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189044 08/18/2010
CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $6,026.47 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 189044 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 237433 30.12 FOOD BEVERAGES 1095 4239040 237434 655.04 FOOD BEVERAGES 1095 4239040 256392 221.38 FOOD BEVERAGES 1095 4239040 2586752 2.00 FOOD BEVERAGES 1095 4239040 2792638 57.50 FOOD BEVERAGES 1095 4239040 279621 256.06 FOOD BEVERAGES 1.095 4239040 280762 409.92 FOOD BEVERAGES i 1095 4239040 294952 4,394.45 FOOD BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE" ORDER SALES "'SALES DATE NO. DATE NO. NUMBER LOC. REP: ORDERED 9056992 2,7'98[ 07/08`! 1 405695.75 SPECIAL .ORDER 1054 0062 06/30/ 10 Your _partner_beyond- the.plate' DELIVER a 5252 -.2 ORDER NUMBER: 9545EQt BILL Jr SHIP REMIT CARMEL CLAY PARKS&RECREAT CARMEL CLAY F'AR6',S>zeRECREAT U. S. FEIODSERVICE, INC. TO: 1411 E E. 116TH ST TO: 1235 CENTRA' '-PARKr "DR I VE E TO:.. t I3OX 660098 CARMEL It CARMEL ZN 46032 41032 I ND I ANAPOL "I S IN 317 843 327 46966 -9088 -ATT. MICHELLE COMPTON IDEPT 011 "r, 900 429 2118 ,`SHIPPED FROM: SHP DATE 123091 CUMBERLAND RD FISHERS IN I Ck��;D�r10 I Pal a D] a.f. 01 FREIGHT TERMS! SPECIAL SPSEQIAL ©RI9ER'�a LiA( N IiF RMRNEEb PAYMENT TERMS;: NET 30 DAYS INSTRUCTIONS: OTY. SALES PRODUCT r p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE DRY. 1 t CS 2255396 CONE, ICE GRM CAKE FLAP` BOTM 28/45 EA JOY-CONE CS 5i. 5000 57.-50 **-PRODUCT CLASS RECAP t: T'CITAL DRY SIEGES ORDERED I PIECES.".SHIPPED': 1 HEMS SRIPPED:. x i 57 :"50.. INVDIGE SUMMARY TOTAL SHIPPED: 4.0 PIECES ORDERED: 1 FECES SHIPPED A r a i ITE�1 SHIPPED. 1 PRODUCT TtITAL 5 n Federal Dtcu ation Safety nd t alc 'Stan ards SeC Lion .i9 1 Q !`,on Hazar Communic do r qu1"r'es rams actufl and dix tr�.butdf -el t o °pr a:_e t�ateriz�l Safety Data Sheets og:' non ta€�ii prc#siuc is d�faned hatar, y lt)LI,s. such as cleaning prrsducts(;and.,st��fs °bra Ii:►clu�led an 'the +'_scop" a of the ,a;, ;t Stenda "rd. In compl:ran.cp. +ith a Ia" 19SDS rr °auaal b'le Food S.v:. ice .s 4 a �F I i �E .Inc. customers. and can be obtained by contacting the 'r, cf�r� nt "in cur TAXABLE AMOtlNT 40 district office or by advisinq your sales representative. GEM SALES TAX You may contact Procurement Helpdes€s at phone wit 7iTC'a4iCN7(7iNTS iC T"if Tf 7[ "K 7C��Tl YcR'T{"7f #N:NiYI.'A.]C tF X'!L' Fi'�i 7��f"ir dl➢SFi.}c•J. A"F7(JC3\]i �i'x�TXX.XM Tf j f L. r '1 PLEASE REHI-T THIS AMOUKT BY 08/01/1 AMOUNT If S7 :5O'' Description a 0 :L: JUL7 5" 2010 Budget Line Descr p Date Purchaser Ry° Approval Date Interest shall accme on all unpaid balances exceeding estadlished credit teratsal a rate equalta the lasses of (a} Vh %per month or "Promotional allowances, rash discounts, prbmpt pa disowtnls, growth programs and all other incentives are retained by U.S. Foodeervice" (b( the maximum rate that the customer may lawluly contract to pay, end in ell evenle eelculated in accordance with applicable law and do not reduce product cost Product cast sod fined as the supplier, packer. or any other vendor delivered cost or f.o.b. unil price plug X d standard height. less oft- invoice discounts or off hinvoice allowances (i.a.,,manulacturer generated discounts or allowances on particular reflected VISIt www.usfoOd.CORI fa periods of time and which quo tAll easy way ordein the nvoica lg sat SIG ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO_ Np. DATE NO. NUMBER LOC. REP. ORDERED m 90569922 02_37413 a c= `.i,' i f} ?0569575 SPECIAL ORDER 1054 0062 07/21/10 you partner b..... the plate.` DELIVERY ROUTE: ORDER NUMBER: 970712 BILL CAPMEL CLAY OARKS&RECREAT SHIP CARMEL CLAY PARKS°RECREA'T' REMIT, U. FOODSERVICE, INC. TO: 1 E. 1 1 i 2T TO: 1235 CENTRAL PARK DR E TO CARMEL IN CARMEL IN IIqX 560088 46032 46032 INDIANAPOLIS I N 317 843 3873 46266 -0088 ATT. MICHELLE :;OMPTON DEPT 00 800 428 2118 SHIPPED F CIIJMBE€�L.t�4 Dl -RD FISHERS SHIP DATE: 07/t3/10 Pa Of FREIGHT TERMS: SPECIAL SPECIAL ORDERS CAN NOT BE 4�ET(1RN D PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED f ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E DRY 1 1 CS 831 2571 SYRUP' 'PONT Os' p` BLU SLUSH RT 4/.t GA :LYONS MAC, C 26.8706 2 `:.437 *.-4 RO_ntuCr CLASS RECA4? TOTAL DRY x €'IECES ORDERED: -1 PIECES SHIPPED: 1 lj TEMS SHIPPED: 1 2'6. $7 INVOICE. SUMMARY'—.*** FUEL SURCHARGE 3.25 TOTAL 6T.. SHIPPED. 42: 430 PIECES '.OF�DEREA 1 FIECES SHIPPED:. 1' fTEMS SHIPPED: 1 PRODUCT TOTAL 0 26.37 4=egeral. Occupation. Safety, and .Health Standards. Section 1910.1200 on hazard Cvrrmur ication. requires manufacture'rs and distributors o .provide Material ..Safe.tt/ Data Shee�lt•s_an Tron food •p.r.oduct _defined to be hazardous_. Products CHARGES •_3..^S such as cleaning products and pesticides ar.e inclvded i� �th�: seope of tote standard, In with t'he law.. MSGS are available to UT Foodservi.ce Inc.. :customer s and c,an die •ob'tainer btf- c'On•taii the Procurement: Manager in ..our TAXABLE AMOUNT .00 district office or by advising your sales: representative. G N SALES TAX. X :OO You mal contact Procur6m: ?nt Helpdas.k at phone •(317) 585 6719. FL E MI AMOUNT 22 /10 AMOUN •EAS RE T THIS A L�lf i?8i'�"� A p Irchase JUL 26 is Descr 'user. Date BY: rival Date— 'Interest shall accrue on all unpaid balances exceeding PSI abllshedcredit Ier rlafto'.thalesserrot {a]t.'h %per month or "Promotional allowances, cash diseeunls, prompt pa discounts, growih programs and all otherincentives are retainedby U.S. Foodservilii (b) the maximum 2[6 that the custbmef may lawfully Contract to pay and n atNevem§ �?draled in accon snce with applicable law. and do not reduce product cost. Product rAsl is defined as the supplier, pecker or any other vendor delivered cost or Lo.b. unit price plus h standard freight less off•invoice discounts or ch-invoice allowances (i.e., manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the imoici i Visit www.usfood.com for a fast and easy Way to Order. CU TONERS SIGNATURE: ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER :SALES SALES DATE i o NO. NO. DATE NO. NUMBER LOC. REP. ORDERED. Your_partner_beyond 90569922 3�...., jti. i 7 2:3./'. 9056�,"�!' 75 105-,4 0062 (x7/221 i.0 .�r the.plate.' DELIVERY. ROUTE:, 52(33 2 ORVER NUMBER: 'x'72024 BILL CARMEL. CLAY PARKS &RECREAT SHIP CARREL Ct AY PAFtEtCS�uRECrREr�fi REMIT 1 F'013D2Fi V .t om, INC. TO: 1411 E. 116TH ST- TO: .122 CENT PARK, DRIVE E TO: CARIIEL Ind CIARIIEL IN 46032 464332 `14 F it,NAPG i c, I 317 843''3873 ar +��e Ck�7St3 ATT.. MICHELLE COMP'TON 00 .800 428 SHIPPED FROM:' 1230:1 CUMBERLAND P 0'.. F I SHER I N SHIP DATE: 7 /'23/ I F A g f' Q2 O 02 'FREIGHT TERMS: r SPECIAL DRIVER. CANNOT DEt_IVER ©N THE R08NDABOUT OUT IN PAYMENT TERMS:. NET .30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PPRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E a� INVOICL, SUMMARY.. �'OT L UUT SHIPPED: �9C�•.'ifr PIECES ORDERED: 2_;PIECES SHIPPED:' ?3` I�IEP�S SHIFF`ED iii �r���• ����ra���s����a��a�����st' ����t��t. ���a���a�at�` xi�����as' �r�� •����.�'�sar�����•����������� PRODUCT TOTAL 655.04 F"eder.41 Occupation Safety• and Hoalth Standards. Spcl;ion 1910.4200 o hazard ,e o coinmunication requires manu•Facturers and. distr.abutorM to provide Material ,Safety Data. Shee•Ls on nbn' ..fond products defined to be hazardous_ Products ai ,suet(_ -a.s cleaning products and esticides are included in the ,cope of the Standard In compliance with he. law. MSDS ,ire' available to U. S. Foodservice s Inr customers, and, e:an Ke.obtained b. con.tarting. the Procurement Manager in our tUADLE AMOUNT' .00 d:lscri.ct..a ic1�- or..byr adti�ising your sales,, representatives OEM SALES TAX Z `04 You ma.Y contact Pro.curemen.t 14e.lpdesk at_ phone .(317) 505 —6719. R. YN V' Yi�R' X�iY' A' X' F�: Ri9' i.' 7l 'sti"eGXKii:�R�'lifl.'_!r X.�Xii'WXY.X�M"Ji]i7G'��if 7[ �hl f�'»' TiT[ X�7S hr" J.]T !i'IC rii�'!S•K71•�iCi.'�Y "Y. M T:M TI' :i:{'N�Tf t 1 it PLEASE .REMIT THIS AMOUNT. )BY 08/22! 4 AMOUNT"' l 6..r5 ti4 Purchase l Descrptlorl 1 4 p.0. Q P 9 I47,e Descr "lurchaser Date ✓fit Approval Date V .M Interest shall Moore on all unpaid balari exce ng establish credit lerr'ja,8191rat ;0 the lesser of le)1 per month or "Promotional allowances; cash discounts, prompt pa discounts, grawlh programs and all other incenuve9 are raleineo (b) the maximum rate that NB customer may lewiully contram to pay, and in 4i1i6btn11S C3kLITetl In ecodrdance with 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,G. unit price,plu' -,)X p. standard freight leis off- invoice discounts or off- invoice allowances (i.e., manufacturer genera Alscounts or allowances on partkular i t items for set periods of time and which are speafically reflected on the invoice)." CUST4fd1ERS.SIGtJA7URE: Visit www.usfood.COM for a fast and easy way to order. ZUe�4{a�z!reerate'lloun�utcueas r ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE, NO. NO. DATE NO.. NUMBER' LOC. REP. ORDERED i •r 'C)5'tb`r,�'i22 .02'3743A he p 0.7�23/�C3 �43`+69�15. 1(3 4 -t?062 07/2e/10 07/2e/10 1- Your partner- beyontl -tlate JY 60 1 ;t DEI.IVEFTROUTE: 5LS -2 ORDER NUMBER: 972024 BILL CAR DEL CLAY PARKS&RECREAT• SHIP CARMEL CLAY ??ARKS&R.ECREAT REMIT U S. F00D, TNC. TO: 1 4.11. E. .116TH A, TO: 1.235 CEf�iTRAI PARK DRIVE E TO: BOX 660088 CARMEL. IN CAf2MEL. IN 46032' 4.6032 INDIANAPOLIS I hl r 317 843 3373 46266 -0068 ATT. M I CHELL .COI P T04` DEFT 00 8OO 428,2118 SHIPPED FROM: 12301 SHIP DATE: 07/21 pa g e 01 0 02 CANNOT TERMS: SPECIAL DRIVER CNNOT DELIVER ON JHE R OUT IN rPAYMENTTERM& NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT, UMB DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED NER D UNIT PRICE, PRICE e E' DRY, CS 0598SO9'' CHIL'Ir NEAT'+4OT +BOG' b /11Q JZ` HCIhiE TASTE CS, 44.5500' s r 44 �5,. 1 1 CS 0765123 LID, CUP 12 ACME PLST HCT10 /100 EA MONOGRAM CS 40.3500 40. is CS {}C#1 CiJF', FN 16 Z WHT 20/-25 ELI MONOGRAM t. C S 16.1500 1 6.`15 1 `S 1.282747 SNAC4f BAR. .CRL ASST;JW SS. •3/16/1.3 .OZ KELLOGG'S CS 23.8000 23, 80 CS. X41. 80923, rOOi4IE VNL CREME ShlDWH SNCUU: 48/1.7 OZ SNACKWELLS CS 19.9700 19.97. 1 1: C5. 568033 6RACKER,- PHT BUTR SNDWH. 4841 11Z RITZ C8. 19.9800 19.: 98'' 1, I— CS 5704077 COOKIE, NIJTTR ''BUTRi 1. Z SS 48:1 OZ NUT'TR BUTR CS 25.0800 28.08` 4 4 #;S 9463688 CHIP. TORTLA CORN YLW RND 6 /2•LB. EL PASADO CS 17..7000 70 -80 REFRIGERATED 1 CS 32 7 5 0 '..,TORTILLA, SP.t H HERB .1� WR 3 .4. EL Ca 7. 7100 7:71. 1 1 1, r� �r 4F b 11 LIZ ELi f C5 25. 1100 _25.11, a ROZE.4' 3 3 CS' .201127:9 PRET KIhfl'i SOr T OK(} FZip .50 OZ SUPR RRTZL CS 26.2 78....72 I 1 C5 227.7663. ICE. -CREAN BAR, REESS PKT BU.TR 24/.A .OZ. GOOD. HUMOR S 15.7400 15.•.74 1 4 CS '2318848' BAGEL, 'PLid a' Z° THAW_ SRV FZN 7'2- 3= 07 SARA LEE S -n -0 ?00 23:. 00 1 1 CS 4181202 ICE-CREAM CONE, V NL CH0C COTE:D24 /4.6 OZ. GOOD HUMOR CS 20.4800 20':48 ,3 0 CS 55 9708: PI7_ZA, CHS DEER 43;ISF4 72` W1 i3QX3 &r 7 IN' Di3SCt1.�S.. GS 59. S50U 17(3. ,5 1 CS: 6153027 SROUNIE. CHOC .2 5 _Z QNSL,.BKD 1 48 •5. CZ. OREO, CS 39.9500 39.95 PRODUCT 'CLASS RECAP ti. TOTAL DRY PIE CES t}R�}LRED 11 PIECES. SHIPPED:,, 11 Il EfiI� SH�FPE 8 263.66 TDTAL 'REERIGE:RATE4? PIECES ORDERED- •FIECES' SHIPPED: 2 TE4�S SHIPPE 2 32.82 T;£ITAL FROZEN PIECES ORDERED: j 1 0 NIECES SHIPPED: 10 ,E WPE4 6 358.54 l Y 3 u i ,Interest shall am a on all unpaid bailams exceeding established aeon tgrms Sea rate oquahta the lesser at (a) 1 -K %per month ar 'Pramo'trorral Sllvwanrss, cash tliswunis, prompt pap dismunrs, grawth programs and all other incentives are retained y U.S. Foadserviae a (b) the maximum ralo Thar the customer may lawfully.00naact to pay and :Tell evams.ulpvialadin exordance with applicable law. end do not reduce product cost. Protluct coat is oafined as Iha supplier, peakar ar any other vendor tlalivered cost )rf.o.b. unit price plus s standard Ireighl' less oh•involca discounts or off-invoice allowances (I a manufatlurer generated discounts o allowances on particular X Iw hams or Sat pdreds o`ume and which are specifically reflected on the invoice),"' f4 '1 2 .CUSTf RS SIGNATl7RE d Visit www.usfood.com for a fast and easy.way to order. r^a 2(Jerl�rredcsteZlacvei�ua�,ceae ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. NUMBER LOC. REP. ORDERED t 9056992 03256392 07/24/ 10 9056957'5 [,r 1054 0062 07/23/10 =Your- partner- beyond the plate L DELIVERY R 96J c 1 ORDER NUMBER: 973145 BILL CARMEL CLAY -PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. 1~OODSERVICE, INC. TO: 1411 E. 116TH..ST TO: 1235 CENTRAL PARK .DR I VE E TO: CARPEL IN CARMEL"' I BOX 660088 IN 46032 46032 INDIANAPOLIS IN 4612'66 -0088 AT MICHELLE COMPTON DEPT 00 800 428 2116 SHIPPED FROM 1 2301 CUMBERLAND RD FIS HER S IN SHIP DATE: 07/24/ Page 0 1 of 01 FREIGHT TERMS: SPECIAL CUSTOMER PICK UP PAYMENT TERMS: NET 30 DAYS r INSTRUCTIONS: QTY. WEIGHT QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE CS 5311600 NE, ICE CR{ CAKE 22S` FLAT 36/20 EA JOY CONE CS 34. 4500 68.50 ROZEN 1 l CS 0105700 BEEF, PTY. GRND. 80/2(3 :4: i SEED 80/4 OZ 5Y /CATSEL C5 52.`581(3 52.58 3 3 CS 2011278. PRETZEL, KING SUPT R1(D _FZN.. 5015 OZ SUPR PRTZL a CS 26. 78.72 1 ,1 CS, 5741175 R N, HMBGR PLN A" SLCD— .10/1.2 EA HILLTOP HR CS 21..1800 f 21.18 INVOICE SUMMARY *4* F TOTAL. #SOT' SHIPPED: 101:82 PIECES ORDERED: 7 PISCES SHIP�`i»D 7 PR ODUCT TDTf�L 1$ 22.38 Purchase Description TA3(ABLE AMOUNT .00 .O PorF O _N SALES TAX 0 0 G.L:# j0G5- j 42 Budget Line DescrrrOC �y �2i4C E Purchaser .A a �5E REMIT THIS AMOUNT BY 48/23/1(3 AMOUNT 22 Date y Approval Date s I nterest shall a—re on all unpaid balances eMCeedirlg e5lahlishetl uedit t{+iH(s at a rata agiml to the lesser of (a) 1 -'h% per —tn or 'Promotional allowances, cashdiscounts, prompt paydlscounts, growth programs and all other incentives are retained h Foodservice y (b) the maximum rate that the customer may lawful contrau to pay, ti� °e,A in axudance with applicable law. and do not reduce product cost. Product dd5t is deffined fly me supplier, packer or any other veMor delivered cost or I.o.b. unit price plus fir, sandard freight lass oHnvoice dl5count4 or oh-invoica elowanes (i.e., manufac genereleddismunls or allowarcas on particular items for sal periods oftime and which are eW!hcahy reflected on the invoice" CUSTOMERS SIGNATURE: Visit www.usfood. corn for a fast and easy way to order. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. NUMBER LOC. REP, ORDERED CT T r 90569922 02796x1 07/26/10 056 575 I �.(/f 10X34 0062 07'f26/1O Your Partner- -�=-1 l beynnd.the.Piate.' DEL E: 964'2 f 1 ORDER 'NUMBER: 973728 BILL CARMEL CLAY. PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U. S. FOODSERVICE, INC. TO: 1411 E. 11 6TH ST TO: 12235 CENTRAL. PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 5 4603 .46032 INDIANAPOLIS ltd 46266- -0088 ATT.. MICHELLE COMPTON DEPT 00 BOO 428 2118 SI14 6FROM:. 12301 CUMBERLAND FISHERS. IN SHIP DATE: 07/26/10 Page 01 of 01 A FREIGHT TERMS: SPECIAL CUSTOMER PICK UP PAYMENT TERMS: NET 30 DA YS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C', PRICING UNIT EXTENDED ,i DESCRIPTION PACK SIZE LABEL O WEIGHT ORDERED SHIPPED UNIT NUMBER E, UNIT PRICE PRICE L DRY 2 f CS 42,602 G SA CE, CHS' NACHO 9HLF STABL x/107 OZ. [3RTEGA CS 46.2700 a 92.. 54 .REFR'IGERATEC 1 1 'CS 4800843 MILK, 2Z KED FAT PLST REF 12/1 PT PRAIRIE FM CS 10._6000 10.60 CS 480t1�t8 MILK, CtiaC. 1i; L1�t :1 A. PL$T FtEF1bf 1 r T PRAIRIE F# k C5" 14. 1500 10. 15' 1 `P FROZEN 3 3 CS 2011278 PRETZEL, KING SOFT BKD FZN to /5 OZ „SUPR PRTZL CS 26.2400 78.72 I CS 5622782 CHICKEN, STRIP BRS T MEAT 3RWDCi 4/5 LB. IERCE CS 641. t?500 6 4.0.5 a� NVOICE TOTAL WOT SHIPPED: F. 142.67 PIECES ORDERED:. 