HomeMy WebLinkAbout200148 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
I ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $8,661.18
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 200148
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 167438 237.80 FOOD BEVERAGES
1095 4239040 167468 42.78 FOOD BEVERAGES
1095 4239040 167518 61.00 FOOD BEVERAGES
1095 4239040 193929 150.99 FOOD BEVERAGES
1095 4239040 193930 1,545.24 FOOD BEVERAGES
1095 4239040 200622 160.04 FOOD BEVERAGES
1095 4239040 2916474 120.05 FOOD BEVERAGES
1095 4239040 2916475 781.84 FOOD BEVERAGES
1095 4239040 91082 254.10 FOOD BEVERAGES
1095 4239040 91083 5,307.34 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
9056992 29167 4 06/28/11 056957 l A -:2— 1054 0062 06/23/11
Your parin`e,.4ey.nd the plate.' l 0
iv' DELIVERY ROUTE: L 17.E f 2 ORDER NUMBER: 246725
BILL CARMEL 01 .:BARBS° <RECRE,AT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. R10DSERVICE, INC.
'TO: 1411 E. :2'EaTH .ST TO: 123:5 CENTRAL PARK DRIVE E TO:
PDX 660088
CARMEL IN CARMEL IN
46032 46032
IPJI} I ANAPOL I S IN
317 843 3873 46266 —OOeS
ATT. MICHELLE: COMPTON DEPT 00 800 428 21183
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 06/28/11 rage 01 of 01
FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET!!!
PAYMENTTERMS: LIFT 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED
`ORDERED SHIPPED V' UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
FROZEN
S 5 CS. 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 OZ KENPS CS 22.7600 113.80
PRODUCT CLASS RECAP
TOTAL FRO7:Eh1 PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 1 113.80
a
INVOICE SUMMARY
FUEL SURCHARGE 6.25
TOTAL WGT SHIPPED: 21.90 PIECES ORDERED: 5 PIECES `;HIPPED:; 5 ITEMS SHIPPED: 1
PRODUCT TOTAL 113.80
.7
CHARGES 6,25
JUL 2011
OEM SALESMOTAXT 04Y .00
Purchase
Description PLEASE REMIT THIS AMOUNT BY 07/283/11 AMOUNT 120. 05
P:OW`# P or F
G.L.
Budget
Line Descr
Purchaser Date
Approval Date
'n
0
0
Interest shell accrue on all unpaid balances exceed' established credit terms at a rate per
pa' up equal N Me lesser of a 1!h9L ba, or r
(b) the maximum rate that the customer my lawfully contract to pay, end in all events calculated in accordance with appecabla law.
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4 t CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy yway to; order, 4J r
ACCOUNT �INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
£3C}5b9�- 29t64- 5 06/28/ ti l �Irifar575 1054 0062 06/27/11
1� e �8 2
Your partner beyond the plate,'. DELIVERY ROUTE: 2 173 2 ORDER NUMBER: 248897
BILL CARMEL CLAY PARKS &RECREA�- --SHIP CARREL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 F, a. 16TH ST TO: 12=35 CENTRAL PARK DRIVE E TO
BOX 6600€ 0
CARP f'L IiV CARREL IN
460:2 4603P INDIANAPOLIS IN
317 843 3673 46266- °0083
ATT. MICI EL.LE COMPTON DEPT 00 800 428 211#3'
..SHIPPED FROM: iemi CUMBERLAND RD FISHERS IN SHIPDATE: 06/28/13, fags 02 of 02
FREIGHTTERk: SPECIAL ENTER OFF OF 1 11TH STREET 1
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
CITY, OTY. SALES PRODUCT I} C
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL p WEIGHT PRI
PRNCE EX TENDE D
ORDERED D
E
114VOICE SUMMARY
TO WOT SHIPPED: 330.93 PIECES ORDERED: 30 PIECES SHIPPED: 29 1TEMS SHIPPED 14
PRODUCT TOTAL 781.84
1
F
TAXABLE AMOUNT .00
GEN SALES TAX .tat}
y
PLEASE REMIT I'HIS AMOUNT BY d. 07/28/11 AMOUNT 731. S
r;
T Purchase
Description'
1. PorF
P.O. x
G<L.
Budget
Line Descr a
Purchaser Date
o Approval Date
7
J
j
I nterest shall accrue on ell unpaid balances axcaedinp estat115hed credit tarns at a rate equal to Iheiesser of (al 7: G% per month or
Itr} the maximum rate that the customer My IawtalN contract ID pay, aM in all events calculates in'aCtdndande with applicable law. 1 1
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CUSTOMERS SIGNATURE:
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES 1L DATE
NO. NO.' DATE NO. NUMBER LOC. REP. ORDERED
?0569922 2 90569575 C c�� 2- 1054 0062 06/27/11
Your partner beyond)t plate.° J l pELIVERY RO UTE; f ORDER NUMBER: E48897
BILL t:'s�?RMEL CLAY :PARKS� �gH' Ip C�+RMEL CLAY` PARKS &RECREAT REMIT U.S. F'C,3ODSERVICE, INC..
TO: :1411 E. 116TH ST... TO: 1235 CENTRAL PARK DRIVE E TO:
CARMEL. IN CARMEL Il\i BOX 660088
46032 46032 INDIANAPOLIS IN
317 843 3873 46266)-0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 12"30 CUM B ERLA ND RD F I SHERS IN SHIP DATE: 06 r P a g e 0 1 o O
•s FREIGHT TERMS: r SPECIAL ENTER OFF OF 11 'S°fFtEET 1
PAYMENTTERMS: N ET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT 1C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
1 i CS 63"55"27 tax Hi{IN, DISPR INFLD WHT S. SY,1Q�4 /sS0 Est E SYI+#l�l� C5 57.0000 S 57. QO
1 J. CS 9089079,�CORN, RAW KIT 1,17 OIL SALI /8 OZ FANCY FARM CS 21.7140 21.71
1 i CS 9463688 ✓HIP, TORTLA, CORN YLL� RHl} !ry LD EL PASADD CS 18.8200 18.82
REFRIGERATEU�
1 CS 4E300843 MILK, 2% REDUC FAT PLST REF 1'�r 1 PT FRA] RI1 Ff1 CS 11.4600 11.46
i I CS 4804884 MILK, GHOC: LOU FAT PLST REF12 /1 PT I RAIRIE FM CS 10.4100 10.41
1 1 CS 5406556 BANANA, GRN FRESH REF 10 LTA PACKER C'S 8.8100 8.81
1 0 CS 7197775 YOGURT, ASST STRURNA RSPBRY 12/6 CZ YOFLAIT
FROZEN y4
3 3 CS 1715447 -BEEF, PTY 69ND 80/20 4:1 RND 44/4 OZ CTLrIN SLOT CS 3.9400 98.82
5 5 CS. 2011278 PRETZEL., KING SOFT 189Y) FZN 50/5 0Z SUPR PRT7.L E5 27.2404 136.24
4 4 CS 4690525 ICE CREAM CUP, ITTIBITZ CK8CR 2415 OZ KEMP9 CS 22.7640
.4 4 CS 4` 04603 ICE CREAM CUP, CKY DOUGH ITTIR24 /5 OZ KEMPS CS 22, 760 91..0.4 1
2 r CS 5549708 PIZZA, CHS DEEP DISH 7" 1J/ BOX36t7 IN BOSCO'S CS 59.5500 119.14
1 1 CS 5141178 BUN, HMBOR PLN 4" SLCD 10/12 EA HILLTOP HR CS 22.0744 22.07)
1 1 CS' 5741228 VUN, HOT DOG PLN L" SL.CD 12/12 EA HILL-TOP HR C3 X6.''500 2b.75-
3 3 C5 eiB7999 ICE CREAK BAR, CHOC TACO 9 VNL.24 /4 OZ KLONDIKL CS 22.8704
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 3 97.53
TOTAL REFRIGERAITLD PIECES ORDERED; 4 PIECES SHIPPED: 3 ITEMS SHIPPED: 3 30.68
T OTAL FROZEN PIECES ORDERED: 23 PIECES SHIPPED: 23 ITEMS =SHIPPED: a 653.63
3
n
3
Irtterest shop ecrnte on an unpaid Eelarlces exceeding estadishetl crMit leans al a;rete ep`1 N the lesser a! la)1 �h %per rnmth ar
(h) the marJmum rate that the astamer may lawfully w trm td pay; and in, at euents,caka fated in acmNanca wall applkaaEe law.
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Visit www.USfood.com for a fast and easy way to order. CUSTOMERS SIGNATURE:
t ?(Je��aeetute'l�eurc �uoCKraa
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES t SALES DATE
NO. i NO. DATE_` NO NUMBER. LOC. REP. ORDERED
9
-5
69928 0091.08'm 7/01 1 1 9,9569575 special or' d er 1054 6062 O!a /c?A/ 11
111 V
Your partner beyond the plate! 3' C_ ORDJERPVUt�tB 2
DELIVERY- ROUTE: UUU
BILL CARMEL CLAY., E'ARlt &f2ECFtEAY SHIP CARREL CLr��.�PARKS &RECREAT REMIT U. S, i=OODSERVICE, I
1411 E. 116TH ST 1235 `CEi TF��kI PARR DRIVE E
TO: TO: TO:
CARMEL YN f CARMEL
BOX 6b0088
4603c? [hl
46'773x_
INDIANAPOLIS I N
317 843 3873 46266 -0088
ATT. 1" fI CHELL.E',C`OMPTON DEPT 00'. 8gc1 428 2118
1E.iC?1 GU[7E'Ri_Aittl� RD F"I��iE'�t8 ItV 07IC31 f 11 Pa e 01
cif 0 1 SHIPPED FROM: SHIP DATE: ENTER OFF OF 1 1 1 TH STREET t 1 i
FREIGHT TER Ms: NEET 30 DAYS SPECIAL
PAYMENT TERMS: r„ INSTRUCTIONS:
t
QTY. OTY. SALES PRODUCT h p PRICING UNIT 'EXTENDED
ORDERED SHIPPED b' UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
FROZEN
7 r. CS .0256246• POPSICLE, SP16ERMAN 6"il2 EA GOOD HUMOR CS 36.3000 254'1 4 0
PRODUCT CLASS RECAP
TOTAL-FROZEN PIECES ,�?RDERE[?: PIECES SHZF' ED: 7 ITEMS "SH IPPED: 1 254.10
n INVO SUMMARY a�
TOTAL WGT
SHIPPED':—- n'. �G�5.47
PIECES 'QRDEREQ: ��GEB SHIPPED 7 TEMS tHIPPEQ:. 4
����r: a�t�# a> r�����������t���• ��s�����. •~#3 a• ����3c��•t ��t���it• ��t• r��a����� `3t'�������s:��t�•�����:���•u�
PRODUCT TOTALS 254.'10
Federal UCCIJpat on and! Health Standards. Section 1910. rn'Hazard
Communication _re oires manufacturers and distributors to .provide Material
'Safety Data SI leets .on nonrfoo& products defined to be hazardous. Products
i' such as cleaning products'''and pesticides are included it► the sco e'of•°the
l Standard. In compliance with the law. NSDS are available to U; Foodservice
Inc. customers and can -be obtained by 'contacting the Procuremibnt Manager in our. TAk4r -E" At OUNT .00
district office or b�,,++ advising your sales represent;atiue. it OEM SALES TAB x 4b
You may cctntai�t. i wv BlJRTIIH at phone (371 585 6822:
��a�: �����e����• k��• ����r• tt• n�• ��n• ��a�• rf' ���r�t��>t• ��s�����e• ����is •������.��•������c�������••n
PLEASE i EM—fT` 3'HTS AMOUNT LY 47/31/11 A4'IflUNT 254,40
It
r
PUrbhase
DeGcription
l P.O.# RorF
G.L.
Budget
Line Descr
Purchaser Date
Approval Date
i
Imeest shad eccme on all unpold Z"" mg established credit terms at a We lo the lesser .1 1.) I 'A %per mgnlh or
(b) the maximum Tale that the customer may lawlutty O trad to pay, and in all events calculated in accordance whn applicable law. X
CUS OMERS SIGNA. URE:
Visit www.ustood corn for a fast and easy way to order
�jfueeLcete 2l°crc
,ACCOUNT If�VOICE'\ INVOICE USTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. D NO.. NUMBER LOC. REP. ORDERED
Y.
905699E2 t 09.tO93 ,07`10. c��a6vs� ,1 1(754 0062 06/30r1
Y 6.,., the plate` '_.'..,+r.a I? R NUMBER' P-52631
DELIVERY ROUTE.,
BILL CARMEL. CLAY PARKS &RIECR'EAT SHIP CARMEL CLAY PARKS &REtCREAT REMIT U. S. T°OODSERVICE, INC.
1411 E..-116TH S f 1235 CENTRAL PARK DRIVE E
TO: TO: TO:, 130X 660088
CARMEL IN CARMEL. IN
4603E 46032
INDIANAPOLIS :[IW
317 843: 387 46266 .00BB
MICHELLE G€ MPTpht DEPT #k 60
ATT. ��O ��k� 211 F3
SHIPPED FROM: 12301 CUMBERLAND RIP FgggHERS IM. SHIP DATE: 07r01 11 Page 03 of 03
FREIGHT TERMS: NET 3Q' 7A °t` B SPECIAL ENTER OFF OF 1.11 TH STREET!!!
PAYMENT TERMS: INSTRUCTIONS: d
QTY. QTY. SALES PRODUCT �C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT, NUMBER DESCRIPTION PACK SIZE LABEL WEIGHT UNIT PRICE PRICE
/1
7. .1 �1 C /1
.t,, 1 1 ,2 le- I, R E C't1, uy PW i 22, t t` 6 0T BB CHAMP S 17 .670 0 .lj, .lid
4 4 CS 81979".' It'E °CREAK B CHOC TACO 8 VNL.24 /4 OZ ILLONDIKE CS 22.3700 91.48
1 L CS 8552317 NUFFIN, EOP..CAKE PECN CIM 7W 24/4 OZ SARA LEE CS 25.1200 25,12
1 I CS, 97630x51 #�OPS QRNG CHRY GRAPE SC/F12/6/1. 65 OZ POPSICLE Ca 18.0000 18.00
gar.
PRODUCT CLASS RECAP tttr
TOTAL DRY
PIECES ORDERED. b0 PIECES SHIPPED fro ]TI;t�S` ShiIPFED: 31 1808. 48
TOTAL REFRIGE'R'ATE[ PIECES ORDERED: 29 FIECt =S aEtI�`PE[1: a�? .s�.I'CE #'tS SHIF�PEI�: .14 76:.8.
TOTAL. FROZEN PIECES 100 PIECES SHIPPED: 100 ITEMS SHIPPED: 22 1736.04.
INVOICE SUMMARY
1'€]T6L,.41C?i ,NIFFEt7: 23b.34 C'IECES;OCDtwltiE�3; 19 11MCE5 SHIPPED: 189 •ITEf9S, SHIPPED: 67
��3rat��������?: �sf��t3���������t #��'n���•_ ��si•# ����t�����c�a >�•��ta�t������3t #�•�•>E�i�� .i
PRODUCT TOTAL. 5307.34
Federal Occupation Sammy and Heafth 5ia.ndards. Section 19113.1200 on Hazard
Communication re VirS �n :aYyd dstribU lcu
provide Material
t
Safety Data Sheets on non -food .products defined to be hazardous. Products.
such as cleaning produc•ts.and est.ic are included in "the scope of the
Standard. In compliance with the law: MSDS are available to U.S. F'oodservi.ce
,a Inc..'. customers and can be� obtained -b, cliltacting the Procurement Manager in our TAXABLE ANOUNT' .00
district office or'. b„ ad5rising your saps, representative. GEN SALES TAX x .00
You May contact KEG 1 BURTON at (3733 585 68ki.
����a��t���t���at�• ��r������������• �r������t�����t�• �ar�������c��as• ���rt�����t���s���r�t��t���������
PLEASE R1 fitI't THIS AMOUNT BY
07/31./_ AtOfIfT
S?�07.34
001 E
L
Oil
Purchases fl d,
Description BY
P.O. P or F
G.L.
Budget
Line Descr
Interest shPjjf&aSelf balances exceeding estahllshed �J�S ]�s�¢�t� ���a� r� rF. iM�� of (el 1!h%per month or �4
(h) the maximum MIS that the .e5 ilSiSe maTa fy wn to pay, in d events calculated to a:Wrd r e with applicable law.
a.
Approval Date X
CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
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ACCOUNT INVOICE INVOICE ST T
Cl1STOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATEv NO. NUMBER LOC: REP. ORDERED
90! 00 1083 07/01 1 94569575 1054 0062 06/30/ii
�s
Your P artner beyond the plate. .£$3 ORDER NUMBER: 22 52631
DELIVERY ROUTE: ,l.f!
BILL CARMEL CLAY PA,RKS&REQ,REAT CL SHIP CARMEL> A'� ,,:1'P�,R41S ?aRECREAT REMIT V. FOOE)SERVICE, INC.
1411 E. J 16TH ST$ 1835 CENTRAL. PARK DRIVE: E
TO: r TO: TO:; BOX 660088
CARMEL`
IN C �,R1'4EL IN
4fa0 2
46032 gy p" INDIANAPOLIS I4
31 843 35F3 46266° -008!3
ATT. "MICHELLE Ct:�MPT01 DEPT 00 s: 800 42B
SHIPPED FROM: 12301 CUMBERLAND R`Q C I mo- HERS IA SHIP DATE: 07/0 R ag e' O of Ol
P ENTER OFF' OF 111TH STREET!
FREIGHT TERMS: NET' 30 DAYS SPECIAL
PAYMENT TERMS: INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C 0 PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
GG n,+ P� E
w
READY TO EAl" `M Please Refer to Return Poikcyy
1 i C► 3000452 SALAD, TUNA PREPD REF. 2/S LB PILGRM PRD B CS 39,3500, 39.25
REAVf TO EAT Please Refer 'to Return Po1.ic1r
2 z EA 4365119. CHEES'E, AMER SLCD 235 SUPRCR S ,B C�LNVW FRt4S B EA 12.7600 25.52
1. l' CS 48008431 MILK, 2% REDUC FLIT PLST REF 1 1 PT •PRAIRIE FM C, 1�.4u00 11-46 1 1 CS s3 I MI€ K, CHO 1, LOW FAT PLST REF12 ?1 'PT PRAIRIE FM GS 1�}. 41p0 1U. X41
8 7' CS 4884'' 1 ICE CREAM MAX, ,SOFT SRV VNL '4/ GA PRAIRIE FM CS 33:5700' 234. q9
READY. TO Please Refer to Return Polio/
SLI 3 1. CS 4'322 ICE CREAM MIFF; SOFT SRIJ VN11 :5%2 .,5 GA PRAIRIE FM CS 30, ;10.00
READY. TO EAT:_ Please Ref6�! to 61rn,. Poi ic
1 1. CS- 5006556, BANANA, GRN. FRESH REF 1b L&. �ACKER CS 8:8100
1 CS 5332242' LETTUCE, 1URS SHRD .1/4" CLND 14:/5 LB CROSS VALY. B CS 17 .4600
READY TO EAV,4- Please Refer to 'Return Pol.ic
1 i CS 6329676 PEPPEROMI', SLCD 14 CT N /5 LB KOSELI CS 29. 7900 29.75
CS 711777 YOGURT, f�SST. STFiLJEtl+iA RSPBCtY 1�?16 4]Z YOPLAIT CS 5.9500 19.90
41 8 Cv 745135 ``''ICE MILK MIX,. SOFT SRV CHOC' 4% /2.5 QA PRAIRIE F,M CS 31.3500 250,80
.READ' TO E'AT. Please Defer to Retu.rm Pul,icy
FROZEN
1 1 CS 11,,57387 ICE CREAM AR, DREAM STICK VNL2 /24/3 OZ BLUE BUNNY CS 1 4. 4000 14.`48.,
5 0 CS 1715440' REEF, PTY GRND 80/20 4:1 RND 40/4 02 CTLMN SLCT
SUB** 5 CS 2762029.. BEEF, PTY GRND 80, 4: 1 RIND 40/4 LIZ CTLMN SLCT CS 30.9540 154.75
10 10 C 201.1278 PRETZEL, SOFT BKD FZN 50/5 LIZ. SUPR F'RTZL. Ca 27.2400 272.40
1 i CS 2014652 MUFFIN,• DRY -IW 24/4,OZ SARA LEE C5 18.8500 18.85
2 2 CS 2260079 ICE CREAM SA'NDWICH, GKY S GRMi 2 4/4� OZ SLUE BUNNY CS 17.7400
3 3 CS 2277663 ICE CREAM RAR, REESS PNT BUT 24/4 AZ GOOD HUMOR CS 16.9500 50:435:
8 8 CS 3041,423 CORN_ 'DOG, Aft, CN FZN 48/4 OZ STATE FAIR CS 31.5100 252.
12 12 CS 3330099 HOT DOG, AB' 6: 1 6" RLR GRIL 10 LB PATUXENT CS 27.3300 t 327.96
1 1. CS 33:354325 SAUSAGE, TTLN -MIL.D CRBL. PORK 2/5 LB RUSELI CS 35.0000 35...0
1 1 CS •40 7: MUFFIN, BANA NUT IW FZN_ 24/4 OZ SPUNKMEYER h�1;CS 22.2700 �`�:?:27
7 7 CS 469 ICE CREAM CUP, ITTIBITZ COTI 24,115 r3Z 4GEt!!'S Ca 22.76021 159.32
7 7 CS 4690525 ICE CREAM CUP, ITTIBITZ CKBCR 24YS OZ 14EMPS Ca 22.7600 1.5?. 32
7 7 CS 4694519 ICE'CREAM.CUP' IT BANA SPLT 24/5 OZ kEMPS CS 22.7600 159.32
7 7 CS; 4904603 ICE CREAM CUP, CKY DOUGH rraB24 /5 OZ KEMPS CS 22.7604 159.32
3 3 CS. 521BB62 `"ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 15.4100 46.23
8 6 CS 55097013' PIZZA; CHS DEEP DISH 7" W/ BOX3617 IN BOSCO'S 475.40.
CS 54.5500
4 4 CS 57411713' I13ltl, H4'lBG4i PLN 4 11 SLCD 10/12 EA HILLTOP 4P HR CS 22.0700 Be. 2A
5 5 CS 5741228 BUN, HOT DOG PLN 6" SLCD 12/12 EA HILLTOP HR CS 26.7500 133:75
Interest shell accrue on all unpaid balances exceeding established credit tans at e. rata equal to 6e 1e55gr of (a) 1 -'h %per month- r
(b) the maximum tale that the customer may lawfully me, to pay, end in all evenle calculated in accordance wish applicah1, law.
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r CUSTOMERS: SIGNATURE:
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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
.l NO. NO. DATE NO. NUMBER LOC. REP.. ORDERED
'90569922 0091083 07/01/1 9(j569575 j 1054 0062 06,'30/ 1
Your partner beyond the plate.' 5203 1 ORDER NUMB ER 252 631
DELIVERY ROUTE:
is BILL CARMEL. CLAY PARKS &RECRE:AT SHIP CAR€�'IEL CLAY PARKS&RECREAT REMIT V.'S. FOOI}r,.,- 'ERV'ICE, INC.
141 l E t, -1 16TH aST' 1235 C Et�ITRAL P?ARK DRIVE E
TO: s TO: TO:) 8Q?i_ 660088
C;ARMEL CARME:L IN
46032 46032'
INDIANAPOLIS Std,.
317 643 38 t j 46266-n-0088
ATT. 1�ICh1ELLE CO'E?TO�PI' DEPT 00 Q 2 111✓#
i SHIPPED FROM: 1230 CUMBERLAND RE) SHrzRS I N SHIP DATE: 07 01 1 1 P ag e 01 of 03
FREIGHT TERMS: NET 3 0 DAYS SPECIAL
ENTER OFF'OF 111TH STREET!!!
1 PAYMENT TERMS: INSTRUCTIONS:
QTY. QTY. SALES r PRODUCT PRICING UNIT EXTENDED
i' C
DESCRIPTION PACK SIZE LABEL O WEIGHT
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY
1 I LS 05813309: C€iILI, MEAT .HOT DOG 6/110 OZ HOME TASTE CS 45.9100 '45.9.1
1 I CS 0791558 CONTAINER, Pri 4 Z SqT WHT 25/40 EA MONOGRAM CS 19.1800 19.113
-1 1 CS 0 CUP, FM 32 -Z WHT 25/20 EA MONOGRAM CS 32.2900 2.29
1 1 CS 0814541 CLIP,- FM F0f' WH 5/ EA MONOMONOGRAM CS 20., 4(}00 20.X40
1 1 CS 1206424 ;PASTRY, STWBY F'RTTS 2 7 2 A KELLOGG'a �s; CS 20 30.32
2 2 CS 146280;,?"" SPOON, TEA MW WHT BULK PLST 1000 EA PRIME CS 10.0900 20.16
1 I CS' 24043'.x.5 DOVE, POLY LG TXTD ANODX 7 16/100 EA NONOGRAM Et �;�t' CS 39.6500 39.
1 1 ,CS. 3256104 LIO, CUP 1 24 Z RBL RLST 1000 EA WINCUP CS 16.7400 16.74
1 1 EA 4004289 CANDY, BAR SNCKP, 2.07.9Z 40 EA SNICKERS EA 20 5800 X0.53
2 2 CS 4238291 DRINK MIX, 3LLI RSP LMN ISL. 1.5/21,:1 OZ KQIw13•L. AID CS 46:2000 92.40
10 1.0 CS 4260238 SAUCE, CHS i"t HO SNLF STTABL n, 47. OZ ORTE:GA CS 46, 2700 462.70
2' 2` CS 43`9397• KETCHUP, S FHLF5t�, 9:. GR MONARCH GS 15.2 00 30:
1 L CS .4/x47806'; t4ETERGEWT SSH'. DAWN LYQ 8/•89 "OZ DAWN CS 41.7200 41.
1 1 CS 5;11 !#0' CONE,
IL;E C�Fi#'l CA4€E 225 FLAT 36/20 EA JOY COME: CS 36 x#400 36.44
2 EA 55'
1 i. CS 5 9 MUSTARD, YL IV SS 5.5 GR SHLF SO4/5.500 GR MONARCH u r,, CS 11.0600 11-06
2
41919- PEP'P'ER, JLP PLST SHLF 1 EL PASADO B 'EA 11..3000 22.60
r r CS 5597604 CHIP, CHS CNCHY PLN SS BAG 6 Oz CHEF f"US CS 26.9500 53.9.0.
2 2 CS 5597851 CHIP=', TORTLA 14ACHO CHS TRGLE 64/1. 75 'OZ OORITOS CS 26.9500
2 2 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 GZ F RITOS CS 26.9500 53.92
2 2 CS 5601679 'CHIP, PTATO REG PLN SS BAG 644/ i3Z LAY'S CS 26. 9500 53.90
1 1 CS ::5601943 CHIP, PTATO BRQ SS BAG 64/1.375 0Z -MISS VICKI CS 29.61.00 29.61
1 1 CS "5605472 CHIP, MUL,TGR.t# CHCDR SS BAG 64/1. OZ -SUN CHIPS CS 26.9600 26.96
1 1 CS 632921:3. RELISH, SWT .SS SHLF STABL 200/9 OR .11ONARCH CS 13.3600 13.36
2 2 CS 6620039 TRAY, PLYST NACHO 6XSX.1. 75 CLR4 /125 EA PACTIV C5 76.4400 152.,88-
1 1 CS 7:32802.4 DRINK MIX, FRT PNCH 2 GAL YLD 12/24 OZ THIRSTER C'S 26.31300 26.35
1 1 EA 8053126 CANDY, RESES PNT BUTR CUP 3,6'. EA REESE'S EA 26.6900 r 26..69
1 1 CS 8301913 FRUIT NIX. FAIT IN SCE TFF BWL'36 /4 OZ DOLE CS 21,9500 21.95
1 1 CS 8355927 NAPKIN, DISP`R INF! D WHT 6. 5X10'24/250 EA EASYNAP CS 57.0000 _57.00
3 3 CS 9089079 POPCORN RAW KIT W/ OIL 6 SALT36 /8 OZ FANCY FARM CS 21.7100 65.13
10 10 CS 94636 68 CHIP, 16RTEA -CORN YLW RND 6/2 L 0 EL PASADO CS 18.8200 188•.20
1 1 CS 9954371' LID, CUP 32 Z STRAW SLID PLS'T Yfl /50 EA MONOGRAM T CS 24.9500 24.95
REFRIGERATED
1 1 CS 06%426? 'HUMMUS, RST`D REF) PPR, N> NDA'RY 121'4.56, OZ SABRA CS 22.6200 22.62
'_,READY TO EAT Phase Refer to Re •Palxcn
43
9, i CS 06501 _'HUMML S, 6RLC' RSTD NONDARY' REP 1 4. 6 OZ SABRA CS 22. 22.
READY TO EAT Please Refer lire 6 urn Poll y •4
Interest shafl acx,ue on all unpaid balances exceeding established aed't terms el a rate egVel to the lesser of.(e) 7•'!x %par tnenth er
(b) the maximum rare that the customer maY lawfully wniract tq pay, Arid in'0 events cakvlated in a -dance wM applicable law. ..x
VISIt www usfood cOm;for a fast and easy way to order CUSTOMERS SIGNATURE.
Z(/eeee[ale?�?cac Gualeeae
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO: O. DATE NO, NUMBER LOC. REP. ORDERED
905699 Q�.674 f�� 7ra5r11 569575 l �I 3054 0062 07r05r11
Your partner beyond the plate.'
DELIVERY ROUTE: 5
r t f nrs� o II -PARpo
BIOLL C- AR-m PARKS ®R AT TO CARREL CLAY PARKS RECREAT R T M U.S. FOODSE ICE, INC.,
141i E. 116TH ST 1235 CENTRAL PARK DRIVE E l
CARREL IN CARREL IN BOX 66608B l
46032 46032 INDIANAPO!LI IN
ATT. 317 843 3873 n. k 46e66 -00818
iCHEt t rr�wtn nat n_� asnn n�ss a_i.
F CUMBERLAND RD FISHERS I N SHIP DATE: 07/Q5 Page 0 of 01
FREIGHT TERMS: MS: SPECIAL 9
PAYMENTTERMS: INSTRUCTIONS: ENTER OFF OF 11 1 TH STREET I f I
MET 2 D
QTY. OTY. SALES PRODUCT p' PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
REFRIGERATED
1 1 CS' 6483952 BEEF, PTY GRND 80/20 4:1 THCR 56/4 OZ CTLMN SLOT CS 42.7800 S 42.75
INVOICE'SUMMARY
TOTAL WOT SHIPPED 14.00 PIECES ORDERED: 1 PIECES SHIPPED: 1
r PRODUCT TOTAL S 42.;78
J
�TAXAiBLE AMOUNT .00
GEN SALES TAX z .00
Purchase
Description PLEASE REMIT THIS AMOUNT BY 08/04/11 AMOUNT 42.75
P.O.# Parl
G.L.
Budqtat
l i
F?t;r�hGs ar' Date
�7
Approval Date
JUL 12011
1
BY:
es
m: ,ahafla5t ueonallanpeldbalanceaek toad; ngaslabliahmeredit1— atarateequailotheleaserof (a) h%p'monlbar Visit www.USfood.COM for a fast and easy way to order.
(b( a maximuht rate Nat the customer may lawfully contract to pay, and in all Nents tabulated in accnrdande with applicable law. X a -�,1'� �I J f
r J CUSTO'M£gS SIGNATURE J
2Ue�feelate?Sacrz f",ueuuaa
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
Your the Plate.° 9056992E 01674 7/O�J7 9 569575 Kc l R 10 0062 07/05/11
DELIVERY ROUTE: t9t i 1110r%E7l@ hIJ f9ulMCM. 'UGH. L?/t v1
BILL SHIP REM IT
TO: CARMEL CLAY PARK'S &RECREAT TO CARMEL CLAY .PARKS &RECREAT U.S. FOODSER ICE, INC.
1411 E. 11 6TH ST 1235 CENTRAL PARK DRIVE E
BOX 660088
CARMEL IN CARMEL IN
46032 46032 I ND I ANAP€7L I IN
ATT. 317 843 3873 46266-0089 Ivlx rus±I i aw r� Ircarnnl r'tzwta•r nn artirt rtala s
SHIPPED FROM: SHIP DATE:
FREIGHT TERMS: .12301 CUMBERLAND RD FISHERS IN SPECIAL 07/05/11 Page 01 of 01
PAYMENT TERMS: INSTRUCTIONS: CUSTOMER PICK UP
QTY. QTY. SALES PRODUCT aC
DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY
1 1 CS 4329397 KETCHUP, TMTO SOZ FOIL SS SHLF500 /9 GR MONARCH CS 15.2900 15.29
1 1 CS 5329289 MUSTARD, YLW,SS 5.5 GR SHLF 500/5.500 GR MONARCH CS 11.9600 11.96
REFRIGERATED,
1 1 EA 4365219 CHEESE, AMER SLCD 135 SUPRCR 5 LS GLNVW FIRMS B EA 13.7400 13.74
FROZEN
4 4 CS 2011278 PRETZEL, KING SOFT BKD FZN 5075 OZ SUPR PRTZL CS 28.8400 115.36
1 1 CS 46903'92 ICE CREAM CUP, ITTIPITZ COTN 24/5 OZ KEMPS CS 27.1500 27.15:
1 1 CS 469OS25 ICE CREAM CUP, ITTIBITZ CK &CR 24/5 OZ KEMPS CS 27.1500 27.15.
1 1 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 OZ KEMPS CS 27.1500 27.15
1 0 CS 4904603 ICE CREAM CUP, CRY BOUGH ITTIB2.4 /5 OZ KEMPS:
INVOICE- SUMMARY
TOTAL 'WGT SHIPPED: 100.06 PIECES ORDERED: 11 PIECES SHIPPED: 10
PRODUCT TOTAL 237.80
Purchase JUL 2011
Description TAXABLE AMOUNT 00
P.O. BY: GEN SALES TAX 00
Porgy
6u:.!
Line Deczcr
D PLEASE REMIT THIS AMOUNT BY 08/04/11 AMOUNT °237.80
Appi oval Date
Interest shall axmean all unpaid balances exceeding eslabrshed credit terms at a rate equal to the lesser of(a) b%'par month or Visit www.usfood.com for a fast and easy way to order.
(b) the maximum rate that the customer may laMulty contract to pay, and in ell Vents calwlated in accoordaroe with applicable law.
a CUSTOMERS SIGNATURE:
Z!/e� �b'uae,eeCC
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
Your partner be the plate' 90`56992" 016 751.8 7/05/11 0569575 �G 1054 0062 07 /05 /11
4400 DELIVERY ROUT 96 5 4 typ hl aM9' 5P; 25 i 11
BO CARMEL CLAY PARKS &RECREAT TOP CARMEL. CLAYwPARKS&RECREAT p U462 OODSERVICE, I NC.
1411 E. 116TH ST 1235 CENTRAL PARK DRIVE E
0088
CARMEL IN CARMEL IN
46032 46032 ,APOLIS IN
ATT. 317 843 387'3 008'8 Oat T' HE i it_ ,•�C'kMPT DE T ,'S 6 L�4
SHIPPED FROM: SHIP DATE:
FREIGHT TERMS: 12301 CUMBERLAND FISHERS IN SPECIAL 0 Page 01 of .01
PAYMENT TERMS: INSTRUCTIONS. CUSTOMER PICK UP
NET 30 DA"'S
QTY. QTY. SALES PRODUCT Of PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
FROZEN
2 0 CS 1715440 BEEF, PTY GRND 80720 4:1 RND 40/4 OZ CTLMN SLCT
**SUP 2 CS 1715059 BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLOT CS 30.5000 61.00
NK;SUB 0 CS 2762029 BEEF, PTY ORNO 80/20 4 :1 RIND 4074 OZ CTLMN SLOT
INVOICE'SUMMARY
F TOTAL ST SHIPPED: 20.00. PIECES ORDERED: 2 SHIPPED: 2
P
PRODUCT TOTAL 61.00
TAXABLE AMOUNT It :00
GEN SALES TAX X .00
PLEASE REMIT THIS AMOUNT BY 08704/11 AMOUNT 61.00
P or F
G.L. Q 7 l
Budget
Line uescr J 20 11
Purchaser Date
Approval Date
.Ini ea, shall alicrue on all unpaid balances exceeding established credit turns at a rate oduaLro the lesser ol(a)1!h %per manthm Visit WWW.USfood.Com for a fast and easy way to order.
(b) he maaimugt rate that the customer may lawtulty contract to pay. and in all events calculated in accordance with applicable law. X
C STOMERS SIGNATU
ACCOUNT :,INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
`NO. ISO DA NO. NUMBER. LOC. REP. ORDERED
9056992. ';0,193429 hQ -6/' 9 56957 5 Sc7c3 105$ 0762 07/05/11 Your partner beyond the plate.'
D f 1 R'�.('�i iVUM'AER 55143
J BILL CARMEL CLAY PARKS &RECFiEAT SHIP CARMEL CLAY PARKS&RECREAT RE N SERVICE INC.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL. PARK DR.IVE E T 0 8
CARIYIEL IN CARMEL IN
46032 6032 P L'I5 IN
17 843 3873 88
ATT. ICHELLE COMPTOhI EP T 00 2118
SHIPPED FROM:1'P301 CUMBERLAND R F.iSHERS IN SHIP OATE:O7 /06711 Page 01 of 01.
FREIGHT TERMS: SPECIAL ENTER OFF O F 1 1 2 EET ,1
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT -p PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
ORDERED SHIPPED UNIT NUMBER
E
DRY
2 2 CS 22 CQNe.s ICE' CRM�16AKE�F6T BOTH 28/45 EA JOY CONE CS 7:2.3704 144.74
PRODUCT CLASS #tI=CAP
TDTAL''€3I2Y FIEE$ ORDERED: 2 PIECES SKIPPED: 2 ITEMS SHIPPED: 1 144.74
INVOICE._ SUMMARY
FUEL SURCHA€t'GE
P,. .t -r.., .,,,...e�. ,a.f -.sv. rta,...;A:.7:::- r•- �t ^.:..wv�k�, re.. _.e..�¢,�. 1a.. ,a t;
'I PE 2 8.38 FLFCES ,I3f2DERED PIE ES' SHIPPED: ITEMS. SHIPPED:
�r
PRODUCT TOTAL :144''74
A" Pi ;der.a1 Occupati6n Safety T�t� ealth Standards. Section 1910.1200 on Hazard
>Communiq t;ion -re. wires man ac curers and distributors to
q pt.cividc Ma terial
Safety. Dada Sheets on non- fuQd'. '.Products defined -to be hazardous. Products PCHARGES 4 at
such as cleaning products and esticides are included i.nj the scoppe of the
*:'Standar'd In compliance with he law. MSOS are available to U, S. Foodservice
and Can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT .00
district 'office or b; advising your sales representative. GEN SALES TAX X 00
You may contact KEVIK BURTON at phone (371) 585, 6822.t
tE
�����rsr�tE�# near• �������t�tcst��sr�n. ��st���# ���cE# �st�aetF����nte��t���a���tt >�����t����a���,t�������
PLEASE REMIT THIS AMOUNT. -BY 08103111 AMOUNT 150.99
t
Purchase E 7T 7.
Description
P.O.# PorF•„
G.L._
JUL 1. 1 2011
Budget
Line Descr
BY: h
Purchaser Date
Approval
l ei
Interest shall awme on alfunpald balances exceeding established credit terms at a rate equal to the lesser of la)t Vs$. pet monlh Visit WWW.Ustood.com for a fast and easy Way to order. A
(b1 the maximum rate that the customer may lawfully contract to pay, and in all events caUlated in accordance wi applirable.lm++ x X v
CUSTOMERS SIGNATURE:
r
ACCOUNT INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
p NO.. NO. DAT NO.'. NUMBER Loc. REP. ORDERED
9056992 01 "'3930 _07 06/ 1 1 9 569575 1054 0062 07/05/11
Your partner heyond, the plate" a
t s UTE: 2173 1 ORDER NUMBER: 255301
BILL CAR.MEL 'CLAY PARKS&RECREAT h1 SHIP uARMEL. CLAY PARKS &RECREAT REMIT? U,. S. POODSERVICE, INC.
TO. 141,1 E 11 b H ST T O. 1235 CENTRAL PARK DRIVE E TO.
BOX 660088
ARMEL IN ARMEL IN
I 6032
46032 INDIANAPOLIS IN
I. 317 843 3673 46266 -0088
ATT. ICHELLE C'OMPTON DEPT 00 800 4''cEi 2118
i
SHIPPED FROM; 1230 Ci�l1F3ERLANI3 >FISHERS IN SHIP DATE: 07JOE] /11 Page 02 of C)2
j
FREIGHTTERMS: SPECIAL ENTER OFF. OF 111 'STREET
PAYMENT TERMS: ET 0 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT "p` PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT 'NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E.
#34 INVOI SUMMARY
-TOTAL WGT..SHIPPED: 725.78. PIECES ORDERED: 51 PIECES SHIPPED: 51 ITEMS SNIPPED: 14
�3t3f3E31s 3 F3F ���n������a����n�n ����t��# #�•��s��t���aa>:��€a�����r����r
edera Occtupation Safety and Heaath handards. Section 1910.1200 on Hazard w
PRODUCT TOTAL 1545.24.
Comioutication' manufacturE'rs'and distributors to provide Material
Safety Qata,Sheets on non- food'piQuIts defined to be. hazardous. Products
such as- cleAning products and esticide are included in the sco a of the
'In' compliance with he l :aw. MSDS are available.to.U. Foodservice
'tic Cult' e .:and'can be obtained by Gontacting' the Prbcurement .Manager: in our TAXABLE AMOUNT }0
Ostr.111 ff'ce or' b advising your sales represen?tative. GEM SALES TA X p(}
Y'ou a co W act KEVIN-BURTON a ''.phone (371) 585 6822.
#3F 3 H## #�k #tF�' 341!# #iEiEiF ###it3!•'.S•' 1431'######## #F�r# #iF #3Fir3l�'913F #3F #it 3F i3- #�Sr#3? -r r
P LEASE REMIT TlfiI-S AMi3l3!`!T BY 08/05!.11
6J e re
i h
f Purchase JUL 1 2Q 1
J Description GG D1 IS
P r F` BY
G.L. �OG5 1.. Q2SgC)
Budget
Lire Descr TLC L i
Purchaser Date t
Approval Date
mean snal8�meenalun, aebaen�aae��4adinnearowshaeGmict ,rateeqna lemBleaaetmle 11� m�,tnd Visit www.usfood.com for a fast and easy way to order..
N the maximum rate that the wstomer may la uliy convae iopan5P avants cahulafad in ecwrdence with eppNO.law 1 X
CUSTOMERS SIGNATURE:
a ocvt
ACC,OUN% F INVOICE. INVOICE CUSTOMER' PURCHASE ORDER' SALES SALES DATE
NO NO. DATE NO. NUMBER LOC. REP. ORDERED
v N yam 4 r
0
9056992+ 0f5►3930 07/06/ 1 1 90569575 1.054''- ,06 7/05/11
Your beyond the plate' t
d DELIVERY ROUTE: 2173 1 QRDER NUMBER 255301
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:,4, v
BOX 660088
CARMEL IN CARMEL IN
46032 6032 INDIANAPOLIS fiN
17 843 3873' 4b266--0088
ATT MICHELLE COMPTON EP #B 00 600 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD 'FISHERS `I N SHIP DATE:07 /06.'Y 1 1 Page 01 of .02
FREIGHTTERMS:NET 30 DAYS SPECIAL ENTER' OFF OF 111TH STREET!!
PAYMENT TERMS: INSTRUCTIONS:
QTY: QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
8 8-- CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 49.0000 392.00
2 2.! •,CS 4329397 KETCHUP, .TMTO SQZ FOIL SS SHLF500 /9'GR MONARCH CS 1,5.2900 O. SS
2 '2 CS 5329289 MUSTARD, YLW SS 5.5 GR SHLF 500/5.500 GR MONARCH CS 11.9600 ':•s. 23;'.92.
CS 7009988 SAUCE, CHILI DOG W/ BEEF 6/108 OZ CHEF MATE CS 66`. 4400 p 'b'6:, 44."
4 f, 4- CS, 9089079 POPCORN, RAW KIT U/ OIL SALT36 /8 OZ FANCY FARM CS 22.5700.... 90: 28
4 •4%" CS' 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 19.8800 `79
REFRIGERATED
0654269 HUMMUS, RSTD...RED PPR NONDARY 12/4.56 OZ SABRA CS 22.9000 22 90
r•.:. READY T0� AT Please Refer to Return •P olit 1.
T 1 1��C +l
S '0654301 HUMMUS, LC RSTD NONDAIRY REF 12/4.56 OZ. SABRA CS.. 22.9000' 22.90
REA 'a ,pp,,Y *.TO EA1� Please Refer. to Return Policy
2000453 .A�,.A CHIX CRMY REF 2/5 LB PIERCE B CS 39.0900 -39.09
T<EADY TO EAT Please Refer to Return Polic�r
1 i EA 4365219 CHEESE,`':AMER SLCD 135 SUPRCR 5 LB GLNVW FRMS B EA 18.5500 18.55
j rt
FROZEN
4 4- CS 1715069 BEEF, PTY RND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 122.00
8 8-' CS 2011278 PRETZEL, KING SOFT BK•D FZN 50/5 OZ SUPR PRTZL CS 28.8400 230.72
4 4 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 31.5100 126.04
1' <0
10 CS 3 n3 5j¢z�gG, AB 6: 6" RLR GRIL 10 LB PATUXENT CS 28.0300 280.30
-,qqt IJT -CLASS RECAP n
.TOTAL DRY/ ��C� r I �23cjQ `ORDERED; 21 PIECES SHIPPED: 21 ITEMS SHIPPED: 6 682.74
TOTAL- 1E RIGERATE¢ PIECES,ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED 4 103.44
TOT i( 1 &V PIECES. ORDERED; 26 PIECES SHIPPED: 26 ITEMS SHIPPED: 4 759.06
J1
Interest shatl accrue on all unpaid balances exceeding establishes credit terms at a rate epueGN a lesser of 1 %ver month o�
<Vls m it w for a fast and easy way to order.
(b) the maximum rate that the asiomer may lawfully contract to Pay, aM in all VOW atetl in accordance with. applicable law. A:r y y
CUSTOMERS SIGNATURE:
s yli. k/ e1p�r 7<rceelate?/acaciS'ccel,,uao..
_E4',. �k 'c_ x. '�:1 ._i. r.. is st ...__.b
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. NUMBER LOC. REP. ORDERED
805699 "_z 0243t3b 7 /06/1 1 0569575 1054 0062 07/06/11
Your partner'.l the plate' i
DELIVERY ROUTE: et 709 1 ORDER NUMBER: 256233
BOLL CARMEL CLAY PARKS &RECR.EAT CARMEL CLAY PARKS &RECREAT REMIT U.g FOOD ERVICE, INC.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
CARMEL IN CARMEL IN BOX bbOOE3
46032 46032 INDIANAP IS IN
317 843 3873 46266 -0 B
ATT. MICHELLE COMPTON DEPT 00 O0 4 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIPDATE: 07/06/11 Page 01 of 01
FREIGHT TERMS: SPECIAL CUSTOMFR W I LL P. x
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT 6' PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
FROZEN cg
2 2 CS 4690392. ICE CREAM CUP, ITTIBITZ COT I 24/5 OZ KELPS CS 27.1500 54.30
2 .2 CS 4690525 ICE CREAM CUP, ITTIBITZ CKSCR 24/5 OZ KEMPS CS. 25.7200 51.44
2 2. CS 4694519 ICE CREAM CUP, IT'BANA SPLT 24/5 OZ- VEMPS CS 27.1544 54.30
INVOItt SUMMARY._
TOTAL WOT SHIPPED:. 26.28 PIECES ORDERED: 6 PIECES SHIPPED: 6
PRODUCT TA 164.4
P CT TD- L 4
I ER
a r^
JUL l 2011
TAXABLE AMOUNT .04
GEfd SALES TAX
E
PLEASE REMIT THIS AMOUNT BY 08/45/11 AMOUNT E160.
Purchase
Description
P.O. P or F JUL 1 201
131, n.
x.4.
Budget
Line Dil
Purchaser pate
Approval Date
f
Intai shall coomeen all unpaid balances exceeding established credit tams at a rate equal tc the lesser of (a) I %per 7 or, Visit www.uslood.com for a fast. and easy Way to Order.
xim
(b) the maximum rate that the custww may lawtulty contract to pay, and in all events calculated in acomdanee with appldable 1 }r
r
CUSTO ERIS SIGNATURE:
�(/e1¢jb�rneCieete fsuai.�eta
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service,
h pr a per performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of
Payee Purchase Order No.
Terms
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
120.05
6/28/11 2916474 Concessions EN61-00 81.84
6/28/11 2916475 Concessions 54.10
7/1/11 91082 Concessions 07.34
7/1/11 91083 Concessions 42.78
7/5/11 167468 Concessions 37.80
7/5/11 167438 Concessions
7/5/11 167518 Concessions 150.99
7/6/11 193929 Concessions 28729 1,545.24
7/6/11 193930 Concessions 160.04
7/6/11 200622 Concessions Total 8,661.18
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
8,661.18
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
I hereby certify that the attached invoice(s), or
1095 -1 2916474 4239040 120.05 bill(s) is (are) true and correct and that the
1095 -1 2916475 4239040 781.84 materials or services itemized thereon for
1095 -1 91082 4239040 254.10 which charge is made were ordered and
1095 -1 91083 4239040 5,307.34 received except
1095 -1 167468 4239040 42.78..
1095 -1 167438 4239040 237.80
1095 -1 167518 4239040 61.00
1095 -1 193929 4239040 150.99
1095 -1 193930 4239040 1,545.24 26 -Jul 2011
1095 -1 200622 4239040 160.04
Signature
8,661.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund