HomeMy WebLinkAbout308438 02/22/17 4y ol.SiAN,yf
�! CITY OF CARMEL, INDIANA VENDOR: 353824
ONE CIVIC SQUARE U S FOODS CHECK AMOUNT: $'""'"""748.83`'
CARMEL, INDIANA 46032 PO BOX 78000 CHECK NUMBER: 308438
DEPT 1178792 CHECK DATE: 02/22/17
DETROIT MI 48278-0792
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1522992 748.83 FOOD & BEVERAGES
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Dept 78792
P.O. Box 78000
Detroit, MI 48278-0792 In Sum of$
$ 748.83
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 1522992 4239040 $ 748.83 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
February 14, 2017
Signature
$ 748.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
-ACCOUNT- -CUs-romER PURCHASE ORDER- _ . .. SAL-ES SALES DATE_._
NCS �J� "��� - NO. NUMBER - LOC-. - REP.- ORDERED
905602''" 7- 905695'75 _ - 1054 - 0064 02/-09/17
�:.`,r o�iii � -`�S / 4 (31;3tE;? i�1UML�ER: ';25030
B i i i Sh i p ---- -- - -__ i Remit T ._
CARMEL Y PARi�,S&REi:REAT�tt CARMEL CLAY r ARKS&RECREAT
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: -
t3�rPT ,#757'` 2
CARMEL Ii~3 {;CARMEL IiiIL _iL #�' _
EGT C DM FEE PLS
46.032 46032 � C�+;�
317 -843 3873
Att: MICHELLE -COMPTCiW DEPT # CQ 800_42 ,
7h'ipT-'rin: 1230. CUMBERLAND RD FISHERS IN ShipD: 02/10/17 :� j a� �.._ < r >�� 1'�Ge 01 of 01
�r.t rr r 5: SI:? Z a l ENTER OFF OF 111TH STREET! ! !
1frms: NET 30 DAYS Instr:
1: Qty Sales Product Descrip ton Pack Size Label C weight Pricing Unit Extended
Irdered Stripped Unit Number D Un PrL Pr% e
1 11575 5-
DRY
44✓ CS 4260238 SAUCE, CHS NACHO SHLF '3TABL 4/10- OZ ORTEGA CS 54.9900 � 219. 96
I I,/ CS 559785;1 CHIP, TORTLA I4ACHO CHS 'FRGLE. 64/1. 75 OZ OORITOS CS 32.8700 32.87
I IJ EA 6210777 CADDY, KIT 14AT VNDG STD 1.5 Z 36 EA KIT RAT- EA; 31. 1400 31. 14
4 4✓ Cu 9059079 POPCOR14, RAW {SIT W/ OIL & SAL.T36/8 OZ FANCY' FARM i�S 2S.0200 100.08
4 4✓ CS 9463688 CHIP, TOR T LA CORN YLW i 14D 6/2 LIQ OELPASDO CS 23. 1300 92.52
- FRG7EN,
6 6J CS 2011278 PRETZEL, KING SOFT BBD '=ZN SO/S LZ SUPR PRTZL -CS 37. 7100 226.26
�? •2✓ CS 5,404835 ICE -CREAM SANDWICH, CHOC CHIP 24- EA GOOD HUMOR CS 21.0000 42.00
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 14 PIECES SHIPPED: 14 ITEMS SHIPPED: S 476.57
TOTAL FROZEN PIECES ORDERED: 8PIECES SHIPPED: 8 ITEMS SHIPPED: 2 268. 26
INVOICE SUMMARY
FUEL SURCHARGE 4.00
TOTAL WOT SHIPPED: 343. 96 PIECES ORDERED: 22 PIECES SHIPPER: 22 ITEMS SHIPPED: 7
PRODUCT TOTAL 744.83
.Ril
F F B l 4 2017 I CHARGES .4. 00
TAXABLE AMOUNT $ .00
BY: u OEM SALES TAX- Y . 00
i
This amount is an -estimate at time of shipping prior to- any adjus•tmens�r�a�e