HomeMy WebLinkAbout304321 10/20/16 CITY OF CARMEL, INDIANA VENDOR: 353824
® ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $*******768.59*
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 304321
vM� DEPT#78792 CHECK DATE: 10/20/16
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 0604299 768.59 FOOD & BEVERAGES
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 768.59
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 604299 4239040 $ 768.59 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
October 12, 2016
1P
Signature
$ 768.59 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTSTOMER PURCHASE ORDER SALES SALES DATE
NO� NO. NUMBER LOC. REP. ORDERED
9O56992 569575 U� `~���/�_ 1O54 OO64 1O/1O/16
— ^
Route: 2191 / 9 ORDER NUMBER: 200323 .
8ill Ship
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT
To: 1411 E. 116TH ST To: 122S CENTRAL PARK DRIVE E. 317 843 3873 77-77 7 MYI RMI`l Mr. ^
46032 46032
Att: MICHELLE COMPTON ' DEPT 0 00 300 428 2118
;hipFrm. 123O1 CUMBERLAND RD FISHERS IN ShipD� 10/11/16 Page 02 of 02
'r&Trms: Spczal ENTER OFF OF WITH STREET ! ! !
` t7rms: NET 30 DAYS Instr:
qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
rdered Shipped Unit Number D Unit Price Price
INVOICE SUMMARY
TOTAL UGT SHIPPED: 297. 83 PIECES ORDERED: 21 PIECES SHIPPED: 21 ITEMS SHIPPED: 12
PRODUCT TOTAL 768. S9
TAXABLE AMOUNT $ . 00
OEM SALES TAX
This amount is an estimate at time of shipping prior to anV adjustments made at deliverV:
OCT 12 2016
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC . REP . ORDERED
9O569922 0604299 10/11/16 90569575 1054 0064 18/10/16
� � l -}
Route: 2191 / 9yf —UlV 0U/ ORDER NUMBER: 200323
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
To: 1411 E. 116TH ST To: 123S CENTRAL PARK DRIVE E To:117 843 3873 48278-0792
'
PO BOX 73000 DEPT #787192
CARMEL IAN CARMEL IN IL EGG INSPECTION FEE PD
46032, 46032 DETROIT MI
Att: MICHELLE COMPTON [DEPT # 00 900 428 2118
7hioFrm: 12301 CUMBERLAND RD FISHERS IN Sh-QI : 10/11/16 Page 01 of 02
MTrms: Spczal ENTER OFF OF 111TH STREET ! ! !
` tTrms: NET 30 DAYS Instr/
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
}rdered Shipped Unit Number D Unit Price Price