,
T c�: 1238 CENTRAL PJARK DR-1-VE E 'T'6:
CARCIEL 1,N _ C;r,Itl°iEL. IIS! SI,, :i ....� +; �a G-e U�. , E s
- - -
18
Apt'- }°}�.CI=IELi. E CC?ilir'Tl7LJ_ _ - - — I?EPT -#-3C} E - - - - — - - 80
'ni;pF"r'm 1-2301. -Ct,VIBERL-Al'•4D _rP - -- ---F:ISHERS -_ - III _1frz�f�: 4E/CSG/1•£ - - r a a e 02 n•'r"• 0
'r t Trn�s: _ _ _ _ - - 5�t s 1. ELITE}; OFF -OF 1. 1 17}=i STi•�EE T ! I }
__.. '- _ _._ _ _ .- a n s
t;� P '--duct (? script n Pack; Size _ Lab.-1_ - C 'Jei- ht- Pricing Unit Extended
rd r> d- -5h1pp �:t fln?:c_ ___. I`lurab r ____-__ - _ -_ _- .__. - - . ._ __ _ _ Unit Przfe _ P"i;... ._-
_ ll lVO:.¢E- SLE}`'}I'}FiRY
l 7 T •�
TOTAL QGT _SIaIPF'EC:: 76-1.-90 - PIECES ORDERED: 49 -PIECE-- SHIPPED. 42 ITEMS ISFtIP�•ED: 17
eftnt D!,l ......
--- _••-. ..p,-sem...�T Y e-�.- _
e S=
- — - TAX'-A +LC AMOUNT V
BY: - -GE14.SALES TAX - "•� . oo
Th�.s at{fau�a'�--ts jai�sf`Laifa•i.r� �r-•titn� a-F s-Iiii- Iis:n-g P-�-icer ,.o -Adju_ Ls tft-ad_ at ileivez°:r: 1-r3n. 2.
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