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Home My WebLink About166927 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC I 0 CARMEL, INDIANA 46032 CHECK AMOUNT: $1,002.98 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 166927 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1047 4239040 111874 94.02 FOOD BEVERAGES 1047 4239040 174838 132.08 FOOD BEVERAGES 1047 4239039 206790 217.53 GENERAL PROGRAM SUPPL 1047 4239040 206790 155.15 FOOD BEVERAGES x,1047 4239040 2940307 150.08 FOOD BEVERAGES ,1047 4239039 33521 14.00 GENERAL PROGRAM SUPPL r 1047 4239040 33521 240.12 FOOD BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE, NO. NO. DATE NO. NUMBER LOC.. REP. ORDERED 90569922:,0174838 a' /Z8/08 903569575. 1054 0062 11/26/08-', d0 DELIVERY ROUTE: 2951 6 O RDER NUMBER. 497172 BILL' ''CARMEL CLAY PARFC;aOEGREAT SHIP C "ARMEL 'CLAY PAR S£vR)= CREAI` REMIT U. S. FobDSERVICEr INC TO. 141 1 E. 1.16TH ST,.. TO 123:5, 'CENTAL. PARK D RIVE E TO CARMEL IN C:ARMEL IN. BOX b6Q088 46032 46032 INDIANAPOLIS IN 46266 --0088 ATT. KATE SCHNEIIDER' 'I)EPT 003 800 428 21 i8 SHIPPED FROM: 12301 C RD FISHERS IN SHIP DATE: 11 /28/ OE3 Page 0 1 of OIL FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE PAYMENT TERMS: NET .30 DAYS INSTRUCTIONS: ORDERED SHIPPED UN T NUM S ALE S DUCT C PRICING UNIT EXTENDED DESCRIPTION RACK SIZE LABEL O WEIGHT BER D UNIT PRICE PRICE DRY 1 1... CS 1287747: SNACK BARS CRL ASST.IW,SS'•. '3/16/1.3 OZ :KELLOGG'S CS 23:7SQ0. 23."75 2 2 CS 9089079` POPCORN, RAbd ::KIT W/ OIL 5ALT36 /8 OZ FANCY .'FARM CS. .20. 2200 40. REFRIGERATED 1 1 C 71 97775 •VTY PK STURY .BANA 91. 12/6 OZ YOPLAIT CS 9 72 READY TO.EAT Please,Rpfer�to Return Policy FROZEN 2 CS 24 .1278 PRf -T'ZEL .KING ,SOFT EtF{D FZN OZ SUPF PRTZL. 5 26.9600 53. 92 PRODOCT CLASS RE CAP TOTAL DRY PIECES ORDERED 3?_ PIECES SHIPPED: 3 ITEMS SHIPPED:. 4. 64 -:19 TOTAL REFRIGERATED PIECES, ORDERED 1"" PIECES SHIPPED: 1 ITEMS SHIPPED: 1 9.72 TOTAL FROZEN PIECES- :,O,RDERED: 2 PIECES. SHIPPED:.. 2 ITEMS SHIPPED:', 1''• 53..92 'INVOICE..SUMMARY FUEL_' SURCHARGE d 4.25 TOTAL'WGT,SHiPPeb 79.44 PIECES ORDERED 6 ''.,PIECES SHIPPED 6 ITEMS SHIPPED 4 o OT 127 r °T�,T'F FtiODiJCT T AL B3 C Purchase S' H Descnptlon l n C' f 5.. l0 Od�G�.S D 2008 ARLES 4:25 7 0 TAXABLE AMOUNT 00 G l_. 7' GEN SALES TAX X .00 Budget t D ,.Line. escr t Purchaser 1 12/28/08 z Ann Date y ry �'tE a i Fa �I MOUNT BY AMOUNT 132 08 royal Interest shelf onall unpaid balances exceeding established credlj terms at a rete equal tolhe lesser of (a) 1-'h %per month or 'Promotional allowances cash discounts prompt payy discounts, growth programs and all other incentives are retained by U.S. Foodservic,T (b) the maximumrete that the customer may Iawtully contract to pay, ano in alli4deriG _i �tatad in accordance with applicable law, and do not reduce produc4cbst. Protlucl cost is tlefined as the supplier, packer or any other vendor delivered cost of f.o.b. unit price plus X standard (might less cd invoice discounts or off -m ice allowances (i e., manufacturer if discounts or.allowances on particular' items forget periods of hme'and whlch are specifically isflectedg.the.invoice ',i t `ti✓ CUS' OMERS�SIGNA RE: Visit www.usfood comrfor-a fast and easy way to order. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0033521 1.1/14/08 90564575 1054 0062 11 /13 /08 DELIVERY ROUTE: 22 5 ORDER NUMBER 4872$4 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTAL PARE( DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN ATT. KATE SCHNEIDER DEPT #i: 00 800 4213, 2 IS SHIPPED FROM: 12301 C UMB E RI..daND AD F ISHERS III. SHIP DATE: 11/ Pag 01 o f 0 FREIGHT TERMS: SPECIAL DELIVER TO MAI ENTRANCE E PAYMENTTERMS: NET 30 D AYS t INSTRUCTIONS: QTY. '-QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1.. 1 CS. 5601679 CHIP, PTATO REG PLN BAG SS 64/1.5 OZ LAY'S CS .25.9000 25.90 1 1 CS 5601943 SHIP,. PTATO KTL.BBQ SMOKEHOUSE64 /1.375 OZ MISS VICKI CS 26.9100 26.91 4 4. CS '9089079•.`POP'CORW, RAW KIT Wf OIL A SAi.T3618 OZ FANCY FARM CS 20.2200 80.88 2 2 CS ..9463688 ✓,CHIP, TORTLA CORN YLW RND -6/2 L8 'EL PASADO CS. 18.1300 36..26 REFRIGERATES I 7- 375�:� -Yz� -G3? C o 375bA iAAlANA, TUkN F MESH G O to �.2..i^ OO lb FjACKEF� �p CS 7.0000 14.00 ROZE G S 201 A ETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 2 tt 1 1 1.278 �„R. t.hi 6.. 960(1 6 6 .2. 2 CS .20.14652 G7FFIN, BLBRY IW 24/4.75. OZ SARA LEE CS 19.4840 38 -96 PRODUCT CLASS RECAP TOTAL ..DRY- PIECES ORDERED: 8 PIECES SHIPPED: 8 ITEMS SHIPPED: 4 169.95 TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 14.00 TOTAL: FROZEN; PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 65.92 �c INVOICE SUMMARY FUEL SURCHARGE 4.25 TPTAL WGT.SHIP'PED: 159.24 PIECES ORDERED:. 13 PIECES SHIPPED: 13, ITEMS SHIPPED: 7 Purchase PRODUCT' TOTAL 249:8? y..W� Description �d. P;o. a s P DEC 0 1 2008 CHARGES 4_ G.L.� -33 (�f0 X3 '(0 r TAXABLE AMOUNT .00 L ine t GEN SALES TAX 00 i Line Descr (�i �G �i� a. Purchaser 'LL� Approval pe PLEASE REMIT THIS AMOUNT BY 12/14/0$ AMOUNT 254.1' Interest shall accrue on'all unpaid balances a acting established cradimaRne ate rate eepoyyalto the lesser Of(e)1 f, %per month or Promotional allowances, cash discounts, promptpay discounts, growth programs and a4l other incentives era retained M U.S. FOOdsamice" I (b) the mazimum rate that the customer may lawfully contract to pay, and in all events cat:N7ated irtt000rdance with applicable law. and do not reduce product cost. Product coat is defined as the supplier, packer or any other vendor 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 0 items for set periods of time and which are specifically reflected on the invoice)' CUSTO ERS S G ATURE: Visit www.Usfood.com for a fast and easy way to order. a" "'�r`ti. e'1 `a1 y y- �/et�jEqueciate.�alc�y i�ualaceaa ACCOUNT INVOICE INVOICE' CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE" 'NO. NUMBER LOC. REP. ORDERED 90569922 2940307 11/11/08 90569575 1054 0062 11410/08 DELIVERY ROUTE: 17,r?2 OR DER NUMBER: 4643y6 BILL CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC TO: 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO: CARMEL ,.�a CARMEL IN BOX 660088 46032 46032 INDIANAPOLIS I AI 46266 --0088 ATT. KATE SCHNE I LEER DEPT 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS I Ai SHIP DATE: 11 11 /OB Page 01 o 01 FREIGHT TERMS: SPECIAL DELIVER TO-MAIN ENTRANCE PAYMENT TERMS: NET 30, DAYS INSTRUCTIONS: r QTY. QTY. SALES PRODUCT„ p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1' 1 CS 1:87747 SMACK BAR, CRL ASST Iii SS 3/16/1.3 OZ KELLOGG `S CS 23.7500 23.75 1 1 CS 9089079 POPCORN, RAW KIT W/ OIL SALT36 /8 OZ FANCY FARM OS 20.2200 20,22 REFRIGERATED 1 CS 5352403 CHEESE. rlOz 4; WAY SMRD FTHft 4/5 LB ROSELI c C 62.2400 62. FROZEN a 2 2 CS 3328606 BUN, HOT DOG PL.id 6 SLCD FZN 8/1211.7 OZ HILLTOP HR CS 19.8100 '39.62 a .y.+., .4� 'M3': aay .�s•w. '%`W: �x k ,t o.... V. 4 4 t O�I�C CLAaS' EC" TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 43.97 TOTAL REFRIGERATED PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1 62.24 TOTAL. FROZEN PIECES ORDERED: 2 PIECES SHIPPED: 2 -.ITEMS SHIPPED: 1 39.62 INVbICE SUMMARY FUEL SURCHARGE r 4.25 TOTAL UGT 61..90 PIECES ,,t1ROERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 4 VD PRODUCT TOTAL 145.83 Purchase Description Zoe$ CHARGES 4.25 P.O. l s; 7, ow G. L. 7 a3 q 0 TAXABLE AMOUNT 0�? Budget r GEhI SALES TAX x oo Q?/1. f' F✓��LlitCr Line Descr_ Purchaser I Approval Get6l...e� PLEASE REMIT THIS AMOUNT BY 12/11/08 AMOUNT 15n.08 Interest shall accrue on all unpaid balances exceeding established credittermsatg7ate eq dal to the lesser of (a) Ph% par month or 'Promotional allowances, cash Discounts, prompt pa 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 alf'event3 ail- -Mated in accordance with 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 X standard freight less off- invoiceidiscounts or off- invoice allowances (i.e., manufacturer generated discounts or agowancas on particular Items for set periods of time and which are specifically reflected on the invoice).' CUSTOMERS- SIGNATURE: Visit, w..ww.usfood.com for a fast and easy way t order.- r ti �1 w ,4A, Q ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE. NO. NO. DATE INO. NUMBER LOC. REP. ORDERED 90569922 0111874 11/21/08 1054 0062 11/20/0b t t DELIVERY ROUTE: 2951 5 ORDER .NUMBER: 492397','`; BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL. IN 46032 46032 INDIANAPOLIS IN 46266 -oos8 ATT. KATE SCHNE:IDER DEPT 0�0 800 428 211'8 S HIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 11/21/08 Page 0 1 of'.01 FREIGHT TERMS: NET 30 DAYS SPECIAL DELIVER TO MAIN E PAYMENT TERMS:. INSTRUCTIONS: C QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED DESCRIPTION. PACK SIZE LABEL WEIGHT ORDERED' ,SHIPPED UNIT NUMBER E UNIT P PRICE DRY y K 1 1- CS 591125 SUGAR. SUB, SWT N LOW SCATR PK 3000/1 OR SWEET N LO CS 28.9800 28.98 i CS 5:327259 SUGAR.SUB, NATRA.TASTE BLUE 2000 EA US FOODSVC b CS 28.5100 x'.,8.51 (j1 i CS 9333246 SUGAR, GRAN SS. 2000 EA RITUALS CS 12..9000 12'.90 1 I CS 94 BOX, PIZA.12" PLN B FLUTE 50 EA PACKER CS 19.3800 19.38 PRODUCT CLASS RECAP 3 1 1 ,q 3 Ci 3 y TOTAL DRY PIECES ORDERED: 4— PIECES SHIPPED: ITEMS 4• 89.77- INVOICE SUMMARY FUEL SURCHARGE,. 4.25 TOTAL WGT SHIPPED 39.18 PIECES ORDERED: 4 PIECES.SHIPPED: 4 ITEMS SHIPPED: 4 PRODUCT TOTAL 89.77 C ®1 2008 CHARGES 4.25 Purchase br. Descriptiopt TAXABLE AMOUNT .00 P.O. e p GEN 'SALES TAX 00 r G-L0 330— i BUd et Line t� THIS AMOUNT BY 12/21/08 AMOUNT 94.02 Purchaser z� U roy Interest shell accrue on all unpald balances exceeding established creditgenne,pta1rete a s1 to the lesser of (a) 1 -h %per month or 'Promotional allowances, cash discounts, prompt Pay discounts, growth programs end all other incentives are retalned by U.S. FoodsenkeTM (b) the maximum rate that the customer may lawfully contract to pay, end In. all events d`eL.ulated in accordance with applicable law. and do not reduce predud coat. Produa cost la daflned as the supplier, packer or any other vendor delivered cost orl.o.b. unit price plus X -,ii/ standard freight less off- invoice dixdunts ar afl- Invoice allowances (i.e., manulacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the Invoice' CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast,and easyway -to order.: t Zf/e��te Zlau2 i�uateeaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO DATE N r p, ER LOC. REP. NO ORDERED NUMB h :9Cf56'a922 0206770 12102108 90569575 1054 0062 11/28/ 08 =«i DELIVERTROUTE: 172 1. ORDER NUMBER: 497485.. BILL CARMEL CLAY PARKS &RECREAT SHIP .CARMEL CLAY.' *IPAkKS &RECREAT REMIT I U. S -4. FOODSJERVI'.CE, INC. TO:'. 1411 E ,116TH S "4" TO: 1235 CEhfTAL PARES DRIVE E TO: BOX 660088 GARf iEL IN, CAtMEL' IN 460)32 46032 a INDIANAPOLIS IN 46266 -0088 A ATT. KATE SCHNEIDER. DEPT.# QO �;ti.:. 800 428 .21 i8 SHIP I PEDFROM: 123®.1 CUMBERLAND RIB FISH IE+3 SHIP DATE: 12t02t06 P 0.1 of IIpEl FREIGHT TERMS:. SPECIAL QE L I VER TO, MAIN ENTRANCE PAYMENT,TERMS: .NET 30 ,DAYS` rt.. INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT' NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT'^ PRICE PRICE E HAZARDOUS MATERIALS DRY t CS 6.31346 FUEL, BkJTNE 2 HR CEISTR_ 1 /8 -'t!Z C,LfltJIASTER CS �2. SSt�4'.. 76 0492— FLAMMABLE LI: ULp, .Ed. O: S:, sr'> a�• a��t�• uat��' �aa: aF��• ��t��a��# t# ��cs��: �a��c��t��. zE��' ��a��• ��a�s�4s��• ��iac��a�� #�sta��'��. y�r,p �JA pp/�ry h 7'±W 4 .TOTAL• .FfAZAR.GAUS 'PIECES 7 ..TO`T'AL hIAZARpQUS.' CIJ E:. �1.. U.? Tt]T1L.. WEIGl-ET: i. QV,. w �1E# 1E## �3##' �#•l E#' FE3K96' lE$ F# F#• �r# 3E##### 3E' s# i' e####'# 9E" IF'&#'#' dE3E3E' iE# if.' E�fF�i' r# riE '�E ##iE'Yik#4E3Ei'c;i$sf f iF, iFiE# iF#� #3@'�#E #�F$E'� #3f #if tE'Ff'fiE3Y unC 1 1 ,CS x43305'' NAM', NONY 'SLI.D. W REF 67 REFRIGERATED 6'2 "'.L)B MILI_SHIFE GS ,�45.520.0 .52 45 CS '%E Q%'3806Q TURKEY, BRST: °7lIN SLCD S!°fKD 6p:? HILL$NI.RE CS8.`800(i8, $Q 1 1 EA 4,465243 CHtErSE, AMER SLCD, 120 CT PROCDIS "LB GLNVW FRMS Et EA 1.2; 61215(5 1Z: b3 6 6, CS. 48*1557L tint 'DEiG AB 5 :A 6" 'CKD` FZN 1fl LB TYSOM aa S 25: 1600 150.90 4881181 LIWISSAN7 i'IAR5 3 z Uh10L 32/3.OZ H ILLTOP HR cs 19.9500 Y 1 CS 917 4780. ROWNIE CHOP MARQE TRIPL. 2/97,.OZ AWREY S I s 44." 8700 .4 QEC..� 2J08 PRODUCT' CLASS RECAP r r PIECES ORDERED TQ7AL DRY 2 P ECES. SHIP'P'ED a 3FI�ED 1 45. '7s5 TOTAL REFRIGERATED PIECES' 3 ..PIECES SHIPPED 3 ITECIS 3 106.95 w�;O .Ai.,'FROZEN PIECES 05DERED: 8 'IEGES. SHIPPED:- 8 IfiE s SHI`PPED:' 3 215:72 Purchase Ch v`� c9 (f, .Vnr�. Y ton t Ck C-1 D Pt An P.O. fj tai:` P F G.LA 3(AO.,. OCR `4Z�, 0, -z� gO�{O ('SO Budget path r.o ;Ca h e lay- s L �p,p v 1 Line' e3tx 1 I Y%' y `61• t <E 1�5 Purchaser rI�u 7. Dat�,._La -a *p APPS evu L 1 Date Interesl�shalI accrue on ell unpaid balances exceeding established credit temps atarate equal to the lesier of(a)t-K %per'month or 'promotional allowances cash discounts prompt pa discounts, growthprogramsand ell otherincengvesare retained by U.S. F�`oodservice �(b the`mawmum rate that the customer may Iawluily contract to pay, and' oakuioted in aaordancemith. applicable law. and do not reduce product cost. product cost is defined as Ne supplier, packer or any vendor delivered cost or t.o.b. unit price plus f, X., standard freight less off- invoice discounts or-ofl- invoice allowances (i.e., manufadu generated discounts or allowances on particular items for set periods of time and which are spe dficauy reflected on the invoice CUSTOMERS SIGNATURE' V1 it www usfood.com fora fast and easy way to order. s. Zf/erfviceeldte Zlatun iu¢ixeaQ ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER BALES SALES DATE z NO NO. DATE NO. NUMBER LOC. REP. ORDERED r r r 90569922 02067 r, 1054. 0062 11/28/08 DELIVERY,ROUTE: ORDER NUMBER: 497465 BILL f CAR_WtEL CLAY SHIP. R K VE j T REMIT U. S FOOD5ERVICE+ I.NC. TO. 1411,. E 116TH ST TO: :A R E TO: BOX 660088 CAR "MEL: IN r'1 IN :46032 4'6 2 INDIANAPOLIS IN t� 46266 -0Q88 ATT. KATE SCHNEIDER DEPT i#' "00 800 428 ;2118 SHIPPED FROM: 123 01 CUMBERLAND RD' FISHERS: 1 I N SHIP DATE: 12/OP/06 Page 02 of 02 FREIGHT TERMS SPECIAL DEL LVER TO MAIN ENTRANCE PAYMENT TERMS.` NE 30`' 'DAYS INSTRUCTIONS: QTY. CITY. SALES PRODUCT' 0 PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER' DESCRIPTION' PACK SIZE LABEL E WEIGHT UNIT PR PRICE INVOICE SUMMARY. FUEL' SURCHARGE 4. WS' TOTAL WG'T- SHTPPEp 118:'7S P'I,EG>rS ORDERED FIECE8 SHIPPED:' .13 ITEMS SHIPPED 7_ 13r "kh PRClpti;CT TOTAL 368A3 .CHARGES. TAXABLE AMOUNT, 60� G£ T X N SALES. bD s r c r.' a P IT ftt4tlUN LEASE REM T HIS AMl3UMT 8Y 01101/09 T 372.68" h k t r, r' -w.' y Interest shall accrue col unpaid balances exee mg established credit terms et a retee l to )he lesser of (a) 1!h% per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives ere retained by U.S. Foodservicet• (b) the. maximum rate that the customer may lawfully contrail to pay; and in all'events calculated in accordance with applicable few. entl tla 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 L i standard freight less off- invoice discounts or off. invoice allowances (i.e„ manufadmer generated discounts or allowances on particular X items for set periods of time and which are specifically reflected on the invoice).' Visit www.usfood.com for a fast and easy way to order: STOMERS SIGNATURE: r CU 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. 19570 P 353824 U S FoodService, Inc. Box 660088 Date Due 1 Indianapolis, IN 46266 -0088 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/14/08 33521 Concessions Supplies 240.12 11/14/08 33521 Gobbler Gallup supplies 14.00 11/11/08 2940307 Concessions Supplies 150.08 11/21/08 111874 Concessions Supplies 94.02 11/28/08 174838 Concessions Supplies PO 19408 132.08 12/2/08 206790 Concessions Supplies PO 19408 155.15 12/2/08 206790 Youth program class supplies PO 19408 217.53 Total 1,002.98 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. Allowed 20 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266 -0088 In Sum of 1,002.98 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 33521 4239040 240.12 1 hereby certify that the attached invoice(s), or 1047 33521 q� M0 14.00 bill(s) is (are) true and correct and that the 1047 2940307 4239040 150.08 materials or services itemized thereon for 1047 111874 4239040 94.02 which charge is made were ordered and 1047 174838 4239040 132.08 received except 1047 206790 4239040 155.15 1047 206790 4239039 217.53 3 -Dec 2008 Signature 1,002.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund