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166421 11/24/2008
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: $126.19 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 166421 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 192.88 2830286 1047 4239040 53.23 2830286 1047 4239040 18.13 2837544 1047 4239040 232.47 2861568 1047 4239040 197.70 2906113 1047 4239040 -61.74 2- 95998`8 :a047 4239 040 57.84 2 979518 1047 4239'040 448:64 2.9.9692;0- B I r E� 12301 CUMBERLAND RD ON" TERRITORY STATEMENT PO BOX 8000 CWSTOMER NO: FISHERS, IN 46038 MANAGER D V Ml (800)253 0277 90569575 0062 10/31/08 RETURN SERVICE REQUESTED �C— TV NOV 1 1 2008 PON29000201825 GON29000201825 BY: CARMEL CLAY PARKS &RECREAT 1235 CENTAL PARK DRIVE E RECEIVED CARMEL, IN 46032 NOV Y 2008 BYi Nom �TRA "NSACTION ORIGINAL `DEBIT /CREDITS PAYMENT BA�NGE` DUE'DATEk f t P AY TMENTS DUE TERMS. CUSTOMER: CARMEL CLAY PARKS &RECREAT CUSTOMER# 90569575 SOLD BY: INDIANAPOLIS /3V LOCATION 1235 CENTAL PARK DRIVE E, CARMEL, IN 460320000 1: /08 1550287. ;PMD (L,837 t�"4 G 00- ^v0 2 837 -04 08/2�f03 2 07/02/08 2996920 CRE (448.64) 0.00 0.00 (448.64) 08/01/08 NET 30 DAYS 3, .07/09/08 2959988. CRE, (61 74) 0 0 00 (61 74), 08(08/08 NET.30 DAYS 4 08/08/08 1912452 INV 229:60 0.00 0.00 229.60 09/07/08 NET 30 DAYS 5 08!08 /08 1912454 ,INV 3 680 52 b 0 00 0 00 3 680'52 09/07/08;; NET 30 DAYS 6 08/11/08 2979518 CRE (57.84 0 00 0 00 (57 84) 09/10/08 NET 30 DAYS 2630637 INV 0 0 220 22 w ,.,1.1/13/08 NETry30 DAYS,, 8 10/17/08 2676923 INV 4.75:98 a 0.00 0.00 475.98 11/16/08 NET 30 DAYS 9 10/28/08 2785281 0,00, 30 „1 y NET30 DAYS, 10 10/31/08 2830286 INV 268.62 0.00 0.00 268.62 11/30/08 NET 30 DAYS t 1 6/31/0& W 2837544 I .'18 13 r 0 0 00, 18 13, .1 /30/08 NET 30 DAYS Subtotal 1,795.03 DAYS PAST`DUE CURRENT 1-7 8 X15:"aw„ 163Qn30s TOTAL 1,290.17 0.00 0.00 0.00 504.86 1,795.03 z, q ress ly press 9, press 1 r..:Tenter: your- ,`9.'dY ision; number, 'which;; 'S.,,1054, *,,,Y, hen: *For customer in d- uiries call 1 77 P g rThe foLlowing TYPES are: included on 'your statemeht a s. M .:PMD..c.PAYMENTrDISCREPANCY _.....f..n.. u,.i We reserve the right to assess service charges on any amount not paid when due at an interest rate of 1 1/2% per month or the maximum rate permitted bylaw, whichever is less. Page 1 of 1 X Please detach and return the bottom portion with vour remittance. X AD Acctxmr DMICEt DMOICB c[ISPOLm PUMCHAAR OPD WL 9ALBS BIE,BS nA.TR Ar um T-j1T0 %M MDABM Lo $ae n C=n +w 90569922 2959988 07/09/08 90569575 1054 0062 07/09/08 =X /Ry xounL ORDER NUMBER: 388876 BIU CAF44M C 116 Y TH PARRKS&RECREAT SHIP 1CAM. CENTAL PARKSDRIVE E T U.S. FOODSERVICE, INC. REM TOC TO: TO- BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 A WCHARLES REDMON DEPT 00 800 428 2118 X12301 CUMB ERLAND RD FISHERS IN*MDAT&. 07/08/08 Page 01 of 01 F=MT. KWUL P 30 DAYS nq1TjMx*m0WL- 7EPU& QW. QTY. Lum Man= DHBCI�IPTI6N PArK EZ LAWL w9cw T PROfTM UPII! OROMOD foam utter NUUM UNIT PRUE PRQ$ CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 1550287 DATE: 07/08/08 REFRIGERATED 1- CS 5382403 CHEESE. PIZA 4 BLND FS CTN REF4 /5 LB ROSELI CS 61.7400 61.74- 2 Found Later (Found After Stop) INVOICE SUMMARY TOTAL U7GT SHIPPED: 20.00- PIECES SHIPPED: 1- ITEMS SHIPPED: 0 PRODUCT TOTAL 61.74CR Federal Occupation Safetv and Health Standards. Section 1910.1200 on Hazard Communication reciuires manufacturers and distributors to provide Material Safety Data Sheets on non-food defined to be hazardous. Products 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 by contacting the Procurement Manager in our TAXABLE AMOUNT .00 district office or by advising vour sales representative. GEN SALES TAX .00 You may contact Procurement Helpdesk at phone (317) 585 6719. AMOUNT 61.74CR S�` AUNT DA*ICB DMICa CUMUM FURL iABB ORM Was RAU38 11MM nenaeen ,v 90569922 2996920 07/02/08 90569575 X 1054 '0062 07/02/08 Il rAtTwum ORDER NUMBER: 384235 CARMEL. CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT U.S. FOODSERVICE, INC. BUJ 1411 E. 116TH ST 9HD 1235 CENTAL PARK DRIVE E RFMT TQ TO: To- BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 AWCHARLES REDMON DEPT 00 800 428 2118 12301 CUMB ERLAND RD FISHERS IN eMDAM 06/27/08 Page 01 of 01 F=MTs RqX IAL PATIMT 30 DAYS T MUM qry. QTY. UEM PRfIDIIC7 IIBSCRII'TTON PACK 8= LAHgL PRCM*z UMT IDCIZ MtD� NTDPM UNLT NUIBBR UNrr PENS PRM CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 1453053 DATE: 06/27/08 DRY 8- CS 2327336 SAUCE, CHS NACHO RTU 6/ #10 CN EL PASADO CS 56.0800 448.64- 6 Order Entry Error INVOICE SUMMARY TOTAL Tn7GT SHIPPED: 345.60- PIECES SHIPPED: 8- ITEMS SHIPPED: 0 PRODUCT TOTAL 448.64CR Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to provide Material Safety Data Sheets on non -food products defined to be hazardous. Products 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 by contacting the Procurement Manager in our TAXABLE AMOUNT .00 district office or by advising your sales representative. GEN SALES TAX .00 You may contact Procurement Helpdesk at phone (317) 585 6719. AMOUNT 448.64CR ACCOUNT INVOICE SALES SALES DATE INVOICE CUSTOMER PURCHASE ORDER 'NO. NO. DATE NO: NUMBER LOC. REP.: ORDERED Pa. 1 90569922 2837544•+ 1 f!`'f'3'1 f08 90 69575 RECOVERY'' TRUCt 10.54 0062 10/31/08 do DELIVERY ROUTE:. 92"5-7 1 ORDER NUMBER 477279 BILL CARMEL CLAY-..PARK8 &RECREAT SHIP CARMEL CL,AY'.'PARK'S�.RECREAT, REMIT U.S.:,•,FOODSERVICE, .JNC. TO 1411 "E. 16TH ST TO: 1235 CENTAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL Ily 4602 46_032 INDIANAPOLIS IN 46266 -0088 ATT: c KATE 'SC,HIVE I DER DEFT' 00 800 428 2118 SH IPPED FROM:'. 12361•. .'CUMBE RD, FISHERS IN; 'SHIP DATE: 10/3160.8" Pag a 01 of 01 FREIGHT TERMS SPECIAL PLEASE ROUTE ON RECOVERY TRUCE( APPROVED BY MARK PAYMENTTERMS:. NE 30, DAYS INSTRUCTIONS: SCHENCK 6TV QTY." SALES PRODUCT O r ®Ft�C® SHIPPED UNIT NUMBER, DESCRIPTION PACK SIZE LABEL E AWEIGH PRICING UNIT EXTENDED UNIT ,PRICE PRICE DRY CHIP, TORTLA CORN YLU RND' 1 6/2. LB EL PASAD,O CS 18.1300 18.13 ><�u INVOICE' SUMMARY TOTAL WGT SHIPPED ;.,,:,12.00. PIECES ORDERED. 1 PIECES SHIPPED:' 1 PRODUCT TOTAL 18.13 TAXABLE AMOUNT 00 GEN SALES TAX r PLEASE REHIT THIS AMOUNT l Y 11/30/08 A110 NTi <8 18'. IS Purchase Description C�P s S l n S P O. I:g5st �T F G.L.# 2 2008 Bud 1P S Line Descr O C' D U Purcti "ase Approval Date C�� r �7 If Interest shall accrue on all unpaid balances exceeding'established credit terms at a rate equal tc the lesser of (a) 1!4% per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs end all other vendor delivered other incentives are retained by U.S. Foodsemice (b) the, maximum rate that the customer may lawfully contract to pay, and in ell events calculated in accordance with applicable law. antl do not retluce product cost Product cost is defined as the supplier, pecker ar any cost or f.o.b. unit price plus X standard freight less off- invoice dr u t or off invoice allowances (L% manufacturer generated discounts or ellowancps particular Items for set periods: of time and whico are specifically reflected on the invoice).' .IlSjUSTOMERS SI NATUR Visit www.usiood.com n Y o order it w food m for a fast a d easy uva t Zf/e4 6.4.ee Taa� ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO DATE,': NO NUMBER LOC. REP.' .,ORDERED FWQ 905699:22'.290 13 11f07/08 90;569575.', 1054 0062: 11/06/08 DELIVERY DELIVERY ROUTE:.' ORDER NUMBER:_ 481$87 BILL C,AR,I"IEL f..ARKS. &RECREAT SHIP CARMEL ;'CL.AY': 0ARI%Ga'aR €CREA•"i' REMIT t�.. S. FOCIDSER.VICE, iVG; ?O 1411 E "11b:T.H ST TO 1235 ENTAL:.PARK DRIVE E.' TO. I -N CARME IN BOX, 6bO088 46032 INDIANA P't3L 15 IN ATT KATE :SCNNEIL�:ER DEPT 21 18 SHOE SHIP:: FROM .12361 .GI:JMBER,LAN1D RD I F::I'SHIERS,� Ii�t; ,.7sHlaoatE. 1.1./07%08 r FREIGHT TERMS L O,1 O F 01 I)EL.YVER TO MAIN: �lUT'FdA1VCE a SPECIAL PAYMENT TERMS:.,: iNETr•:V.: "DAYS...;,. Y INSTRUCTIONS: Pag SALES p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT. "NUMBER D UNIT PRICE, PRICE 1 9 CS 7060999 CAPPtICG NO,• FRNCH' MST 6,!� �E� G�3c' l:S 44. 5900 44.59 CS 9 63688 CHIP, Ttif{7LA COftM..:.YL6 R 6/27 _L E�. .EL PASADO CS 18;1300 36:26 FROZEhl.: 1 1 CS 1"1.90 �Ez'UST" PI'ZA:`NEPLT- THIN X12" RS'' X40 /9 OZ kNICI" CS 34. 1200 34;42 2 •..2 CS 7011278 PRETZEL, KING "SOFT BKD; FZN 50/5 OZ SUPR PRTZL CS-` 26.9600 53.92 I CS 3.1.8848 ''BAGEL, .PLN IDVL1f WRPD PZhI 72/3 OZ SARA. LEE CS 24.5600 24'.'56. CLASS ;RECAP TOTAL,DRY PIECES_�ORDERED: 3` PIECES SHIPPED 3 Y ITEMS SHIPPED:' .80' TOTAL FROZEN. PIECES ORDERED; 4 PIECES SHIPPED: 4 ITEMS. SHIPPED: 3, 112.60 INVOICE SUMMARY. .FUEL SURCHARGE- 4 2 TOTAL wGT SHI 10G. 30, PIECES ORDERED: 7 y PIECES SHIPPED: 7 'ITEMS SHIPPED: 5 PRODUCT TOTAL 193.45 C WED Purchase S NOV 1 2 ZOO8 CHARGES 4.25 cn C�c. Z, DescriAlion p S 13y: TAXABLE AMOUNT .00 G.L. L A TAX Y 00 Bud ,A r Line "Purchaser ate Approvai Date_._:;. 7 -6 PLEASE REMIT THIS AMOUNT BY 12/07/08 AMOUNT 197 70 ,vt 'Interest shall accrue on all un aid balances exceedin established credit terms at a rata equal to the lesser of a 1.6% r month or 'Promotional allowances, cash discounts, rom t e discounts, rowth rams and all other incentives are retained b U.S. Foodser .1.. P 9 9 O per P P d r 9 Pro9 Y (b) the maximum rate that the customer may lawlully contract to pay and in'a71 eyefits" calculatnl in accordance with applicable law. and tlo not retluc e product cost. Product cost is tle 1, as the supplier, packer or any other ventlor delivered cost or f.o.b. unit price plus X standard freight less off- invoice discounts or off-invoice allowances (i.e., manufacturer generated discounts or allowances on particular,. VI www.u sf o od.com for easy are invoice).' items for set periods of time and lly, reflected on the ice C TOME ICi A• 'sit www u fo fast and a order f f Zf/ef�f Zloaz �uar�ceoc A CUSTOM xs'. A CCOUNT INVOICE INVOICE ER PURCHASE ORDER ALES SALES DATE NO.' NO DATE NO., NUMBER `LOC. REP. "ORDERED p t 9056'9922:.28iS3568 11'/CS4/08 90569575 1054 0062 11403/08 r DELIVERY ROUTE 1 T3 ER 47897 722 1 QRDER: NlFM 1. BILL SHIP REMIT :CARMEl.` CLAY ;PARI CF1RME1 'CLAY,' PARKS&RECREAT U,:. S FOODSERVICE,: INC. TO X 4.1 :1 E.. 116TH ST., TO. 1235 CEhITAL PARK DRIVE E' TO CARMEL It�l CARMEL i>rh BC? 6600t38 46032 4Ei0:32 INDIANAPOLIS IN ATT 4CATF SG HNE T'L?ER,. DEPT `,O0 8C {?428 ©S '8 SHIPPED FROM:., .1'0 1 C Ut"tBE�cL,4ND R D F I �I-tER 8.. ".I N SHIP DATE: 11/04 Page 01 of 0 1 FREIGHT TERMS: Y SPECIAL DEL Tt7 "MR I,N ENTRpNC E :PAYMENTTERMS: NET`' INSTRUCTIONS: QTY QTY: SALES: PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED K,UNIT NUMBER D DESCRIPTION ;PACK SIZE LABEL WEIGHT UNIT PRICE PRICE E REF,RIGERATER 75.. Y13GURT�..VT'Y Pk- ST.WBY BANA 12/6 OZ YOP[.AIT CS 9:_7 fl.0, 5!• 7 READY' T0 EAT .Please, Refer, .t6 F4turw Pol iey. 75 SA FROZEN 1. 1_ .CS '.,'.149. 4947 r PQRI�, 'BBQ: PLLD W IN. 1 SCE 66' :366 2/S LB I'flTUXEhIT CS 38:61(}(} 8...81•,,.• CS, 20 14652 MUFFIN,.: ;BLBRY I,. r 4"4 OZ'.. SARA' ,l EE= CS 19., 38.96 2, CS ry CS 21::.76005: '�6 3 ";CS :•,:4056707 M(lF €t`t,. BANA NUT.`'€t'f FZ t',. 4/4' i1Z SPUNkMEYER 3 CS 4E3 r 55i' ttf1T 00G, flB 5;.1 6 CK0 F ZN 10 LB t YSON'' CS 25. iS00, 75:.' 45, w f R P QDUCT Ci RsS RECAP r T TAL .REFfiIG.ERATED PIECES-.'C►fiDEIii".D Z PIECES SHII'PEt3 1 ITEMS' SHIFFLt3 9, 72 To.TA'L FROZEN, PIECES ..I C}EREU 9 PItwCES.- SHIPPED: ItTEM5 SN'IP'ED. 4 21 "8.50 INVOICE StlMMiE�Y`iE F UEL SUiit;HAFtt3E 4 i Tt3TAl WGT' `SNiP.f`EC7 7fr.?rl h'IECE8 00DERED 1f3:- PIECES _SHIPPED: 10 IjE{15: SNIi-�FE[3.,' 3 �PRODUCT TOTAL p a} urchase P G -t.. bescription C� V1 V1 s P o.,# l G ss. r F. NOV 12 "2008 CHARGES 25 7_ �'I 2 3 9 C$ r a 'TAXABI:E Ftt�OtfNT' :00 BUdgpet o P; «-GEN .,SALES. TAX Y une �a o s Q e v .Su, r as ,Purchaser ate �r 2 1�It .4 U8 Rt1OUNT 32 PLEASE REMIT ;T'Mi.S AiMClI1NT 'BY 47 r r shall am un paid xceetling est b fished credit term at a rate equzf to a lesser (e) 1= %per month or Promotional allowances, cash dismunts prompt pay discounts; growthpiograms and all oche incentives are retained by U.S. Foodservicei° (b) m ra a that the customer� coritracl to pay, and in aA events'wlilateddn aca�rdance with applicableJaw t: .and do not reduce,producfcost: Product cost is defined as the, supplier,` packer or any other vendor delivered cost or f.o.b. unit price plus 1 C r standard fregM less'ofl- invoice disw cr off- mvoice: allowances (i.e., manufacturer generated discounts or allowances on particular -n y���� 'E,/(' Y items for set periods of time,and which are specihcallyYeflected on the inyoice).' t G�Ni4 TTv V ;it www:usfood.c6rrl a fast and easy way to order s ,h �eelate �loun b Ru¢eke�¢ 'a' r. rho: •.a DER CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 7 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $126.19 CARMEL, INDIANA 46032 PO sox 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 166421 CHECK DATE: 11/24/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 192.88 2830286 1047 4239040 53.23 2830286 1047 4239040 18.13 2837544 1047 4239040 232.47 2861568 1047 4239040 197.70 2906113 1047 4239040 -61.74 2959988 1047 4239040 -57.84 2979518 1047 4239040 448.64 2996920 12301 CUMBERLAND RD T STATEMENT PO BOX 8000 CUSTOMER N0.� r, FISHERS, IN 46038 ANAGER= DATE. (800)253 -0277 90569575 0062 10/31 /08 RETURN SERVICE REQUESTED CFT r NOV 1 1 2008 O c PON29000201825 GON29000201825 11. 11. .n�i���i��i�i�i�i��i����ii� CARMEL CLAY PARKS &RECREAT RECEIVED 1235 CENTAL PARK DRIVE E CARMEL, IN 46032 N 1 Q OV 2008 No�TRQNSACTION ORIGINAL DEBIT /CREDITS �PAYMENT BALiANGE`DUEDATsE PAYMENT i DATE NUMBER��TYPE AMOUNT DJUSTMENTS P W DUE zs� tA TEgRMS CUSTOMER: CARMEL CLAY PARKS &RECREAT CUSTOMER# 90569575 SOLD BY INDIANAPOLIS /3V LOCATION 1235 CENTAL PARK DRIVE E, CARMEL, IN 460320000 837 04 0812t'0$ P!E? ?0 DAYS 2 07102108 2996920 CRE (448.64) 0.00 0.00 (448.64) 08/01/08 NET 30 DAYS 3 07/09/08 2959988,.;CRE 0,00 (61.74) 08/08/08 NET,30 DAYS 4 08/08/08 1912452 INV 229:60 1 0.00 0.00 229.60 09/07/08 NET 30 DAYS ,.0 00; O 3 680 .52 09107/08, NET 30 DAYS,,.;;_ 6 08/11/08 2979518 CRE (57.84) 0.00 0.00 (57 84) 09/10/08 NET 30 DAYS 7r 10/14/08 .A 2630637 __INV 220 22' u 0 0 OO 220 22 .11/13/08 NET, 30 DAYS y, 8 10/17!08 2676923 INV 4.75:98 0.00 0.00 475.98 11/16/08 NET 30 DAYS 9 10/28/08_ 2785281 INV 307 2�a 0, 00. 0 00 30T_22 11 /27108 'NET 30 DAYS 10 10/31/08 2830286 INV 268.62 0.00 0.00 268.62 11/30/08 NET 30 DAYS 11 7 10/31/08 18 13 0 00 0 00 18 13„ 111 NET 30 DAYS Subtotal 1,795.03 CURRENT 1 z 8 „15,z .16 °30 TOTAL DAYS'PASM'DUE' 7� X30 1,290.17 0.00 0.00 0.00 504.86 1,795.03 *For bustomer inquiries, ca11 1 800 253,0277 Press 1; press 9,�,e enter.., your, 9:= digt.. divi'§ ioninumber ,.,lwhich:,s,,,1059`: ...y. The, followingTransaction TYPES are included on your "statement r w x yK: .,.PMD,..PAYMENTi,:DISCRE PANCY...., a We reserve the right to assess service charges on any amount not paid when due at an interest rate of 1 1/2% per month or the maximum rate permitted by law, whichever is less. X Please detach and return the bottom portion with vour remittance, X Page 1 of 1 A@OLTNr A DMICB CENrOhM PURCHAER 02D'131t aALBS MEBS BASE w► 90569922 2959988 07/09/08 90569575 1 1054 P_ '0062 07/09/08 40% mr /Krxo= ORDER NUMBER: 388876 B I C AR 1 285 CARMEL Y P ARK S U.S. FOODSERVICE, INC. 'POt TO: 1'4 BOX 660088 CAF4 EL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 AT TCHARLES REDMON DEPT 00 800 428 2118 g �12301 CUMBERLAND RD FISHERS INW 07/08/08 Page 01 of 01 F&SILRir_ MIBCIAL PILY& ]ET 30 DAYS naar==M& TEPMs QW. QTV 5AER PR(ri7C]LrT 4N PA c a= LAWL WSMHT PRMING 11mr CQtIgm 5{ OTW UNIT Nulcm Ufaf P= FR= CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 1550287 DATE: 07/08/08 REFRIGERATED 1- CS 5382403 CHEESE, PIZA 4 BLND FS CTN REF4 /5 LB ROSELI CS 61.7400 61.74- 2 Found Later (Found After Stop) INVOICE SUMMARY TOTAL WGT SHIPPED: 20.00- PIECES SHIPPED: 1- ITEMS SHIPPED: 0 PRODUCT TOTAL 61.74CR Federal Occupation Safetv and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to provide Material Safety Data Sheets on non -food products defined to be hazardous. Products 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 by contacting the Procurement Manager in our TAXABL AMOUNT .00 district office or by advisinq your sales representative. GEN SALES TAX .00 You may contact Procurement Helpdesk at phone (317) 585 6719. AMOUNT 61.74CR S` ACKMEW INVVOICB DMICB cDsroxm FURCIIAEB ORM LtLes SAI.BS DA32 nvnaeon +w 90569922 2996920 07/02/08 90569575 NCID 1054 0062 07/02/08 m./Krxor, ORDER NUMBER: 384235 CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT U.S. FOODSERVICE, INC. BIU 1411 E. 116TH ST 9HD 1235 CENTAL PARK DRIVE E REMIT TQ TO; TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 6 ATTCHARLES REDMON DEPT 00 800428 X12301 CUMB ERLAND RD FISHERS IN *VD 06/27/08 Page 01 of 01 F=Mrr KC'SAL PkniNET 30 DAYS MITIMCNOML. 7EPJ1a qry QrZ. LAE PPDDM SON FA= SM L DM VA3m}rr Ply UNrr B$Iffi�1� mtumm &HUM utcr NUMBER UNII PRIf8 19tdS CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 1453053 DATE: 06/27/08 DRY 8- CS 2327336 SAUCE, CHS NACHO RTU 6/ #10 CN EL PASADO CS 56.0800 448.64- 6 Order Entry Error INVOICE SUMMARY TOTAL WGT SHIPPED: 345.60- PIECES SHIPPED: 8- ITEMS SHIPPED: 0 PRODUCT TOTAL 448.64CR Federal Occupation Safetv and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to Material Safety Data Sheets on non -food products defined to be hazardous. Products such as cleaning products and pesticides are included in the scope of the Standard. In camoliance with the law. MSDS are available to U.S. Foodservice Inc. custamers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT .00 district office or by advising your sales representative. GEN SALES TAX .00 You may contact Procurement Helpdesk at phone (317) 585 6719. AMOUNT 448.64CR ACCOUNT 'INVOICE INVOICE.. CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED p r 90569922. 2837544'` 1116/3i'/00 s6iii+575 RECOVERY,: TRUCK' 10.54 006.2 10/11/08 DELIVERY.ROUTE: 9257 1 ORDER NUMBER 4.77279 BILL CL "AY .,PARKS &RECREAT SHIP CARMEL '.CLAY' .PARR RECREAT:, REMIT U.S. =F "FOODSERVICE. .,YNC TO 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO: BOX 660088 CARMEL. IN CAR IN 46032 46,03,21. INDIANAPOLIS. IN wt y 46266 -0088 ATT. KATE 'SC,HNEI,DER DEPT .00 800 428 21'16 SHIPPED FROM: 12301. CUMBERLAND RD F I5HERS I N SHIP DATE: 10/31/08' Pag 01 o f 01 1. FREIGHT TERMS SPECIAL'. PLEASE ROUTE ON' RECOVERY TRUCK APPROVE BY MARK PAYMENT TERMS:.'. .NET', '30.' D AYS INSTRUCTIONS: SCHENCK £QTY OTY. 'SALES PRODUCT DESCRIPTION PACK SIZE LABEL C WEIGHT) PRICING UNIT EXTENDED ORD RELD SHIPPED UNIT. NUMBER E y y y UNIT -,PRICE PRICE t y DRY r 1 1 Cs 9463688 .CHIP TORTLA CORN YLU RND" 6 /Z LB EL PASADO 4" C5 18.1300 S• X8.13 INVOICE SUMMARY TOTAL WGT'SHIPPEp u.,:,12.00. PIECES ORDERED 1. PIECES SHIPPED: 1 PRODUCT TOTAL 18.13 ..TAXABLE AMOUNT GEN SALES '"TAX ,G 00 PLEASE REI'1IT T# IS AMOUNT: BY 11/30/08 Ai;, UNT a`& Purchase Descri' tlon G Y1 C P s l 0.n' S f q of or F] Bid �s ,5 NdJI .2 Llne sc r O t �P' 2� Purchaser Approval Date .'Interest shall accrue on all unpaid balancasexceeding'established credit terms at a rate equal to the lesser of (a) t!h% per month or 'Promotional allowances, cash discounts, prompt paydiscounts, growth programs and all other incentives are retained by U.S. Foodservice (b) the maximum rate that the wstomer may tawlully contract to,pay, and in all events cakulatad in eccoNance with applicable law. and do not reduce product cost. Product cost is def11 as ow supplier, pecker or any other ventlor delivered cost or f.o.b. umt price plus X standard freight less off- invoice discounts or off- invoice at (i.e., manufacturer generated discounts or allowances particular items for set periods of time and which are specifically reflected on the invoice).' ,USTOMERS SI NATUR Visit www.Lisfood.com for a fast and easy way to order ACCOUNT :INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE 'NO. NO DATE"''' NO NUMBER LOC, REP.': '.,ORDERED.. 90 '294 13 1-1/6 7/08 94569575 io,5�4 006'2_ 11/06/08 DELIVERY ROUTE: 2931 5 ORDER NUMBER: 461867. BILL GAR v CLAY PARKS&RECREA"T 'SHIP CARMEt_ ..'.CL CLA Y' OAR GFtEA7 REMIT V LI S F C3DD.SEIi.V I CE, NC TO 1. 1'1 E i i b`T "M 8T TO 1235 CFNTAL: PARK DR VE E TO: .G'ARh1 L IN 4 cAkHEL I n 4b032, 41032 INIANAF'DL I "S tIW ATT KATE :SCHNE I D:R• a TIFRT ©0 80.04282 SHIPPED FROM: 1':2301 CVMZ3ERt 1\1C1 RIf F,.ISMIERS:: IN;,' "SHIP DATE 11/07/08 P. -age Of 01 :FREIGHT TERMS SPECIAL D ELIVER PAYMENT TERMS:," NET.. 'DAY INSTRUCTIONS EL.I VHF; TO MA I t�' ENTRANCE r C OTY OTY:: SALES PRODUCT PRICING 'UNIT EXTENDED ORDERED SHIPPED?. `.UNIT NUMBER DESCRIPTION PACK.SIZE LABEL p WEIGHT UNIT PRICE PRICE E.i ;t�DRY: CS 7a6a9 q CAPPUCCINO, FRNCH'.'VNL INST 6!T LB ':GFIG L'S' 4A. S91d, 44. 59 CS 4`63688 ✓CHIP', TQCtTLA :EOkN: :..YL W: RND ,6f -t,. EL tfASA[}f] CS 18; 13aa 36.26 FROZEN., 1 2 CS`., 1'194147 RUST, PIZA. TH114 '12 RS '40/9 t?Z BONICI... CS 34.'1200 .34 :"i2 2 2 C S 20112 -PRETZEL, KING "'SOFT BKD: FZht 54f5 OZ SUPR- £'FiTZi. CS. 2 6:9644. 53.''9? 1'.. 1'-. CS 23.188.48 .ti'BAG�EL °.PLN IDVLY WRPD: FZN 7213 OZ' SARA LEE CS' 24.'5644 24 °.'56. w PRODUCT CL*S :RECAP TOTAL ,DRY, -PIECES 3 PIECES SHIPt'ED 3 ITEMS SHIPPED: 2' 80.8 TOTAL FROZEN PIECES ORDERED. PIECES SHIPPED, 4 ITEMS. SHIFTED: 3, 1i 2.64" INVOICE SUMMARY FUEL SURCHARGE;;, 4:25 TOTAL WGT'SHIPPED 1:08.30 PIECES ORDERED; 7 a PIECES- SHIPPED. 7 ITEMS SHIPPED: 5 PRODUCT TOTAL. 193.45 CE Purchase NOV 1 2 2008 CHARGES 4.23 Description ct kf) Cam. `�S' Q4 F P Q T TAXABLE AMOUNT v 2� GE-14- SALES TAX Y 0 0 Bud et S' Q ll U_ Line• esci A urc rbvel r t)ate_._ 6� PLEASE REMIT .THIS AMOUNT BY 12/47/48 AMOUNT 197 74 vL PP .Ir ri vy* t Interest, shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) t!h% per month or 'Promotional allowances, cash discounts, prompt pey discounts, growth programs and all other incentives are retained by U.S. Foodservicei° (b) the rate that the customer may lawfully contract to pay, and in all evafi(a cekulatN in aaordance with applicable law. end do not retluce product cost. Product cast is defined as the supplier,.packer, or any other vendor delivered cost or f.o.b. unit price. plus X standard set periods of time and which are speci freight less ott invoice discounts orott- invoice allowances (i.e., manufacturer generated discounts or allowances on pamculor ite ms bcalty reflected on the invoice).' 4 t a fast and easy Way to` order C ToMERS I A al Visit www.usfood.COM for e, s# f:., 4. Zf/evl�yyceuateZlouz�ua.[eeae' ACCOUNT INVOICE. INVOICE CUSTOMER PURCHASE ORDER. :SALES SALES DATE NO..` 1 NO. DATE NO.. NUMBER 'LOC. REP:.. ORDERED 568 11 /C}4 /O8. 901569575 1054 4062 11'%03/08 l 917569922 .286 t DELIV ERY,ROUTE P�lt_IMB 7a�2 1 QRDEI, ER 478971 BILL` C'ARMEL'- CLAY °OARIk, 3 &RECREAT ;SHIP j CARMFL..0 LAY PARKS&RECREAT REMIT U,...S. FOODSERVICE,, INC. ,:TO 14.1.1 E. 116TH S1 TO: 1235 CENTAL .k�ARi+C` DRIVE E TO ARh[EL IN CARMEL I Bak. 66008$ 6032 46032 ND I ANAPCiL T 5 A62 ATT KATE: SCH'NE.IQER; p DEPT O0 800 488` S11`e' SHIP.PEDFROM: .1L3Q1 COMBERLAND. RIB nrg tRS._ SHIP DATE: 11 /04/08 t3 Pace. 01 .'f 0 1 FREIGHT TERMS: SPECIAL' DELIVER TO MA I.N ENTRANCE 'PAYMENT TERMS: „NET" 30 MA Ya INSTRUCTIONS. QTY DESCRIPTION PACK SIZE LABEL WIGHT D UNIT UNIT EXTENDED ORDERED ':,'•SHIPPED '�SUNTS, NUMB' PRICING PRICE PRICE. E kP- FRIGERATEQ. 1' 1' 75 YOGURr,.:.VT•Y F( STW Y, 'BANA 71.977 1 l6 OZ YUPt:AZr r S 9:- 77(1Q; 9.72 CS READY TO EAT P.lease Refer ,.a Rern 'fialtty. yr FROZEN CS %1.494947.... PORK, t :,PL(.p IN .`8CE KD.. 3Dh /S; T t 2. CS: 2,1: MUFFWilt. ''BL'BRY I,W. x'4;4. 75.. OZ`. SARA::,i.EE CS 14. �BQQ 38.9b C&" 40,5 _4..4` .:lUFF,I1, 13ANA `M[!T I3�i F ZN:: ?4/4' 17 SF?tfNKfifEYER' e'''` CS '�1:':.7bt?t3 fay .�5. 3 3. CS 4E3755 1'' NUT DOG., AR 5;1 6" :CI{D FZN ii} LS TYSON C.S 2S. i5t7f3, 75,. 45 RODUCT Cl 'ASS 'fCEC�►F'# TQTA,L: •,A &kIGERATE!? fiIEC:Iw &:`QPDEItiEC? 1 PIECES SHIFPECf X ITI~115, SHI�'�'ED 1 9 TOTAL: �'RClZEN P 9 :'t PIIWC.ES 9 K. 'ITE'I'iS SF4IFCD 4 218..50 IhiVI1ICEtl�PP?fitY# I n FUEL SURCHARG TOTAL, Wri SHI!"PED 76.74 RTECEB :t3�t}EPiEt7 11}, FIIrCES ,.SNIPPED;. 113 _�TEi1S'.; SHIPP S I•'C~C1f31lCT TOTAL Purchase CHARGES 'p'escriptlon �C7V1 G P `�S (�'V1 S (YD rF' NOV 20 ,F G:L.# N �+23�9C8�O 4 TAXABLE AMID UNT 00 m Bcd�t eu' :SALE$ TAX x Line escx e Purchaser ate Approval Date V PLEASE. Iti(Y;IT.:THIS APIt1i1NT;'BY AMOUNT :4, 232.47 es e '.Interest shall us on'all unpaid ;ala accr,Zxceeding es b fished to less 1: credit terms at a rate equal er f (a) h per month or 'Promotiohal allowances, cash dismounts prompt pay discounts; growlti pms and all othe incentives are retained by 1 (b) the maximum rate that the customer may'lawfully contract to pay,and in aA!evems'.calculated•m acco,Ma with applicable.law. r.= and do not reduce. product cost. Product cost is defined as the supplier,' rogra packer or any other,vendor delivered cost or f. U S Foodservice o.b. unit price plus 1 1 A S standard freight lessoft- invoiced'rscounts -br ott-,mcice:aifowances (i.e., manutadurer generated discounts or allowances on particular re'specitcailyret edontheinvoice).' items for set periods of time;and which a lect Visit w,ww usfood:com',for a fast and eas ;way to order Y ACCOUNT INVOICE INVOICE i CUSTOMER PURCHASE ORDER .SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 2830286 10/31/08 90569575 1054 0062 10/3.0/08 DELIVERY ROUTE: 2 "!951 5 ORDER NUMBER: 476541 h' B ILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT S FpODSERVICE, INC. TO: 1411 E 116TH ST TO: 1235 CENTAL PARK DRIVE E. TO: CARMEL. IN CARMEL IN BOX 660088 46032 46032 INDIANAPOLIS i IN 46266 -0088 ATT. KATE.SCHNEIDER DEPT 00 j 800 428 P_1.18. SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIPDATE: 1 0/31/08 Page 02 of .02 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE N PAYMENT TERMS: NET 30. DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED I ORDERED SHIPPED, UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E INVOICE SUMMARY FUEL SURCHARGE 6.25. TOTAL WGT SHIPPED: 195.75 PIECES ORDERED: 11 PIECES SHIPPED:. 11, ITEMS SHIPPED: 9. PRODUCT TOTAL 262.37 CHARGES 6.25 NOV 1 2008 GENASALESM�AXT as as A X A PLEASE REMIT THIS AMOUNT BY 11/30/08 AMOUNT `it. 268.62 Purchase Purchase I I1 Description #I DescriptiaR�— 1 A� CfP P.O. S P.O. r�2tw��u� a.L• 5�7 330 -G�fb -�Z 9a4a G.L. y7 3 LID 3 1 f 2,3 9 1):3 9 Budget r Purchase Budget Line DesOt p.� 5 (�'F Q P(/, ii ,3 y Description. `P s Line Descr ti pS Purchaser Purchaser Appro G.L h�7 370 -3 Z3 g 03C� val Approv r.._ -0 0 B d et ug Line Desar Q Purchaser Approval Dated Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1!h% per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservice'° (b) the maximum rate that the customer may lawfully contract to pay, and in all events cakulatad in aocordance .with applicable law. and do not reduce product cost. Product cost is de med as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X standard freight less og- invoice discounts st off invoice allowances (i.e., manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the invoice).' C TOME SIGNAT RE: Visit www.usfood:com for a fast and easy way to order. .Zf/efd�E�rreeiate Zlauc �S'ctdCated.� ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 2830286 10/31/06 90569575 1054 0062 10/30/08. DELIVERY ROUTE: 2951 5 ORDER NUMBER: 476541 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKSerRECREAT REMIT �J cx� ppj�SERVICE, INC. TO: 1411. E. 116TH ST 'TO: 1235 CENTAL PARK DRIVE E TO: BOX 660085 CARMEL IN CARMEL IN 46032 46032 I IN 46266 -0088 ATT. KATE SCHNEIDER. DEPT 00 800 428 2118 1 SHIPPED FROM:. 12301 CUMBE RD FISHERS IN .'SH DATE: 10/31/08 Page 01• of 02 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT r UNIT PRICE PRICE DRY 1 i CS 0208744 ✓COOKIE, ASST •TR'AY- PK 10 LB HILLTOP HR C.ar -i-e CS 22.5100 22.51 1. 1 CS.- .3327400. ✓JUICE, ORNG 100% FROM CNCNT 12/46 OZ THIRSTER Mai+ CS 30.0300 30..03 1 1 CS 4260238 ✓SAUCE, CHS'NACHO.SHLF STARL 4/107 OZ ORTEGA CS 46..9800 46.98 1 1 CS 5327762 JUICE, APPL FROM CNCNT ,PET.. 12/46 .OZ THIRSTER Maf+ CS 28.3700 28.37 t v _REFRIGERATED 1 1 CS. 2340875 CHEESE, CRM PLN SS PLST CUP. 100/1 OZ GLNVW. FRMS Ma CS 20.4560 20. 45 READY TO EAT Please.Refer to Re.turn _Polio 2 2 CS .4037560' BANANA, TURN FRESH 10 LB KACKER Corr4'e• CS 7.0000 14.00 -2 2 CS 9437054 ✓FRUIT SALAD, 5'WAY MIX REF 2/8 LB CROSS VALY ,+�a�f CS 31.2400 62..48 READY JO EAT —Please. Refer to Return. Policy ROZEN 1 1 f CS 0395152 BAGEL, WHL WHT,4ZSLCD THAW &SRV10 /6'PK HILLTOP HR N�4�( CS 19.1000' 19:14 1 1 CS 0395384, AGEL, .PLN 4. Z SLCD THAW SRV 10/6 PK HILLTOP HR CS. 18.4500 18.45 PRODUCT CLASS RECAP.** TOTAL DRY 3; PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 4 127.89 TOTAL REFRIGERATED PIECES ORDERED: 5 PIECES SHIPPER: 5 ITEMS SHIPPED: 3 96.93 TOTAL FROZEN PIECES ORDERED: 2 PIECES SHIPPED: .2 ITEMS SHIPPED: 2 37.55 �1 L4. -1 37 0. 3 0 �-E 2 q �j f t 3 COL- r e —47, 340 3 on,4 2 -3 90 3 9 r Interest shall a=o on all unpaid balances exceeding established credit terms eta rate equal tome lesser pl;(e) f -h %par month or 'Promotional allowances, cash discounts, prompt payy discounts, growth programs end ell other incentives are retained by U.S. Foodservice*° y (b) the maximum me, that m customer may lavdully contract to DBy, and m a71 evehts ralalead In aaordence with applicable law. and do not reouce product cost. Product cast Is delined es the supplier, pecker or any other ventlar tlelivered cost or t.a.D. unit pdte Dlua i standard freight less oH• invoice discounts or ottdrrroice allowances (i.e., manufacturer generated discounts or allowances on particular X itemslorsetpedadsofumeendwhictrarespeabcalryreflededoniheinvdice GUSTOMERSSIGNATURE.• .r Vtsrt www.usfood:com for a fast and easy way to order. t ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE'.ORDER, SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 2 830286 14. '1 ,0e 90569575 PICK LIP 198370 1054 0062 DELIVERY` ROUTE: P 9 5 1 05 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT TO: 1411 E. 116TH ST TO: 1 CENTAL PARK DRIVE E. A TO: CARMEL IN CARMEL IN 46032 46032 ATT' KATE SCHNEIDER SHIPPED FROM: SHIP DATE: c e 0 FREIGHT TERM SPECIAL PAYMENT TERMS I r.w,. U IS T N T MEM INSTRUCTIONS: �r AN I NVO I CE QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER' DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E E ICK UP REASON REASON SELL OTY CODE DESCRIPTION Y /N 1 CS 0208744 COOKIE, ASST TRAY PK 08 Product, Not Required Y CS 22.5100 22. 51 TOTAL PIECES PICKED UP: 1 TOTAL CUBE: _74 v ALLOWANCES .00 CHARGES 00 TAX .00 TOTAL ADJUSTMENT: 22.51 Purchase U f Description 11 P.O.# I qS(� PorF G.L. 4 3E(U 3r) Budget p Line Descr S Purchaser 1rC a NOV 1 Approval DR I E a A Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1!hk per month or 'Promotional allowances, cash disco pay discounts, growth progremsend all other incentives are retained by U.S. FoodserVice' (b) the maximum rate that the customer may lawlully contract to pay, and in all events calculated In accoNance wiN applicable law. and do not reduce product cost. Product cost is defined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus standard freight less off-invoice discounts or off-invoice allowances (i.e., manufacturer generated discounts or allowances on particular X items for set periods of time and which are specifically reflected on the invoice)' CUSTOMERS SIGNATU Visit www.usfood.com for a fast and easy way to order. CUSTOMER,COPY I/— 69-we" 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. Box 660088 Date Due Indianapolis, IN 46266 -0088 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/11/08 2979518 Concessions Supplies (57.84) 7/9/08 2959988 Concessions supplies 61.74 7/2/08 2996920 Concessions Supplies (448.64) 10/31/08 2837544 Concessions Supplies PO 19556 P 18.13 11/7/08 2906113 Concessions Supplies PO 19556 P 197.70 11/4/08 2861568 Concessions Supplies PO 19556 F 232.47 10/31/08 2830286 Adult Program Supplies PO 19565 P 178.88 10/31/08 2830286 Fitness Program Supplies PO 19565 P 36.51 10/31/08 2830286 Concessions Supplies PO 19565 F 53.23 10/31/08 2830286 CR lFitness Program Supplies PO 19565 F (22.51) Total 126.19 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 toucher No. Warrant No. Allowed 20 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266 -0088 In Sum of 126.19 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members Dept 1047 2979518 4239040 57.84) 1 hereby certify that the attached invoice(s), or 1047 2959988 4239040 61.74 bill(s) is (are) true and correct and that the 1047 2996920 4239040 (448.64 materials or services itemized thereon for 1047 2837544 4239040 18.13 which charge is made were ordered and 1047 2906113 4239040 197.70 received except 1047 2861568 4239040 232.47 1047 2830286 4239039 178.88 1047 2830286 4239039 36.51 1047 2830286 4239040 53.23 1047 2830286 CR 4239039 22.51 18 -Nov 2008 Signature 126.19 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund