193242 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $472.31
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 193242
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 373035 421.79 FOOD BEVERAGES
1095 4239040 435250 50.52 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER d .'LpC. i aREP ORDEf3ED
W,.
O
9056992;•_ 03 3035 1 ^2/ 10/ ifs X056957 5 1054 0062 12/09/10
Your partner beyond the plate.` L�
OE RY ROUTE:
5262 2 ORDER NUMBER: 97222
BILL CARMEL CLAW PARKS&RECREAT SHIP CARMEL: CLAY PARKS&RECREAT REMIT U.B. F'OODSERVICE} INC.
TO: 1411. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL. IN CARMEL IN
46032 46032 INDIANAPOLIS IN
317 843 3873 46266 —OOBS
ATT. MICHELLE C01t11PTON DEFT 00 600 428 2118
SHIPPED FROM: 12301 C Ui" j3 ER L AND RD FISHERS IN SHIP DATE: jp/j()/jC) P a gg e 02 of 0
FREIGHT TERMS: SPECIAL DR I VER CANNOT DELI ON THE RDUNDABOUT OUT I
PAYMENT TERMS: NET 3V DAYS INSTRUCTIONS:
QTY: QTY.• SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
INVOICE. SUMMARY >f
FUEL SURCHARGE 4.25
TOTAL WGT SHIPPED:, 217.17 'PIECES ORDERED: 15 PIECES SHIPPED: 15 ITEMS SHIPPED: 12
PRODUCT TOTAL S 417.54
CHARGES 4.
TAXABLE AMOUNT S .00
GEN. SALES TAX .00
Purchase
PLEASE. REMIT' THIS AMOUNT BY 01/09/11 AMOUNT
Description
orf. f
YOGIS yD
.Budget �tx�'¢ 1 3 2010
Line Descr
Purchaser Date
Approval Date
r
1
ntemer shall accrue on all unpaid balances exceeding established credit terms at a rate equal la the lesser of (a( 1 -h per manth or Thtntmonal allowances, cash discounts, prompt pay dracoums, growth programs and all other incentives are retaiPed by V.S. Foodservile.
(b� the mayimum rate that the customer may itt iulty contract to pay, and in all events calculated in aomrdanco with applicable law. and do not retluce protlum Cost. Product cost is do aired as Ina supph packer or any other vendor delivered cost or' f.a.b, unit price plus X I 1
standard lreigM less oii- invoice discounts or 011- invoice allowances (Le., manufaclurer generated tllsoounts or allowances an padicular
items for set perrods of time and which are specifically reflected on the invoice) U CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order. r¢/�,�ceatare?t
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
I NO.rt NO. DATE NO. NUMBER LOC. REP: ORDERED
r•• 90569922 0373035 12/10/10 90569575 l 1 054 0062 12/09/10
'Your partner beyond the plate.'
j DELIVERY ROUTE:. 5262. 2 ORDER NUMBER: 87222
BILL CARMEL CLAY PARKS &RECREAT SHIP' CARMEL CLAY PAF KSB<RECREAT REMIT U.S. FOODSERVICE, INC.
.TO: •1411 E. 116TH ST TO: 1235 CENTRAL PAF?K DRIVE E TO:
CARMEL I,N. CARMEL IN BOX 66008B
46032 46032 INDIANAPOLIS IN
317 643 3873 46266 —OOSS
ATT. MICHELLE COMPTON I DEPT 00 1 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD _FISHERS IN SHIP DATE: 12/10/10 Pa 01 of 02
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE R OUT IN
PAYMENT TERMS: NET 3O DAYS INSTRUCTIONS:
QTY. QTY: SALES PRODUCT C
DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY
1 1 CS 2404325 GLOVE, POLY LG TXT[D AMBDX 10/100.. EA MONOGRAM B. CS 37.3400 :37.34
1 1 CS 2928661 CHIP, PTATO ASST SS BAG 60 EA, US FOGDSVC CS 35.9100 35.91
1 1 EA 4004289 CANDY, BAR SNCKR 2..07 OZ 48 EA SNICKERS EA 30.5800 30.58
1 i CS 4573747 SNACK MIX, CHOC CRML S5 SMPLY 60/1.2 OZ CHEX C 29.6200 .29.62
1 1 CS 5327325 CHS CHEDR 6/010 CN HARVEST VL_ CS 40.510. 40.51
1 1 CS 6179121 CAPPUCCINO, HZLNT INST P'WDR 6/2 LB GFIC CS. 44.9000 44.90
1 1 CS 9059079 POPCORN, RAW MIT W/ OIL SALT36 /8.OZ FANCY FARM CS 19.3300. 19.33
2 2 CS 9463688 CHIP, TORTLA CORN :LW RND 6 /2.LB- EL PASADO CS 17.7000 35.40
REFRIGERATED
1 1 CS 3331337 APPLE, RED DLC 88 CT XFCY 88 EA CROSS VRLY CS 32.4100 32.45
.1 1 GS 7197775 YOGURT, ASST STRWBNA 3 RSPBRY 12/6 OZ YOPLAIT CS 9.9500. .9.95
FROZEN
3 3 CS 2011278 P'RET'ZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 26.240'0 78.72
1 1 CS 8187999 ICE CREA BAR, CHOC TACO 9 VN`NL2�4 /4 OZ KLONDIKE CS 22. B700 22.87
g7 7 CLASS RECAP #�a
J
'DOTAL DRY ��1%� "/r PIECES ORDERED: 9 PIECES SHIPPED: 9 ITEMS SHIPPED: 8 273.59
TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED: .2 ITEMS SHIPPED: 2 42.36
TOTAL N=ROZEN PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 2 1.01 -59
P
I
Interest s5all accrue on all unpaid balances exceeding established .edit terms at a rate equal to th lesser.f (a) 1 lfe °t° per month ar °Promhaonsi allowances, cash discounts, Xrtt pt discounts, growth programs and all other incentives are retained Fp.dseiviw
(b) the maximum rate that the customer may lewluly,mhmw:1 to pay, and in all events t fated in accordance with applicable law. and d. n.i reAuce height product cast. Pmtlutl pp$i r5 dh4= as the supplier, packer or any other vend., delivered cos, or f.o.h. unil.ptice plus X
standard 1.1s .11-Invoice discounts or ott- invoice allowances (i.a., manufacturer generated discounts or allowances on particular
items for set periods of lime and which are spedlically r.fladed on the invoica).. STO ER$ GNATU RE:
I Visit www.usfood.com for a fast and easy way to order.
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. E NO. NUMBER LOC. REP. ORDERED
CIA r Of
90569922 0435250 12/14/10 90569575 1054 0062 12/13/10
RJ Your partner beyond the plate.` j
E. 2191 •-I ORDER NUMBER: 89209
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC
TO: 141 1 E. 116TH ST TO: 1235 CENTRAL. LARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
317 B43 3873 46266 -0086
ATT. MICHELLE COMPTON DEPT 00 1 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD F I SHER a 11'4 SHIP.DATE: 1 P a 01 of 01
FREIGHT TERMS: SPECIAL DRIVER CANNOT' DELIVER ON THE R08NDIALOUT OUT IN
PAYMENT TERMS: NET '30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY-
1 a l CS .4260238 SAUCE, CHs MACHO S,HLP S:TABL 4r167 `DZ ORTEGA CS 46.27W S 4,6'27
PRODUCT CLASS.RECAP,
TOTAL. DRY PIECES t1RDEPiED: 1 PIECES SHP'.ED: 1 ITEMS SHIPPED: 1 46.,.2
INVOICE SUMIIAR,Y
FUEL SURCHARGE .4.25.
TOTAL WDT SHIPPED: 24;04 PIECES ORDERED.: 1. PIECES',SHHIPPEf7 I
FTEMS SHIPPED: 1..
s
PRODUCT TOTAL 46.27
LE .DEC 16 1010
L./ CHARGES 4 ..25
�:...�a...
TAXA AMOUNT,
OEM SALES TAX' X .00
PLEASE REMIT TH19 AMOUNT BY 01113111 AMOUNT 50-32)
D E CC 1 6 .101„0
�4:
L7.z
Interest shall accrue on all unpaid balances exceeding established credit term$ at a rate equal to the lesser of (a) 1!h% per month ar •Promotional allowances, cash discounts, prompt pay di stopple, growth programs and all other incentives are retained by U.S. Foodso 111
fd) the maximum rate that the Gtstomar a sy lawful to pay, and in all 'vents calculated in .an. with applicable law. and do nor reduce product wsf. Product oast is defined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X
stand d height less oll- invoice discounts or o9- invoice allowances fi.e., manufacturer generated discounts er allowances on paAicular
items for set prides of time and which are spedUcally reflected on the invoice)." C STOMERS SIGNATU
Visit www.usfood.Com for a fast and easy way to order.
er4r�ti�r�cec�ce to �alua b"udlaeQQ
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
12/10/10 373035 Concessions 23887 421.79
12/14110 435250 Concessions 50.52
Total 472.31
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
472.31
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1095 -1 373035 4239040 421.79 1 hereby certify that the attached invoice(s), or
1095 -1 435250 4239040 50.52 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
16 -Dec 2010
Signature
472.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund