Loading...
HomeMy WebLinkAbout183034 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 0,. ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $2,894.89 CARMEL, INDIANA 46032 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 183034 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2747673 204.95 FOOD BEVERAGES 1095 4239040 2783535 414.93 FOOD BEVERAGES 1095 4239040 2845157 1,573.52 FOOD BEVERAGES 1095 4239040 2892321 344.78 FOOD BEVERAGES .1095 423904.0 2975535 -50.26 FOOD BEVERAGES 1095 4239040 2996825 134.36 FOOD BEVERAGES 1095 4239040 57261 541.33 FOOD BEVERAGES f ACCOUNT INVOICE.. INVOICE CUSTOMER: PURCHASE ORDER SALES SALES, DATE NO: NO. DATE NO. NUMBER LOC. REP. ORDERED ::90'569922 2783536 01/26/10, 0569575 1054 0062 01/25/10 doo Yourpartner beyond the plate' l DELIVERY ROUTE, OR NUMBER 8 23715 BILL CARMEL 'CLAY PARIS &RECREAT SHIP CARMEL CL Y PARKS &RECREAT REMIT U� 5 FCIODSERV.ICE, INC. TO: 1411 E. ,116TH ST TO: 1235 CENT AL PARK DRIVE E TO:. s BOX 6 0088 CARREL' IN CARMEL IN 460'32 46.032 I MITI ANAPOL I S IN 317 S143 3 73 46266 'GOBS ATT.' MICHELLE C OMP TON DEW T 0'�, 800,428 2118 SHIPPEDFROM, 12301 C UMBERLANb F ISHER P„J' N SHIP DATE- 1 Pag 02 of '42 FREIGHT TERMS; j' SPECIAL 3 ":DR I VER CANNOT DELIVER ON THE ROUNDABOUT OUT IN PAYMENTTERMS: NET 30 DAYS 1;t r INSTRUCTIONS: N QTY QTY SALES PRODUCT C r O EIGHT ING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER- DESCRIPTION PACK SIZE LABEL W UN D UNIT PRICE PRICE E INVOICE SUMMARY A f� FUEL SURCHARGE 3.25. TD7 aL, i�GT SHIPPED: 2? PIECES 'O�iUERED: 14_ �.IECES "SHIPPED: 1� IfEfiS SHIPPE S Fede -ral, Occupy irsn Safety ar►d Health .Standi§rds, 5ectio'n &_'14 1244 on Hazard_: PRODUCT TOTAL 411 68 Communicat.ion_ requires- manufacturers .and ,dis:tributdrs to. *.0vlde Material Safety Data "Sheets qn ndn- fo6d "p.roducts` def in d to ere tsa'za, "dots '.1'rndu ts.. CHARGES 3.25 p -..in te:; taro e. of Itre Lan.iard anceMitts the ar.e�ava2a�s1 .U:,S. Fot�tiservic.e s �TSc.. acrd can be o6ta;ined.by contacting .the Procurement, anager ",a.n our TAXABLE AMOUNT .00 dastr.xct office or:.try adWsi- ng.:your .sa °I reprsntaLve, GEN SALES TAX. Z GO You tray c.wtact:Pt.ocurement,He.lpdesk at phone 13;1.7) PLEASE,- REMIT HIS, AJ1OUNT:. SY. 02/25/14 AMOUNT 414,93 Purcha t or escrlp (XI Budget t Line De F scr �Purchaser Date t v s Date Approval tom- (1)) he a that he�customer nay inceric lawlu l� a ishad c term s e a ate equal to the lesser of (a11!h% per month or Promotional al owances, Cash discounts, prompt pay discounts. grov;,A�programs and allothet incentives are retained by 1 S. Foodsery ce'" t y c ontract to pay, end in z7.everrts calafaled in aaordarce rntn applicable law, and de not reduce product cost. Preduci cost is de6ned;as tha suppYi r, parer ag,y other vendor delivered cost o fob unit price plus )C 1 standard freight less off invoice discounts or olf- invoice allowances �e M rir3di$ urer enerated discounts or elowances on particular Items for set pi of lime and which are specil ralry relledtpd an d,a mvome, S70IN SIGNATURE: Visit www.usfood.com for a fast and easy way to order a{/er¢ GNAT URC,: ACCOUNT INVOICE INVOICE ''CUSTOMER; PURCHAAVARBER SALES- SALES DATE NO. NO: DATE G .90 NO. MBER LOC. REP. ORDERED r 9f 569988 �C7B3536 1126/ 10 569.�i� 1 �3 f 0` 4 pQ�; 01/25/10 Your partner.beyontl the plate.'' DELIVERY ROUTE E DE R NUMBER: 823775 BILL CAkMEL CLAY PARKS&RECR� T SHIP CARREL CLAY PARKS&RE,CREA tJ:,S. FOQDSERVICEr TO: 1411 E' i f.6TH $T TO: 1'835 CENTRAL PARK DRIVE E, TO: CART li�L BDX 660098' it a CARPEL I€�I 46038 46032 I ND I ANAPOL I'S IN 317 843 3873 4.6866- 0088 ATT. `M I CHELL E COMP TON DEPT 00 800 428.21 -SHIPPED FROM: 1830 ^.CUMI�'IERLAND RD.' F I SHERS-' I SHIP DATE! 01 Pa .p 0 1 of 08 FREIGHT TERMS SPECIAL DRIVER CANNOT DELIVER ON THE R08NDABOUT OUT IN PAYMENTTERMS: NET .30 DAYS INSTRUCTIONS: i e QTY Q7.Y: SALES :PRODUCT p D PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT, NUMBER UNIT PRICE PRICE E 4+ DRY >_.54'29303``::JUICE, ORHG' 100,G; PET .BTL,_ :.:24/i£} OZ,`;, THIRSTER CS 16.7000 6 CS ,9089079 POPCORN, RAJ KIT"'W OIL SALTS /8 O FANCY FAR�1 CS 23.8800 143.28 4 3h8 HIP, TORTLA CORN YLW.R d /2: LR EL PASADO CS 18.'7044' 1$,:70^ I REFRIGERATED'' L 1 CS O4:3:180'� HAM, 'SLCD W /A, REF ,SMXD.. 67 Z. 6/2 LD HILLSH:IRE 1� �S 44.7700 44.77: •READY' TO EAT ",Please, Refer to, :ke'�urn .F�Ctl.acyy: i y 1' CS. .044 TUR.(FY, :,BRST .SLC#._.67 Z q�?N HILLSFIfRE CS, 46..4500 4b; 45 READY IG EAT Please Refer. try. RetiOr.n Folic`. 1 L. CS 3254901 �4ILU LOW FAT 2X', PLST REF CHUG -12/1 PT`.. �EAN S. 9 CS 11,519 11 .51 READY' TO ,EAT PL6ase. ReTer t6� Return Polio yy C$ 6291' 07 MILK, "EHOC LO .FAT IX PLST •REFIT? /.1 PT,: '..DEAN ':S I �C.S 11.5100: 11.51 9 READY' TO.EAT Please .Refer tr Return Policy FROZEN 2 CS 7364763 F_IZZA, 4 CHS B." FZN. X4/11 IS OZ FRESCNETTA CS 56.3800 1 16.74 !u —PRODUCT CLASS REGAF" rf TOTAL L2RY FECES ..OPi0 RED F3 P :IECES SHIPPED: B I„EMS SHIPPED 130.68. TOTAL EP IGER TED P 'ECES ORRED 4 a' TP.IECES ;SHIPFE[k.: 4; I ITEMS 'Skt'IP'ED 4 114.2. TOTAL "FROZEN a PIECES ORDERED PIECES SHIPPED: 2 I' ELa SHIPPED:: 1 116.76. �f e y 1 J W��,� it 3C` •J r o- v r `Promotional allowances, cashdiscounts, tom 1 rt pjscouriis, mwth programs antl all other incentives are retainedh U.S. FOOdaervice'" Interest shall accrue on as unpaid bafarres eviceedirg estaMistiad ,edit terms a rare equal to the laser al (aJ 1-'h% per month or p p pay, A y {d) the maximum rate that the dustaneS may lawluly WnVad to pay, antl in ll Is calprlated m aCLardarice with applrahle law. and do not reduce product cost Product cost is defined as the Supplier, packer or any other vendor delivered cost or I.o.d, unit price pa plus t 5�r 'stareard freight less 011-mvoice'discounts or off -inv60 allowances (i e, menutaclurer generated discounts or allowances on diculer X items. ar set periods of time and which are specifically reflected, on the mvoice7:' t CUS T O MERS Vlsit'www.usfood.com for a fast and easy way't %order �Q mad r; ACCOUNT INVOICE INVOICE CUSTOI4IER PURCHASE ORDER SALES .SALES DATE NO' NQ DATE." NO NUMBER LOC. REP: ORDERED /y joi ,p.5c `99EF_ P.84515, 01 /8.9/_1 O F05f�F',�75 d� i054 00162 01/28/10 Your partner beyond the plate" DELIVERY ROUTE ORDER 'NUMBER: BE6602� BILL CARMEL" CLAY: PARKS&RECREAT SHIP CARMEL, CLAY PARKS&RECREAT' REMIT U.S. FOODSERVICE, INC.. TO: 1411 E 116TH �-ST. To: 1235 CENTRAL ?ARK DRIVE I VE E CARMEL IN., CARMEL IN SQK 660688 46032 46032 INDIANAPOLIS IN 31.7 843 387 3 t= 46266 -008EI ATT. NIt_.HELLE "Ct71rptm4 DEPT 00 800 428.'2118. SHIPPED FROM: SHIP: DATE: 123U1 C�;li' BERLAND "'RUr FISHERS IN 01/tc29/10 Pa e" 03 of 03 FREIGHT-TERMS: SPECIAL DRIVER" CA DELIVER- ON T-#E. RQ3NDABOUT OUT IN PAYMENTTERMS:. NET :330 DAYS INSTRUCTIONS:' QTY, QTY: SALES PRODUCT t'f k O PRICING UNIT EXTENDED DESCRIPTION. PACK LABEL WEIGHT ORDERED SHIPPED ,UNIT NUMBER D UNIT PRICE PRICE E f x INVOICE SUM ARY. FUE SURCHARGE 3 .25 TOTAL, 4163 SHIPPED: 560:37 :f_. PIECES ORDERED: 55 NIECES SHIPPED: 54 SHIPPED: 46 W PRODUCT TOTAL.$ 1570. K federal. €lccupati,an Safety and"He' aith '5tandairds. Section 1' 10. 12Oa:'on Hazard Cmunication•requz -res manufacturers and di *tributors­to- provide ,Material gNety .Oita Sheets on nori4o'od '•pead cts defined to be.'ha.aardous CHARGES. 3.25 s such as Cleaning product. and pesticides are included in.. the. sco a of the pp Standard. In comp liance -e itth the law. SDS. -are available to U S.. ".Food -service 4 Inc c,ustorfier :s and -e:an be.:obta ned, by, contacting, the. Fr.ocur.ement Manager ,in our TA`XABLE AMOUNT 00 district 6ffice; or b';/ advising your sales 'representative. GEN SALES' TAX" 00 You may. con tact ProctreMil HeXpd sk. at phone 0 (3 -1 -7), 5135 6719.. d er'. ae?sr1 a AMOUNT x:573.52 e. 