HomeMy WebLinkAbout326606 06/28/18 J`! CITY OF CARMEL, INDIANA VENDOR: 359366
® r ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****6,352.51*
�;�o. CARMEL, INDIANA 46032 PO BOX 7137 CCHECK HECK NUMEBER: 0326606 6 2 8 8
INDIANAPOLIS IN 46206-7137
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 138554077 37.37 FOOD & BEVERAGES
1095 4239040 138554155 58.08 FOOD & BEVERAGES
1095 4239040 138557039 6,257.06 FOOD & BEVERAGES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 359366 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Sysco Food Services Payee
PO Box 7137
Indianapolis, IN 46206-7137 In Sum of$ Purchase Order#
359366 Sysco Food Services Terms
$ 6,352.51 PO Box 7137 Date Due
Indianapolis, IN 46206-7137
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1095-1 138554077 4239040 $ 37.37 Board Members 6/13/18 138554077 Concessions xx7048 $ 37.37
1095-1 138554155 4239040 $ 58.08 6/13/18 138554155 Concessions xx7048 $ 58.08
1095-1 138557039 4239040 $ 6,257.06 1 hereby certify that the attached invoice(s),or 6/15/18 138557039 Concessions 51566 $ 6,257.06
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
$ 6,352.51 Total $ 6,352.51
June 20,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
I IIIIIII &-f- � CUSTOMEpR'S ORIGINAL INVOICE CONFIDENTIAL-PROPERTY OF SYSCO
��� IIIIIIIIIIIIIIIIIIIIII ���� ��IIIIIIIIIIIIIIIIIIIIIIIIIIIh � iiIIINIIIIIIIII - �'. C DEL6V/i3/iH fJ CUSTOMER CE NUI�MERi PAGE
Gooc glings
CARMEL PARKS & RECREATION TRUCK•STOP f J 6 1
Sjj�Co,--.�
rom /328 617399 1385540;77 1195 CENTRAL PARK DRIVE WESTCARMEL IN 46032 SYSCO INDIANAPOLIS;LLC- ROUTE
4'OST W 62ND ST- --'� PURCHASE: ORDER TOM �
INDIANAPOLIS, IN 46268 TOM TERMS —PAST DUE BALANCES`ARE SUBJECT TO SERVICE CHARGE c
317-573-4026 NET 30 DAYS FROM INVOICE
:
SHELLFISH SHIPPER IDIN007RS MAFEST# WILL CALL
NI620373 CUSTOMER WIo
CARMEL PARKS & RECREATION _-- _ ------
- --- ro
0
1411 E 116TH STREET MA: SW169-AARON WATSON y
CARMEL IN 46032 DRIVER:
L o' - ITEM UNIT UNIT EXTENDED T INVOICE ADJUSTMENTS y
o QTY O PACK SIZE ITEM DESCRIPTION TAx A P K
C . CODE PRICE AMOUNT PRICE X 11' CODE - QTY
lI *** GET SIZZLING SOLUTIONS FOR YOUR SUMMER NU AT SY COFOOD E.COM **
SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU CAN EARN A CREDI r ON YOUR'ACCOUNT1
HE SIGNER BELOW AGREES TO TRANSPORT THE PRODUCTS ON HIS IBV7OICE ("PRODUCT") EN AN
NVIRONMENT AND IN A MANNER THAT PROVIDES ADEQUATE SAFETY CONDITION AND. TEM E TURE
PROTECTION FOR PRODUCT AND TO COMPLY WITH ANY APPLICABLE LAW OR REG LATION DURING
J RANSPORTATION. THE SIGNER RELEASES SYSCO FRCM ALL CIJLIMS RE TED TO THE TRANS]) TATION O
PRODUCT TO PRODUCT'S DESTINATION, AND IN DOING SO, THE SIGNER ACCEP S AND ASSUMqS FULL
SPONSIBILITY FOR THE INTEGRITY OF PRODUCT. PRODUCT OBTAINED FROM ILL-CALL 13 NOT oz
LIGIBLE FOR RETURN.
LFIRMANTE SE COMPROMETE A TRANSPORTAR LOS RODUCTOS DE EST FACT (EL "P O CTO") , EN
j AMBIENTE Y DE UNA MANERA QUE PROPORCIONE (ONDICIONZS ADEC ADAS D . SEGURIDAD YN
PROTECC14N DE LA TEMPERATURA PARA EL PRODUCTO, Y CUMP IR CON CUALQU ER LEY O ULACI(�N 0
PLICABLE..DURANTE EL TRASPORTE. EL FIRMANTE LIBERA'A 3YSCO .' E TODA3 RECLAMA I S Y DE a
ODAS DEMANDAS RELACIONADAS CON EL TRANSPORT DEL PRODUCTO DEST NO DEL P O - CTO, Y AL
CERLO, EL FIRMANTE ACEPTA Y ASUME TODA LA IESPONSABELIDAD iOR LA ENTEGRIDAr )EL ' p
PRODUCTO. EL PRODUCTO OBTENIDO DE LA AREA DE ENTREGA (WILL-CALL) NO ES ELEGI L`- PARA ,
EVOLVER.
CUSTOMER SIGNATURE:i ~
ATEt a
USTOMER PRINTED NAME:
N
*** PRODUCE ***
a
Cl 1 -S 16 LB TAYFRMS KIT SAL ASIAN SIRACHA CHP BTG 59621 7020047 15.79 15.79
C 11 CS 1 T TAYFRMS KIT SAL KALE MAC & CHEESE BTG 55000 7029340 21.58 21.58
GROUP TOTAL**** 37.37
ORDS SUMMARY 77328
n
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a
r y
JUN 142113 x
I M
12y: ... K
.... . ..........
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE: 5:00 PM REMIT TO n
P.O. BOX
2 2 1.4 13 (INDIANAPOLIS; IN =5 -1
,462-0.6=71"37-,- TOTAL 37.37
2 2 1.4 13 TAX
DRIVER'S NO. PCS CUST.sxeesO:-0—--S OF ncc xrnss NO. PCS TOTAL
SIGN DELVD. SIGN v REC.
A INVOICE
TOTAL'" 37.37
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO TRE STATUTORY TRUST PAYABLE ON OR BEFORE ---"
UTHORIZED BY SECTION 5 C) 0£THE PERISRAI, AGRICULTURAL COMMODITIES ACT 1930 V.S.C. 499E(C)�. THE SELLER OF THIS COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COIMfODITIES, 7/13/18 LAST PAGE
D ANY RECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FULL PAYMENT i5 RECEIVED.FURTHER YOU AGREE WITH
SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGAT TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SOCR DISPUTE.
IIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII I I I I I IIIIIIIIIIIIIIIII IIII II
1111111111111111111 IN t « T CUSTO -1-s--ORI
sS DRG.INAL INVOICE CONFIDENTIAL
PROPERTE OF SYSCO
Q S
Goo vthin s
CARMEL PARKS & RECREATION aerom Tagcx sTDP- r 617399 13 55'4155 --� 0 1
1195 CENTRAL, PARK DRIVE WEST Sjj�COS /647CARMEL'° IN 46032 YSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER TOM
4000 W 62ND ST b
317-573-4026 INDIANAPOLIS, IN 46268 TOM TERMS -PAST DoE BALANCES ARE SUBJECT TO SERVICE CHARGE' a
NET 30 DAYS FROM INVOICE_
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS MANIFEST# 62037_3 CUSTOMER W_IL_L_ CALL a
1411 E 116TH STREET MA: SW169 AARON WATSON y
CARMEL IN 46032 DRIVER:
L
QTY "PACK SIZE ITEM DESCRIPTION ITEM UNIT TAX EXTENDED T p INVOICE ADJUSTMENTS y
C - CODE PRICE AMOUNT PRICE g I CODE QTY K
*** GET SIZZLING SOLUTIONS FOR YOUR SUMMER NU AT SY COFOOD E.COM **
SK YOUR MA ABOUT SYSCOACCOUNTCENTER.COM & HOW YOU CAN EARN A CREDIT ON YOURACCOUNT!