8 PIECES SHIPPED: 8 Descriptiol4 RO I} U AL 2 5b F P.O. J M q ti -.42 vy- G.L. O 3 t O Budget Line escr 0, Date A�tAIILE Ai�fltAtT t} C E� SALE S TAX X On Purchas rovai Date er C APP PLt =ASE REMIT ACS. AMOUNT BY 4$)25/10 AF14111l� 25lz::t�f� Interest shall accrue on all unpaid balances exceadlhg established crectiq rats:erAal to the lesser of(a)1!h %Par month car "Promotional allowances, cashdiSWUnts, prompl,pagdlscounts, growth programsand allotherincentives are retained by U .S:FOodservice the ma'virhum rate that the customer may lawfulty cantracl w pay enadlt'ed`64�dte'ddkLlsted in exordanco with applicable law. and do not reduce product cost. Product cost is deTined as the 5uppller, packer or any: other vgn generated discounts or allowances delivered best or f.o.b. unit price plus Standard freight IS tbin as ovoice discounts or oNanvoice ellowances lie.. manufacturer on panicular items for set pericda.Mince and which are specilloblty reflected on the invoice)." CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy way to order: 2fJe��6�GicecraCe Zla�ut: $uscsoeam ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. AT NO. NUMBER LOC. REP. ORDERED r 9056992 0280762; 37/26,/lf3 90569575 1054 0062 07/26/10 TYOUr _Partner_heYond.the.ptate. '��'�-$J'9""/ 1 �R'III�B'R �7' �YL T DELIVERY ROUTE: t t BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS.&RECREAT REMIT U. S. FOODSERVICE, INC. TO: 1411 E 116TH ST TO: 1235 CENTRAL PARE{ DRIVE E 70: BOX 660086 CARMEL IN CARMEL IN 46032 460132 INDIANAPOLIS IN 46266 -0088 ATT. MICHELLE COMPTON DEPT .00 800 428 2118 FRO CUMBERLAND °f2L) FISHERS IN HIP'DATE: 07 Page 01 'of 01 ,SHIPPED CUSTOMER PICK UP P NET .30 DAYS PAYYMEME FR S SPECIAL NT TERMS; INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE DRY 2 2 f CS .4453688 CHIP, TORTL CORN YLW RND- 6/2 LB EL PASADO CS 17.7000 35.40 REFRIGERATED 2 2 CS 4884151` I'CE`CREAM MIX "SOFT SRV VNL 4X2/2.5 GA PRAIRIE" FM CS 24.7100 49.42 2 2✓ CS 7451. -354 ICE AT;LK MIX,- SOFT- SRV CHOC 4X2/2. GA PRAIRIE FM CS 25.2500 513:50 PkoZEH 1 `3 1 CS 22600 ICE CREAM SANDWICH, CKY 3' CAM 24/4. 3 '10Z 'BLUE BUNNY CS 17.2900 17.29 1 CS 227766-3' -.ICE CREAM BAR, BEESS PNT BUTR. 24/4. OZ GOOD HUMOR CS' 15-.7400 15. 7�4: 4 4 CS 3334099' HOT Ot G,.;: -AB' 6:?1 6'° RLR 6RIL 1.0 LB' PATUXENT' CS 26.2900 105.46 5 1 1.: CS 418120 -,1 C CRI A l GCltdfa;,• �#t�l_ C!`#OC COTED24 /4 6 OZ Gt?�3�# .HUMOR CS. 20.:481313 ?�i. 4S W 2 00 25.04 1'�', C' •469039 ICE CREAM CUP,' ITTIBITZ COTNI 24/5 O;� t41r�€PS CS 5.00 1 CS 46 #0525 ICE CREAM 7CUF; €T IBITZ CE 1&CR 24/5 Oz KEMP'S CS 22.760(3: 22.7 a 1 1 f .CS 4694519` ICE'.,CREAi`1 CUPS IT >3AHA SPLT 4/5 OZ (EMPS CS �'2, 7600 22.76 1 1 CS .4904603• ICE:.: CREAM. CUI? KY DOUGH 1 /5 OZ KEMF`S k''° C5 25.0000 25.. Ott CS I 8187999'`. ICE C "Vh4t..4 /4 177 KLOhtOZ4{E' CS 20.4100 €i 0.41 x INVOICE SUMMARY TOTAL UST. SHIPPED.. 271.97.` PIECES ORDERED: 18 .,PIECES SHIPPED: 18 Purchase o Description PR ODUCT ROD T 70TAL 409.92 P r Budg c Line Descry Purchaser Date TAXABLE AMOUNT 40 _00 GEM SALES TAX z Approval Date PLE REMIT THIS AMOUNT BY 08/25/10 AMOUH 409,92 Interest shall ecume on all unpaid Bala.... e>tr eslablished credit I�r[ns at a 2te to Iha lesser of (e)1 -'h% par month er "Prumotional allowancee, cash discounts, prempl �X discounts, growth programs and all ether Incentives are retained by U.S. Focdservice"' (b) the mevimum rate that the customer may lawfuly contract b pay, and,d'eniavants Cakulatad in acmrtanre with applicable law. and do not reduce product cast. Product tear is de fined as the supplier, pecker ur any other vender delivered cost or f.. b unit price plus standard freight less off- invoice discounts or od- invoice allmvanoes (i.e., manulaclurer generated discounts or aldwarues on patlieular items toi set pefiods of time and which are specifically rellemed on the irrvpice) CUSTOMERS SIGNATU Visit www.usfood.com for a fast and easy way to order. Zfler� �«ete7yo rrc�rrat�ec z ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED m 90 6, 9 Ct Sr45'Sr 07127 10 90569575 1054 0062 037/26'/ 10 Your- partner beyond- the plate.!--- ��-»T- DELIVERY ROUTE: 173 f "'c. ORDER NUMBER: 974470 BILL CARMEL CLAY PARKS &RIECREA -r SHIP CARMEL CLAY, PAkIKS &RECREAT REMIT Ul kS. FOQDSEPVICE, INC. TO: 141 1 E 1 16T'H �ST TO: 1235 CENTRAL PARK DRIVE TO: cARM IN CARMEL IN �i]X 660088 46032 46032 INDI ANAPOLIS IN 317 843 3873 46266 0028 ATT. MICHELLE COMPTON DEPT 00 800 428 2118 4 SHIPPEDFROM:-'jj 3031 COMBERLAND' RD FIS€-4ER8 IN SHIP�DATE:,,Ct7 /7 Pa 01 of 43 FREIGH TT ERMS: SPEGJAC DRIVER CANNOT DELIVER ON THE ,IRDU NI?,4BOUT OUT IN PAYMENT TERMS; NET 30 I3AY INSTRUCTIONS: y i. QTY. OTY. SALES PRODUCT p PRICING UNIT EXTENDED DESCRIPTION PACK�SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE Er :f DFY 1 1 CS 073885&_' BAG.,. GOUT 4 LIB P 1PR ldt 1 4!500 EA P10140GRa M' B CS `'AS.3100 2 45.31 3 3, CS 0814232 CUP,. 4=M 16 Z WHT 20/25 EA MpNOGSRAM CS :1500 48.45 1 1.... EA 1143599, C�1Pt�lY, �3�M .PL4+1. 1.. 69 .OZ 48 EA r' M. 9 Ff EA V 0: •5700 30.57 46y803 SPOON, ..TEA MW ,_MHT BULK. FLST 1000. EA PRIME. CS 7.7400 19..48 :..I CS 1 Y 2 b CS 35.4600 35.46 CS �3# �iil 6 P PPEP., ..1LP t4ACHO SLCD 6/4 iiT PA�.KER CS 3256104 l.1D, `CUP 12--24 Z SBL STRAW 10/1 EA HAHDI'' -KUP CS 15.8800 ;�1. 76 4 1 EA 40042$9 CANDY :BAR SHCKR ::07 0Z' 48 IEA SNICKE�tS EA 30.5800 30.53 1 1 EA.4053336 CANDY, 1 4AR MILK CHOC K .36. Eta HHERSHEY Eli 25.,0600 25.06 1 1.. CS` 4 .3829'1'. DRINK MIX, :BLU. ksP,.LmN ISLE: 15/21.1 :E�Z. .VOGL. AID C5 44.2200 4.+1._•22 10 AQ CS !42 ,4238 SAUCE, CHS_ NACHO SHLF STABL /10.7 OZ::'- ORTEGA. CS 46.2700 462.70 1: .1 CS .'4' 293.9.7 KETCHUP ,rhTB`.SQZ' PO -IL; SS .SHLF500 /9 OR MONARCH' t, CS ;:15. 2900 15.29 I i CS. 49521,4.9':. DRESS,ING, RANCMi POUCH SS 66/.1.5 O7_ MONARCH CS.. 12.024 0 12.02 1 1.. CS '4962395, D'RESS51WG, SR CRMY `POUC14 60'/1.5 OZ: MONARCH CS Isi 0°/00, 18. €�7 1 1 CS. 5034467 KNIFE, Mod WHT'.POL'YP. SENAT PLST1000 EA `OISP4: Z -0 CS 1e. 1900'. 18.19 2 2 £:5'• 52561.02 L16 'CUP 32 Z BBL:;,.STRAW SLTD 14 50 EA ,a UINCOP .q, CS 18.9500 37.90 1 1 CS 53 9 89. .MUSTARD, •.YLU :SS-. 5 GR,.S:)4LF 500/5. 500. GR ,10NARCH C$ 10.0300' 10..43 1 1: CS: 55,97604 CHIP, CHS; CNCHY 'PL.N' SS. DAG 64/2 OZ CS 26.950£ 26.95 1 1,., CS 5597948 ,CHIP: C:DRN DRIG TFF SS, BAGS 64/2 OZ FRITOS CS 26.9600 26.96 1, 1' CS .5601927 CHIP, "PTATO RTL JLP• SS BAG.. 64/1.375.07_ ;IISS_,VICKI CS 29.6100 29-61 1 1 CS. 5401,943. CHIP, PTfTO KTL, RRQ SS BAG 64/1.375 :;,PZ MISS VICKI CS 29.61 1 1:' CS 5605433: CHIP', MULTGRW GRDN: SALSR SS 64/1. 5 OZ; SUN .CHIPS CS "26.9 2&96 1. 1- CS 5�ti0547y CN.IP, MULTGRN CHEDP ,SS .I�AG 64/1.5 ,Q�� E SUN. CHIPS C$ 26:9600, .26.96 1. 1'' =C.S 5605522 'CHI'P, MULTGRN.CRIG SS 'BAG 64/1.5 Ot_.,.. SUN CHIPS CS 26.9600 26.96 t2 2 CS 5865282 CONTAINER, 6X6;.1 CMPT. PLST W/ 540 EA MONOGRAM t. CS 59.3600 118.72 >1 1:.:' EA.. 6211777:. CANDY, KIT RATI,3h1DO, STD .1.5 `Z 36 EA .14IT mAT CA r24.1300 24,13 ,1 .1 CS_ 73280244 DRINV, MIX, FRT PNCH 2 GAL. YLD 12/24 17z;�': THIRSTER CS �4.c54300 24.68 1 1 ;EA 8053126 GANbY,' .RESES. PNI BUTR. CUP ;6 EA REESE`r5 EA 24.5300 24.53 2 2... S 83x15927 ;,RAPKIN, GISPR INFLD WHT 6.5X1024/250 EIS', EASYNAP CS 55.5500 111.10 1' 1.. CS .846145 tORk MW UHT BULK PLST 1090 EA PRIME CS 11.0000 11.04 f 1. CS 9328311• ,URAPI FOIL 12X10.75 INFLD 12/1200 EA: MONOGRAM B CS 110.9400 110.90 6 43 CS 96368#, -4NI,, TOfiTLfl L'€ifi4. YLb4 47hEt3 6/2 LB E!_ P,AS1Q0 CS fi 1'7.7000 1241.60 REFRIGERATED 1 1 CS.: 0431604 HAM,'': SLCD U/A REF. SMED: 67 Z 6/2. LB HILLSHIRE CS 47.6600 47.66. READY TO EAT 'lease Refer to Return P611ey� 1. is CS 04 TURKEY, BRST SLCEa .67 Z OVN 6/2 LB 41L..SHIRE CS 2 48.5100 2 48.81 REAi ?Y T.O. EAT -Please Refer to Return Policy Interact shall accrue on all unpaid balances eioeedidg eslab €fished credit Mims ;fit a rate e!ryry �al to the lesser of (a} 1. per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foedearvice (b) the maximum rate that the Customer may lawlulfy conlred to pay..,0 *01f'e�'�iils catCtllaled in augrdenrs. with epploable dew. and do rrol reduce product cost. Product mst is defined as the supplier, packer or any other vendor delivered c951 or F,o.b. unit pdce plus "r standard height less of discounts or off- invoice allowances �i a menu!amurer generated discounts or allowances on particular X items far set periods oP time and which are speciffcally nefleded on the inmtse)." CUSTOMERS SIGNATURE' y VISIt lwww.usfood.com for a fast and easy way to order. "ZfJe asvc 3'u¢6,re¢¢ ACCOUNT. INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO.. NO. DATE HO. NUMBER LOC, REP. ORDERED r .'�O 6 x'982 0294952`f 90569575 1054 0062 07/26/10 YOur _parfner_beyond the_plate` DELIVERY ROUTE: 237 r ORDER NUMBER: 974470 BIL CArRMEL CLAY PAR4R5�a�REcREA'T SHIP CARMEL CLAY PdVFti ,9&RECREAT REMIT UjS%_ FE30DBERVICE, INC. TO: 1411, E.- ,1 16T'H S T TO: P TO: 1 235 CENTRAL' P ARK I}Ft:iE .i= r CARMEL :aid CARMEL IN BOX 6600224 46032 f 46032 I ND I ANAPQi_'T S" I N 317 843 3273 46266 -01 ATT. MICHELLE COMPTON DEPT 00 200 428 211.8 SNIPPED FR O M -12301 CUhiI;Ei:L.tiNT fii FISHER,.,'' SHIP DATE: 07/27/10 Page Oc of 03 FREIGHT TERMS. SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN 'PAYMENT TERMS: NET 0 D INSTRUCTIONS: QTY. QTY. SALES PRODUCT p R PRICING UNIT EXTENDED -DESCRIPTION PACK -SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER D UNIT! PRICE PRICE E 1 y. t}S?74?7.;.. Ei; iiARD Esd[} .Pl WHL BRI iE 3'i <14 L£ k CLNVW rRHS CS 21. 3700 1 37 READY O EAT -:Please Refer to Returtt Rolic i,�lV4#' FRMS CS 40.2540 44.2 1 .I::. ACS 436521'9` Ci�iEE�SC,- AME R St.CD .1�5 CT Sf�CRCk4 ,i_1� 2 2 CS- 480084s iiILK, 2X REDUG FAT PLST _REF. 12/1,. PT .PRAIRIE FM CS .10.6404 21.20 2 2 CS- 4800884 'MILK,, GHgi� `1' :L4i FAT f'LST REF12 /1' PT PRAIRIE FM CS it?. 1500 24; 34 7 7 CS. 4884151 ICE. CREAM MIX,., OFT' SRV VNL 4%2/2.5 630,1' PRAIRIE .FM CS 24.7104 172.97 2 2 CS 5006556T BANANA, GRN •�i=P ESH REF 10 1.I± PACKER GS 7.7100 15.42 634.9377.. SALAD, rIX, ...ICBRG RMN 110 %20 4/5 LB CROSS VALY B C5 1 7., 3100. 17. .READY TO EAT Please.Refer o Ril Pt�;ic1 1 •1 CS 7197775 Y€�GURT, ASST-.STUDY DANA.. .RSP 12/6.02 VOPLA' IT CS 9.9` 00 4:95 7 .7' C`8- 7451354. ICEI #`ILK MIX, 8CiFT..SRV C41 0C AZV2 5 GA PRAIRIE FM CS. 25.-2500 176.75 1. 1`1FkOZ ER 8' CS` 011`'78 i°RETZEL_� v 4 KING SQFTT�i�D FZN 5415 `OZ SUPR P'RTZL CS 2 6 7800 213. .4: 1 SESD 0/4 SY /CATS 81 OZ EL 1 I CS 2014652 MUFFIN, 111_I+RY n) 24/4. OZ� SARA LEE CS 18.5600 2 18:56 4 CS '2�'60#?99 ICE:-CREAM sAldi3il3Cii, C4{:� :°t� CRM 2414, 5 13*4 I{LUE RtlNRY `fir' CS' 17`2900 69 16 5 RE! �c,. aS,NT� I�UTk 2414 t#Z GOOD Uii4�Elc CS y14S. 7100 78.70 Ca 227.7663 I CE_C. 10 i0 C8 33300 9 HOT -Oi]G, b:- ;1� -,6 �t� GRIL 141LIa PATUXENT CS 26.2901 252:90 1 1 CS ,.4.05837 MUFFIN, BANA NUT IW FZN 2-4/4 OZ SPUNKhEYER `22. 2700 22? 27 CS 4 18120 2, ICE CREAli CONE,-.:.. -VNL C:H0C COTED24 6. OZ:, GOOD HUMOR CS 20.4804 8 :.92. 4 4' CS X 5 5 CS. 46903'9.,, r.ICE CPEAM ITTIBITZ COT14 24/5 OZ KEMP'S CS 5,..x}000 125,00, 5 '5.'. CS .469,0525. 'ICE CiiEA�'}- CliPr:vITlII'�ITZ 4�KCR 2415 OZ.. fEMFS CS x'22.7640 li;�.'i10. 3,. CS 4694.5.19 -ICE CREAM. CUP., .IT DANA SPLT 24 /`i. f17 f: KEMP8 CS :22.7640 68.,28 5 5' .CS• 4904603 ICE'. CREAM CUP, CKY` :DOUGH ITTIE24 /5 OZ e', KEMPS CS 25.0000 125:-00. 7 7 C ,554974£ PIZZA, CHS .DEEP.* 01SH 7l BOX36 /7 IN BOSCO'S. CS. 59.5540: 416.8.5. 1 C",a .512278. CHICKEN, STRIP BRST MEAT:..NDM 4f5 LB PIERCE r C5 6�.454Q 64.05 4 CS 5711178 DUN, HMBGR PLN 4" SLCD 10 /1.M Erb HILLTOP HR CS 21. 1800 84.72. 4' 4 CS 57412263 B�tN; HOT Dt7C i?i~N 6�,. SLCa 12112E r.K: HILLTOP Hit CS 25.6000 142.40 5 5';.S 81$799 IC CREAM BAR:,', CHOC .T't�CO VNL 4/4 07"" KLONDIKE CS 24.4104. _142.05 1 PS SICLE G f' PRODUCT CLASS RECAP _dRY �r F -IECES CR'{?ERiEO:. 54 PIECES`SHIPPED:. 54 ITEMS SHIPPED: 31 16:45.76 TOTAL REFRIGERATED. PIECES .ORDERED: 26 PIECES 'SHIPPED: 26. ITEMS SNIFFED: 11 591.99 TOTAL' FROZ'EfV PIECES ORDERED: 77 4 TECE$, =SI IPP'Ef 76: ITEMS SHIPPED 17. 2156,70 Interest shell ecGUe on all unpaid.baW¢es exaeetling es+sblished cred tiebms at 9 rste. gadl W the leaser of (aJ t- o' per month or 'Promotional allowances, WSh dismounts, prompt pa9 discounts, growth programs and all olharinoentives are retained by U.S. Faodservice {b) the maximum rate thaf thecusmmermay lawlulty rAntrad to pey and'�nieP evemsdalulatad in accordance with applicable law. and da not reduce produd cast. Preduct most is delined as the supplier, pecker or am/ other vendor tleliveree cost or f.o.b. unit price plus X h,; standard freight toss all discounts or oH- invoice flllowances G a manula,wrer generated discounts or allowances on pamcular a hems for set periods of time and which are specifically reflected on the m oiceJ." for last an easy to order. 7 CU S T OMERS SIGNATURE: V isit www.us oo .com f d way r�, ZUe arQ��e¢a ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE i NO. NO NUMBER LOC. 'REP. ORDERED ,1 90 2 49 07 }27110 90 569 57 1.054 0062 07/26/10 ^-••.Yourpartner- b ey ond- the.Plate f TE: 2 i.a 3 2 'r f�T}ER NUMB 9 74470 BILL CARMEL. CLAY PARKS&RECREAT SHIP CA�2MVL CLAY .PARKt &RECRFAT' REMIT U.S. FOODSE CE, INC. TO: 1411 E. 116TH ST- TO: 1835 CENTRAL PARS DRIVE E TO: BOX 660088' CARMEL IN 0ARMEL: IN 46032 46032 INDIANAPOLIS IN 317 2.43 3873 46266 -0088 ATT. MICHELLE COMPTON 1}EPT J(} Cii{J4 488 2118 'SHIPPED PROM 1`.30 'Ctf€ SERLAND :`RE} F"TSHEFdS. I{�i'':, sHl�narE.;C }7�'23I1Q Page 'U3 Of 03 FREIGHT TERMS SPE DRIVER CANNOT DELIVER ON 'f H� OVT IN l ENT TERMS: NET .'30 DAYS INSTRUCTIONS: QTY. SALES PRODUCT p QTY: DESCRIPTION PACK:StZE LABEL WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D ,UNIT, PRICE PRICE 4 ry., i• E INVOICE :SUt1I1ARY {CTAI 1JGT SNIPPED: '0`155" PIECES ORDERED}. 15 F'IECEa: St�IFRfMD: 156 1VM S. SHIFPM: a9 Fede at t0ccupaiii6h Sa�FP_+}i end Health. Standards. 'Set_ti in 1910. 1 ao, Hazard QDU �3�� CT TCiTAL C>3amufii.cation requires ma.nufacturer.s and; distributors tQ. provide Katerial Safe ;ty' SShi ets cis .nr�i�- °`ford p.rc�rJuc'ts.6efaned 'to be hazardobs. :suer_ as c1 anznq... products. and. pesticides are Ancluded in the a erg, sco ►e. Stan Tarsi. 'Tn ctmpl•i`aetce ai .tfir.. tlSe lal� 19SDS are availr�L�le tr''t!. of ervace Inc customers ,aTld.,catt- kre ahtained by con�c'tinp t'h,e.,Prucuretnent ..Manager in our TAXABLE t�NOUNT ..00 dasi:.r.,ic Ir `offxc'e ar byy n advisl afoul sales representative. f3EN SALES TAX x p0 ot. You ma�,� cainrxact`- CEU.I.I't U IQ at ,phone• #4 (3'x`13 '5857 6822 x a l� t PLEASE REM'tT T dIS AMOUNT BY (38l.2b/10 AMOUNT 4394. Purchase Description; Bud rr Purchaser gate 0 e sY r S Imerest shall emrue on ell unpaid balances exceeding established credit k R r s al aate egFal tl�ne (ja) I!h% per rnonthm 'Promotional allowances, cash discounts, prompt payy dt growth progmm5 and all other incentives are retained by U.S. Feo0sprvice'• (b) (he maximum rate that :he customer may Iawtiliy wmract to pay, erd5o all events cekOlat with applicable law. and do not red.w product odsi. Product cost is tlefined a5 the suppler, packer o any other vendor delivered cost or I.o.b. unit price plus pp :r? Standard freight less off invoice disaunla or oH invoice allowarces (i.e., aan,rfaclu generated discounts or allowances on particular X dams for set periods dl time and. which are specifically relleded on Ilia invoice).' CUSTOMERS SIGNATURE; Visltiwww usfood:com far a fast and easy way to order ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO DATE NO. NUMBER LOC. REP. ORDERED QC), 6? '22 5f367 O(a 2/ 1 t7 1 Q��+� —OBI2 -I -o J Your partner beyond the plate.' BILL SHIP s' REMIT r_1 T PMEL CLa* Y PERKS &RECREAT TO: C�IRMEL. CLAY FARKS°tRECREAT `3. cam. F003iSa-.RVIC.,L-s. TI`Ic. 1411 E 115 'f F•! ST 1235 CENTRAL PARK I %►,E E: �a T C ARMEI It.1 GARi�EL �O� 6T1C?cr3d 4 a 2 11-6032 INDIANAROIr,1S :I: 1-311 39 1 3 317 1162166 -00038 ATT. f t IL r SHIPPED FROM: 7 SHIP DATE: z C, 3.0:.0 CI_>tMUERL�tND RD FIS IM 06/22/1C? �i�_ 03 of FREIGHT TERMS: SPECIAL DRIVEP CANNOT DELIVER OI' THE F0UNDAB0iJT IJT 119 PAYMENT TERMS: L)A yi; INSTRUCTIONS: QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E INVOICE SUMMARY 13TAL 146FT SHIPPED'. .1905.54 PIECES ORDERED: 14 '':FECES SHJPPE0: i49 1TENS SHJT- Fk!: 158 JUN 2 1010 GEM SALES TAB By I PLEASE REJITT THIS AM111*11' BY 0712 -7110 AMT7l. MT 1 (A.1 EDT FOR Reru Pz N 5 1 5, 50 Purchase Description C�Y�(�.P.S�117Ytg �jNUUL0 HALE �3�l-f 40 to V. (D� P.O. a �_7C�b CV l PJ AA P,144 IL P rl= vpo p WlCKAt 1380 cn�1��� G.L. 1 O 5— 4 a, 3 GQ4O ovp. Bud LineDescr RUC#° 'lt�Yl1 a Purchaser Data G 60 1 i �2oc Approval Date In1—M ahea aaroe on ea unpaid balances e=mdmg est. h hed v 0 terms at a refs equal to the leaser of {e] I -lax per menm a Tmnotonal ekwances, cash discounts. Pminpl pay darnrmts, growth prpgrams and as other Incent"s ere reterned by �',5. Feodsm�x'" I (hI the magrmrm rate that the —I— may fawluty conaacl to pay, and M a% events cakuleted in aaadanhe Mah eppkiiVe taw. and do not reou product cost. Product cost ;a defined es the auppibr, packer or any other vendor deli+ered cost rn t.o.b: una pdro plus X stantlard fro igM las .114— diacounls a off -mm. allowances (i,e.. manuledran genemed dints a .11 on pedicuW items [or .1 winds of lime and which are spedk.gy regsCled on the inwicel." "CU TOM RS SI TURF: SALES SALES DATE `ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER NO. NO. DATE NO. NUMBER LOC. REP. ORDERED s .,;your partner beyond the pEate.' r DELIVERY ROUTE: BILL SHIP REMIT CARME L. CLAY' PAF1�r�&RECl�EAT CARMEL. CLAY F'FtR S &RE'CREAT TO: L!. S ?=;IC3J7�;1'�!? +rIL'~: INC. Tb'. 141 E. 116TH ST TO: 1235 CENTRAL PARK DRI E BOX 660083 t {AF!hiEL IN CAMEL IN 317 84-3 ".3075 46266-0023 11-60322 4603F XNDIANAPOLIS 'J' 1 11 ATT. I I T r- D L P T ft r fl i. o SHIPPED FROM: SHIP DATE: 1;w:et. r,UI�I±Lr�raJ� FIS�11£ 06/2 pr FREIGHT TEAMS: SPECIAL [iF1 I "JEI"' C E I'11`kC1T IJ I ?`F T I^ t:3�,1�JDABCA) 3 7 T PAYMENT TERMS: �I INSTRUCTIONS:' CITY. QTY. SALES PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E 15 6 Cs 41384151 ICE CREAK MIX, SLIFT SRV '*4L 422/2. c GA PRAIRIE FM CS 3' 4 500 1 rS 5006336 DANlANA, GRN FRESH RT:F 1.0 1 PACKER 100 t CS 6291207 MIL €d, CHOC LOW FAT 12 PL.S T REF3.2 /:1 PT D EAN'S I:S 1j.. 17f READY TO EAT Fle a S a RCfer `n Ret' .I r p Pa Ii c: 2 CS 6349377 SALAD MIX, ICI RO, RMN 80120 14/5 LP 60F VALY B CS 17. 160 READY TO EAT Please Refer 'to Return Policy 1 t CS 7197775 YOGURT, ASST STUDY BANA RSP 12/6 OZ YOFLAIT Ca %2c. 31C.0 1 41. 35. READY TO EAT Please RQf¢r 4:n Re Polic 4 4 CS 7 45AJ54 ICE MILK MIX, SOFT SRV C.140C •4!2/2.5 GA Ff�f�I�iIE 1 M 1'a fS. "5.9t� ?7. t�9 t 1. EA 9320634 DRESSING, CSR CR;MY F'LST REP t GA MONARCH B 1.1. A(100 �0 FROZEN 4 4 GS 0105+00 BEEF; PTY GRN1D 80/20 4:1 SESD 80/4 GZ SY /CAT"SEL t;c, S3.3900 1 1. CS IIS7387. ICE CREAM BAR,,. DREAM STICK VNL2/24/3 OZ SLUE RUNNY 6 6 CS 29;.1,.•'.78 PRETZEL, KING SOFT PK0 FZH' 30/5 OZ SUPR PRTZL CS 277663;; ICE CREAM BAR, REE+SS ..PHT. BUTR 24/4 OZ GOOD HUMIIF.r i:..3 i.f?. 700 3r•. 4 CS 333 }099 HOT DOG, AB -6: 1 6" RL.F GRIL 10 LB PATUXENT- I P- ;�t CS 13411314 HOT DOG, AB 6 6 C K�? FZH 1 LB OSCAR MAYR rs :31 5 :l a'S X4161242 SCE CR1= AM%C4ME.,�zAlht CHOC COTCD24 /4. 07- GOOD ,4-UnOR CS, 0.4800 1 CS 4 32153 ICE. CREAM PART, VNL CHOC COTED 24/4 OZ KLON DIKE f;S 16. ?SOD �n 6 CS 4590392 ICE CREAM CUP, ITTIBITZ COTN '24/5 0Z 1 <rMPS I::S "S. 9400 1. ".U'" 6 CS 469032S ICE CREAM CLIP, ITTIBITZ_ CK &I>R 2:4/5 GZ K EMU'S ;,S n5,?,400 i. -:x.04 6 6 CS 4694519 ICE CREAM CUP, 'IT BANA. SPLT 24/ L:7_ KEPI PS CS 23.6000 141, 60 G C'S 4904603 ICE CREAM CU F? CKY DOUGH TTTTK 5 OZ I4EMPS rS ?,Aof' 1.55. fi 2 CS 3218852 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY. CAS :I zi..5600 3:6.. 1.'32 6 6 CS 5500708 PIZZA, CHS [SEEP DISH 7" I,1/ 130X36/_7 IM B€)SC O'S t-w T` "5500+ 1 1. CS 5622782 CHICKEN, STRIP BRST NEAT RNUI1 4,,5 LR PIERCE CS 63. tfl_300 83 3 CS 5741178 BUN, HMFI13R PLNF 4" SLCD 10/1" EA ftli_LiOP HR 17S 2: ".;::600 60. 3 3 CS 5741228 DUN, HOT ;DOG €'L.N .f," SLC D 1. 1 EA HILL TOP HR rs 27.;�1Cs0 S`::1. 3 3 CS 8187999 ICE C BEAN BAR., CHOC TACO VHL21 /4 {3Z KLONDIKE C'S 20_ 140n 61 j. 02 71 CS 7763061 POPSICLE, ORNG C'HRY GRAPE SG/F12/6/1. 65 0 POPSICLE CS 17 ,2300 zs4. t'�y PRODUCT CLASS f ECrtp Tw4c I".�I=,Y F IE'CES ORDERED: 53 PIECES SHIPPED: 53 ITEPS ;SHIPPED: TOT REFRIGERATED PIECES ORDERED: 23 PIECES SHIPPED: w;s ITEMS 'n8I PED: 1 T,�1._ F fJ�C PIECES ORDERED: 13 PIE1�Eu tiNT.PI'C E 73 ITE145 SI:41F1;'ED i8 �19� .0 1.3 Imerest shall accrue on a9 unpaid balances ezceeein, eslab,Shed vedd terms at a rate equal to the lesser of lal I %per ngnlh dr 'Promotlonal allowances. cash disewnts, prompt pay discounts, growth prOgramS and ell other incentives are retained by U.S. Fpadservice' (hi Iha max rate Mat the customs+ may lmA* contract to pay, and in all mms cakvlaled in auvrdarxe with app?k wo law. and do m *we product cost prr d,,,j cost is de v�rd as tae supplmr packer w any o17'ier vandoi tlelrvered crosf w F.o.b. unit price plus X slandaid tfel hl less,oll inymce discounts or off-i"m allowances {'.e., manufacturer generated disooums w allowances on padiculal items for set periods of lime and which are speciticalrf reflected on the invoice).. CUSTOMERS SIGNATURE: ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE p' NO. NO. DATE NO, NUMBER LOC. REP. ORDERED .-v1 Your partner beyond the plate.' DELIVERY ROUTE: BILL SHIP REMIT F1i3e:, s._•c!?L -f4tS Ci<s�P?LL_ ^ik "`'s t?li.- ^ti?3�: f. f ?I'y "1" i t f1it37i F(r L I:i�t' TO: 1.x.11 F. III' H 9T TO: 123.E C1EN*TPA'L_ PARK U IVE E TO: BOX 6600,98 s !!r'_b0'32 It ?71A ti F"OL.1 1y? ATT. 31.7 f��' 3EI 1 =rY1 .l: ?,o rIr`i r P 2 SHIPPED FROM: SHIP GATE: 1. ..iC!1 :,t.ffSOE1�!_ "r'1(�it? RD F'T. I1[fi. C?6.'?_c?J1.!3_ C.)1 7.r (713 FREIGHT TERMS: SPECIAL Iles �:�lhlisRt3T Ufwi_ L }_'1�' C 64 ..i44" #�'C?sfi�lt ?��E -j i f l`D, 'AYMENTTERMS: NET XtQ DA INSTRUCTIONS: DP QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1 CS 0588549 CHILI, MEAT NOT Lulu 6 /liO OZ HOME TASTE S 44.:: >5 °:�C! 3 3 63 1442$0'3 SPOON, TEA HU Wi T PLILI< PLST 1 EA i i_,S irl00 4. 1 1 EA 23BO186 PEPPER, aJLP NACHO SLCD �i r, C H PAC14ER B Jr _4300 ��y 1 C 24043?s iiLi7 i'C)LY LCD T TD AtitiDX 1. ?i.J1!)U EA riDIIOGRAI# r+ ^'y 56. 2:30%} I 1 CS 32561U4 LID, CUP 12--24 Z TiBL ST€� PW 10./100 EFL ldANDI MUP CS 15. 8900 "k RL� 1 C5 34 9305 JUICE, GRAPE 100X PET ETi_ 24,11';) 07 THIRSTER ^'3 3.S 30,:10 ,n, 1 i. EA 4004289 CANDY, BAR SNCRR is 07 02 48 EA_ SHICkERS F'A 30.4400 30 ,p1 EA 4053336 w.`• p s G 36 EA HERSHEY r:A 2 t)!� 00 a 1 1 ,3 Ici 1 3�f 1 1 G7 €COOL AID •:S �<i�itn ts��. 7 CS 4:60238 SAUCE, CHS NACHO ,SHLf STABL 4/107 OZ ORTEGA i 400 17 1 "I. 4: 3 5 CS 439397 kETCHUP, TMTO SQZ. FOIL SS 5HLF500 /9 GR MONARCH CIS 15. 291D0 A5.87 1 1 CS 4952 149 DRESSING, RANCH ?OUCH SS 6071.5 Oi MONARCH ;'S 14. 300{ r, 1. I CS 4962395 DRESSING, CSR CRMY POUCH 60/1.5 QZ MONARCH CS 16.13Q0 .16.13 I 1 CS 5"56102 LID, CUP 3 Z- RB1 SLTD 10/50 ZA WIN CUP i;'S I R. 1 ?r%00 1 R. ""!.5 Z CS 5711600 CONE, ICE C:RM CAKE 22S FLAT 56/20 EA JOY COME C; 33.6010 100. 0') 3 CS 5329269 MUSTARD-, SS 5. 5 GR. SHLf 500/x. 5S1t? TR E{~NARCN i1S 1". "Poo J 1 CS. 5429303 JUICE, ORNG 1007, PET BTL 21/10 0z THIRSTER CS 210.600'a A ,n I CS 5597604 CHIP: CHI; CHCHY PPM S5 BAG ;4 CIZ CHEF TCiS CS ?x,.71101) 1 J. CS 5597351 CHIP, TORTLA MACHO CHS TRGLE 64 1..75 OZ DORITOS C'S 2A 76110 i5 1 1 CS 559 7968 CHIP, C;E1F(ii Of73G TFF 35 P4C: 64/2' CfZ FftiIZ175 CS 1. 1 CS 5 rHIP, P'TATO KTL. 11BO SS BAG 64/1. OZ M ISS }J7C VI CS 20.0 2 0 4 1 I EA 6210777 CANDY, HIT KAT' VNDG STD 1.'5 Z 3i EA I <IT VAT EA 1 A ar CS 6276612 JUICE, CRNBY CKTL. DRNK 27X TFF'24/ 1.0 OZ TROPICANA CS to 4 CS 6820039 TRAY, PLST 6X8X1 15 MACHO C LR 4x'125 EA PACTIV C:S 70_. r 2 CS 7320024 DRINK Ml w, I=RT FHCH 2 GAL_ fLD 12/24 LIZ THIRSTER 10S 7 •A $3053126 CANDY, RESES PHT RUTR CUP 36 EA REESrE'S EA 2 0900 2 CS 03559 NAPKIN, 015PR INsL€) NT 6.5X10241230 Eta EASYNAF 55.5300 J.:' I(I C 1. CS 8429792 JUICE, riF`F'L 1007 PET BTL 24/10 OZ THIRSTER CS 1^. 7000 6 6 CS 9463688 CHIP, TORTLA CORN YI_ RHD 6/2 LD E!_ f:`ASADO c 'r- 6700 1:S, .02 RE.FRIOERATED 1.' 1 is 18x74 EGG, HARD CVD F'LD #,1141_ BRINE PKIO L.B GI_MVI,I FRIIS 21 y READY TO EAT .PleAsp Refer, to ReC.urn Polio L 1. CS 1355312 TOMATO, ^n.NG 3X6 BULL{ BOX US U110 L GROSS VALY ::S 7. 4 iri0 A 3 EA 43+65219 CHEESE, AVER -S #_CIS 1.35 CT SPCRD3 LB SLNVI=! FPriS P EA 1[) _3.1.00 3'. 1. !rC 4f3(k03�13 MILK, 27 REOUC: FAT PLST RF_'F° 12'1. FT PRAIRIE FM ;5 :IO.'1.1 0 READY. TIM EAT F'.i. ^a Se Ps�41feT• -Q Return Policy Interest shall ears on alt unpaid dances exceeiting eslehrahed crest temism arose equal to dt Lsmr of(a)1 -'h %per mpnthor 'Pmmarb% allowances. cash dscouols, Promplpaydiscaut.9 ProlF. -ands1 other incentivesam retai by U.S F w""vke" fuF the maximum vale that the customer may lawluay contract to pay, and in all scents calculated in axardence with eppliceLle sew. 'arM dd not reduce product wet. Product cost is defined e5 tt±e su ts or oil- inmate allor.ancas (i pplier, packe rer gener or any other vendor dallomd cost ar Lob. unit price Plus X standard Ireighl less M(-inveice discoun.e., manufacturated d ts a allowances on part cu lair Items for sot "j'& of time and which are speoaically rehected on the irmoice)' CUSTOMERS SIGNATURE: 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. Terms Box 660088 Indianapolis, IN 46266 -0088 i Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/2/10 2792638 Concessions 23755 57 7/23/10 237433 Concessions 30:12 7/23/10 237434 Concessions 23760 655:04 7/24/10 256392 Concessions 221 7126/10 279621 Concessions 23777 256.06 7/26/10 280762 Concessions 23777 409,92 7/27/10 294952 Concessions 23777 4,394.45 6/22/10 2586752 Concessions 23700 2100 I I Total 6,026.47 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 20_ Clerk- Treasurer Voucher No. Warrant No. 353824 U S FoodService, Inc. Allowed 20 Box 660088 Indianapolis, IN 46266 -0088 In Sum of 6,026.47 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members Dept 1095 -1 2792638 4239040 57.50 1 hereby certify that the attached invoice(s), or 1095 -1 237433 4239040 30.12 bill(s) is (are) true and correct and that the 1095 -1 237434 4239040 655.04 materials or services itemized thereon for 1095 -1 256392 4239040 221.38 which charge is made were ordered and 1095 -1 279621 4239040 256.06 received except 1095 -1 280762 4239040 409.92 1095 -1 294952 4239040 4,394.45 1095 -1 2586752 4239040 2.00 12 -Aug 2010 Signature 6,026.47 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund