HomeMy WebLinkAbout182120 02/03/2010 e, c ..4 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
I. 'I. ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $1,016.37
CARMEL, INDIANA 46032 PO BOX 660088
N, INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 182120
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2421563 263.38 FOOD BEVERAGES
1095 4239040 2469088 116.76 FOOD BEVERAGES
1095 4239040 2525472 589.01 FOOD BEVERAGES
1095 4239040 2554506 47.22 FOOD BEVERAGES
t
w_
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO.. NUMBER LOC. ,'"REP. ORDERED
US FOODSERVICE 4 90569922 2469088 01/05/10 90569575 1054 0062 01/04/10
Your pa rtner be y ontl the plate.` DELIVERY ROUTE: 9197 1. ORDER NUMBER: 807610
BILL CARMEL CLAY PARRS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S: FOODSERVICE, INC.
TO: 1411 E. 1 16TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL IN r
46032 46032 INDIANAPOLIS IN
46266 -0088
Arr. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPEDFROM: 12301 CUMBERLAND RD FISHERS TN SHIP DATE: 01 ./05/10 Page 01 of O1
FREIGHT TERMS: SPECIAL PAGE STEVENSON P/U
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED V UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
FROZEN
2 2 CS 7364763 PIZZA, 4 CHS 8" FZN 24 EA FRESCHETTA CS 58.3800 11: :16'
PRODUCT CLASS RECAP
TOTAL FROZEN PIECES ORDERED: .2 PIECES. SHIPPED: 2 ITEMS SHIPPED: 1 116.-76
INVOICE SUMMARY *at
TOTAL WGT SHIPPED: 33.46 PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1
i r *s
PRODUCT' TOTAL 9i 116.76 l
Fedral Occupation Safety and Health Standards. Section 1910.1200 on Hazard
Cammunaca' ion'requir es lanufacturers and distributors to provide Material �t
+S Safety Data Sheets` on non -food products defined to be hazardous. Products
'rich as 'cleaning products and pesticides are included in the scope of the
Seta►dard. In compliance with the law. MSDS are available to U.S. Fondservice •I
In c customers '0.ml can be obtained by contacting the Procureinent Manager. in our TAXABLE AMOUNT' 4U
district Office or by advising your sales representative. 'GEN SALES TAX X .00
You, may contact Prorurenent Helpdesk at phone (317) 585 6719. as,'
1.E
E M
.PLEAS. ..EMIT THIS AMOUNT BY 02/04/10. {#m:kw 116. 7b.
r
r Purchase c es -s o
Description
P.O. t ii r% r P tar F
l 1 G.L g Ll r�U t00 Ili3g
u ne Destx ..w�` V
4
y) De g Purchaser Date
Approval Date "(7/%2
n
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of Ca) 1 t4% per month or 'Promotional allowances, cash discounts, prompt pa discounts, growth programs and all other incentives ere retained by Foo�service r 1
lb) the maximum rate that the customer may lawfully =Peet to pay, and in all events calculated in accordance with applicable law. and do not reduce product 0001. Pmdoct 0001 is defined as the Supplier, packer or any other vendor delivered cost or f,o.h, unit price plus
standard freight less off invoice discounts or oil- invoice allowances 0.e manufacturer generated discounts or allowances on particular X
items for set periods of time and whim are specifically reflected On the invoiced rt 1 I f:.. CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order. ,r ese euate* aced
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER S fSAL`ES DATE
tdr NO. NO. DATE NO. NUMBER LOC REP. ORDERED
US. FO 9056992? 2525472 01/08/10 9056 575 1054 0062 01/07/10
Your partner be the plate.' DELIVERY ROUTE: 1 55 2 ORDER NUMBER: 810274:
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKSQCRECREAT REMIT U.S. FOODSERVICE, INC.
TO:. 1411 E. 116TH ST TO 1235 CENTRAL.. PARK DRIVE E TO:
BOX 660088.
CARMEL IN CARMEL' IN
46032 46032' INDIANAPOLIS r TN
46246 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 11301 CUMBERLAND RD a FISHERS IN SHIP DATE: 01/08/10 Page 02 of 02 1`s.
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT 0U1' N
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT P UNIT PRICE EXTENDED
E
E
K INVOICE SUMMARY
FUEL SURCHARGE 3.25
TOTAL. L43T SHIPPED: 188.76 PIECES. ORDERED.: 21 PIECES SHIPPED .20 ITEMS SHIPPED: 16
coos. ***fit scat tit
I 1r PRODUCT TOTAL 585.76
Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard ct
Communication requires manufacturers and distributors to provide Material
Safety Data Sheets on non -food products defined to be hazardous. Products te,.. CHARGES. 3.25
3 such as cleaning products and pesticides are included in the scope of the
Standard. In compliance with the law.- M SDS are available to U. S.. Foodservice
Inc. customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT .00
district office or by advising your sales representative. n GEN SALES TAX X .00
You may contact Procurement Helpdesk at phone (317) 585 6719.
3
t n**** *n *n t: *st *r *a rc
PLEASE REMIT THIS AMOUNT BY 02/07/10 AMOUNT 589.01
Purchase
Description (r' I /girl
P: o. r. it s 0. F
Ic S -1 G.L.# i47- OO /OU- �S
Line Budgget Desc ���C
Purchaser r k
Date
Approval Date_., .L.d4;
czate--4::
Interest shall accrue m all unpaid balances exceeding established credit farms at a rale equal to the lesser of(a)t- 1%per month or "Prornb[ionalallowances, cash discounts, promptpa�dlsoo growthpro grams andallotherincenlivesare retained b y If �J�// /jj Ari:t the maximum rate that the customer may lawfully oontraet to pay, and in all events calculated in accordance with applicable law
and do not reduce product cost. Product cost is da ma as the supprier, p acker or any other vendor delivered cos[ or Lo.b. unit price plus �1�`�A v"",^
standard freight less olhineoice dieceunls or oil- invoice allowances 0 e., manufacturer generated discounts or allowances on particular X
Items for set periods of time and which are specifically redacted on the invoice).' CUSTOMERS SIGNATURE:
Visit www.usfood.00m for a fast and easy way to order. 2(/ef4eela•tegfGuause44
ACCOUNT INVOICE INVOICE CUSTOMER SAIES IfSAll'ES DAT Ni':..;::
Your partner beyond the Mate! P ID D 0 (IL( 34*:
DELIVERY ROUTE: 15 5. 2 ORDER NUMBER: 610E74
BILL CARMEL CLAY PARKS&RECREAT SHiR CARMEL CLAY PARKSZ REMIT FOODSERVICE, INC.
TO:
BOX 680008
C'''- L IN C4RMEL IN
46032 46032 INDIANAPOLIS IN
46266-0088
ATT. MICHELLE COMPTON DEPT 00 BOO 428 2118
slopmFON4:1230I CUMBERLAND RD FISHERS •IN «mpmm:O1/08/10 Page 01 of
FREIGHT TERMS: SPECIAL DRIV CANNOT DELIVER ON THE �0UYVDA8OUT
PAYMENT TERMS: 3O DAYS
INSTRUCTIONS::
EXTENDED
QTY.
oUNIT SALES PRODUCT PRICING um
DESCRIPTION PACK SIZE LABEL u WEIGHT
ORDERED SHIPPED UNIT NUMBER n UNIT 'PRICE PRICE
E
DRY
1 0 CS
1 1 CS •55 CHIP, 26.9500
1 CS 559760 HI CHS 27.4000
2 2 CS 605 27.8400 55.68
2 6023642 NACHO 2 CS 68 TRA PLST T5 I 78. 5 '84
1 1 CS 609 6/150 50 CS 29.9200
1 1 CREAMER, HZLN 8Z CS 11.1500 11.15
1 1 CANDY, 1.74 M 30.5700
1 CS CS 21 .60
1 1 CS 9213869 CREAMER, FRNCH NONDARY 180/.375 OZ CS 11.1500 11.15
2: .2 CS 9463688 CHIP, CORN YLW RND' 6/2 LB EL CS 1 37.40
REFRIGE
1 1 CS 3254901 MILK, L 2% PLST REF CHUG12/1 PT DEAN'S CS 11!�900_ 11.49
c
1 1 CS BAN CS 7.71 7.71
^�1 CS 6291207 I LQW DEAN^S 11.51�O� �2�51
TO Refer polx
1 1 :CS 7197775 ASST RSP1 OZ- YOPLAIT CS 9.95QO 9.95
READY TO EAT Please Refer-to Return
F
1 CS '2O14652
24�4�75(JZ 19.4800
1 19.48
2 2 CS 7364763' PIZZA, 4 24 EA 50`3800 116.76
con (e Q (n.:-
PRODUCT CLASS REC
TOTAL Y PIECES O RED' l4 SH� )LJ -t=��� ��IpP 10 40�
TOTAL REFRIGERATED PIECES ORDERED: 4 SHIPPED.- SHIPPED: 4 40 24
TOTAL FROZEN PIECES ORDERED: 3 5 SHIPPED: //^J����� SHIPPED' 2 136
~L��"�'
6;1M/42
1.,,, shell accrue on all unpaid balances exceeding established credit terms al a nate equal m Me lesser of (a) t-W% per month or 'PromotIonal allowances, cash discounts, Prompt pay dlscounts, growth programs and all otherincentlas are retained by U.S PoodsOnfoOr w� �������°��m�=���m������ x W
vmu�ww�usw�ounom are specifically CUSTOMERS SIGNATURE:
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES_ ,SALES DATE
NO. NO. DATE NO. NUMBER •LOG. 7 REP. ORDERED
t15. FOODSER VICE 90569922 2554506 01/11/10 5+0569575 1054 0062 01/10/10
Your partner beyond the plate.• DELIVERY ROUTE: 9 042 1 ORDER NUMBER: 811674
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FQODSERVICE, INC.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARR DRIVE E TO:
BOX 660088
CARMEL IN CARMEL IN
4603E 46032 INDIANAPOLIS IN
317 843 3873 46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 1E301 CUMBERLAND RD i FISHERS IN SHIPDATE: /11 /1O Page 01 pf 01 f
FREIGHT TERMS: SPECIAL PAGE STEVENSON P' /U
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
OTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
1 1 CS 4260238 SAUCE, CHS :NACHO SHLF STASL 4/107 OZ ORTEGA CS 47.2200 47.22
PRODUCT CLASS RECAP
TOTAL DR_ PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1 47.22
INVOICE SUMMARY
1OTAL'WGT 'SHIPPED: 24,00 PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1 W
Y t.fk4;ts3E;lftt:iE3k* Kf*** iEaF3k *##1'c181(****3fi E* r3E** ##!'*****iEi't***
1 PRODUCT TOTAL 47.22
Federal Occubation Safety and Health Standards. Section 1910.1200 on Hazard
Communication requires manufacturers and distributors to provide Material
Safety Data Sheets on non -food products defined to be hazardous. Products
such as cleaning products and pesticides are included in the scope of the
'5'tandard. In compliance with the law, t1SDS are available to U.S. Foodservice
Inc. customers and cam-be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT .00
district office or by advising your sales representative. GEN SALES TAX X .00
'Xou may contact Procurement Helpdesk at phone (317) 585 6719.
*ittf4* t*** I **M9t*** M***
PLEASE REMIT THIS AMOUNT BY 02/10/10 AMOUNT 47.22
j) .chase 414) u} a FT, 3
I ,Description elJ u (0-NS ��'ai r Y 1 s Po F 717 PO c2 300
r I0 -rte 4= JAN 5 20 i0
Buagget —f
Une ��a
s. Purchaser Date
Approval Date
Interest shell accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser si la) t!h% per month or 'Promotional allowances, cash discounts, prompt pay discounts. growth programs and all other incentives are retained by U. S. FoodserviCe
(b) the maximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law, and do not reduce product cost. Product cost is defined as the supplier, packer or any other vendor delivered cast or f.o.b. unit pdoe plug
standard Ireight less off- invoice dISt aOts Or off-invoice allowances d.e., manufacturer generated discounts or allowances on particular X 4 r
awns for set periods of limo and which are Specifically reflected on the invoiCe).•
Visit www.usfood.com for a fast and easy way to order. GUSTOMERS SIGNATURE:
L(✓e/d senate *amok uvr.ced4
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 bill(s)) PO Amount
1/5/10 2469088 Concession/food beverage 116.76
1/8/10 2525472 Concession/food bevera e 23069 F 589.01
1/11/10 2554506 Concession/food beverage 23069 F 47.22
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
TOTAL 752.99
with IC 5- 11- 10 -1.6
20
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
752.99
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1095 2469088 4239040 116.76 I hereby certify that the attached invoice(s), or
1095 -1 2525472 4239040 589.01 bill(s) is (are) true and correct and that the
1095 2554506 4239040 4722 materials or services itemized thereon for
which charge is made were ordered and
received except
28 -Jan 2010
1'7'LC%IC�
Signature
752.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
n
ACCOUNT INVOICE INVOICE t' CUSTOMER PURCHASE ORDER SALES SALES 1 DATE
1/45" NO. Na DATE NO. NUMBER ,1 LOC. REP. ORDERED
US FO VICE
90569922 2421563 12/31/09 90569575 1054 0062 12/30/09
Your partner beyond the plate! f 2841 1 1 ORDER NUMBER: 6051.17
DfLNERY ROUTE:
BILL CARMEL 'C LA ?ARI&SP:RECREAT SHIP CARMEL CLAY PARKSeRECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E. '116'TH' °ST T. 1235 CENTRAL PARK DRIVE` E TO:
CARMEi_ IN CARMEL IN. BOX 660088
46032 46032 INDIANAPOLIS IN
46266- -0088
ATT. MIT .HELLS COMPTON DEPT .00 t._.:� 800 428 2118
12301 CUMBERLAND RD FISHERS ;:IN 12/31/09 Page 02 of 02
SHIPPED FROM: SHIP D ATE DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN
FREIGHT TERMS: NET 30 CAA Y S SPECIAL
PAYMENT TERMS: INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED V UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
INVOICE SUMMARY
FUEL SURCHARGE 3.25
-t L C4r, a tt r5° 9 ?a: P titb: 18' PIECES SHIPPED: 16 ITEMS SHIPPED: 12
4,
PRODUCT 'TOTAL 260.13
0 `r j �`44. CHARGES 3.2
�QL L t±CiA"r., 2, L i+Vci 1 iC.
Sn
TAXABLE AMOUNT T
GEM SALES TAX I 00
tF a�� 1 �.G �K
r
0 31 1f PLEASE 'REMIT THIS AMOUNT BY 01/30/10 AMOUNT 263.38
A J ANo7201a a
BY: P.irchasa`
Description fi r
PorF
P.o:a 0 r o 0,3904 1,
G.L.IE '0 Vii,
,t' Line Descr x rl. i.
Purchaser
Date
I '1
Approva Date
col 0 a
,../ti
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 114 per month or 'Prpmptional allawance cash d iscounts, p rompt pay discounts, growth p rograms and all other incentives are retained M U .S Foad Servioe
(b) the maximum rate that the customer may lawfully contract to pay. and in all events calculated in accordance with applicable law. and do not raduoa prod cos Product cast is dellned as the supplier, packer or a ny other vendor delivered cost dr I.o.b. unit p ace plus X
slandartl height less off invoice discounts or ol4invoice allowances (i.e., manufacturer generated discounts or allowances an particular
items for set periods of time and which are specifically reflected on the invoice) CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
Veflfi4eceate S'o t Vuaiae 4.
ACCOUNT INVOICE INVOICE CUSTOMER p ..SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 2421563 12/31/09 90569575 �j/ 1054 DOSE 12/30/09
US. FODDSERVICE 7. I f_
Your partner beyond t h e'plate-' DELIVERY ROUTE: 2841 11( ORDER NUMBER: C3O51 1.7'
BILL CARMEL CLAY, P :AR I S KRECREAT SHIP CARMEL r CLAY PARKSR.�RktREAT' REMIT U.S. FOODSERVICE, INC.
TO 1 1 1 -E 16TH ST TO 1235 235 C>=NTR A L. PARK 'DRIVE E TO:
BOX 1600Se
CARMEL. .IN CARMEL IN
46032 �I 46032 7 INDIANAPOLIS ,IN
46266 8E1
ATT. MICHELLE 1ft0MPTON' DV PT 00 SOO 42,2118
SHIPPEDF 1.2 301 CUI'1pERLAND RD FISHERS .-••L" SHIP DATE: 12/31/0 Page 01 Of 02
FREIGHT TERMS: a�. SPECI DRIVER C DELIVER ON THE ROUNDABOUT OUT IN
PAYMENT TERMS: N E T INSTRUCTIONS:
QTY. QTY. SALES PRODUCT D PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
E w
v.( DRY
-2 2 CS 4962395 DRESSING, CSR CRMY POUCH :60/1.5 OZ MONARCH .'C'S 18.0500 36.10
1 CS 5329289 MUSTARD, YLW SS 5.5 CSR SHLF 500/5.:500 GR MONARCH CS' 10,2600 10.26
1. 1. CS 6213862 CREAMER, HZLNT SS NONDARY 180/.375 OZ COFFEEMA'E CS 11.1500 11.15
/1 1 CS 6276612 JUICE, CRANBRY CKTL DRNK 27Y 4/10 OZ r TROPICANA CS 18.7000 18.70
3 CS 8277329 BOX, PIZA 7X7X1.75 CRBRD G8 a0 EA :,TROPICANA
CS 12.2000 36.60
1 1 CS 9213269 CREAMER, FRNCH VNL SS NONDARY 180/..375 OZ COFFEEMATE CS 11. 1500 11: -15
REFRIGERATED
1 1 CS 3254901 MILK, LOW FAT 2% PLST,-R'EF CHU 1211,,: P T DEAN'S CS 11.4900 11.49.
READY TO EAT .P1ease''Refer to Retbri Folicy
11 1 CS 6291207 MILK, CHOC LOW,FAT 12 r PLST R 42/1 PT DEAN'S -CS., 11.4900] 11.49
READY TO EAT .Please Re.Fer to Return Policy 4 M
FROZEN
/2 .2 CS 2011278 PRETZEL, KING SOFT BO FZN 0/5 OZ SUPR P CS 30.3600 60:.72
/1 1 CS 5218862 ICE CREAM SANDWICH, VNL 4/6 OZ BLUE BUNNY CS 1b: 0500 16.05
f'4 EA FRESCHETTA:
1 C5 8 18795'9 ICE CREAM BAR- CHOC TACO• R VNL24 /4 0Z IKLONDIKE CS 20.1200 20.12
r 1 1 CS 9520537 ICE CREAM BAR, VNL ORIG 1W 4'42 y 4/4 5 OZ KLONDIKE CS 16.3000 16.30
b: PRODUCT CLASS RECAP #3t y n
TOTAL DRY P rECI~ ORDERS[?: �E E 9 ITEi1S. SHIPPED 6 123.96
TOTAL REFRIGERATED PIECES ORDERED: ED: L :..1 SHIPPED '2 ITEMS SHIPPED' 2 22.98
IrflT.AL FROZEN PIECES'ORDETED: r`' PIECES SHIPPED 5 ITEMS SH FED 4 113.19.
T I
P
l
A
1
Interest Shall accrue an all unpaid balances exceeding established credit terms al a rate equal to the lesser of (a) 1- VA per month Or Promotlone! allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. FoodserviCe"
(c) the maximum rate that the customer may lawfully contract to pay, and in all events calculated In accordance v eh applicable law, and do not reduce product cost. Product cost is defined as the supplier, packer or any other vendor delivered cost or 1.o .b, unit price .x
standard freight less off- invoice discounts or o invoice allowances (i.e., manufacturer generated discounts Or allowances on part
f `i ite lei set moos o1 time and which are s ceicall reflected on me invoice)!
p pj y l CUSTOMERS SIGNATURE:
F sl Visit for a fast and easy way to order.
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 bill(s)) PO Amount
12/31/09 2421563 Concession /food beverage 263.38
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 263.38
20_
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 1 In Sum of
263.38
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
INVOICE NO. ACCT #ITITLE AMOUNT
Dept
1095 2421563 4239040 263.38 I 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
28 -Jan 2010
Signature
263.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
:ia