If' HE SIGNER BELOW AGREES TO TRANSPORT THE PRODUCTS ON THIS I OICE ("PRODUCT") EN AN
ENVIRONMENT AND IN A MANNER THAT PROVIDES ADEQUATE SAFETY C014DITIONS AND TEMPERATURE
PROTECTION FOR PRODUCT AND TO COMPLY WITH ANY APPLICABLE LAW OR REG LATION D G
RANSPORTATION. THE SIGNER RELEASES SYSCO FR MALL CLAIMS RELATED TO THE 'TRANS]'_ TATION O
PRODUCT TO -PRODUCT'S DESTINATION, AND IN DOING SO, THE SIGNER ACCEP S AND AS S FULL H
SPONSIBILITY FOR THE INTEGRITY OF PRODUCT. PRODUCT BTAINE FROM ILL-CALL I NOT Oz
LIGIBLE FOR RETURN.
l L FIRMANTE SE COMPROMETE A TRANSPORTAR LOS pRODUCTOS DE ESTA. FACT (EL "P O)uCTO") , EN
UN AMBIENTE Y DE UNA MANERA QUE PROPORCIONE CONDICIONES ADEC ADAS D SEGURID N
PROTECC14N DE LA TEMPERATURA PARA EL PRODUCTO, X CUMP IR CON CUALQU ER LEY O RiEGULACIDM 0
' PLICABLE DURANTE EL TRASPORTE. EL FIRMANTEIBERP; A, SYSCO E TODA RECLAMA I S Y DE
ODAS DFMANDAS RELACIONADAS CON EL TRANSPORT DEL PRO UCTO AL DEST NO DEL P O CTO, Y AL
CERLO, EL FIRMANTE ACEPTA Y ASUME TODA LA SPONSAB LIDAD OR LA ENTEGRIDAE DEL
jl PRODUCTO. EL PRODUCTO OBTENIDO DE LA AREA DE ENTREGA (WILL-CALL) NO ES ELEGIELE PARA
EVOLVER.
CUSTOMER SIGNATURE:
j ATE:
USTOYER PRINTED NAME: o
PAPER & DISPOSABLE ***
DI 1j CS 2408OZ DELITNR CONTAINER PLAS DELI TRANS W/L YL2508 8231967 58.08 58.08
GROUP TOTAL**** 58.08 0
ORD E I SUMMARY 79647
• ?~4.�• O
JUN 142018
tjC
'ly: z
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CASESSPLIT OT.PCS CUBE GROSS WT. OPEN• 8 00 AM CLOSE• 5:00 PM- --- --•--- ---xEMIT.mD-_�-�:_.w z
O
L P.O,, $OX 7.137 J
ti ___ . 4._:.--,n-
1 1 2.0 14 INDIANA,POI,L_I,S,�IN SUB
r
J TOTAL 58.08
1 1 2.0 14 �•--•-�_ � -�= 4 62;0_6 713 7 �
TAX
DRIVER'S NO. PCS CUST.SIG-D E-010E evxDe OF ncc IrSns NO. PCS TOTAL
SIGN DELVD. SIGN v REC.
A INVOICE""`
TOTAL 5 '.5'S'.08
1PRESENTATIVE
ORTANT PACA PROVISION; THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
HORIZED BY SECTION 5 C) OF THE PERISAABLE AGRICULTUALCOFASODITIES ACT 1930 (U.S.C. 499E(C�). THE SELLER OF THIS :014MODIAINS A TRUST CLAIM OVER THESE COMMODITIES, ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES,ANYRECEIVABLES OR PROCEEDS FROM THE SALE OF THESE COMMODITIES UNTIL FOLL PAYMENT IS AECEIVED.FORTHEA YOU AGREE WITH 7/13/18 LAST PAGE
PECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY
CAPACITY,OR TO PARTICIPATE AS A MEMHER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII CUSTOMER'S ORIGINAL INVOICE CONFIDENTilI•A�Li$ROPERTY OF SYSCO
3 IDELVR'DATE1 tJ CUSTOMER INVOICE,NUMSERw PAGE
CARMEL PARKS & RECREATION Good things L�/�i5�/1�8
comefrom L..(1GR SxoP 617399 1385517039 3 3
1195 CENTRAL PARK DRIVE WEST �,®��® /002 .
CARMEL IN 46032 SYS@O IND��ANAPOL^ISS LL
-..yr,._+ f ROUTE PURCHASE ORDER
4000 'W 62ND ST'S`' b "
INDIANAPOLIS, IN 46268 5554 TERMS —PAST DuE BALANCES ARE SUBJECT To SERVICE CHARGE
317-573-4026 NET 30 DAYS FROM INVOICE
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS IMANIFEST# 620682 NORMAL DELIVERY ro
1411 E 116TH STREET MA: SW169 AARON WATSON °z
CARMEL IN 46032
ITEM UNIT vNIT EXTENDED T p INVOICE LTU TMENTS y
QTY a HACK' SIZE ITEM!DESCRIPTION TAx
C CODS PRICE AMouNT PRICE z I ConE': 777W7777
D. Z 20 5CT ART; 4.3 "56 87,12:
CUP. FOAM TALL._3202 32TJ32 4101424
2 S 40 5 CT SYSCO , CUP FOAM 16 OZ 36;0855 43601855 45.98,1 91..96.
H
2. 20 .5 CT;. SYSCO . ..CUP FOAM 2002 3290962 3290962 •28.05,.': ;56.10;
r
D 1 $ 12 00CT, SYS ,REL. CUP PLAS PRTN TRANS 3.2502 YS30;USYS 7794676 87..95 $7.95, y
0
1S 12 00 12X75 S02212
2S 10100 C;; SYS...CLS G.L0�7E POLY.CAST .DISP LG
303363113 ; 834,6538. . 36.45 72.90'
y
20CT' SYS 'IMP L;ID PLAS„CLR F/3-402 PRTN ' YL$3FRSYS ;:..7793;736 74.91 74
D 2, S 5 OOCT ART.; LID PLAS SLOT 32T32-12832. 32SL 4133$64 24.72 ;49.44:
2.,. 10 oocT!
ART'; LI,D PLAS STRAW SLOT. j2-2 46' 16SL 4096327 19.85 '39 70
2 24 50 C SYS IMP' NAPKIN=DISP ,COMP360, 1PLY. WHT'4528438 :' 4528938 49:241 98.48'.
0
2 2 50C.T...; SYSTRNZ. T..RAY FOOD PAPR.52r8 DSTTDZ 2004272 95.56i' 91•.12:. 1.11
GROUP TOTAL**** 896.70
EQUIPMENT
D 2 I CH ISYSC.O THERMOMETER DGTL PKT-40TO3 :DT300,-S-1 19594185 12.14.9 29.2.8'„ o
GROUP TOTAL**** 24.i8
A
..,:: is .. .. .::: ... .:.
a
ORDE S Y 81.85$
a�n RW '.
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ry q
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:: ..i .... .... ...i .. .. .. ... ....... .... .., ... .......
.... 2
Al
K
..
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE• 5•00 PM .� ." REMIT T0: ;�..
'P_.O. BOX 714317 a i
21 21 63.51 226 IimND�IANA�TOL�IS.,...-IN- sUB
462' 067-1+37 TOTAL 6257.06
179 4 183 232.7 3646 TAX
DRIVER'S N0. PCS CUST.s....nrvoxos svmsxoss ov.....zrsns N0. PCS - TOTAL
SIGN DELVD. SIGN v REC. IN(70ICE
X
TOTAL 6:25x7.016
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE ---
UTHORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C)I. THE SELLER OF THIS COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, 7/15/18 LAST PAGE
ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH
SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIG�iT TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ,� CUSTOMER dings ORIGINAL INVOICE CONFIDENTIALPROPERTYOF SYSCO
CARMEL PARKS & RECREATION Goodcomef
come from , 0-71 � xxncic sxoP ; 617399 138557039 3 2
1195 CENTRAL PARK DRIVE WEST SI,SCO�SYSCO INDIANAPOLIS LLC 1002
CARMEL IN 9 6032 i ROUTB PURCHASE ORDER
4000 W 62ND ST p
INDIANAPOLIS, IN 46268 5554 TERMS -PAsfi nUE€sALANCEs ARE SUBJECT`To SERVxCE CHARGE a
317-573-4026 NET 30 DAYS FROM INVOICE p
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS MANIFEST# 620682 NORMAL DELIVERY a
1411 E 116TH STREET MA: SW169 AARON WATSON
CARMEL IN 46032 nR FER THC MAS
L QTY p PACK 3TZE,; ITEM'DESGRIPTTON ITEW 'UNIT ' TWIT EXTENDED TA p INVOICE ADJUSTMENTS
C z COD& L�RiCE ', ANovNx PRICE x I CODE QTY
C
2S ONL 6 CT.......&MCANDY SKITTIaE FRDIT CREW '2:,;17x- 0116Q 7009251 25 Oq„ . S0. QO.. ...
CHIP PpTATQ;REG; IG SS ".4;4359 6725273 30.44 `.60 8$, ,_,
H
3752 5\7ICKI ,CHIP„POTAT6;SALT '& ,�7NGR. KETTLE'.4:4946 6743530 ,31 28 62 ..56
2 ....:. . 64 7aOZ .ORTOS CHIF,.TORTILLA.NACg4..CHS..I.SS',, . . .44375 674312....30. .44 60 88'; y
0
D 12 $ 6 LB SACLS CHIP TORTILLA YEL RND 'PR 11',1590 0894 2272702 21 11-' 253 32,;
1 ”2S8. 08 C,;. ..OY., CONE .CAKE .#22..CUp.DSPNSR OQ382 ..62,76358 _52 13 52 13y
1 ..5 0
24 0 Qz'- TR1�1DE DRINK E'RUIT,;PUNCH, WIDEMOUTH ,PL„ 3:286.6 746851,5, 21 48'.
P
N
D 1 S 24 0 .OZ; A'T'RADE. D..RINK LMN/LM WIDEMOUTI PLST; 32868 7468507 21.48 21.:48
...TRADE DRINK,RASP COOL,.B�.UE_WIDEMdUTH 32481• 7968531 21,48..! .............
2 S100Q9 GM' , SRCCLS
KETCHUP PACKET FCY FOIL, HQUY59G 8747$59 '19..51 „
0
5. ;S1000 .5 ...... SRCCLS MUSTARD YELLOW PACKETS. . ..... 7800.0587 1608850 ...21 :68 f 1.:08 .40. ,. . .. ., . N
2
4106 C12 ET�PASO, PER ,JALAPENO :SLI .7UG, FA 188232000 i 7977.550, '98:55.
97 1Q .
3 S 36 oz::,;.. ,OLL7C T ,PbPCORN KIT.:COMPLY W..OIL ZEASN 922 f 5997846 20.9T 62.91'i o
5009 J
RELISH.;SWEET PICT._;.
78000588 . 1609064 25 20 ! 25 20'
P
.Q
.. .. ..
S , . 4107, b RTEGA SAUCE CHEESE,NACHO`DISF MUCH 70;.6,068 ` 2056;653 :.42.66 511 92'
.. .... ., .. .. H
D S ..,,_6 10 $YS.,_CL$ SAUCE.CHILI ':;HOT.DO.G.......' 39dT;-SYS 5.620075 . :44'56 I33,6$,. .
0
. .
2 S 54 OZ HEETQS SNACK GHEESE CRNCH BG ;'GRB zss . 44366 ':.6743086 30..44':. 60.88':
10 35 6:.:902 IAGARA •WATER,`BOTT'LED SPRING NDW65L35PSPCHN 3239521 6 ,31, .. 63 10 ...
GROUP TOTAL**** 1758.78
PAPER:: &. DI,S,POSA$LE,. ***
_ z
31 q0. C YSCQ BAG, PAPER WHT 4# 1780`5SYS - 1593997 11.00 .. 33:00
19
CASES SPLIT OT.PCS CUBE GRoss WT. OPEN. 8:00 AM CLOSE. 5:00 PM REMIT
P.O. BOX 7137 M
65 2 67 84.8 1511 INDIANAPOLIS, IN sys
46206-7137 TOTAL
TAX
DRIVER'S NO. PCS CUST.sic-O 1—svxos S OF us:mss No. PCS TOTAL.
SIGN DELVD. SIGN REC. INVOICE
TOTAL
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE
UTHORIZED BY SECTION 5 C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C��. THE SELLER OF THIS COMMODITY
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES
ND SPECT TOCANY DISPUTE ARISINGIVABLES OR SOUTOOFTHE SALi OF YOUR RECEIPT OFETHESEODITIES UNTIL PRODUCTS/SERVIC S:PYODU AAREIGIVING UPDYOURTRIGATYOU
TO SERVEAGREE
INTfi ANY CONT. ON PAGE 3
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
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