'R EMIT THIS ..AMOUNT. BY Purchase DBSCfIR p }ion o �v g 1� a Una De D purchaser D Apprvusi Date Interest shall accrue da all unpaid batancea exceeding established credit terms A a rate equal to the lesser or (a) 1 -W% per month or 'Promotional allowances, rash discounts. prompt pay dismounts, grovnh programs and at other incentives are retained by U.S. Foodssrviice Ib) the maximum ate hat he, customs nay lawfully con act to pay, and n aq �4cakuleyed N ecmrda Ka w M app ic�ble law. end tlo no! reduce produm cost. Arodud msl is defined es Iha supplier, packer or any mher vendor del aced cost or f.o.b. unit p ce plus X standard Ireight lass off•invoite discounts or og• invoice allowances G e msnulacturer generaled discounts or allowances on particular 9 items !or set periods Of lime and which are specifically reflected on the invoice)." CIJSTO ERS SI TUR Vlslt www.usfood.com for a fast and easy way to order. Mir; a Z(/e ?irarao i�rtsLEcted x •fir e yj"f qj o cv ACCOUNT INVOICE INVOICE CUSTOMER 'PURCHASE ORDER SALES SALES DATE NO. NO: DA7' r't NO. r' NUMBER LOC. REP. ORDERED 90569922 c845157 d1r'Z9f1Q`�(75b5'.575 t 1054 0062 01128114 Your partner beyond the plate.', DELIVERY ROUTE:` 155 ...1 3 ''t ORDER NUMBER:. 826802 CS 35.55 BILL ICARMEL 'CLAY' PARKS&REGREAT SHIP; CARMEL. CLAY PlARKS &RECREAT REMIT 'U. S. FOODSERVI INC. TO: 1,4.11 El 1.6TF ST TO: 1835 'CENTRAL PARK DRIVE .E E TO: CARM4EL IN CARMEL IN :DClX 6640438 y 46438 '46032 T ND I Af�4AP4JL i S IN 317 843-3873 i 4,5266 0088 ATT. MICF#ELLE :COMPTON DEPT' 44.' E444 4'c'8 21 SHIPPED FROM: 301 CUMBER'LAN1] "RD F LSH. -IN tw5 SHIP.DATE; C31 f c9f 1 U Pa 12 a? Q 1 o f 03 F REIGHTTERMS: SPECIAL DRIVER CANNOT DELT4fER ON THE '4 0 NDABOUT OUT IN PAYMENTTERMS: NET,.30.,,!DAY NSTRUCTIONS:' OTY OTY. SALES PRODUCT rl: C ORDERED SHIPPED ':UNIT NUMBER DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED E DRY. UNIT PRICE PRICE d t; S i 1 4 CS 4814236 /CUP, .FM .16 Z';WHT� 20f25 E'A, MONOGRAM CS 18.4704 18'.47 1 1' CS 1246424 /PASTRY, POP .TARf`.'STWBY FRTD 2 72/2 EA. KELLOGG. S R CS 35..900U 35.90 1 .1�' .CS 2:404325_ /GLOVE,; POLY L:G TXTD ANBDX 101100 'EA i'4C34�4OGRAM CS. 35.`55013 1 1 EA 44042439 CAND_ BAR SNCKW' '2.07 OZ 48 EA SNICKERS-,., EA 30.5800 34.58 1 1 EA x€053336 :.•CANDY,, BAR MILK CHOC 36 EA HERSHEY °�p�' EA 23. -44013 23.44 a CS .4260238 f. SAUCE, CHS MACHO: SHLF STABI 4f 107 0,.,., ORT4 GA_ CS.. 47.7700. 9.5.54 CL4 K B Nt1TTR 54dD4.lH 48 1: 9:: A S CS' 19: 8900: 1 8 1 CS 5146964,1 O IE PNT UTR f O N BI CO CS 5329289 :1+�t MUSTARD,. YLW a Ci�i..S LF:. 5 1 5 �#aTGR MONARCH- CS' 10..2 00 .10..26 ,4/#2540 SPOCE, Wf SCRBR'' NYLQI CEO 1.13 EA; MQNOCRA�t'. CS 20: 5t4(, ?{1'.: SO CS,,. 55854:741 CHIP PTATO. BKD REG SS BAG 64/1.425,t OZ >;BAKED LAYS CS 2b,- 950(# 26,.95 1 1.. ;CS `56(31927:!' CHIP, PTATO KTL JLP SS BAG 64/1.37&J0Z -MISS. VICKI h CS -28 2000 28.20:... 1 0,. :CS ..S73S.055 C€ OKIE,.' RNT ,BUTR, 2.5. Z', IW SS 60 /2.5 OZ 'GRAND(�A fS 1'. 1 :C- 5744473 r COOKIE,' CHOC CHIP FUDGE'. -5 Z (SO /2. S..O�..,. GRANDMA -S- CS 20.1000 0.10' 1 .1:...' CS. 609 4395 SA[ ITIZER,__SINK TABLT 150 .CT 65 150' EA. PACKER., CS 29.9200 29.92 I' -EA •6.2.10777 "'/CANDY KIT KAT _VNDG STD -4. 5 Z 36; EA Al KAT t EA 23.1800 23. 18, 1 1- CS 6260665./COO4C.IE.. FUDGE .STRPE .M€Ni SS 60f2 ..OZ CS KEEBLER .20. 20..,08 CS' :62921.63 IE; :.V4'4L CREME _FIL L.D SNOW. 1?01�4 E ItISTI I ..CS e:. :t6 86(k4 2b. r6 7Q i09?,� CAPPL#CCI 1D, FRNCH VNL A4�48T cif°' LB (3FTG: CS 4 4.9(300 44..9?... 1 C 9.' 7475435'1 CRACKER; 1"OSTU, Phi T: BUTR -:SS t 1 2 8 f4.- EA 4�lABISCO a C$- 28.3100 31 1 1. C5 r10�759 PUD4 }ING. -V4'tL .SS ,�:Cf[ SHLF,,STABL12f4f3..5.:OZ HUN 1 4.. ti Crs 21.4S0p- 21.45 1 1" x:' 81'0'? x'58'} PCiDpIN43 CHOC PLST CUP- 1214; c J CS :.21:+#500 ,21 45 Ca.. 829292 ✓JUICE,.. APPL. 100;6. PET B1L 24f1`O�C�HP,Ri 9, CS., 18..84300 143..86 FOOD' `I"T /fR CH/' R0/� 1.:4 5I. 4dACiC E S C.S- 22: 2000 0 :..C, x'213869 'CREAMER F,RNC�.{ �s S 4t34<4DAfiY f8. y' -3 Z:., FF I f CS 11..,I500_.. 11.:.15,. CS. 9463 213869,;/'CREAMER,.,, 453e588 CHTF',. T04TLA fl4434 W� 4N3SI;.B, A fly" t C5 :18: 7604 1.8.70 1 ATED, PTATO..$ 214 LB.. HARRY'S C5 ..1.• CS, 0�d23152 -SOUP, REF L 43DED 29..4500 2.9. 1 S 4432747 ?`1 EGCa!,'' 'WHL' PLD `HARD... ERD 'BRINE PK14 L GLNVtd F4 MS CS' 21.39401 L1 .3g 1 1. CS 1355312 ,/TOMATO, RND .53x6 :BULK BOX: US 4#1.14: LB• CROSS VAL.Y _CS' 23.9900. 23..99 l 1; EA 243/345. �.SAL�4D,.. CNIt PF�EPD REI` S LII 1�I1 Gfsh1.. Pk4? I�.: EA 19':854/3 14.85 :•READY' T1V EAT, Please Refer to Return Pala.c 1: 1`` EA 366045w'rSALAD, TUNA P_REPP 'REF 5 LB �IL ORM PRO B CA 4R. 5554 16 .56 READY TO EAT, Please Refer to Return P,Qlic i:. 1 CS 34._5440 34.54 C5 497s3�45 /SALAD, EGG REF' READY TD. EAT Please Refer to Po3.ac4'RO�,S VALY 3 ,3''. 'CS :.50,06556 f BAN4NA, GRN FRESH 10 LB 6CKER CS 7, 7100 23.13 Interest shall acoue en all unpaid balances exceeding estadlished credll terms ent a rate equal W the lesser of l4,1 -y %per month or "Pr tional alldwances, cash discounts, prompt pa tlistaunts, growth program §and allolherincen[ toes are retained by U.S. Fpodservite (bJ t he maximum rate that the cus amer may law uay con act to pay, aM id lFbveJ s aku a ed n aCCOMa ce with appl cable Ww, and do not reduce product W51. PrOtldtt cost is de as the suppler, packer or any dNer vendor delivered rust or ix,it, unit price plus X standardtreighl less vg- involve tliscvun[s or off- invoice allowances e., mah[tacturer discounts or a on particular dems dor set peods of time and which are specilically redcttd on the Divot." t Vlslt www usfood.com fora fast and easy way to order c CUSTOMERS SIGNATURE: .ai :Zf/er�f,�ceaiate ZLou� �'u¢ucedo�_... •..r t a' y.{F, q• f x vw ACCOUNT r INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO, DATE NO. NUMBER L`OC:.. REP. ORDERED 90569''922 2845157 01/29/1 90569577p 1034 0062 01/28/14' Your pa. -tr,er beyond the plate.' 111`! DELIVERY ROUTE:: 155:_/, r ORDER NUMBER: E326802 BILL SHIP REMIT CA,RMtL CLAY PARKS&RECREAT CARMEL CLAY- .PARKS&RECREAT' :U. FOODSERV.ICE, INC. TO: 1411 E. 116.TH ST TO: 1235 CENTRAL 'ARK DRI TO: CARMEL IN CARMEL IN 130X .660088 46032 46032 INDIANAPOLIS IN 317 8443 3873 ,46266 -0088 ATT" MICHELLE COMPTON DEPT 00 800 428 2'11S y SHIPPED FROM: 123{1 C114`IT#ERI�AIVi3 "RI9 yr T"ISNER:S SHIP DATE: 01/89/ Pc7 B QF 0 FREIGHT TERMS: `i SPECIAL D4�, •CANNOT DEL O.�HE ROUNDABOUT '43u :I N. PAYMENT TERMS: NET '30 DAYS. ks INSTRUCTIONS: QTY QTY: SALES PRODUCT RI p PRICING UNIT EXTENDED DESCPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE 1 1 CS 6341770' GELTIIV, ASST 513FR REF Q /R. 8 /6/3: 25: `€tZ JELLO CS 23.9914 23.99 1 1." CS 6349377: SALAD NIX, ICBRGiI 80/20. 4/5 LB -CROSS VAL -Y B C,S. 19.8$00 19 :88 k -"'READY TO EAT blase Refar to. Return fn1 ie��rr_ 1 1 CS 6 41:9501 CHEESE, CHEDR SLCD 75 ..Z REF 6/1,-5 LB. GLNVW FRMS f: CS 27.904!0 27.90 1 '.1. t$:;,1327505' /';TORTILLA, FLOUR GRN SPNH 6/ DZ ELP14H CS 25 -:1100 25 l FROZEN 1, 1 CS. 14 34391,! PIZZA,' .4 C€iS .•16�` FZN 9147. €IZ FRESCHET.TA. CS 70.3 '70.3& 3 3 CS 20 /fPR'E:TZEL, 44IhICi SOFT' BKD FZN :v. 29',480(? 87.54 2014652 /MUFF'IN, .IW 24/4.7 JZ SARA LE!» CS 19 -.4800 19.48 t l 1';: ZS 2333276'.;`SAUSA.GE, I TLN -SPI'CY CRBL' CKD 10 B A. R�OSEL I CS 26 ::36'00 26; 3:6 1 A. CS 30.17753 p1�A,NISH, -ASST 4 FL.VR- IDV,LY, /3. 2��Z SARA LEE CS 18.4600 1B..4b 2 CS 4$ 57i 'J.14€DT DOG, AB 5�: 1 b e! C44q FZ�# 10 LB TYSON CS 25:1500' 50.30 i I CS 5218862 ./ICE_. CREAM SANDWICH, VNL 246 tZY BLUE EUNNY C5 16.0544 16.05 1 1 CS' S74i'1Za BUN) :HMBGR, PLN 4„ SLC€� 10/12 EA, HIL LTOP HR GS 22.'X000 22.20 1 1 ,CS 615.30.27 /BROWNIE, 'CHOC 2.5 Z UNSL FkD 48/'2, 5 OZ.` OREO' CS 36.2100 36.21 CS .6450852 ,l1COFFEE,. LIQ PREM RST FZN 4J.1 LT MAXUELL H5 CS i28. 1200 128.12 i 1 3'': ..CS 7U4763 /.PIZZA, 4, CHS 8" -FZN 24/11 1�, OZ FRESCHETTA. 58. 175:14 t 'PRODUCT CLASS RECAP. TOTAL DRY PIECES ORDERED:.- 26 FIECES SKPPED: -25 ITE#15 SHIPPED: .24 652 "26 TOTAL iREFCIGERATED. P -IECES ORDERED. 13 PIECE* 'r S HIPPED i•3 1T;EMS SHIPPED: 11 267.79 TOTrE FROZEN FTEGES.ORDERED: 650 -22. 16 f'I`EGE SHIifrOED 16 ITEMS -SHIPPED': li V ,'_rt e-f Interest shell emus on al6unpeid balances ezceedirq eslablietud credit is= gl a rate equal tv me leesei oP(el t S %per month or "Promotional allowances, cash dls�ounts, prompt pa discounts, grcMh programs and all other intent ves by U.S. Foodse,41"' (o) the mDrmum rate that the aslamar cosy lawfuly, contrail to pry, and Wall bvahfazalala� m aa^ordance with eppliceble law, and do not reduce protivct cost: Product cast Is definetl as the supplier, packer w any other ventlor delivered cost or f.o.b: unit pots plus X f a .standard height lees offinvoice discounts or oN- invoiceallowances G e- manufacturer generated discounts allowances on particular iloma far set periods of time and which are specifically reflected on the; ry ce)' nC hti CUSTOMERS, SIGNATURE: HVrslt www.usfood.com for fast and easy vUay to order 2 1 1 �4,riieelate2louunuuueae ACC UN INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO., DATE` NO: NUMBER' LOC. REP. ORDERED .0569422 289232 Q2J:(} 10 :9 1454 0062 02/01/10 Your Partner beYOnd_ the Plate.',- J. DELIVERY ROUTE: 17.28 .1 ORDER NUMBER: 829473 BILL ICARMEL4.CLAY PARKS rRECREAT. SHIP CARMEL::. CLAD! PARKS&R,ECREAT REMIT U.S. FOODSERVICE, IN.C. TO: 1411 E. .11 6TH ST TO: 1235 CENTRAL PARR DR I'VE E TO: B CARMEL. IN CAR'MEL IN 660088 46432 46G32,:: INDIANAPOLIS IN 317 843 46266-0088 s.- ATT HICHELLE' .COMPTON t' DEPT #.'00 800 428 2118 SHIPPED FROM: 1� 30`1. CUMBERLAND RL� F I S HERS T SHIP DATE: Q 2 /42/ Pa t� a 02 b f 02 FREIGHT TERMS:" SPECIAL: DRIVER' CANNOT DELIVER Ohl THE W e 'OUT I N� PAYMENT TERMS: ,NET. 30 (JAYS (.INSTRUCTIONS. QTY QTY.; SALES PRODUCT DESCRIPTION r ^PACK "SIZE LABEL O WEIGHT" PRICING UNIT EXTENDED ORDERED SHIPPED UNIT. NUMBER ;w E UNIT PRICE PRICE A INVOICE 5UtfMARY C FUEL�-'SLiRL:HARGE i :3 w5 JOT�1L: WGT,:`5 }tIR!✓EC1 X51 :68 PIECES` ORDERED: 1 PIECES SHIPPED: 14` T G S ;5h1IFPEi 1.� FfiCDlJCI'' TOTAL •349.':65. 25 CHARGES 3 a 0 TAABLE EE -GEN SALES TAX.- 00 PLEASE RENT .THI5 AMtltll9 BY- t?3 /C)4f 10 AMOUNT 352.90 Purchase cr►ptlon. f f f� L� -7 Budget "e:il�sci u r•,ehage ,ti Date A pproval a D to a interest shall eeatie'on all unpaid helarrces exceeding establish dreditQen s at a rate equal to the loser of fel t -4S %per month or 'Pramotianal allowances, cash discounts, promOt payydi5counis; gro�ih mm"' qd all other incentives are retained by U.S. Foodse'lcer° (b) the maximum rate that the astomer may tewtully contract fo pay, end In all events calculated in odmrddnce with applicable law, and do not reduce product cost, Product cost is defmad eed &supplier, pkkor.pr,•any other vendor delivered Cost or t.o,b. vrit or!" PIA A,}yrpii;rrw standard imight lass od- invoice discounts or oR•invo¢e allowance, tar mapufecturanper+araled discounts or allowances on particular X Item, for set periods of lima and wnmd ar8 relleaetl:Drt the4'votcel.�" od com for a'fast and easy way to ordeF i w US7• MGRSTURE. h Visit WWW USfo �uataeeav:. Aab ACCOUNT INVOICE INVOICE -1 CUSTOMERt ot•p PURCHASE ORDER SALES SALES DATE NO DATE NUMBER' LOC. REP. ORDERED, t 90 289 321 'O� /CD2/ 10 905695.75 1054 4 0062 02/01./10 Your partner beyond the plate,- 1 DELIVERY ROUTE' 1 72L I 6 ORDER NUMBER E32T473 BILL CARMEL •CLAY. PARKS &RECREAT SHIP CARMEL CLAY 'PARKS&RECREAT' REMIT U:.S. FOODSERVICE, INC. TO: i 4 :1 i. E 1 1 s TH ST TO: 1235 CENTRAL .PARK DR IVE E TO: CARMEL IN CARMEL IN X 660088 46039' 46032 .INDIANAPOLIS IN 317 843,38 73 46266 -0088 ATT. MICHELLE COMPTON DEPT :00 600.428 2118 SHIPPED FROM it2301 '.CUMBERLAND 'RD''. '.F ..',SHIPDATE: 02/02/10 Pa a 01 of .02 FREIGHT TERMS. SPECI DRIVER CANNOT DELIVER OW tHE ROUNDABOU OUT IN PAYMENT TOMS: 3Q DAYB INSTRUCTIONS: QTY QTY.'_ SALES PRODUCT f•f. p PR C NG UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL: E WEIGHT UNIT, PRICE PRICE �r DRY i1$3579 CAND�i, MGM PLN 3. 9 OZ 48F.EA M.. ;8, B E fi t 45::8600 5 1_.. EA 2380:156 _PFPPFR, JLP ,NACI4 SLCC #1 -00':C 1 PPACKER 8 4� M .3:: ice. I- EA 1200 8 F1DJ:, 101400 EA.. 414h10Fa1#tAM B i ..:.0 35.'5500. 5:55 1 1 CS 3�$w4�i05. JUICE, GRAPE 10a� PET T�TL 4/1 1 OZ 7NIRSTER. CS_ 1.7..6600 ;17. 66. 2 CS 9463683 'CHIP, TORTLA CORM YLU RND 6/2 LB EL PASADO 41 CS 1$::7000 37 4 a REFRIGERATED'' i ,1 EA., :2000453 .'.SALAD, CHIX ,.PREM. EF% ,5.. :PILBR ~P D iR 5 :1.9. w• +�;:.1.rrµ. gat` ,t�.s�:���'�C}�'�- �f�-=E��•`�' <��£f�"S`�' �%'�'�ET '�'e:"� ���f1'T3 �`'g11C� 1 `C5 5341532..; SOUR.. CREAM, SS.- CUP .REF' 1 )1l Oz GL NVW S 17 1100 17.11 REAIIY TO EAT Please Refer f to Ri6tU T#:-'Pot "Cy 1 1 CS 629127tII,K, CHC1C LOW FAT i F.E.ST fiEF124 PT IEAhI'`S s CS i 1.5140 f I READY- T4. EAT; P3.ease Refer t .R turn` Fol�cyyrr 1 1' C5 YOGURT, T, 'ASST STWBY DANA A RSP. 12/6' OZ YOPLA`TT CS x`' 9540 q..95 REA£�S�..TO:EAT 'Please Refer o#e`rn .,Pralir� f R02EN 2 58:36 CS 2011278 PRETZEL, KING. SUFI BKD FZN _;50/5' 13Z S PR PRTZL, C'S 29.1800 g 1 CS 2318848 BAGEL, PLN IDV,LY l3RPD FZ i i 2f3' OZ SARA LEE CS 29.'9000 29:90 1 C,S..- .7364763 PIZZA, 4 CHS 8" fZN., ��11, 15 OZ FRESCHETTA CS, 58.3800. 58 38 PRODUCT CLASS R f• AF in i b' T OTAL DRY,- S. EFCIGERA PIECE, O DEFcE' 6,: :FIECES, 6 :IT IhS HIPPE[3 5 .144'. 59 TEi�' PIECES :at'DERE 4.. fi'.� I'FEU:.. ;4, Z BEN PIECES #RDREp. 4'r• T It 4; T�I SHIPPED:. 3 146. 64 y DOTAL FR4 ✓fi f 1J C'�GIU� i. "'Pronrotionel allowances, WShdiscountsfprom tps discounts, rowth rams and al other incentives are retaingdo LS�FoodseNce"' t Interest shell etxiue on all unpaid helarwas excel established credit terms el a rate equal tolhe lasaerol (aj t•Vi %per month or p p g pro9 l y (b) the muinldm rate that the custnmer may lawfully contract to pay and In mt calculalad in aaordanre wllh eppllcahle law. and do not reduce preducl cost Product cosl is de road as the supplier, packer or any other vendor delivered cost or f.o.h. unit price plus X standard freight less oti- invoice discounts or cff-Invdice allowances (t e manufacturer goneratad discounts or allowances on particular dleme for so, periods of limo and whroh are specifically reflected on the i nvoil CUSTOMERS SIGNATURE Vlslt www usfood com for a fast and easy way.to order a(/er auc�uedse4a ACCOUNT INVOICE INVOICE :CUSTOMER PURCHASE ORDER `SALES SALES DATE 'No, DATE NO. NUMBER, LOC. REP. ORDERED '90!569922 005 02/09/2.0 90569575 1054 0062 02%08/10 You partnerbeyond the plate' DELIVERY MUM., �22 ORDER NUMBER: 8350 "BILL n SHIP REMIT CARREL 'GL AY' PARK &RECREAT. CARMEL .:^CLAY .FARKS&RkCREAT U. S. EOODSIERVICE INC. TO: 1 41`x. E .1.16TH: S TO: 1235 C IEN ,`'PARK DRIVE E TO:: CARMEL IN CARMEL IN F3OK 660008 460 I2.. 46032 r I ND I ANAPOL TS IN 317 843.387.3 ;46266- -0088 ATT: €�i 10HELL CO lWRTQN DEP 00 "'800, 428 2118 SHIPPEDFROM''12301 CUMBERLAND. RD FISHERS IN SHIP DATE: (32/09/1Cl Pagge 02 Of 02 FREIGHT TEAMS. SPECIAL DRIVER CANNOT DELIVER ON THE ,R©UNDABOUT OUT IN ,:PAYkNTTERMS;,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 •s�:.- E I,NVOICE SUMMARY FUEL- SU .CHARGE 3„' 25' 244, �;57 PIECES ORDERED: 21., PIECES SHIPPED: 21 ITEMS -'SHIPPED: 16 TDTAL' :�lFxT, ,SHIPPEC3 PI PRODUCT T©TAL. V 538 OLD CHARGES' —3- GENA TAX X 00: FL sE REMIT TH.1S. AMOUNT.. BY 03l 1/ 10 AMOUNT 541 Purchase escription FFO. f r I I irchaser Date "OVai n. �re on ap unpaid balances esceedin8 established aedt terms el a refs equal to the lesser or (aa) I. rr er month or Prorcatianal albwer,ces, cash dis,,,n �cmptpa dlscaunls, graw1h programs end ellother incentives are retained by U.S. Foodservice^• 1 A fns asiomer may IewYUay confrad a pay, eM iq�§p events calddated h accordance rilh epplifaNg law, end do nW redVCe product cost. Product oust is defined Es the sVPPlter, pedior or any other vends delivered coal t t.. :t, nil price plus .r,. standard Yreight legs �Itinvoi[a E unls or oft in eaow� s a menutadur generaleA d items ismudfs or ailowences en partrculer for set periods time end eve 8 fi reflected otl a lnvotoel: a n CtJST ry Visit wwvir.usfood.com for a fast and easy way to order. fi. n r ZUe ou2�ueticeaa SALES ACCOUNT, INVOICE INVOICE CUSTPMER� P1IRCHASE ORDER I SALES DATE NO. NO. a DATE NQ. NUMBER LOC h` REP ;ORDERED w 905.69.922,005726i"'•02/09/10 90569575 6 105$ 4 0060 O /08!10 "Your partner beyond the plate.' y DELIVERY ROUTE: 1 722 1 (�Q ,t-/� ©RD�R l�lU1'7T�E�t, E3�5058 BILL o, SHIP a REMIT C.ARP'IEL;, "CLA`(.:PARKSuRECREAT CARMEL CLAY PARKS&RECREAT U.S. FOODSERVICEr INC. -T0 1411 E. 116TH .ST TO 1235 CENTRAL PARK DRIVE E TO: BOX 660088 C"ARMEL IN CARMEL IN 4'6032 46032 INDIANAPOLIS IN 3 17 8 43 3873 46266- :0088. ATT MICHELLE COMPTON DEPT 00 BOO 428: •21.18. i l SHIPPED FROM: -12301 CUMBERLAND. RD FISHERS IN SHIPDATE: 02/09/.1© Page 01 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 DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED "SHIPPED UNIT: 'NUMBER E UNIT PRICE PRICE DRY 1 1 EA 2380.186. PEPPER, JLF MACHO _SLCD #10 CM PACKER' B EA 8.1200 `Q. 8.:12 3 3 CS .4"260238 SAUCE, CHS MACHOHLF STAB[' 4/107 OZ ORTEGA H .CS.. 47..7700 143.31 1, 1`' EA .80531 CANDY, RE"SES. PMT BUTR CUP 36 EA REESE .`S EA 23.4000 23.­40 2 2 CS: 946:3Ei88 CHIP,. TORTLA CORN YL�J RMD 6/2 LB EL F'ASADO CS 18.7000 37 40 REFRIGERATED_' 1 1 CS 3254901 MILK, LOW FAT &'PEST. REF CHU012 /1 PT DEAN'S CS 11 5100 11.51 READY TO EAT ,Plgase Refer ,to Return Policy 1. j�.. 3501087, SOUP, TMTO GORZL.I.W/ BASL REF 2/4 LB HARRY'S CS. 29.9800 29.98 1 S 4262408, SOUP, CHIX MDL REF OLD FSHMD 2/4 LB :HARRY'S CS 29.4800 29.48 1 r CS 5006556. BANANA, GRM FRESH. 10. LB PACKER CS 7.7100 7..71 ifROZ 1 1 CS 2011278. PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL a CS 29.1800 29•: 1 1. CS 2014652 MUFF BLBRY IW 24/4.75 OZ- SARA LEE CS 19.5100 19.5.1` 1 1 CS 4058707 MUFF! AhlA NUT IW FZN 24/4 OZ. SPUMKMEYER CS 21..7600 21.76 3 3 CS" 4875571 HOT` °DDG AR 5:1 b" CKD FZN' 10 Lb TYSON ,CS" 2S.1500 75. 1 i° CS 5218862 .ICE CRAB SANDWICH, VNL 24/6 OZ BLUE BUNNY" CS 1b. 0500. 16.05 1 1 CS. 5741228' BUN, HOT DW PLN 6" SLCD 12/12. EA HILLTOP HR CS 27.6000 27.60 1 1 C5 61"53027 BROWNIE, CHOC 2::.5" UNSL RKD 48/2.5 OZ OREO CS 36.2100 3b. 21 i 1 CS "8187999 ICE CREAM BAR, CHO TACO VNL24 /A II� KLOMDIKE CS 21.4100 21.41' l;U" 1 CUSS l pl%1 S PRODUCT CL ss. R A E a 3 33 HIM E E XOTAL DRY. PIECES DERED. ITEMS $HIPP 7 ��E 5 i F1� a ED: 4 212..23 $OTAL': REFRIGERATED" PIECES ORDERED: 4 -1ECES SHIFj�ED: I D ITEMS SNIPPED: .4 78.68 OTAL FROZEN PIECES ORDERED: 1'.0 RN Ft�P�G�r10 1T MS.'SHIPPED:' 8, 247.17r. r I Interest shall accrue on all unpaid.balarices excesdi establisMd credit temp at a rate equal b the lesser of (a) 1!/fl4 per month or 'Promotional all wanbes, cash discounts;; prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservice"' (G) that maximum rate that the aatomw may IawWPy co M to Pay, and'e.,aa events %lcul tad in accordance with applicable law. and do not reduce product oust. Product cost is defined as the supplier, pecker w any other venow delivered oost or I.o.b, unit price plus X standard height less oN- invoice d,scoun6 or og- invoice allowances (i.e., manulawurer generated discounts w allowances on particular items for set Periods of time and which we specifically reflected on the invoice).' SIGNATURE: Visit for a fast and easy vvay "to order. "'x.� 'CUSTOMERS 4 4:.,, r,•. a5 ,r. 'i e1' �fE�G[eeCctte'koueb ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569928 274767:3 07 /0_ 1/09 90569575 DROP SHIP BILLING 1054 0062 06/29/09 tour partner beyond the plate.' DELIVERY ROUTE: 2921 100 ORDER NUMBER: 652774 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. >`OODSERVICE. INC. TO: 1411 E. 116TH ST TO 1235 CENTRAL PARK DRIVE E TO: Iif]X 6600813 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0086 ATT. CHARLES REDMON DEPT 00 1300 428 2118 SHIPPED FROM: SHIP DATE: 07/01/09 Page 01 of 01 FREIGHTTERMS: NET 30 DAYS SPECIAL PO## 364727 PAYMENT TERMS: INSTRUCTIONS: QTY. CITY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE DRY 1 1 EA 4710000 SAN, ICE CRVNG 12° BLADE S/S 1 EA J B PRINCE EA 204.9500 204.95 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1 204.95 INVOICE SUMMARY TOTAL WGT SHIPPED: 1.00 PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1 PRODUCT TOTAL S 204.95 Federal Occupation 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 scoppe of the Standard. In compliance with the law. MSDS are available to U.5. Foodservice Inc. customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT S .00 district office or by advising your., sales representative. OEM SALES TAX X .00 You may contact Procurement Helpdesk at phone (317) 585 6719. PLEASE REMIT THIS AMOUNT BY 07/31/09 AMOUNT 204:95— TA VED AUG 2 4 2009 _tb at t L r3 oaf artl a ca dww mw aro reuertl u s wv. X race° yd,eti Intl aanw m al vpW Eeuve+.uesmq araobaw aw tams a rm ead m rw+ro« d (s) I.µx Pa Dom a �Pma dmpr a.�ned �sqp o� a rn imix wimr erea a,o a ro.c. u�n o+�s ws lot ea msaasn tau but vu .0%- mef1' —M b 7sY. and a 111 wam aue.ud r.a n a?s�4axa .dh asdc+ds Uy'. °ink tit "aa MtFaie dumec+ a 04n0Ye aeoeances 0.s. nar.�a:tae gerrnud eaoecriu a alosa,Rae a+ pertalar x IMM b wt fives w tore w w. sm W) MWod M"neial.' CUSTOMERS SIGNATURE: visit www.usfood.eorn for a fast and easy Way to order. DISTRICT COPY wellfptTeaQrze'kewre u4Lercaa ACCUL NT 04VOICH DMIC13 cusTokm PUY131ASn OYDM 2AI,88 SAr n&TB tam r A r3 vn %njb c om LC— IV, ^m vm r 90569922 29[ 7553 1 90569575 DROP SHIP BILLING 1054 0062 10/08/09 mx /Ryjoum ORDER NUMBER: 739266 CARMEL CLAY PARKS&RECREAT CAR CLA PARKS&RECREAT U.S. FOODSERVICE, INC. BIU 1411 E. 116TH ST SH P 1235 CENTRAL PARK DRIVE E REMZT TO: Ted: BOX 660088 CARMEL IN Cn_RMFy IN 46032 46032 INDIANAPOLIS IN AYTMICHELLE COMPTON DEPT 00 800 F� wpvAm 07/01/09 Page 01 of 01 RATMET 30 DAYS TGR" QW. QTY. &ALM pmnuCf PRMING i1Alm CYROMM MUM UKT NuuBBR DE�CRit'iION PACK 6Sa8 LAHBL W9ltiF17 uml pm P= CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 2747673 DATE: 07/01/09 DRY 1 EA 4710000 SAW, ICE CRVNG 12" BLAD S/S 1 EA J B PRINCE EA 50.2600- 50.26- 32 Price Only Correction INVOICE SUMMARY TOTAL WGT SHIPPED: 1.00 PIECES SHIPPED: 1 ITEMS SHIPPED: 1- PRODUCT TOTAL 50.26CR TAXABLE AMOUNT .00 GEN SALES TAB{ .00 AMOUNT Cb0_.2.6CR- ADCaJNT VMICB DfVCICB CUSTOLM PUI LUM 02MM RALSS 8A Z6 I7AT8 bcw�lnnxffl� %n wn nJLTO vn UN3raao LOn x— nonaovn 90569922 2996825 07:/28 90569575 DROP SHIP BILLING 1054 0062 07/28/09 DJ3[x /RTx0UM ORDER NUMBER: 675636 B 111CARMEL CLAY PARK C S&RECREAT 1A2RM CENTRAL DRIVE E REMIT U.S. FOODSERVICE, INC. 'I TO: TO' BOX 660088 C2UU- EL IN C F44E IN 4.6032 46032 INDIANAPOLIS IN A T T CHARLES REDMON DEPT 00 800 428 462 2118 ADAM 07/01/09 Page 01 of 01 r+!!=Wr.- Vq=AL P&nVET 30 DAYS TE2L[a rsr. mtnmm $lIPP'ffi7 UNLT NULCM nBSCRJ MOM PACK 8= LAWL vAxmrr UWT P8318 PRfB CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 2747673 DATE: 07/01/09 DRY 1 EA 4710000 SAW, ICE CRVNG 12" BLADE S/S 1 EA S B PRINCE EA 134.3600- 134.36- 32 Price Only Correction INVOICE SUMMARY TOTAL WGT SHIPPED: 1.00 PIECES SHIPPED: 1 ITEMS SHIPPED: 1- PRODUCT TOTAL 134.36CR Federal Occupation 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 Standard. In ca=liance with the law. MSDS are available to U.S. Foodservice Inc. customers and can be obtained by contacting the Procurement Manager in our T AXABLE AMOUNT .00 district office or by advising vour sales representative. GEN SALES TAX .00 You may contact Procurement Helpdesk at phone (317) 585 6719. ,AMOUNT fY34 d 7 UG 2 4 2009 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 1/26/10 2783535 Concession /food beverage 23133 414.93 1/29/10 2845157 Concession /food beverage 23133 1,573.52 2/2/10 2892321 Concession /food beverage 23133 344.78 2/9/10 57261 Concession /food beverage 23133 541.33 7/1/09 2747673 Ice carving blade 204.95 10/8/09 2975535 Credit 5026 7/28/09 2996825 Credit 134.36 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance TOTAL 2,894.89 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 2,894.89 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 2783535 4239040 414.93 1 hereby certify that the attached invoice(s), or 1095 -1 2845157 4239040 1,573.52 bill(s) is (are) true and correct and that the 1095 -1 2892321 4239040 344.78 materials or services itemized thereon for 1095 -1 57261 4239040 541.33 which charge is made were ordered and 1095 -1 2747673 4239040 204.95 received except 1095 -1 2975535 4239040 50.26) 1095 -1 2996825 4239040 (134.36) 25 -Feb 2010 Signature 2,894.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund