HomeMy WebLinkAbout194388 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC
CHECK AMOUNT: $1,333.61
CARMEL, INDIANA 46032 PO BOX 660088
co INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 194388
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1010614 479.31 FOOD BEVERAGES
1095 4239040 1166634 505.50 FOOD BEVERAGES
1095 4239040 949089 348.80 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 944908 O 1 /07/11 0569575 1054 0462 01/06/11
Your partner beyond the plate'
LITE: 5283 1 �E ORDER NUMBER: 105536
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U, S. FOODSERVICE, INC.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL.., PARK DRIVE E TO: r
CARMEL IN CAR,MEL Iii BOX 66008B
46032 46032 INDIANAPOLIS I N
3-17 843 3873 46266-0088 r'
ATT. MICHELLE COMPTON DEPT WOO 300 428 2118
SHIPPED FROM: 2301 CUMBERLAND RD T I.SHERS J,N SHIPDATE: 0 1/x}7/ 1 1 Pa ge 02 o f 02
FREIGHT TERMS: fi SPECIAL DRIVER CANNOT DELIVER ON THE R OUT IN
PAYMENTTERMS: 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 BUMMARY
FUEL SURCHARGE 4.
TOTAL. WGt SklIPFED 177.71 PIECES QROEkED:. 16 PIECES SHIPPlED: 6. ITEMS SHIPPED: 15 i.
PRODUCT TOTAL: S 344.55.
Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard
e Communication requires manufacturers and distr=ibutors to,.p,rovide Material
Safety Data Sheets on non food products defined to be hazardous. Products CHARGES- 4,25
such as cl.e.aning..products and esticides are included in scoge.of.•the
In compliance with the law. MSDS are available to U. Foodservice
Inc. customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOU14T .00
district office.or b; advising your sales representative. GEN SALES -TAX' X .00
You may contact KEVI� BURTON at phone ,(371) 585 6822.
PLEASE-REMIT THIS AMOUNT BY 02/06/11 AMOUNT- 3413.80
Purchase
r Description
P.O: or F
G. L. If �239v JAN 0 2011
Budget
Line Descr yo�r✓
P urchaser Date
Approval Date
Interest shall accrue on all unpaid balances exceeding established credit terms et a rate equal to the aer of (at 1 per month or 'Promotianal allowances, rash discounts, prompt pay tlisCdunte, growth prpgrams and aft other incentivas are retained by ll.S: Foddservice°
(b) the maximum rate that the customer may lewfully.cerllrael to pay, and m all events cerculated in add rdarxe wdh appl Ne low. and do not reduce product coal. Produn cost is de netl es the suppfler, pecker or any other vendor delivered cost or f.o.b. unit puce plus•
standard height less ofl•invdke dI.cr,ls or ofl- invoice allOwenws (i.9., manufacturer generated discounts or allowances on particular
it ems for set periods of lime "M Ncnamspeollically reflected on the mvoicoV �.t CUSTOMERS SIGNATURE:
Visit www.ustood.corn for a fast and easy way to order. Zf/ef�f�cecCute' aui$uelsceaa
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE "ORDER SALES SALES DATE.
F NO. NO. f DATE_ NO. r `NUMBER OC. .REP. ORDERED
90569922 094901 9 /07 1 1 90569575 10` 4 O�b2 01/06/11
�M Sao
Your partner beyond. the plate. `fir,. °a,~ti5 Jv NUMBER: t J
1 1 DELIVERY ROUTE: B3 2 DER 105536
t
BILL CARMEL CLAY PARKS84RECREAT SHIP CAR MEL CLAY PARR, ECREAT REMIT FOODSERVICE, INC.
TO: 1411 E. 116TH ST TO:' 12,,35 CENTRAL PAR LC rt jn E
BOX 660068
CARMEL IN wr CARMEL IN
46032 46032 INDIANAPOLIS IN
317 843 3873 46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 426 2118
SHIPPED FROM: 12301 CUMBERL RD FI S H ERS I SHIPDATE: 01/47/11 Page 01 of 02
FREIGHT TERMS:. SPECIAL. DRI VER CANNOT .DELIVER ON THE ROUNDABOUT OUT IN
PAYMENT TERMS: NET 30 DAY'S INSTRUCTIONS:
QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
1 i CS 432939.7 KETCHUP, TMT0 SQZ FOIL SS SHLF50019. OR MONARCH CS 15..2900 15.29
1 1 CS 5329289 MUSTARD, YLW 5S 5.5 OR SHLF 504 /5.500 OR MONARCH Ca 10.3500 1C. 35
1 1 CS 5601679 CHIP, PTATO RED FLN SS BAG _64/1:5 OZ' LAY CS 26.9500 2
1 1 CS 5601927. CHIP, PTATO KTL ,JLP SS. RAG 64/1 Oz MISS VICKI CS 29.6100 29.61
1 1 CS 6260665 COOKIE, FUDGE MINI SS: 60/2 OZ KEEBLER CS 20..0800 20.08
1 1 CS 8429292 JUICE, APPL 100% PET BTL, 24/x.0 OZ THIRSTER ;CS 14.9400 15.94
2 2 CS 9089079 POPCORN, RAW KIT W/ OIL SALT36/8 OZ FANCY i" ARM tXs 19.9300 39.. 86
REFRIGERATED,
Y 1 EA 2000453 SALAD, CHIX CRMY REF .S LB, PIERCE. B EA 25:4800 25.4$
READY..TO: EAT Please Refer to Return Polic
1, 1 CS 4800843 MILK, 2% REDUC FAT PL.ST REF 12/1 PT �RAIRIE Fri CS 10. 1205} 10.12
1 i CS 4804884 MILK .'CHOC 1% ;-LOW FAT PLST REF12 /1 PT PRAIRIE FM CS 10.3E+00. 10.36
1 i CS 7197775 YOGURT, ASST "STRWBNA 8 RSPBRY 12/6 OZ YOPLAIT kCS 9.9500 ?.95
FROZEN
1 1. CS 2011275 PRETZEL, FT
'2 'M bKD FZN. ZL 16. 26
1 1 CS 201465UFFIN, BL BRY 24/4 OZ 18.85
1 1 CS 2372928 CHILI, W1 BEAN HEAT SkV FZN 4/5-LB SARA LEE C5, 850U
WH"IT'tYWNDSR C8 51.3004: 51..30
1 1 CS" 3041423 CORN DOD, AM CN FZN 48/4 OZ STAT'E.'FAIR CS 30.1700 30:17.
PRODUCT CLASS RECAP
TOTAL DRY PIECES ,ORDERED: a PIECES SHIPPED: 8 b HITEMS SHIPPED: 7 162.09
40TAL,AEFRIGERATED PIECES :ORDERED: 4 PIECES SHIPPED: 4 ITEMS .SH IPPED: 4. 55.91
TOTAL FROZEN PIECES 'ORDERED: 4 PIECES SHIPPED.: 4 ITEM; SHIPPED: 4 126.56
Interest Shall accrue on all un d bafanas exceedE estahtishetl credit terms at a rata ual to the lesser of a t -Y,M r month or 'Promotional allowances, Cash discounts. prom i a discounts, rowlh r ems and all other incenlivas are reteinetl b U.S. Faodservice'"
pai ng e9 1 7 P P y9 9 P o6r Y
@I the maximum rate that the astomer may lawluay antral to pay, aM in all events calculated in aocoNarce wim appliabls law. and oo not reduce pradud call. Product cost is delined as the supplier, packer or any other vendor delivered cast or Lo.b. unit price plus X
standard freight less off-invoke discounts or off- invoice allowances (i.e., manulacturer generated discounts or allowances an parboular
items for set periods of time and which are specifically reflected on the invoke l" CUSTOMERS SIGNATURE:
Visit www.usfoodxom for a fast and easy way to order. ?flefh�frrec�atel/acx ua��e,a
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 1 Q 14?614 01/11/11 90569575 1054 0062 0
Your partner beyond the plate" DELIVERY ROUTE: 2291 ORDER NUMB 10804?
804F
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411. E. 116TH ST TO: 1235 CENTRAL .PARK DRIVE E TO:
BOX 640038
CARMEL IN CARMEL. IN
46032 46032 INDIANAPOLIS IN
317 643 3873 46266- -0088
ATT. MICHELLE C Off" its TON DEPT 00 800 428
SHIPPED FROM: 12 301 CUMBER "RD FISHERS W I N SHIP DATE: 01/11/11 1 ea a 02 of 02
FREIGHT T E R MS: NET 30 GAYS SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN
PAYMENT TERMS: INSTRUCTIONS: y
QTY. OTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0' WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER D„ UNIT PRICE PRICE
IE�VL'ICE -SUMMARY�a
FUEL. SURCHARGE 4.25
TOTAL. WIST SHIPPED: 231..85 PIECES ORDERED: 16 PIECES SHIPPED: 16 ITEMS SHIPPED: 12
��tE�3E4F3* 9F3FfF; t3ttk# 3k�3��# 4r�if4t#' F# �3f�# 3FfF�3E�# �SE4i��F. if�iF# ��3fif�3t# �3f��k?ESF� #�Fik#�- �?f3ttt #tE�i���
PRODUCT TOTAL 475. O6'
F"edera l' Occupation' Safe yi. and Heal Sta'ndairds, Sertion 1910. 1200 on Hazard
Cammuriication requires manufacturers and distributors to provide Material
W Safety Data Sh eets cin non -food pr- od:ucts ",defined tv be hazardous: Products CHARGES 4.25
such as, cleaning products. and pesticides are included in the scope of the
Standard:' In compliance with the ,law. MSDS are ..available to U.S. Foodservice
Inc:: customers and can be obtained bV contacting the Procurement Manager in our TAXABLE AMOUNT .00
district office or bg .adVising °your aa1e.°. representative: GEN SAGES ,SA �G 00
You. .may contact. 14EVI�i BURTON at one 0 ('371) .,585 6822.
�����a����# ��t���a�������tt�����r .��r��s�a���t�, gar• ��������r��������sr������������
PLEASE REMIT THIS AMOUN BY AMOUNT I 479.31
Purchase i J AN 1 3 20 11
Description
rF
U i
G.L.
r f Z fD L u':. C_ i
Bud get
Line Desc ✓c;6
`Purchaser
'APPv
+W
A A
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1 44 %per month er 'Promotional allowances, cash discnunl;, prompt pay discounts, growth programs and all other incentives are retained by IS, Foodservice° 1 r r�
(b) the maximum rate that the customer may lawfully conhact to pay, and in all events cafcvlated in accordance with applicable law. and do not reduce product cost. Product cost is dunned as the supplier, packer Or any other vendor delivered cost or f:iri unit price plus X I Y
Stand freight less 011-Invoice discounts or off -invoice allowances (i,e., manulattutor generated discounts or allowances an particular iii
items for set periods of lime and which are specifically rellected on 1he.invoicelT CUSTOMERS SIGNATURE"
Visit www.usfood.com for a fast and easy way to order. Z(le,A/r&xeciate'kaun$'cs �ae��
ACCOUNT INVOICE' INVOICE CUSTOMER t `PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. C- NUMBER LOC. 4,. REP. ORDERED
905,4 °988 1010�i 14 Q 11 1 111 1 405+5 70 4j 16 4 O€]6c?'
Your partner beyond the plate.' DELIVERY ROUTE: RR91 8 ORDER NUMBER 1 06041
BILL CARREL CLAY PARKS &RECREAT SHIP CARMEL: CLAY PAR S&RECREAT REMIT U.S. FOODBERVICE, INC......
t TO 1411 E. 11 6TH-ST TO 1830 CENTRAL. PARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL- IN
460:32: 46038 INDIANAPOLIS IN
317 843 3873 46266
ATT. MICHELLE COMP TON DEPT 00 £QUO 428 2118
SHIPhl) FROM: 12301 C UMBERLAND RD FISHER I SHIP DATE; 01 11 1 1 1 Pa ig e 01 of 02
FREIGHT TERMS: SPECIAL DR I VER 'CANNOT DEL I VAR ON THE R OUNDABOUT OUT IN
PAYMENTTERMS: N 30 DAY M INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
DRY
I 1 EA '4004287 CANDY, BAR SNCKR'" 2:07 OZ 48 'EA SNICKERS EA 30.5800 30.58
2 2 CS 4260236 SAUCE, CHS NACHO SHLF STABL 41107 OZ ORTEGA CS 46.2700 92.54
I 1 CS 5429303 JUICE, ORNG .140% PET BTL 24/10 OZ THIRSTER CS 19. 1000. 19,.10
2 2 CS 9463689 CHIP, TORTLA CORN -YLW RHD yt:.6 /2 LB EL PASADD CS 1 35:.40
REFRIGERATED
I I EA 30004512 SALAD, TUNA PREPO REF 5 LB PILORM PRD "B EA 24. 5600 26:56
READY TO EAT Please Refer to Return Policy
FROZEN
_2 2 CS_' 20112.78 PRETZEL, KING. -SOFT PKO .FZN 50/5 OZ..; SUPR PRTZL CS 26. ,:52.48
1 is CS 2c�18848 BAGEL,
2. PLN 3 Z.,THAW SRV FZN 72/3 OZ SARA LEE CS 26.0000' 26.00
CS 33 4099 .HOT #}t3Cr, AB f 6 RLR GRILL 10 LB PATUXENT CS. 24.0900 45
2 r
1 CS 4636718 SOUP, CHIX NDL TFI= RTU POUCH 4/8 LB CLSC TUREE CS 45.6:700 4S.
1 1 CS 5218862 ICE CREAM! SANOUICH, VNL 24/6 OZ BLUE BUNNY. CS:. 15.0500 -15 05
1 1 CS 55097€ 8 PI ..Z,A, CHS DEEP DISH 7" W/ BOX36 /7 IN BOSCO `S CS 59.5500 59.55
1 1. CS 8552317 MUFFIN, COF CARE PECK CIN IW 24/4 OZ SARA LEE CS 23. 9500 23.95
i PRODUCT CLASS RECAP
TOTAL DRY PIECE'S ORDERED: 6 PIECES SHIP'P'ED: 6 ITEMS SHIPPED: 4 177'62
TOTAL REFRIGERATED PIECES ORDERED: I PIECES SHIPPED; i ITEMS SHIPPED: 1 26.56
TOTAL FROZEN, PIECES `t#IR€3EREL?: 9 PIECES SHIPPED: ITEMS SHIPPED: 7 270.!88
g
r Y 6rvc`
Interest shall eccru"n all unpaid balamyes exceeding established credittermsat a rate equal,, the lesser of {aY7 %r9a per month or Promotional allowances. cash discounis,promptpeydlscounis, growth prpgramsand all other incentives areretained by U.S. Foodsoliee'"
Ibl the maximum rate that the customer may lawfully,pnlracl to pay, and in all events calculated in aaordance with applicable law, and do npE reduce product cost Product cast is defined as the Supplier, packer or any ether vendor delivered cost or Lo.b. unit prise plus X
standard height less off invoice discaunls or oN. invoice allowances (i.e., manufacturer generated dis000ms or allowances an particular
items for set periods of ume and which are specifically ronc,ed on IN invoice)." CUSTOMERS SIGNATURE
Visit www.usfood.COM for y y 'a fast and easy wa to order. l
2lle>?/otviceciate Zlocuc S"uaigexs
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES 'SALES DATE
NO. NO. DATE NO. NUMBER x LOC. R�P ORDERED
90569922 1.166634 01/18/11 90569-575 1 r fj� �.�w5 Q54 i 16&2' ,1 01 1 11
Your partner beyond the plate.' OOl 1,
DELIVERY ROUTE: 21 ORDER NUMB R: 11
BILL CARREL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. F'OODSIE=RVICE, INC.
TO: 1411 E 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL TN CARMEL IN
46032 F` 46032 INDIANAPOLIS IN
317 843 3873 4626 6-0088
ATT. MICHELLE COMPTON DEPT 00 800 4.28 2118
f
SHIPPED FROM: 1 236 CUMBERLAND IUD F I SHERS I N s H IP DATE: 01/16/it P a ge 01 o f 02
FREIGHT TERMS SPECIAL DRI VER CANNOT DELIVER aN THE ROUNDABOUT OUT IN
NET
PAYMENT TERMS: 30AY INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C
O PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL WEIGHT
ORDERED SHIPPED UNIT NUMBER UNIT PRICE PRICE
DRY
I 1 CS 0209510 CRACKER, SALTINE TFF SG 300/2 EA HILLTOP HR CS 12. 1560
1 I CS 0814236 CUP; FN 16 Z WHT 20/25 EA 1101 0GRAM CS 17.1100 17:11
2 2. CS 4260238 SAUCE, CHS MACHO SHLF STAHL 4/ OZ ORTEGA CS 46.2700 9
1 1, C 5597951 CHIP, TORTLA MACHO CHS TRGLE 64/1,75 OZ DGRITOS CS 26.9500 26.95
1 1. CS 5704077 COOKIE, NUTTR "BUTR I Z SS 43/1 OZ NUTTR BUTR CS 28. 28.08.
1 1. CS 6429342 JUICER, CRNBY CKTL ORNK 27% PET24/10 OZ THIRSTER CS 18. 18.53
1 i EA 8053126 CANDY, RESES PNT BUTR CUP 36 EA REESE`S EA 24.5300 24.53
1"
1 CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB E'L PASADO CS 17. 17.70
REFRTGERATEIS x.. :�>2 r-�r.
1 1 Eli' 2000453 SALAD, CHIX CRMY REF 5 LB PIERCE k EA- 25 25.48
READY TO EAT Please Prefer to Return Policyy
1 'I CS 2340875 CHEESE, .CR€I PkN SS PLST CUP 100/1 OZ GLNVW FRMS CS 21:7000 21.70
READY TO EAT" Please Refer to Return Polic;/
1 1 CS ;3331337 APPI:,E, RED ULC 88. CT XFCY 88 EA CR0'SS VALY CS 35. 1800. 35,10
1 1 C8 4800843 MILK, 27. REDUC FAT F'LST REF 1211 PT PRAIRIE Fri CS" 10.2400 •10.24
1 1 CS 4800884 MILK, CHOC IX LOU FAT PL5T REF12 /1 PT PRAIRIE FM CS 10. 3600 14:36
1 1 C5 6349377 SALAD MIX, ICBRG RMN 80/20 4/5 LB CROS VALY B CS 17.3140 17.31
READY TO" EAT Please Refer to Return Policy
FROZEN
3 3 CS 2011278 PRETZEL, KING SOFT'BkO FZN 50/5 OZ SUPR PRTZI_ CS. 26.2400 :78.72
1 1, CS 5218862 ICE CREAM SANDWICH, VNL 24/6 OZ•_. BLUE BUNNY CS 5.0500 15.05
1, 1 CS 5741228 DOW, PD DOG PLN 6° SLCD 12/12 EA HILLTOP HR CS 6i 7500 26 75
1 1. CS 81879$9 ICE CREAM BAR CHOC TACO VNL24 /4 OZ KLONDIXE CS 22..8700 22.87
PRODUCT CLASS RECAP
TOTAL DRY, PIECES ORDERED: 9 PIECES SHIPPED: 9 ITEMS SHIPPED:- 8 237. -59
TOTAL REFR IGERATED PIECES. .OR1:ERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 6 T20, 27
TOTAL FROZEN PIECES ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 4 143.39
Interest shall aceme on all unpaid balances exceeding established credo terms at a rate &qua: to the lesser of (a) 1 -h %per month or "Promotional allowances; cash discounis, prompt pa discounts, growth programs and all other incentives aw retained by U.S. Foodser
(b) the maximum rate Thal the customer may lawfully camract to pay, and in all events calculated in accordanas with applicable law. and do not reduce product cost. Pwducl cast Is de'red as the supplier, packer ar any other vendor delivered cost cr a b, unit price plus X
Standard freight less aft- invoice disoounl5 or ol4invoice allowances li.o., manuiachaar generated discounts or allowances on particular
Items for set periods of time and which are specifically reflected on the invoio-ol.'
Visit www.usfood Co
rn for a fast and easy way to order. CUSTOMERS SIGNATURE:
Zl/eigfz/iaec•ate'dlacvc `�i'dr,C
ACCOUNT. INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. NUMBER LOC. REP. ORDERED
905b9922 1 166634 X71 8t f 1 9C)Sb9575 1G54 0062 01/17/11
Your partner beyond the plate" DELIVERY ROUTE: 21.73 t 1 ORDER NUMBER: 112912
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECR]»AT REMIT U.S. FOODSERVICEr INC.
TO: ;L 41 1 E 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
r C+ARhfEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
317 843 3873 46266 -0085
ATT. 'MICHELLE COMPTON DEPT 00 Ell 42EI 2118
'SHIPP F ROM: 1 CUMBERLAND P.D F.18HERS. I N SHIP DATE: 01 16/ 1 1 Pa e 02 i? f 0
t
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE R08NDABOU f OUT I hi
PAYMENT TERMS: ET 3C DA
INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C
ORDERED. SHIPPED UNIT NUMBER p UNIT PRICE PRICIN U EXTENDED
D
DESCRIPTION PACK SIZE LABEL WEIGHT
E
INVOICE-SUMMARY
FUEL SURT 4.25
TOTAL.WDT-SHI_PPb: 274.65 PIECES.ORDERED: 21 PIECES SHIPPED: 21 ITEMS SHIPPED: 18
F PRODUCT TOTAL 501.25
Federal. Occupatio t Safety and Health Standards. Section 1910, 1200 on Hazard
Communication reauares manufacturers and dis ribU•tcrS to provide Material
Safety Data Shee s on n'on -food products defined to be hazardous. Products �J CHARGES 4.25
.k vuc'h 'as .cleaning pr oducts.and pes'b icides Are included' in "the sco g'a of the
Standard. In compliance with the law. NS6S are .available to U. s. r=oodservice
Inc, cuc�tomer and can b'e obtained by contacting the Procurement Manager in our JAXABL:E AMOUNT
di.strict or• by advising your sales representative. GEN SALES TAX 00
You may- Contact KEVIN BURTON at hone (371) 585 6822.
fitS'��'JF'R�4'I4'�#'I'�§��?ESf �R 3L•# 3E# iFit 'fk�dF�it6F3f #36 i'x'`�'3F'kit'� e F3f #3}4F4}'H'33' #iE #'I4'.E'
PLEASE REMIT THIS AMOUNT BY t�2/17111 �MDU�� 505.50
Purchase
Description
P.O. 3 SR`1 P 0
G.L.
y
Bud ge
Line D scr 1��' f L a�iJC:
Purchaser
Approval Date
y
Interest Shall flame on ell unpaid balances exceeding established credit leans at a rare equal to the lesser of ca) 1 h %per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U S. Foodservice
lb) the maximum. rate that the customer may lawfully cenllsel to pay, and in all evertrs calalarch in accordance with applicable law. and tlo nDt reduce product cost. Product cost is defined as the supplier, packer or any other vendor delivered cost or ro.b. unit price plus
standard freight less o11- invoice discounts or off- invoice allowances (.e., manufacturer generated discounts or allowances on padicular X d
items for set periods of time and which are specifically reflected an the invoice)' CUS 'OMERS' SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
ZUe�fk�Seela.te 2lou c''v'uatrcexz
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
1!7111 949089 Concessions 23887 348.80
1111111 1010614 Concessions 23887 479.31
1118111 1166634 Concessions 23887 505.50
Total 1,333.61
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
1,333.61
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT 4/T1TL AMOUNT Board Members
Dept
1095 -1 949089 4239040 348.80 1 hereby certify that the attached invoice(s), or
1095 -1 1010614 4239040 479.31 bill(s) is (are) true and correct and that the
1095 -1 1166634 4239040 505.50 materials or services itemized thereon for
which charge is made were ordered and
received except
27 -Jan 2011
Signature
1,333.61 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund