190989 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
s ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $724.38
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 190989
CHECK DATE: 10/13/2010
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1619545 195.54 FOOD BEVERAGES
1095 4239040 1619546 361.68 FOOD BEVERAGES
1095 4239040 1728479 167.16 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE' CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. O.. NO. NUMBER LOC. REP. ORDERED
905699 1619546 04/28!1.0 5' S6�75 V. /�j 104 0068 09/27/10 Your partner, beyond the plate! ELI
DELIVERY RD r
8173:: 1 ORDER NUMBER: 87734
BELL a SHIP REMIT
CARMEL CLAY PARKS &<RE:CREAT CARMEL CLAY 'PARKS &RECREAT U.S. FOODSERVICE, INC.
TO: 1411 E.- 116TH ST TO: 1835 CENTRAL,. PARK DRI E TO:
BOX 660088
CARMEL Iii! CARMEL. IN
460.38 46032 INDIANAPOLI IN
317 843 3873_ 46266-0088
ATT. MICHELLE COMPTON
DEPT.# 00 800 488 2118
SHIPPED FROM: 18301 CUMBERLAND RD FISHERS IN,!- SHIP DATE: 09/ 2E3/ 10 Page 01 of 01
T
FREIGHTTERMS: SPECIAL DRIVER CANNOT DELIVER ON HE ROONDABOIJf OUT IN
PAYMENT TERMS: NE's'. 30 TRAYS 'INSTRUCTIONS:
QTY. QTY. SALES' PRODUCT 0 PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL WEIGHT
ORDERED SHIPPED UNIT" NUMBER UNIT PRICE PRICE
DR Y
3' C S 3372 BAG, "T SHIRT 12X POLY 1400 EA ROYAL FAPR CS: 26.6100 26: 01.
1 I EA- 8053126 CANDY,..RESES PNT FUTR CUP 36 Eft REESE'S EA :4.5300 24:53
1 1 CS 9'4f�36B8 CHIP, TORTLA EQRP+! YLlJ RND b/2 'LB' EL PASADO CS' 17.. 7iD00 17.76
REFRIGERATED.
1 1 CS 5006556 `BANANA., GRIN FRESH REF 14 LB PACKER CS 7.7100 7.73
FROZEN
1 1 CS 2014652 MUFFIN, BLBRY -IW 24%4 -OZ SARA LEE CS 1G 5600 18.56
1 1. CS 4450B54-.COFFEE, LIQ DECAF.FRED RST FZNVV °LT MAXWELL HS CS 137.1500 137.15
1,. 1 CS 6450852 COFFEE, LIQ PREM RS'T FZN 4/1 LT MAXWELL: HS CS 129.4200 129.42
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 3 PIECES'SHIPPED: 3 G ITEMS SHIPPED: 3 6B.
TOTAL REFRIGERATED PIECES ORDERED •1 FYECES SHIPPED:. 1 ITEMS-SHIPPED: .1 7.71
s TOTAL FROZEN PIECES ORDEPED. 3' FECES SHTPf'ED: 3 f4 ITEMS HIPPED: 3
INVOICE SUMMARY
TOTAL WGT SHIPPED: 59:61 PIECES ORDERED PIECES S141PPED: 7 ITEMS SHIPPED: 7
3 PRODUCT TOTAL.
Purchase
Description WnCQf.�unxs
P.O.#
G.L. lO°15 -1= LA :3%4c
Bud t TAXABLE AMOUNT s. 00
Lin escr �fD; GeV GEfa ALES TAX QO
Purchaser Date e
Approval Date
PLEASE REMIT THIS AMOUNT BY 10/28/10 A 361.68
i C
Interest shall'a=e on alit unpaid balances exceed established vedit terms at a rate alto dce lesser al a 1 -'A% o, month w 'Promotional allowances, cash discaims, prompt pa discounts, rowlh ems end ellother incentives era retained b U.S. Faadservico^' F
Pa m9 ®7a 1 P 9 PmBr Y
Ibl Ne maximum rate that the astomer may lawlulty control to pay, and in ell events ceW+Wted in accord— with applicable law, entl do nm reduce product cast. Product Wsl is d arced fls the suppher, packer a eny other ventlbf delivered cost or I.o.b. unit price plus 4 4 1�
standard Ireighl less oX- invoice dismounts or off- inwice eflowances (r e., manufacturer generated dismunts or allowances on particular X r A J "Al
it. ms for set periods of time end which are spealically reAetied an the invoioel l C%J8T0MER8 SIGNATURE'
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. NO. NUMBER LOC. REP. ORDERED
90�bgg2 "c 1619 09/ 10 0569575 �C Zg f 1054 006a 09 10.
Your partner beyond the plate.'
G20 i ce ORDER NUMBER: 27455
BILL SHIP t+ REMIT
CARMEL CLAY PARKS &RECREAT: CARMEL CLAY PARKS &RECREAT U.S. F"OCDSERVICE, INC.
TO: 14 1 E 11 6TH ST TO: 1 235 CENTRAL PARK DRI E TO:
BO 660088
CARMEL IN CARMEL IN
46032 INDIANAPOLIS IN
ATT. 4i&ELLE COMPT'ON DEPT 800 21118
SHIPPED FROM: i SHIP DATE:
2301 VMRER AND` R6 FISHERS ,rN 09/28/10 Pagge U1 of 01
FREIGHT TERMS: -SPECIAL DR CANNOT DELIVER ONI THE RO NDABOUT OUT IN
PAYMENTTERMS: N ,T '30 !DAYS INSTRUCTIONS:
QTY:, UNIT NUMBER SALES PRODUCT' p PRICING UNIT EXTENDED
ORDERED S aK 4D DESCRIPTION. PACK SIZE LABEL D WEIGHT
QTY. UNIT PRICE PRICE
II t E
DRY. s
i C 4329397 TCHUP, TMTO- SQZ FOIL SS SHLF504 /9 GR MONARCH CS 15.2900 1.S.25'✓
1. C 5329289 MUSTARD, YLW• SS 5.5 GR SHLF 500/5.504 GR MONARCH CS 10.0300 1.0.03
1 '1 C "•6329.197 BEAN] SKD W/ BRR SUGAR" CND OLD6 /#B10 CG MON—D q CS 27.1000 27.10
2.. 2 _-ZA.. 932738$ SALSA, MILD TH.CK CHNXY.. 1 GA EL PASADO B.. EA.. ....11,.2475 22.50..
1 1 CS 9463688 CHIP, TORTL:A CQlithi YLW RND 6/2.1_2 EL PASADO CS 17.7400 17.70
'FROZEN;.
3 ..3. C5 3330099_• HOT- DOG, AS b: 1. 6" RLft.. GfiI4 10 �R PATUXENT CS 24,6900 .74.47
1 1 CS -5741228 PUN, HOT D`0G PLN 6 SLCD 12112 £A HILLTOP HR CS 25.6000 25.60
PRODUc CLASS RECAP
TOTAL DRY PIE(ES ORDERED: 6 PIEEES SHIPPED: b: 1TEMS"SHI�PED: 5
TOTAL FROZEN PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS- SHIPPED: 2 5g .,6P
INVOICE SUMMARY
'FUEL SURCHARGE
G, 3.25
I'OTAL'WGT SHIPPED; 137.14 PIECES .10 PIECES SHIPPED: 1:0 ITEMS SHIPPED: 7
iPurchase PRODUCT TOTAL 192.29
Nscription —0 n 1S
P.O. F CHARGES 3.25
G.L. It �c�
Bud t ge
Line F06 C) 6 Y- �gEPACs TAkABLE- AMOUNT .00
GEN SALES TAX x. .00
Purchaser Date
D
f Approval Date
PLEASE REMIT THIS AMOUNT BY 10 /28/�10 AMOUNT 195.54
Interest shall accrue on all unpattl balances exceetlirg esfabllshai credit terms at a rate equal to the lesser o,JaJ 1 'h %per month or "Promotional allowances, cash discounts, prompt paq tlis"m"' growth programs and all other incantivesare retained by U.S. FoodserviS�
N the maximum rate that the customer may lawlulty ocn t to pay, aM In all events cekvlmed in eodomende witll applicable law. end tld not reduce product met. Product cost is defned as the supplier, packer or arty other vendor delivered cost or f.o.b. unit prke to, I y t
6lantlard freight less oll4-1ce discounts or all invoke allowances (i.0., manuratlurer generated discounts or allowances an panic of x. a.. l� k1
items for a. periods or. fine and which ere spedgcal" re llec[dd on the irnrokeJ." i l c `CUSTOM EF S SIGNATURE:
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. E10_ T_ NO. NUMBER LOC. REP. ORDERED
.90569922 1728479 1 t!!02/ 10 05 69:575 G I O I 3 1 054 0066 10 /01/10
Your par {ner 6e,"', the plate.'
DELIVERY ROUTE: 9152 DR I}ER UMII ER: 32202'
BILL CARME:L CLAY PARKS &RECREAT SHIP_ CARMEL CLAY PARKS&RECREAT'. REM17 U—S) F ODDSERV:I INC.
TO: 141. i E. 116TH ST TO: 1235 CENTRAL PARK DR I VF E TO:.�
CARMEL. ..IN CARMEL IN. B 66(3088
46032 46032 INDIANAPOLIS IN.
:.:T
ATT. MICHELLE COMPTON DEPT 8 0 28
SHIPPEDFROM: .1234..1- C UMPERLA ND.: RTC F I SHIP DATE: 1 Pag 1 01 of 0 1'
FREIGHT TERMS: SPECIAL CI: S TOMER P•IC'K UP
'PAYMENT TERMS: NET 30. DAYS INSTRUCTIONS:
CITY., QTY. SALES' PRODUCT; DESCRIPTION PACK SIZE' LABEL O WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED ai .UNIT NUMBER E UNIT PRICE PRICE
FROZEN
3 3 CS 2011270 PRETZEL, I OF
RING' ST BKD FZN 50/5 OZ SUPF, PRTZL
CS ..2'6..�
4t?t7 ?S. 7k
3 3 CS 3041.423- CORN DOG,. Alf. CN FZN 48/4 CZ STATE PAIR CS 29.4800 88.44
a� PRODUCT CLASS RECAP
TOTAL .FROZEN PIECES ORDERED:.. b PIECES. SHIPPED: b ITEMS SHIPPED 2 16 7.16
INVOICE SUMMARY.
TOTAL WOT SHIPPED:' 84.75 PIECES-ORDERED:' fir' PIECES SHIPPED: b ITEMS SHIPPE6 2
1
PRQD�ICT,OT.A�. 1 167.46
TAXA9LE AMOUNT aD
OEPi: SALES TAX .00
S" t3'1 1 �i
P r
LEASECtIT "THI5 AM!]•UNT 11/ AMOUNT 1E,7 1�
Purchase y I
Description C��1G�Sg:1(�115
P.O.# PorF
G.L.
Budget
Line Dewr
Purchaser Date
Approval
Date
J
Interest shall acema on Bit unpaid balances exceeding esmbiishod credit terms at a .11. equal to the iasser of (a) I 'h% per month cr 'Promotional allowances, cash discounts, prompt Paf� discounts, grVh programs and all other incentives are retained by US, Foodservice'"
(b) the maximum rate that"c> I near may IaMvly contract to pay, and in all events calwlated in accordance with 'applicable law. and do not reduce product mst. Product cosf is de med as the supplier, pecker or eny other vendor delivered msl ar f.o.b, unit Pnce plug X
standard freight less off invoice discounts or o dnvoice lawances (ce., manufatlurar generated discounts or alkd antes on particular
Items for set periods of time and which as spedllcally milecled on the invoice)." CUSTOMERS SIGNATURE:
Visit www.u6food.com fora fast and easy way to order.
2Ue� �ualacea¢ I s
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
9128/10 1619546 Concessions 361.68
9/28/10 1619545 Concessions 195.54
10/2/10 1728479 Concessions 167.16.
Total 724.38
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
724.38
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #iTITLE AMOUNT Board Members
Dept
1095 -1 1619546 4239040 361.68 1 hereby certify that the attached invoice(s), or
1095 -1. 1619545 4239040 195.54 bill(s) is (are) true and correct and that the
1095 -1 1728479 4239040 167.16 materials or services itemized thereon for
which charge is made were ordered and
received except
7 -Oct 2010
Signature
724.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund