HomeMy WebLinkAbout328993 08/17/18 CITY OF CARMEL, INDIANA VENDOR: 359366
t ONE CIVIC SQUARE SYSCO FOOD SERVICES CHECK AMOUNT: $*****6,313.01*
CARMEL, INDIANA 46032 PO BOX 7137 CHECK NUMBER: 328993
INDIANAPOLIS IN 46206-7137 CHECK DATE: 08/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 13807379P -30.44 FOOD & BEVERAGES
1095 4239040 138607367 4,518.91 FOOD & BEVERAGES
1095 4239040 138610780 1,824.54 FOOD & BEVERAGES
:ACCOUNTS PAYABLE VOUCHER'
VOUCHER NO. . . WARRANT NO.. . .
CITY OF CARMEL
An invoice of bill to be properly:itemiied must show;'kind of service,;where performed,dates service rendered,,by .
Vendor# 359366 Allowed. 20 wfiom;.rates per day,number of hours,Yate per hour,'number of units,price per unit,etc.
Sysco Food Services. Payee
PO Box 7137.
-Indianapolis;IN 4620677137 In Su''m of$ .'Purchase order:#
359366: ,Sysco,Food Service's_. . Terms: '-
$ 6,313:01 . . PO_Box 7137... ' . Rate Due
Indianapolis, IN °46206-7137
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO.. ACCT#(TITLE AMOUNT nvolce Description
Dept# . Invoice.Date Number (or note attached.invoice(s)or bill(s)). PO# Amount
109571 : '.1'3807376P . :4239040 : $: .:(30.44) Board Members 7/21/18 : .:13807379P: Credit for Incorrect Product: $ 30.44
1095-1 138607367. 4239040 .$ 4;518.91. 8/3/18. 138607367 . Concessions. 51802: $'. 4518.91 .
1095=1 138610780. ' 4239040 ' $'. _1,824:54 I hereby certify that the attached invoice(s),or" 8/7/18 138610780 Concessions. 51803' $'. 1,824:54
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.
$ 6,313.01. . Total. '.$. 6,313.01
. . . . . . . . . . : August:14,2018 : : . . . . . . . . . . . : .
Thereby certify that the attached invoice(s),'or bill(s)'is(are)true and correct and l have audited same in'accordance'.
with IC 5-11-10=1.6
Cost distribution.ledger clas§ification if
claim paid motor vehicle highway fund Signature.: :20_
Accounts Payable.Coordinator. . Clerk-Treasurer
-Title
Page 1 of 1
INVOICE
Ciose Export to CSV Print
CARMEL PARKS RECREATION
Remit To Address.
�irom SYSGOINDIANAPOLIS
�+ y Account# / Invoice#;��) Delivery Date_- TransacUonlDate,��;
\����� " xSYSGQ INDIANAF?OLIS" ; 617399 k13807379Pt'!) 2018-07-21 p Fyt'«; 2018 07 21 ¢
PO-Box 7,737 4, .
Indianapolis,IN 46268
Canned and dgoods
Qtv I Weight ISplitiPackl Size I Brand I Description I Item Code I Unit Price I Tax I Ext Price
-1 1 0.000 1 64 1 1.7502 I DORITOS CHIP TORTILLA NACHO CHS LSS 1 6743112 1 30.440 1 0.00 1 -30.44
Sub Total(not including tax)Canned and dry goods F 30.44
Invoice Summary Information
Canned and dry goods -30.44
Invoice Sales Tax Total: 0.00
Invoice Misc Tax Total: 0.00
t—Invoica-Total• -30.44 , jY
Note:There may be credits not reflected in thisLta
This data serves as reference information only-Contact SYSCO for a final copy
Distribution and/or reproduction of any record or information outside the intended and approved use is strictly prohibited.Copyright Billfire,Inc.2007
https://www.syscoaccounteenter.com/ngs/NGS_ACIC_SyscoBroadline Legacy?&trail=A1... 8/7/2018
IIIIIIIIIIIIIIIIIIIIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIeIII CUSTOMER'S—ORIGINAL INVOICE CONFIDENTIAL-PROPERTY OF SYSCO
ELYxDAxE4yk CUSTOMER TNVbICEJNOMBERf.aJ PAGE:.
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GoodAngs -�L--•%-��
CARMEL PARKS & RECREATION come from �ri>aHxsT`oe 617399 138607367 8' 3
1195 CENTRAL PARK DRIVE WEST bl/SCaSYSCO INDIANAPOLIS, LLC /002
CAP.MEL IN 46032 ROUTE PURCHASE ORDER
400 W 62ND ST p
317-573-4026
INDIANAPOLIS, IN 46268 5554 TERMS -EAST DUE'aALANCEs ARE SUBSECT TO SERVICE CHARGE.'',
NET 30 DAYS FROM INVOICE
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS MANIFEST# 624541 NORMAL DELIVERY
1411 E 116TH STREET MA: SW169 AARON WATSON
CARMEL IN 46032 DRIVER- AM STRONG
L ° ITEM UNIT VNIx EXTENDED : T p i INVOICE ADd(JSTMENT3 y
Q PACK SIZE! ITEMiDESCRIPTION xAx
a TY CODE P1tiCE AMODNx PRICE x I CODE: gTY l K
*** PAPER & DISPOSABLE ***
2 CS 20 5CT ART CUP FOAM TALL 3202 32T132 4101424 43.56 87.12
f
D 1 CS 4025 CT SYSCO CUP FOAM 16 OZ 360855 4360855 45.9845.98
ZS 21,025 CT SYSCO CUP FOAM 2002 3290962 3290962 28.05 56.10
1SZS i2260 C SYS CLS FOIL' SHEET 12X10.75 SILVER W69370 6938526 125.49 / 125.49 °x
1 zS 510OCT DART LID PLAS SLOT 32T32 12B32 32SL 4133864 24 72 `� 24.72
..
2 S 10100CT 6ART LID PLAS STRAW SLOT 12-24OZ 165E 4096327 19.85 39.70 y
re
D 1 S 242' 50 C SYS IMP NAPKIN DISP COMP360 1PLY WHT 4528438 4528438 49 24 49.24
5S ONLY50OCT SYSCO STRAW PLAS UNWRP JMBO TR YSTJ77SYS12 8095398 4 52 22.60
0
D 3 CS 2 50CT SYSTRNZ TRAYFOOD PAPR SLB D5TTDZ 2004272 46.26 138.78 a
GROUP TOTAL***+� 5$9.73 ;
m
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PRDER SUMMARY 34561 34576
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CAFES SPLIT rOT.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE: 5:00 PM '"�'"F �-� ''+i
P O. BOX 7137 i
13 5 18 48.6 168 INDIANAPOLISNjjjlq SUS
462'0'6-7.137 TjO.T 4518.91 ✓
1151 10 125 369.0 2233 TAX
DRIVER'S NO. PCS CUST.SI—D 1-010E—DENOES OF:,...OrEns NO. PCS TOTAL
SIGN DELVD. SIGN X REC. INVOICE
TOTAL 45:1.8.9,1
IMPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE --
%UTHORIZ
BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499EMI. THE SELLER OF THIS RYMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES,
WD ANY RECEIVABLES OR PROCEEDS FROM THE SAL1 OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITH 9/02/18 LAST PAGE
SPECT TO ANY DISPUTE ARISING OUT OF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIII Illillllllll IllllullBIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII Il ll� CUSTOMER'S�:ORIG
/182NAL OMERCE CONFIDENTIAL NviseEPROPERTY OF SYSCO
CARMEL PARKS & RECREATION ArmGoocome m r�®� Z TRgcx s/0 617399 138607367 8 1
1195 CENTRAL PARK DRIVE WEST /002
CARAMEL IN 46032 ® 4YSCO INDIANAPOLIS, LLC ROUTE PURCHASE ORDER
4000 W 62ND ST
317-573-4026 INDIANAPOLIS, IN 46268 5554 TERMS -PAST DIIE,!.BALANCES ARE SUBJECT To SERVICE CHARGE
NET 30 DAYS FROM INVOICE
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS MANIFEST# 624541 NORMAL DELIVERY
1411 E 116TH STREET MA: SW169 AARON WATSON
CARMEL IN 46032 DRIVER* ARMSTRONG
L ° ITEM UNIT vNIT EiiiEXTENDED T p INVOICE ADJUSTMENTS y
o ,QTY a PACK SIZE' ITEMIDESCRIPTION TAx
C. CODE PAIGE l ANODNTi PRICE z I CODE, .• QTY': w
r ***WIN $1000 TO SHOP ON SUPPLIESONTHEFLY COM SIGN—UP AT
YSCOFODIECOM/ I
SK YOUR MAOUTSYSCOACCOUNTCENTER COM & H ,W YOUIC
. , 11
EAN
i CREDI F ONiYOUR:ii•
*** DAIRY. *,r*
H
C 1S S LB . BRLCLS CHEESE;AMERI120 SLI YEL ;!. 2'i8131 'i6697114 43 ;35;;; 43.35
C 5 S 22
.5 ACKER ICE CREAM MIX CHOC 6V ;UHT - , 3130432 34 09 ✓ 170.45 H
:: .. .... ... : .: :: ..... N
O
C 8 S 2 5GA PACKER ICE CREAM MIX VAN 6% UHT 3130408 34 55.f 276.40
c
I_ 5 '. _S 24 5 OZ LU. BNY ICE CREAM SNDWCW CHIP,00Q. 0;64031;0821: 1595487 21 05f 105 ,25 N
F3 S 24 OZ HUMOR ICE CREAM TACO CHOC" 7032:170 ,, 32.08'
GROUP TOTAL**** 691.69
*** MEATS' ***
404 OZ FIRECLS, BEEF PATTY FC SEA HSFRZ 613,64
546'...... �
/ '...981 .90. .:
F 2 S 2 LB HNSVLE BRATWURST CKD .ULTIMATE SXl :, 10;1558 2116860 35.05 `� 70.1d:
F 4 S 48 OZ . ST FAIR CORN DOG ALL MEAT. 4X1 ; 08481 1960..:558 37 45 �j 149:80'
F 10 -S 2 LB' BRLIMP FRANK ALL-BEEF 6X1 6 74865216$1 1970.:888 ' 30.,09' 300.9,
GROUP TOTAL**** 1502.70
o. .
F ..:
6 S• 10 2. CT, SYS .CLS BUN HAMBURGER PLAIN 4 _72......OZ ......5..17.06....; 0124636 ;:_29...21;,
175 2,6
/ A
F 7 S 1212 CN". SYS CLS BUN HOT DOG WHITE 6 HINGD 54607120 :': 2496:624 31.95 !t/ 223.65
..
8 cs 5.0 ..OZ SVPRPTZ' PRETZEL SOFT BAKED KINGSIZE 3015 , 1207232 34.72 ' 277..76: z
0
F OUT S 4 # TM SAUCE CHILI HOT DOG 41020 5272133
0
UT/STOCK 2
GROUP TOTAL**** \ . 626.67
*** CANNED & DRY ***
i
.. ..i'. .. '' ..
C 1S NL 6 CT HERSHEY CANDY BAR CHOC MILK 24000 5488366 24.95 24.95
C 1S ONLY36 CTHERSHEY CANDY BAR KIT KAT
1.5 OZ 24600 , 4599775 26.18 �,... 26.18, , �n
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE 500 PM REMIT TO
P.O. BOX 7137
741 2 76 70.2 1440 INDIANAPOLIS, IN SUB /� K �I 0/1
46206-7137 TOTAL po O
TAX
DRIVER'S NO. PCS CUST.si=n a lCE Evenseces of nen emus NO. PCS TOTAL
SIGN DELVD. SIGN v REC. INVOICE
X
I TOTAL
1PRESENT
PORTANT PACA PROVISION: THE PERISRABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUBT pAYABLE ON OR BEFORE
THORIZEDBY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 V.S.C. 499E(C11. THE HEELER OF THIS COMMODITAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, CONT. ON PAGE 2
D ANY RECEIVABLES OR PROCEEDS FROM THE SAL OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEIVED.FURTHER YOU AGREE WITHSPECT TO ANY DISPUTE ARISING OUTOF YOUR RECEIPT OF THESE PRODUCTS/SERVICES: YOU ARE GIVING UP YOUR RIGHT TO SERVE IN ANYATIVE CAPACITY,OR TO PARTICIPATE ASA MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIIIIIPIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CUSTOMER'S OTE.,. L. INVOICE CONFIDENTIAL
.OF SYSCO
s i 3 s sGoodAngs 8/03/18
CARMEL PARKS & RECREATION come from TRoox STOP 617399 138607367 8 2
1195 CENTRAL PARK DRIVE WEST �`®��o� /002
CAFMEL IN 46032 e SYSCO INDIANAPOLIS, LLC RQVTt PURCHASE ORDER
4000 W 62ND ST b
317-573-4026
INDIANAPOLIS, IN 46268 5554 TERMS ^PAST DUE;BALANCiS ARE,sUBJECT o SERVICE CHARGE
NET 30 DAYS FROM INVOICE
CARMEL PARKS & RECREATION SHELLFISH SHIPPER ID: IN007RS IMANIFEST# 624541 NORMAL DELIVERY b
1411 E 116TH STREET MA: SW169 AARON WATSON y
CARMEL IN 46032 1 Ro AM STRONG
L a' ITEM UNIT vNz� EXTENDED T p INVOICE AD�tTSTMENTS y
o QTX D PACK' SIZE ITEM IOESCRxFTION TAX
C � - •
CODE PRICE AMODNT' PRICE X I conE ¢Tx'
.
3;1748 4055945 24 95,
1S NL;, 6 CT &M CANDY' _kt PLAIN._1 69 ..0 24.95', .
C 1S ' ONLY 6 CT ESES CANDY.;PEANUT BUTTER CUP . , 44000 '• 5197769 24.95;: . 24.95'
l
C ONLY. 6 CT, , &M CANDY 'SKITTLE FRUIT CHEW 2.172 01160. ', 7009251 25 :OOI
D 1. „S 64 OZ RITOS CHIP CORN RHG L$S 44355 j 6743'437 30..4'4
D 1 S , ,54 :5 OZSUNCHIP CHIP MULTI RAINHRVST CHDR !LSS 44427 67440"90 3, 44 It./" ,`30.44`
._. ... .. .... Q
D 1 S 64 5 OZ YS CHIP POTATO"REG LG SSi 44359 6725273 30.44 30,44' y
1 S 64 3752 SVICKI CHIP,POTATO SAL T ;& VNGR KETTLE 44446. 6743530 •.31,28 31 28':
D 1 S 64 . .756Z ORITOS CHIP TORTILLA NACHO, CHS LSS.. 44375 ; 6743112 30,.44 ' 30:44;
D 5 S ;6 LB ACLS -CHIP TORTILLA YEL RND. ;PR 1I;1590 ,;:4894..;1 2272702 21.11_' 1;05.55'
0
D 3 S 8 OS C OY CONE CAKE '#22 CUP DSPNSR 0:0382 6276358 , 52.13 ✓• 156.39; fi
..... ..
D 1 S 24 0 OZ ATRADE DRINK FRUIT,,'PUNCH WIDEMOUTH PL 32866. : 7468515 . 22 01.. J/ 22.01 N
D 1 S 24 0 OZ;" ATRADE DRINK LMN/LM WIDHMOUTH PLST. 32868 ' 7468507 . 22.01
D It-48%,2420 OZ' ATRADE ..DRINK RASP "COOL SLUE WIDEMOUTH 32481 7468531 , 21.48. 21.48; _ !, o
D 1 510009 GM SRCZMP KETCHUP. PACKET FCY FOIL HOUSC59G 8747$59 .19.51 29.51': a
D 1 S 4106 ,OZ'ELPASO PEPPER JALApENO SLI JUG PA 188232000 7977150 , 50.39. 50'.3.9'
..
D 2 S 36 OZ
JOLLY'
T POPCORN KITCOMPIT w/OIL/SEASN 922 5997846 20 97 41.94' o
D 5 S 4107 OZ RTEGA SAUCE CHEESE NACHO DISP POUCH 706068 ': 2056653 43.09 215.45:
0
D 2 S 6 .10 SYS CLS SAUCE :C HILI<HOT DOG 390I-SYS 562Q075 9694 `.. 93.881
1 S 64 OZ,"' HEETOS SNACK CHEESE CRNCH BG:.GRB.LS .4,4366 r 6743086 30.44;,".� 30.44;: .
GROUP TOTAL**** 1058.12
K
�n
CASES SPLIT T.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE: 5:00 PM REMIT TO.:
P.O. BOX 7137 �
28 3 31 50.2 625 INDIANAPOLIS, IN TOB
46206-7137 TOTAL
TAX
DRIVER'S NO. PCSOUST.S.—D xervoxce evDD.—De wa.xrcns NO. PCS TOTAL
SIGN DELVD. SIGN X REC.
INVOICE
TOTAL
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 (Cl OF TAE PERISHABLE AGRICULTURAL COFASODITIES ACT 1930 (U.S.C. 499E(C11. THE SELLER OF THIS COMMODIAINS A TRUST CLAIM 0 THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER RODUCTS DERIVED FROM THESE COMMODITIES, CONT. ON PAGE 3
ANY RECEIVABLES OR PROCEEDS FROM THE SALk OF THESE COMMODITIES UNTIL FULL PAYMENT IS RECEZVED.FURTHER YOU AGREE WITHPECT 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 MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.
IIIIIIIlIII IIIIIIIII��IIIIIIIIIIIIIIII I IIIIIIIIIIIIIIIII II IIIIII IIIIIIIIIIIIII III IIII IIIIIIIIIIIIIIIII VIII
KOCUSTOMERLV ORIGINAL VNVOERCE CONFIDENT_ 'n ERJ OPERTEOF SYSCO
1 7 6 8 0 QO 8/07/18 _
Gooc�things
CARMEL PARKS & RECREATION come from TRUCE STOP 617399 138610780 7 1
1195 CENTRAL PARK DRIVE WEST �11/5Q�,SYSCO
/001
CARMEL IN 46032 INDIAN QLI'SS,:LLC ,, PURCHASE ORDER 000"W 62ND ST b
INDIANAPOLIS, IN 46268 2251 TERMS -PAST DUE.BALANCES ARE SUHJECT TO SERVICE;CHARGET..
317-573-4026 NET 30 DAYS FROM INVOICE
SHELLFISH SHIPPER ID: IN007RS MANIFEST# 624783 NORMAL DELIVERY ro
CARMEL PARKS & RECREATION
1411 E 116TH STREET MA SW169 AARON WATSON
CARMEL IN 46032
0 QTY, N PACK. SIZE ITEW DESCRIPTION ITEM UNIT TAx ! EXTENDEa A P K
UNIT INVOICE ADJUSTMENTS y
c a E CODE PRICE AMOUNT;• PRICE x I CODEv QTY
***WIN $1000 TO SHOP ON
SK XOUR ; SUPPLIESONTHEFLY.COM SIGN—UP AT YSCOFODIE COM/ I
.. ..
....
OMA ABOUT SYSCOACCOUNTCENTER COM; & YOU; CRN CREDI ON YUROU
NT�
H
H
C S 2 .5 PACKER ICE CREAM,MIX. CHOC 6*;UHT ? 3130432 34 Q10. 502.27• r5
.
:.
m
C S 2 5 PACKER ICE CREAM MIX VAN 6� UHT 313040834.55: 172.75 M
.. .
0
z
I S !!29 .5 OZ LU BNY ICE CREAM SNDWCH"CHIP 0007Q:640310821 1595;987 21.05'' 105.25
GROUP TOTAL****
380 27 A.......S..
0
F 2 S)�" 4Q OZ IRECL5 BEEF PATTY FC SEA HS FRZ 1561364, 1561;36,4 65.46; 130.92
F ! 2 -S�� 2 LB 131BALTMP FRANK ALL-BEEF 6X1 6 7.486521681 1970888 30.05 60.18
._....
GROUP TOTAL**** 191.10
*** FROZEN.: **,t.
.. .
.. . .., a
F1-9 S 505 OZ SUPRPTZ PRETZEL •SOFT BAKED KINGSIZE• 3015_ ;: 1207.232 34.72: 277-.75 „,
GROUP TOTAL**** 277.76
.. ::::. .. ... .. .. .. . N
*** :CANNED & DRY .***
`'10 S 6 LB 'r SACLS CHIP TORTILLA YEL RND PR•111590-0894 2272702 21.11 211.10
D S4 07 QZ RTEGA SAUCE ;CHEESE NACHO DISP POUCH 70',6068 . 2056!653 93.091 430-.90 0
Sj 6..4 OZ HEETOS. SNACK CHEESE CRNCH BG GRB LSS 4,4366.;,6743',086 30..44' 30.44.
GROUP TOTAL**** 672.44
*** PAPER: & DISPOSABLE ***
z
D64 Z'S . .12 OOCT SYS.....REL CUP PLAS PRTN TRANS 3:2502 YS. OSYS;;_,7,7 94.67 95;;
-_S 20 20CT. SYS :IMP ,LID PLAS CLR F/3=OZ PRTN YL53FR :SYS7793736 76.24, 76.24 ., °
- jib 2 50CT" SYSTRNZ TRAY FOOD"PAPR 5LB D5.TT0Z 20Q4272:: .1:.46::26' 138.78 AUS 0
GROUP TOTAL**** 302 97
M
z
ORDS S Y 3.7131:
CASES SPLIT OT.PCS CUBE GROSS WT. OPEN: 8:00 AM CLOSE: 5:00 PM' N REIdITa�TQ ° x'•
P 0. BOX71�37
51 51 69.9 1136 IND IANAPOLISy� IN _ SUB
446206 7137 TO1824.54
51 51 69.9 1136 TAX
DRIVER'S NO. PCS CUST.SxexeD:xv- wme S or....xmss NO. PCS "�— TOTAL
SIGN DELVD. SIGN X REC.
TOTAL _ •.182,4:.54
MPORTANT PACA PROVISION: THE PERISHABLE AGRICULTURAL COMMODITIES LISTED ON THIS INVOICE ARE SUBJECT TO THE STATUTORY TRUST PAYABLE ON OR BEFORE -J
UTHORIZED BY SECTION 5 (C) OF THE PERISHABLE AGRICULTURAL COMMODITIES ACT 1930 (U.S.C. 499E(C11. THE SELLER OF THIS COMMODI
TAINS A TRUST CLAIM OVER THESE COMMODITIES ALL INVENTORIES OF FOOD OR OTHER PRODUCTS DERIVED FROM THESE COMMODITIES, 9/O6/18 LAST PAGE
D ANY RECEIVABLES OR PROCEEDS FROM THE SALT 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 RIGHT TO SERVE IN ANY
PRESENTATIVE CAPACITY,OR TO PARTICIPATE AS A MEMBER OF A CLASS OF CLAIMANTS,IN ANY LAWSUIT INVOLVING ANY SUCH DISPUTE.