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189547 08/31/2010
CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $5,025.67 CARMEL, INDIANA 46032 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 189547 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 356500 68.90 FOOD BEVERAGES 1095 4239040 373002 57.50 FOOD BEVERAGES 1095 4239040 373003 3,498.24 FOOD BEVERAGES 1095 4239040 4382674 1,401.03 FOOD BEVERAGES 'I ACCOUNT 1 1 NVOTCE USTOME PURCHASE ORDER SALES SALES DATE NO.. l Np. DATE NO. NUMBER LOC. REP. ORDERED 0 05699 Q3 650 +.37/29/;,0. :9 5 75 1054, 0062 07/28/10 Your..partner beyond the plate' '7 t s OR DER NUMBER 9769E�4 BILL C.ARMEL .CLAY PARKS &RECRE'A T SHIP CARMEL. C#�.'�AY PARKS&RECREAT REMIT. U.S. F'OODSERVICE, INC. ].411 E 116TM..'ST 1235 CENTRAL. PARK DR ItJE .E TO: I TO TO: BOX CARMEL I CARMEL IN 66448E3 46032 46432 INDIANAPOLIS IN 461266 -ao�e A n MICHELLE CQi'RFTi N DEPT.- :(34 800 428 211& SHIPPED FROM: 11P301 CUMBERLAND RD SHERS IN SHIP DATE: 07/29/10 Page 41 of 01 ;FREIGHT TERMS: NET 30 DAYS SPECIAL CUSTOMER PICK UP PAYMENT TERMS:: INSTRUCTIONS: QTY. OTY. SALES PRODUCT C I DUSCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE W DRY; j 2 2 CS.. CONE, ICE .CR A. CAKE 22S SLAT, 3612+3• EA JOY COME CS 34.4500 68.90. �t INVOIC SUMMARY a TOTAL WGT SHIPP'ED:. 18.82 PIECES ORDERED 2 PIECES S'IPP'ED: 2 P RODUCT TO TAXABLE AMOUNT :00. GEht SALES TAX QO l PLEASE-RE THIS AMOUNT BY, :48/28/10 AMOUNT i� 68.f0 Purchase nn .pescription CL 1l:t:J5cc7 I ��S c '°q -c'•t P.O. �3Say P r F i G.L I U`� 5 1 �'—I Z3�1 c� F o' za�o UO Una t cCci I VeXciG Line 13scr Purchaser Date Approval Date .mac ao�� Interest shell accrue on all unpaid balances exceeding established credit terms at a rata equal to the lesser of (a( 1•'h %par month or s 'Pmmolipnal9110wantea, dash diStDen15, prompt pa dieoDUnts, grovrth programs and all other IncentNes are retained by U.S. FoMServica r '(d} the mnxihnx, rate that the customer may lawluly contract to pay, and in all evente calculated In accordance with applicable law. and do not reduce prod Product W st is da no as rho supplier, packer or any other verWor delivered 005t dr I,o.o. unit price plus X p stan eriods dard freight less off- invoice discounts or """"s """"s refle ellowencee (i,e., manufacWrer generated discounts or allowances on parrul Items for set p Df time and which are speatloolry ected on the Invoice) 'CUSTOMER, $IG ATU RE Visit www.usfood.com for a -fast and easy way to order 7�(lesl�zecCate'dtarr� �uaCxeaa. ACCOUNT INVOICE. INVOICE CUSTOMER PURCHASE ORDER SALES SALES, DATE NO NO. NO. NUMBER LOC. REP.. ORDERED gb569922 ,fl3;f30�1 07/30/10 0569575.. 1a 4 {3ab2 O?/29/10• Your partner Beyond- theplate. 5253 '�r. i ORDER NLJMBER: 97787'7 BILL, CARM,EL CLAY PARKS&RECREAT SHIP Cfi,RMEL. CLAY f�AR4'tS�cRLLRE;�T REMIT U S.. .I ClI�DSERVICE, INC. TO: 141.1 E 116TH ST TO: 1235 CENTRAL PARK E. TO: CARREL IN CAIRMEL IN' BOX 660088 46032 46032 INDIANAPOLIS IN 31..7" 543 3873 46266 -0088 ATT. MICHELLE COMPTD'N Dr_PT Of 00 800 428 21lS SHIPPED FROM: 12301 CUMBERLAND- RD'' FISF -1Et IN SHIP DATE: 07/30/10 Pag 03 of 03 ;FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON Ti 3E ROUNDABOUT GUT, IN PAYMENT TERMS: NET 3a DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE INVOICE-SUMMARY" sa- !6TAl.� W S4IPPED: 1864 IECE ORDERED 129 PIE SHI1✓F'E 128 IT t'iS Sl#l'PED: 0 tf PRODUCT TOTAL, 3498.24 Fed0ralr Oc cupation SacetV_ and Health St�a'ndards. Section 1910, 1:20.0 fan Hazard Communication requires manufacturers and distributors to provide Material Safe.t�/ Data Sheefss on- non -fd6d pfnducts defined to be €�azar ous. Products such,, as cleaning products ayad pesticides are included in the scopa of. the Standard.- In compliance All the laic. MSDS are availablie to U. a. f`oodservice Inf customer -s -.ani:1, can, be ob*�ai -vied by con -acting. the Procurement Manager in our TAXABLE AMOUNT .00 .d -is rit't affice qr by adVi.s2.j1g i,�ou�, sales representative. GEN SALES TAX X .00 'you may con;ral;:t. "VEt1I�t BIJRTO�i phone (371.)..58 5B2z PLEASE REMIT' THIS AMOUNT BY 08�29/10 AMOUNT 3498.24 Tt' e_. ,r Purchase Description ins AUG ��10`10� P,O.# 01 Po F 4° ..a rdr G.L. M BUdget Line Descr© y Purchaser Date Date Approval o acc Imerest shall rue on all n u id balances exceeding established :led, ierm5 atflrate vlWthe lesser of a 1 =k7, Promotional allowances, cash di5ceunts,prornAg discounis,growlhprograndallotherimentivd t r pa' ng eq per month or y (h the maximum Pats that the wstamer may lawfully contract pay, and in all eventy,r�al. [ed jn. axordance wish applmahle law. 'and de not reduce product cost. Product cost i5 delined ams es the suppl et packer or any other vendor delivered cast or f.o.b. unit for are retained by U.S. U.5. Foods i ice plus X \l�+rp !/�1 slandaM freight less off discounts or oH•invoice allowznces (i.e., manulacuer generated discounts or allowances on padicular hh tams for set pe ods of time and which are specifically rather ed on the invoice) CUSTOMERS SIGNATURE Visit www.ustood.00m for a fast and easy way to order. 1/ r x' ACCOUNT INVOICE INVOICE CUSTbMER PURCHASE ORDER SgLES' SALES' DATE NO. NO. DATE NO,' NUMBER LOC. REP. ORDERED t, 90569922 O3 0t)3 07 /.30f.10 90D6 r79_57,5 10+54 0062 07/29/10 Your.partner.beYond..theplate. r L; DELIVERY'ROUTE: c JF-83 1 ORDER 977877 BILL-:, CARMEL CLAY PARKS&REC.REAT SHIP CARMEL. .CLAY. _P,t1l KS� &RECREAT REMIT S... EOODSERVxCE, INC. TO: 1411. E. 1 16TH. ST TO: 1235 .CENTRAL PARK DRIVE E TO: CARMEL t. IN CARMEL IN BOX 660088 46032 41332 I NI3 I ANAf�t�L I Ss I t�? 317 843 3873 4f2b6 -OOt�B ti: ATT. MI CNELLE COMP'TON� DEPT 00 800 428 211 SHIPPED FROM: SHIP DATE: `'*r 1E101 COMBEI�LAND- #1) F"ISt -tER•4 IN 07/ Page. 02 o f 0 3 FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE,. RD NDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: 'QTY. CITY. SALES' PRODUCT C ORDERED SHIPPED UNIT NUMBER DESCRIPTION `PACK SIZE LABEL p WEIGHT PRICING UNIT EXTENDED UNIT PRICE PRICE E 1 1. rn` 2 2'60il ICE CREAM SANDWICH, CI(Y A CRM 24/4.. t OZ ISLUE BUNNY CS °17:2 +00 17.29 1,- CS 2277663 :ICE. CREAM BAR,.,.,REESS PNT BUTR 24/4 OZ GOOD HUMOR CS 15:7 ,400 15.74 1 1 CS x'318848 BAGEL, PL N •3 Z` THtIi6d I SRV t'Z.N 72/3.0' SARA LEE'. CS 2 251 00. 1, 1 CS 2333' 76 .'!,SAUSAGE, ITLK. SPICY CRE€L,: CKD 10 L$'t �iOSE'L I CS 28. 28. 60 "6 6 CS 333009,x# R40T 006, AB .6:1- 6,, RLR GkIL 10- LS PATUXENT CS 26.2900 157: 74 1 1 CS 4058707 l9UF FIN, BANA NUT. IW:.FZN 24/4 .OZ SPUNKMEYER z,: CS 22-2700 2'2.27 •2. CS 418102- 7 10E CREAM- CODE, I lL cHoc COTED24I'4, 6•_;:OZ GOOD FtUMOR CS 20. 4800 40.96 7 7 CS 4690392 ICE. CREAM CUP, ITTIBITZ COTN- 24/5 OZ,. KEMPS C S 25.0000 175.00 7 7: CS 4690525' ICE CREAK CUP, ITTIB ITZ CK &CR 24/5 OZ: KEMPS }k CS 22.760+ 159':32 r- 7 CS 469451? ICE ,CREAM CUP, IT HANA SPLT 2415 OZ KEMPS CS 22.7600 159.32 7 CS 4904603 ICE CREAM CUP, ,CKY DOUGH ITTIB24/5 OL KEMPS CS 25.0000 175. 4 :_.4 CS 5218862. ICE CREAM_ SANDW -ICH, VNL 24/6 OZ.. BLUE BUNNY t< CS 15.0500 .60.20 6 6.:. CS 5507708' PIZZA, CHS DEEP DISH-7 W1 BOX36/7 IN BOSCOIS CS 59.5540 357.30 1. 1 GS.: 5622782.,. CHICKEN, STRIP .BRST NEAT. RNDM 4/5 LB. PIERCE CS 64.0500 64.05 1 1 CS 569€147 SANDWICH, PNT BUTR ,JELLY ORP72 /2.8 OZ UNCRSTBLS CS 45.9000 45.90 3 3 'CSI. 5741178 BUN, PLfq 4" SLCD. 10/12 Erb HILLTOP HR, CS 21.1800 l 54 3 3 CS "5741228 BUN, HOT' DOG PCN 6 SLCD 12/12-EA HILLTOP HR CS 25.16000 76.80 3 3. CS 8187999 ICE CREAM BARo CHOC TACO. 4 VNL24 /4 OZ' KLONDIKE„ CS X 20. 4100 6� 23 1 (9. CS 476306i POPSICLE, OR G CHRY GRAPE:SG /F12/6/1.6S OZ POPSICLE -4F'R'ODUCT GLASS RECAP TOTAL DRY PIECES' DRDERED: 29 PT.ECES +SHIPPED: 29 ITEMS SHIPPED: 16 891.50 TOTAL REFRIGERATED PIECES ORDERED 23:. PIECES SHIPPED., 23 ITEMS SHIPPED: 11 486.66. .TOTAL FROZEN` �H PIECES IJRDERM: 77':- PIECES SHIPPED: 7 i ITEMS SHIPPED: 22 2120:08 I lnlerest shall accrue on all unpaid balances exoeading established credit teuns at a rate equzl to the lesser of (a) 1 %per montn or "Promotional aflcviances, cash discounlsprempt pay discounrs, growth programs;nd all otherincentives are;e,1,ed by u.S. FOOdservice'" s w .(b) the maximum rate that the customer may lawful contract to rdance wAh applicable law. an "'a do not reduce product nASI. Product cost is defined es the supplier, paekar or any other vendor delivered cost or Lo.o, unit pdce plus y ry pay, and in all events �alcu led accu Standard freight less o Invoice dis own s oc off -in nice allowances {re., manulaiturer generated diswunts or allowances on panipu[ar X 5 items for set p eriods of lima and which are s ecificall reflected on the invoice)." t? p. p y CUSTOMEFIS.SIGNATURE: Visit www.usfood.com for a fast and easy way to. order.. is t ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE s NO.. I NO. IPATE NO. NUMBER LOC. REP. ORDERED .9-P!569924 37� 03 07130/14 90569575 a J 1054 0062 .07/29/ 6011""i"'".YOUr partner beyond the plate' t 1 L b o�uvERY gouTE 2F3 3 A OR DER. NUMBER: 977577 B ILL CARMEL. CLAY PARKS€cRECR'EAT I t SHrP CARMEL CL AY P€�R!45F.r:RECREAT REMIT U.. S FOODSERV ICE, INC. TO: 14 E. 116TH ST l jTO:. 1235 C PARK DRIVE E. T Gd1R Ei_ IiU y ;F CA ti�tEL N BOX 66t7t�t3H 4603 4. 46032 INIC+IANt4POLIS IN MICHEL.L.E COMP TON D T 30 8.73 ATT. 800 428 21 15 SHIPPED FROM,'' 2.3E71 C`.UM 3�R'LAND -Rm F I §HER I N. SHIP DATE: 07 f 30 1 Page 01 o f 03 FREIGHT TERMS. SPECIAL DRIVER CANNOT DELIVER ON THE RQ NDABOUT L1U1" IN PAYMENT TERMS: 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 i E M 1 1 ,C 0588509 .FII1I, MELT �T DDG<. 611�Ct OZ HOMETASTE :CS 44.55004 44.55 1 1. C5 _08-14236 CUPli.. FM .16 Z, WHT ?0/25 Ek MONOGRAM C5 16.1500 161.15 CS 1462803. :SPOONi, TEA. MW WHT• BUL#� PLSI'. 1000 EA'' PRIME CS 9.7400:.. 9.. 74, i 1 CS '24043275_ .'GL€ VE, P.OI Y i G _.TXTD` AMBDX 10/ 100 EA. M ONOGRAM B CS 36.2304 36.23 1 .1 CS" ..423:929 .ORIN V MI:�C, BL CI'RSFr .L €NI I SL 15/21. 1, i3Z' KCtIL AID CS 44.2200 44. 6 6 L'S 426023S ,..SAfJCE, NHS ��ACHQ S.HLF STABL 4/107 OZ i3RTEGA CS 44.2700. 277.67 2 2 '.C8 5311 ,00 CONE, ICE CRM: CAKE 225 :FL•.A.T 36/20 EA.:_ JOY CS 34.:4500 68.90 1 1.... CS. 5521919. FEPPER, JLP SLCD PLST 4/1 GA, EL PASADO B CS 3;3.4900 33.49 1 1. 'C .S' •5597604 CH IP,' CHS CRC Y•. PLN SS BAG 64/2 w. GHEE -TOS CS 26.9500 26. 9S' 1 1 ..CS 5597968 CHIP, CORM OMIrITFF SS BAG'., 64/2 0 FRITOS CS 26,9600 26.96 1 CS. 5601b79 '•CMIP, PTA TO 'r --PLN 8S -BAG 64'/1,5 OZ: -LAY'S CS 26,.9500 26.93 1 1,,.. CS 5603472 ..CHIP, MIILTGRiNI.. CHEOR SS BAG 64/1.5 _QZ S€.Ihl CHIPS CS 26.9600 26.96 1 1 C8 a8?0039 .TRAY, �LST 6X9X1. NACHO CLR 4/1-25 PACTIV .r. CS..� 75.5000 :75.50 CS 7328.024,*__-;._ URINK ,IX, FRT..PNCH,2 GAL YLD 12/ 4' Oz THIRSTER CS n '24,6B00 24.68 1'. C5 '4f►1451 WHT {I:i:}LK PLST 1000 EA FRINIE CS 11.0000 11.00 8 CS 9463088 CHIP, TLA OeN YL. RsD 6/� EL:PASADC? GS 17-7000 141.60_' REFR10ERATED i CS 33275.41:. TLIRT IL' ,A} FL'. 1" F'F�5sF} RED 12/1' Z EL `,F'wS�4DO' CS 34 34:48 1 1 C5 4331302 `APP.LE, L `9 DL 113 C.T.. i; k FCT 113 Ci�OSS VALY CS 20, 4900 28.49 READY T� EAT PIeaSe Refer to RptuT n 1 cy 2 2 EA 4365211: CHEESE, MER bLCO 135 CT .SPCRD5 LB',' LNlVW, FRM B EA 10.0600 20.12 1 CS 4£1 .08 63 MILK, `T,E0i1 FAT PLST REF 12/1 fi?T PRAIRIE F�?, CS ".:10.6000 10 60 1 CS .400088 1 MILK W 1 LOW FAT PLS T REF 12 /1 °PT PRAIRIE N CS 10.1500 10-15. 4 6 CS 4884131 .,ICE .CR M SOFT. SRV Vi�iL 4 %2/1 'GA PRAIRIE FM Cs L4: 7100 148.26 1 I CS 500,.6556�i BAN ANA, GRNi ESH. REF 10 Lb PACKER. CS 7.7100 7.7.1. 1 1 CS' 63" 9676•`• PEPPEklOidT, D 1416 CT 2/5 ROSELI y5 30. 7800 30.78 2 CS. 6349x77 SALAD NIX, IPBRU RMN 80/20 415.'LB CROSS .VALY B CS 17.3100 34.62 READY TO <Pleae Refer to' Re'urn Polio M 1 1 -.CS 719777x YOGURT, ASST SrWRY .BANA RSP 12/&1_0Z 6LAIT CS 9.9500 9.95 6 6. CS 7451354 ICE M IX SOFT' SRV CHOC. 47.2/2". GA PRAIRIE Fit CS t'25.2500 151.50 FROZEN 3... 3 CS 0105700 BEEF, G D 80120 4:1 SESD 80/4 OZ 5Y /CATSEL CS x.52.7800 158.34 2:,. CS 1157387 ICE CRER B •.DREAM- STICK VNL,2 /24/3 OZ BLUE BUNNY GS 14.00,00 28:00 8 CS 2011'7'8:. f RETIE IP -50FT .BKD FZN `50/5 Os'.. SUPR PRT?_°L CS .,26.2460 209.92 1'. 1 CS ..2014652 i�it1F f �{��L B L I'�' 24/4 OZ SARA LEE GS 18.5600 18.56 interest shall axho�on all unpaitl balances exceeding established -adil lerms etarate equal to the lesser of(a)i.h %pe monN or 'Promuronalelowanoes; cash discounts, prompt pa discounts, grow7h programs antl all olhefincentivesare retained by U$. Foodservice'" r Ibl the maximum Ee Ihat the customer may IaMulty mntrad to pay,.and in all evenC dated m, gccordance w;th apphrAble law. and do nat reduce product cast. ProducLCOS1 IS tlelrned as the supplier, packer or any other vendor deliverod cost or f -o.b. unit price plus ,I slondartl freight less off- invoice discounts or CUS afl- invoice allowances he manufacturer generated discounts or allowances on particular x for set 1 of tuna and -h-0 are specifically relocation o the nvoice) t TOMERS SIGNATURE: y visit www.usfood.com for a fast easy way to order. t ACCOUNT INVOICE INVOICE CUSTOMER PUR sY� IM I rr I ��I I SALES DATE NO. NO. DATE NO. /j C)l/� Nl, f —REP. ORDERED 9 0 037300 7/` 0/ 9�56�575 Sf�EC:IAL'0RDER 1054 0062 07/'2'7/10 Your partner beyond.the plate.'.- a oELivE 8EI3 1 ORDER NUMBER: 9'70197 r SILL CARMEL CLAY PARK!6?xRECREAT SHIP CARMEL CLAY FARKS &R'ECREAT REMIT ;U.S. FOODSERVICE, INC. TO: 1411 E. 1 tsTl E ST TO: 1235 CENTRAL PARK DRIVE E TO: BOX 66COBB CARIYI L IN CARMEL IN x•60 3'2� .46032 K�I :INDIANAPOLIS I N 317 843 3673 :46266--00138 t ATT. 11101- -il��...1_E COMPTOK DEPT 0t} 800 428 .6iI�3 SHIPPED FROM:,:1 F- G UMBERLA L).) RD F vSHER -S.. I tq SHIP DATE: 07/30/10 Pa a 01 of 01 FREIGHTTERMS. Y 3. SPECIAL 'J�f?ECIi�AL.. ORDERS CAN NOT BE RETURN D PAYMENT TERMS: NET 30 DAYS NSTRUCTIONS: QTY., QTY. SALES PRODUCT I O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT' NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E +e, DRY.. i CS X 55396 COME, I :E CRn CAKF .FLAT k (3Tf'f g f �4w A JOY'-CONE CS 5 '5060 s er PRODUCT CLASS RECAP t Q I{ 1 f3€ "f PIECES ll9 ER 1 PIKIES HIPPED I ITEMS SHIPPED3� 1 57. .50 0 TOTAL, IJGT SHIPPED 4.09 PIEC ORDERED 1 PIECE SHIPPED: 1. ITEMS SHIPPED: I ,FE =der,al Ucc.0 at.iori Safet: a .,Section. i�'�,4, 1��(? on Hazard and Health Standards PRODUCT TOTAL '37.50 f.�IN UP cafion req�ir.Ps �nufac•�urer and d3sb ibutclr-s• ltb Orovidib" Material S..afetiJ Diana Shee non -toad products defined. -to be hazardous.':. Prdductas such" a s cleani.nq products 'and pes�ici.dLes dre it►r_luded in the scope of the 8tandar d .In compliance with the law. MSDS. are available to U, S. Foods,ery ce ar customers .and, can` be' 'obtained bV cOntactibg the 'Procuremen 7 11anager it Our TAXABLE AMOUNT' *mss DD district office or,.bi advisin.q. Vour- .sales represertat-ive, GER SALES TAX .00 xt k Y may contact- kE4��l 1URTON p a`1 pharre -4 371) SS5 6'�12t �a��������������sr��c�. s����- n���° ��t��• ���x�- ���n������. ���t�• �rrar���������� ;t•��•���a�rt��t�� PLEASE REMIT THIS AMOUNT P. (�i3 /'�4 /iQ AMOUNT 57. 5U Purchase CI�YI h P�`31c�1n S t, Description, 34 at -k rF P.O.# TZJ G, L. i 2010 Budgget. FOc i AU Line Descr Purchaser Date Approvat Date C 11 4tj 'Interest shall accrue on all unpaid balances exceeding established established eWa terms at a rate equal to the lesser of (a) L'h %get moot or "Promotional alowan,.., rash discounts, pro mpt payoiswunts, growth programs and all other incentives are retained by J.S. Foodservice`° (h) the maximum, rate that the cusiomer may lawfully contract to pay, and In all even ealculated in aroNa— with applicable law. end do not reduce product wst. Product cast 5 tlet5ned as the suppler, packer ar 8ny ocher vendor delivered cost or f.o.b. unit price plus X stand height less o11 invoice discounts or off invoice allowances (i rr manutaclurer generated discounts or allowances on padicular T items for set periods of lime and wh Ch are s p eci fica ll y reflected on the invoice) y CUSTOMERS SIGNATURE: Visit for or a fast and easy way to order. r �':'t. Zf/ eff� (,�i�ieeCute�°f*'i$'ao�sreod ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER, SALES SALES DATE NO. NO. NUMBER LOC. REP. ORDERED 90569922 (OZ43267! 1 O 90`569575 1054 0062 08lt)2/ 10 't the plate' ROUTE: 2 173 ORDER NUMBER: 98038$ BILL CARMEL CLAY t=AkKS&RECREAT SHIP CAR CLAY PARKS &RECREAT REMIT tJ,S, l~OOT38ERVICE, INC. TO: 1411 E. 116TH ST TO: •1235 CENTRAL PARK DRIVE E TO: `BOX 660088 CARMEL IN' CARMEL IN 460` 2 46032 INDIANAPOLIS 1N 317 843 3873 46266-0088 ATT. I MIdHELLE C "UMPTON DEPT 00 1 .zoo 428 2118 SHIPPEDFR0 ,01•••Ctlt'BERLAND :RD. FISHER -S IN-' SHIPDAT 08103/10 Page Oa of 02 'FREIGHT TERMS: SPECIAL DR I VER CANNOT DEL I VEP O THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY: SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D :WEIGHT UNIT PRICE PRICE E INVOICE SUMMARY -FUEL SURCHARGE 3.25 TOTAL WGT SHIPP 006. RIECFS ORDERED: 44 PIECES SHIPPED .3 TTEt1S SHIPPED: 25 PRODUCT TOTAL 1377,78 CHARGES 3 25 TAXABLE. AMOUNT G0 GEhl-SALES TAX x 0 PLEASE REMIT THIS AMOUNT BY 0902/10 AM0UfgT 1401.03 A 71 .1 7 R escriP p tloA Purchase A U G 0 P.O. if P rF G.L. 0 10q 0 n a o Bu d e FbCV Purchaser Date "t Approval Date interest shall accrue on all unpaid balances eaceel established tredil leans at'e'rete equal [o the lesser of (a) I -h% per month or 'Pmmofional allowances, cash dlsdeunls; prompt pay discounts, growth programs end all other iacenlives are retained by U.S. Foodservice'v (b) the maximum rate that the customer may lawfully contract to pay and in all gv e; caktilatedJn accordance w11h applicable law, and do not roduce product cost. Product el Is defined as the. supplier, packer or any other vendor delivered cost or I.o.b. unit price pEUS X l t standard height less elf mvoice dismounts or othnvpice i allowances (i.e manufacturer generated discounts or allowonde5 on particular Ir, items for set periods of time and which are specifically reflected on the IMoicel Visit www.usfood.COM for -a fast and easy way to order. CUSTOMERS SIGNATURE: Zl/��I�ecia- te?yieun C rcoiaea� A ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. Np, DATE NO. NUMBER LOC. REP. ORDERED r m 90569 922 0432674::` 905 s7s 1 08/02/ L Your partner beyond the plate! DELIVERY ROUTE:: C 1'.73 1 v a ORDER NUMBER 91JO 138 BILL CARMEL CLAY ARKS &FECREAT SHIP t AW 'BLA P RKS& EtREAT REMIT U.S. FOODSERVIICE, INC. TO: 1 411 E 11 TO: 12 y '�'R�'iL �A�il� I)R I VE E TO: CARMEL. IN CARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT. MICHELLE -COMPTf: N DEPT 00 BOO 428 2118 n i SHIPPED.FROM:i.P .C#,1!"ti3ERL.AND R0 F I`HERS IN SHIP DATE: 08 /O3f10 ,w Page o1 OF C3 'c 1 FREIGHTTERMS SPECIAL DRIVER CANNOT DELIVER. Ott THE ROUNDABOUT OUT IN PAYMENT TERMS:; NET 30 TRAYS INSTRUCTIONS: QTY. OTY. SALES PRODUCT p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT. NUMBER D UNIT PRICE PRICE E; W. DRY c 1 1:. CS 0588509 CHILI, MEAT, NOT" DUB 6! OZ HOME TASTE CS 44.5500 44.: S5 r I CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM CS 16.1500 16.15 1 CS 2404325 GLOVE, POLY LO. TXT'D.: AMBDX. 10 /100 EA MONOGRAM' CS 37.3400 37.34 1 -1 CS 3256104 LID, CUP 12 Z BBL. STRAW, .10/100 EA HANDI -KUP CS 15.8800 15,88 1 1.. .EA 4004289 GANQ' BAR .SNCkR 2..07" 48 EA SNICKERS EA 1 30.5804 30. 58 1" f. EA 4053335. CANDY, BAR MILK CHOC 36 .EA HERSHEY EA 25.0600 25.06, 1 1 CS. 4329397 RETCHUP TMTB:SQZ ROIL SS SHLF506 /9 OR MONARCH CS 15. 2900 15.29 1 1 CS 4952149 DRESSING, RANCH POUCH.SS 6011.5 OZ MONARCH CS 12.0200 12.02 I Ca S256102 LICE,. CUP 32. Z EUL. STRAW "SLTD 10/50 EA UINCUP •CS 18.9500 18.95 i" I CS; 532928.9 MUSTARD, YLU SS-5.5 OR SHLF 500 /5.500 GR MONARCH CS 10.0300 10.03 1 EA .6'21.x}777 CANDY, :KIT -KAT .VNDG STD 1.5. Z 36. EA KIT RAT EA 24.1300 24.13 2 2' CS "682# 039 PLST 6XBX1-. 75. NACHO CLR 41125 EA PACTIV CS 75.5000 151.00 1 1` EA' 80531,267 CANDY, RESES PHT BOO! CUP 36 EA' REESE'S EA 24.5300 24.53 1. CS $:355927 NAPKIN, DISPR FLD WHT 6.5X1024/250 EA EAISYNAP CS 55.5500 55.55 REFRIGERATED 1 f f CS 3:127541 TQR7'IL LA.. =FLOUR 12 PRaSC} REF 12f1 C5Z EL PASAC3€# CS 3�E. 4804 34.48 4 CS 4884131 ICE. CRE f'I IX, SQFT: SRV VNL 4%2/2.S GA PRAIRIE F11 CS 27.5500 114.20 GS 6349377, .SALAD MIX,, ICBR'G PiMN 84!20 4f5. LB' CROSS VA :Y B CS 17.3100 17..31 READY TO EAT Please Refer to Return Polic 1 A-1- Cs'`,7327545 TOKTIL.LM'. S HERIE 1 OZ LPHH CS 25_. 1 25.11 4 CS 7451354 ICE MILK MIX, "$GIFT $�v' V.efTC3C 1ui1 5 t A PRAIRI -EM CS 27.5500 110.2 FROZEN 1 y, CS 01(357GRt3 BEEF, PTY GRND 80/20-4 SE'SD '80/4 GZ SY /CATSEL a CS 52.9800 52.98 6 CS 2011279 PRETZEL, KING SOFT BKD I`ZN 50/5 OZ SUPR PRTZL CS .26.2400 157,44 r 469 3525 ICE CREAM "CUP, STTII3ITZ C#t Cl 24/5 X37 KEMPS CS 22. :45. 52 _4 4 CS. 5509708 PIZZA, CHS DEEP DISH 7" W /'8QX36 /7 IN BOSCO'S C5 59.5500 238.20 1 L. CS ,5622782 CHICKEN, STRIA' -ORST: MEAT..RN 4 /5..LB' PIER I CS 64:0540 64.05. 3 3 CS 8187999 ICE CREAM.BAR, CHOC TACO. &:VNL24 /4 OZ KLONDIKE CS 20.4140 61.23 1 ..0 CS..- "97630.61: POPSICLE,, ORNO 'CHRY.. GRAPE -SIG/F12/6/1. 6t OZ POPSICLE --X* PRODUCT CLASS" RIw2 TOTAL-DRY. ''PIECES ORDERED.: 1 PIECES SHIPPED: 15 "IT EMS SHIFPED: 14 481.06 ER TQTAb REFRI H GERATED PIECES 'ORDERED: 11 PIECES SKIPPED: 11 ITEMS SHIPPED: 5 297..317 OTA. FRClZ Ed.. PIECES.QRi3EfiiED: 18 PIECES SHIPPED: 17 ITEMS SHIPPEf3:. 6 6 19: "92 Interest shall aarue on alV unpaid betantes exceeding established credit terms at agate equal to the lesser of (aj tVi %'par month or "Promotional allowances, cash dismounts, p"rompl pa discounts growth programs and all o7herincentrves areretained by U.S. Peodservice'" ibj the maximum rata that the Customer may lawfully contract ttl pay, and in all even'di$ICGP„�ied iq rdasae whh applicable law. antl do not reduce p oducl cost. Product cost is defined as the supplier aacRer or any oUer vendor dellcered Cnet or f.o.th unit price plus K r [j Standard freight less a I "invoice di",,ls or og- invoice allowances (I a mnnufaeturer genarated oistoune; or allw ances on panicutar Items for set "nods of time and which are soo.lically reflected on pro mJOiceJ:" CUSTOMERS SIGNATURE: Visit www.iisfood.com 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. Terms Box 660088 Indianapolis, IN 46266 -0088 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/29110 356500 Concessions 23824 68.90 7130110 373003 Concessions 23824 3,498.24 7130/10 373002 Concessions 23824 57.50 8/3/10 4382674 Concessions 23824 1,401.03 Total 5,025.67 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 5,025.67 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE N0. ACCT #fTITLE AMOUNT Board Members Dept 1095 -1 356500 4239040 68.90 1 hereby certify that the attached invoice(s), or 1095 -1 373003 4239040 3,498.24 bill(s) is (are) true and correct and that the 1095 -1 373002. 4239040 57.50 materials or services itemized thereon for 1095 -1 4382674 4239040 1,401.03 which charge is made were ordered and received except 26 -Aug 2010 Signature 5,025.67 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund