180995 12/30/2009 i, CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
t ONE CIVIC SQUARE U S FOODSERVICE, INC
g CARMEL, INDIANA 46032 PO B0X660088 CHECK AMOUNT: $1,411.11
IND IN 46266 -0088
CHECK NUMBER: 180995
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 1991768 709.12 FOOD BEVERAGES
•1047 4239040 2050039 26.76 FOOD BEVERAGES
1047 4239040 2126884 675.23 FOOD BEVERAGES
ACCOUNT •ICE' INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DA NO. NUMBER LOC. REP. ORDERED
US FOODSERVICE 9056992 1991768 12/02/09 2 0569575 e f1 p3Z 1054 0062 12/01/09.
Your partner beyond the plate.'• a �NP 2831 ORDER NUMBER: 783336
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E. 116TH. ST T O 1235 CENTRAL PARK DRIVE E TO
BOX 660088 1
CARMEL IN CARMEL IN k
46032 46032 INDIANAPOLIS .IN
46266 -•0088
ATT. MICHELLE COMPTON DEPT 0, 00 800.428 2118
SHIPPED41OM42 CUMBERLAND RD FISHERS IN SHIPDAT 12/02/09 Page 01 of 01 FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN
NET
PAYMENT TERMS: 317 DAYS INSTRUCTIONS: i
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED t/ UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE, PRICE
DRY
1 1 CS 2404325 GLOVE, POLY LG TXTD AMBDX 10 /100 EA MONOGRAM 8 CS 35.550 $i 35:55
1 1 CS 4518809 TRAY, P-APR F000 5 LB SAGE 2/250 EA MONOGRAM CS 48.3500 48.35
FROZEN
3 3 CS 1404391 PIZZA, ..4 CHS 16 FZN 9/47.92 OZ FRESCHETTA CS 69.7500. ':209.25•
2 2 CS 2011278 PRETZEL, KING SOFT BI'{D FZH 50/5 OZ SUPR PRTZL CS 30.3600 60 7'
y 4 4 CS 4875571 HOT DOG, AB 5:1 6 CKD FZN 10 LB TYSON CS• 25.1500 •'10.0.60.
1. 1 CS `5218862 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS' 16.0500 16.05
1 1 CS 5741228, BUN HOT DOG PLN 6" SLCDv- 12/12 EA HILLTOP HR CS ••.27:.6000 27.60:.
1 .1 CS 7175128 ICE CREAM CONE: VNL CHAMP 1 1 6. OZ, BLUE BUNNY CS 17:•7500 17:75
3 3 CS 7364763 PIZZA, 4 CHS 8" FZN t 24 EA FRES F,4ETTA CS 57.90 -00 :173. 70
1 1 CS 9520537 ICE CREAM BAR, VNL ORIG ICJ 24/4: 5 02 {LON BXE CS 16:3000 16. 30
PRODUCT CLA.SS
try' TOTAL DRY PIECES ORDERED: 2• PIECES SHIPPED 2 ITEMS SHIPPER: 2. 83:.90
TOTAL FROZEN PIECES *ORDERED: 16 PIECES SHIPPED:'' 16. ITEMS SHIPPED: 8• -.621 97
INVOICE SUMMARY *.a�
FUEL SURCHARGE 35
TOTAL 146T SHIPPED: 258.80 PIECES ORDERED: 18 PIECES SHIPPED: 18' ':.ITEMS SHIPPED`. 10
PRODUCT TOTAL I. 7f
i
Fr e JA r CHARGES 3 5
DEC 0 4 1009 I r
TAXABLE AMOUNT 00
GEN SALES TAX :00
BY:
PLEASE REMIT THIS AMOUNT. BY 0 1/01/10 AMOUNT 709. 12
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 a Promotional allowances cash discounts prompt pay discounts, grow be
programs and all other rtnrve9 are retained by U.S. Foodservioe'" v/ /y I
(b) me maximum rale that the customer may lawfully contract to pay, and in all events calculated in aboordaroe w in applicable law. and do not reduce product cost Product cost Is defined es the supplier. packer or any other vendor delivered cost or t o.Is unit price plus
standard freight less o8- invoice discounts or off-invoice allowances (i.e., manufacturer generated discounts or allowances en pad.*.
items for set periods of time and which are SPetifkally reflected on the invoice)." CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
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ACCOUNT INVOICE INVOICE CUSTOMER s PURCHASE ORDER SALES SALES DATE °t
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED.
S FOOOSERVICE 90569922 2126884 12/10/09 90569575 1054 0062 1 /04/09
Your partner be y ond the plate.`
DELIVERY ROUTE: 2841 2 ORDER NUMBER: 790195
BILL CARMEL CLAY PAR44SP<RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E; 116TH ST TO: 1235 CENTRAL PARK DRIVE E T0:
BOX 660083
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
46266-0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 1E301 CUMBERLAND RD FISHERS HERS's IN SHIPMATE: 12/10/09 Page 02 of 02
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER .ON THE ROUNDABOUT OUT ,IN
PAYMENTTERMS: NET 30 .DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E.
INVOICE SUMMARY
FUEL SURCHARGE 3. t5
TOTAL WOT SHIPPED: 297.53 PIECES ORDERED: 25 PIECES SHIPPED: 23 ITEMS SHIPPED: 18
PRODUCT TOTAL 671.98
CHARGES 3.25
TAXABLE AMOUNT .00
GEN SALES TAX Y .00
Purchase
Description CC7 i 2 ..'LL -t-P
P,0. A3P05 P
F r1Q PLEASE REMIT THIS AMOUNT BY 01/09/10 673.23
AMOUNT
Y7- IoM-- 9 -[O
G.L. 3oU
3Udget F 65 v/c a:z
Line �escr
rurchaser Date
lroval date
7
A6 DEC 1 1 2009
r
Interest shall accrue op all unpaid balances exceeding established credit terms at a rale equal to the lesser or (a) 1-kOS per month or •promotional allowances, cash discounts, prompt pagdiscounts, growth programs and all other incentives are ietained by U.S. Foodsarvitew 1
(b) the maximum rale that the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law and do not retlude,product cost. Product cost is defned as the supplier, packer er any other vendor delivered cost or I.o.b. unit price plus
Standard freight less oft- invoice discounts or oil- invoico allowances (i.e., manufacturer generated discounts or allowanaes on padicular X A
items for set pedants of time and which are specifically reflected an the invoice)" C SIMMERS IGNATURE:
Visit www.usfood.com for a fast and easy way to orders jefffrAveri%�te�au�euQlxeaa
ACCOUNT INVOICE INVOICE PURCHASE ORDER CUSTOMER pu .SALES SALES DATE
NO. �mo�� o�Ts mo� �Loc REP.
ORDERED
US
90569922 2126084 12/10/09 90569575 'IA l: L4�� 1054 0062 12/09/09
��,�*,u�=^m"pw" r
DELIVERY ROUTE: 2841./ 2 ORDER NUMBER: 79019'5
BILL CARMEL CLAY PARKS&RECREAT l� CREAT REMr U.S. FOODSERVTCE, INC.
TO: 1411 E� 116TH S� nJ/ 1235 CENTRAL ,PARK DRIVE E TO:
88% 660088
IN IN
46032 S IN
ATT. MICHELLE COMPTON D EPT #OQ SDO 428 2118
SHIPPED FROM: 1E301 CUMBERLAND RD S IN �mM 12/10/09 Page 01 of 02
FREIGHT TERMS: SPECIAL ROUNDABOUT CANNOT DELIVER ON THE ROUDeBDUT OUT
pmu�rr�mu WET 3 O DAYS INSTRUCTIONS:
CITY. QTY SALES PRODUCT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL v«snu*T' UNIT pnx�e PRICE
,N E L.
1 1 48 EA h 8 M :B EA 30.5725 30.57
2 2 3/16/1.3 24 .18
1 1 CS HIP 64/1_75 OZ DORITOS
1 1 64/1.5 OZ LAY'S 26.95
1 1 375 OZ COFFEEMATE CS �11:1 11.15
1 1 50 CS 12.2000 12.20
1 1 CS 8429292 JUICE, ..24/10 CS 21.6000 21.60
1 1 CS 9213869 CREAMER, FRNCH VNL SS NONDARY OZ. COFFEEMATE CS 11.1500 11.15
2 2 CS. 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 18.7000 37.40.
REFRIGERATED
SOUP, T CS 29,9800 29198
1 1 C$ 113 CY BR VALY 29. 29.07
1. J. CS G�N 7.7100 7.71
1 1 CS 62912O7 F12/ DEAN'S CS "11.4900 '11.49
READY TO EAT Please to Return PolicY__
2 ,V EA 6349377. SALAD MIX, ICBRG RMN 80/20 5 LB CROSS VALY ~B
REApY TO EAT 7 Please Refer to Retur?•PolicK
r
2 2' PIZZA, 4 CHS 1 ZN .92 OZ. 70-3600 140.72
2 2 CS PRETZEL, KING FZN 50/5 OZ 30.3600 6 .72
1 1 CS 2014652 MUFFIN, 0R 24/4.75'OZ CS 19� 9.40
1 1. CS BAGEL, BLBRY IW FZN 72/3 OZ CS 29� 29.90
2' `/2 CS 7364763 .PIZZA, 4 CHS '8" FZN .24 EA FRESCNETTA` CS 58.3800 29.9000 116.78:-
PRODUCT CLASS- RECAP
P*m
PIECES 11 'S 11 ITEMS SHIPPED:. 9 226,15
TOTAL REFRIGERATED 6 PIECES 4 ITEMS SHIPPED: 4 78.25
•TOTAL FROZEN •PIECES ORDERED: 8 PIECES ITEMS SHIPPED: 5 367��8
q������5���
�����w�J� �Y
1 1 ?08
DEC 1 1
/Y~y
`a'' 7�/'m�~'
Interest shall aocrue on all ungaid balances exceeding eslabtfshed credit terms at a rate equal to Me lesser of (a) VA% pet Month 01 'Promagonel allowance% Cash discounts, prompt pay discounts, gtowth programs and all other Incentives are retained by U,S. Foodsemc0 A/ i
ww°�°==m"���°"�*���=d°°^=m*�==°�" m�°�=*~��°= m^°= �N�v�
CUSTOMERS
Visit www.uamvu�o� for o fast and easy way to order.
s
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. wcz DATE NO. NUMBER LOC. REP. oRBERED
u�,,,,,,,,,,,~ 90569922 2050039 12/5/09 98 1 1054 0062 12/019
m"'p"'�""'�"�"�m"p/"�"� vxuvco'xou/s. 1QD 1 (rv/ ORDER NUMBER: 785603
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT RB0[[ U.S. FOODSERVICE, INC'
TO: 1411 E. 116TH ST T�� 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
IN CARMEL IN
CARMEL 46Q�2 INDIANAPOLIS IN
46266-0088
4lT MICHELLE COMPTON DEPT Q{) 8OO 428 2118
SHIPPED FROM: i SHIP DATE: 12/04/09 Pace 01 of 01 7
mo�r��� COLLECT S USF-P8#205334
PAYMENT TERMS: nn 30 DAYS INSTRUCTIONS:
r
QTv oTY SALES PRODUCT pn/cwu UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER
DESCRIPTION PACK SIZE LABEL WEIGHT UNIT pn|os pMos
s
l
DRY-
4 4: EA _1339746 PITCHER"'PLST:60::OZ CLR 1 EA .CARL%SLE i EA ^,'6'8900 26:76
pRODUCT:[LASS RECAP
~TOTAL DRY 4 PIECES SHIPPED: 4 ITEMS SHIPPED.: 1 26,76
SHIPPING TRACKING NUMBER =,1ZAE12 146156 _.UPS
w*w'
TOTAL WGT SHIPPED: 2�00 PIECES 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 1
PRODUCT TOTAL 26 76
TAXABLE AMOUNT .00
GEN SALES TAX :00
PLEASE REMIT THIS AMOUNT BY .01/04/10 AMOUNT 26,76
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Interest shall accrue on all unpaid balances exceeding established are& ierms at a rate equal IO M. lesser of (a) 0.1/2% per month Or 'Promotional allowances, cash discounts. prompt pay Th_—___��~�e-__— x growth programs and all other incentives are retained by U.S Foodservicr
—~g�~ t~~~o'�p:z7,^=~,� generated CUSTOMERS SIGNATURE:
man��u�o�^omm,umm and n�v�y«»vme: i CUSTOMER COPY ���w�^�n�A=�
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.
Box 660088 Date Due
Indianapolis, IN 46266 -0088
Invoice Invoice Description
Date Number (or note attached invoice(s) or bilf(s)) PO
Amount
12/2/09 1991768 Concession /food beverage 22991 F 709.12
12/10/09 2126884 Concession /food beverage 23005 F
675.23
12/5/09 2050039 Concession /food beverage 22991 F 26.76
r
I 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 TOTAL 1,411.11
,20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
1,411.11
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1047 1991768 4239040 .709.12 I hereby certify that the attached invoice(s), or
1047 2126884 4239040 675.23 bill(s) is (are) true and correct and that the
1047 2050039 4239040 26.76 materials or services itemized thereon for
which charge is made were ordered and
received except
23 -Dec 2009
Signature
1,411.11 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund