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Home My WebLink About200664 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 2 ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 PO BOX 660086 CHECK AMOUNT: $28,499.79 p INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 200664 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 285.52 239092 1095 4239040 4,600.17 265433 1095 4239040 216.80 292661 1095 4239040 310.28 294991 1095 4239040 314.51 329154 1095 4239040 4,673.50 351366 1095 4239040 793.30 465871 1095 4239040 2,133.28 465872 1095 4239040 360.36 527813 1095 4239040 5,270.51 532833 1095 4239040 4,414.71 662198 1095 4239040 1,444.20 735344 1095 4239040 27.00 763962 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 2 of 2 ONE CIVIC SQUARE U S FOODSERVICE, INC )o CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $28,499.79 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 200664 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 39.20 862635 1095 4239040 2,809.80 862637 1096 4239039 806.65 2432426 r: ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE t, NO. NO. DA. NO. r NUMBER LOC. 'REP. ORDERED i 9056992 ,0862637 07%29/1i 90569575 1054 606)2 07/28/11 Your partner beyond the plate.' BELI1lERY_RDUT 52 91 f 5 ORDER NUMBER 275641 BILL ^ARMEL CLAY PARKS&RECREAT SHIP ARMEL CLAY PAiRKS&RECREAT REMIT U.S.. FOODSERVICF, INC. TO: 1411 E. 116TH-ST TO: 1235 .CENTRAL. ARK DRIVE E TO: ARMEL IN ;ARMEL BOX 660088 46032 46032 INDIANAPOLIS i IN OPT 7.843 3873. 46266 -OOBB ATT. tiICHELLE COMPTON 00 800 428 2118 t SHIPPERFROMA 230 1 CUMBERLAND RD FISHERS IN :SHIP DATE:07 /29/11 e 02 of 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 111T "-S-T'RMIE1 PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT ,7 WEIGHT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE FROZEN 5 5 CS 1715069 BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 8 5 6 6 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 28.8400 1 I CS 2277663 ICE CREAM BAR, REESS BUTR 24/4 OZ GOOD HUMOR CS, 19.3900 19.39. 6 6 CS 3041423 CORN DOG, AM CN FZN 48/4 1 OZ STATE FAIR CS 31.4900 114 3 3 CS 3330099 HOT DOG, AB 6 6" RLf� GRIL: 10 LB PATUXENT CS 28.9600 8b 8_T 4 4 CS 4690392 ICE. CREAM CUP, ITTIPITZ• :CQ'TN 24/5 OZ KEMPS CS 25.3200 i 8 8 CS 4690525 ICE CREAM CUP, ITTIBITZt CK &CR 24 /5.OZ KEMPS CS 25.3200 Zi l 2. S b 4 4 CS 4904603 ICE CREAM CUP, CKY DOUGH ITTIB24 /5 OZ KEMPS CS, 25.3200.. 1 6 b 'CS 5509708 PIZZA, CHS DEEP DISH 7" W/ BOX36 /'7 IN BOSCO`S CS'. 63.9700 s 3.82 2 2 CS 8187999 ICE CREAM BAR, CHOC TACO'S 4VNL OZ KLONDIKE CS 24.3:300. 48. i Cyr:r•: PRODUCT CLASS RECAP# s -•A TOTAL DRY PIECES ORDERED: 22 3A CES SHIPPED: 22 ITEMS SHIPPED: 15 757462 TOTAL,,REFRIGERATED PIECES ORDERED: 22''PtI CES SHIPPED:, 22 ITEMS SHIPPED: 12 593.83. TOTAL FROZEN PIECES ORDERED: 45 y'<.PIECES SHIPPED: 45 ITEMS. SNIPPED: 10 1488:35 INVOICE SUMMARY TOTAL, WGT SHIPPED: 1432.46 PIECES ORDERED.,, 8,9:: :PIECES SHIPPED 89 ITEMS SHIPPED: 37 J r i it## E# iE�iFiF3Eit# it• iFif## if# iF9Eit## iFiFif�iE## i4iF# ifit34 f��t��# ��a��e�� ',��c.�� r;,,�� PRODUCT TOTAL 2809.80R� Federal Occupation_Safety and Health Standards.. Section,, 1910.:1200 on Hazard Communication requires manufacturers and distributors td pro ide Material n Safety Data Sheets on non -food products defined to be haaardous. Products such as cleaning products and pesticides are included '.in theiocope of the ;f Standard. In compliance with,the.law. MSDS are available 4�v U.S.. Foodservice Inc. customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT 00 office or by advising your sales representative. r' GEN SALES TAX 00 Yotj 'may contact KEVIN BURTON, at phone (371) 585 6822. ��t��> �n��n��r��> �n��3r��n��n��+ ��ss•�dl��>��n�n�� Purchase d AS REMIT THIS .AMOUNT BY 08/28/11 AMOUNT 2809.80 ca 1�1 Description( AUG P.O. G r' O P or F AU -1 G.L. AUG 9 Interest shall a=epn al u eeding established aetlit terms ala rate equal Io thelasser et(a) t!h %per mon �/jgjt,ap ww- US tood.som for a fast and easy a to order. )b) the maximum rate the t 2rtltaYh u ty c� a rttn.pay M �n idabie I@iP.' y Y X Purchaser Date 60- USTOMERS SIGNATURE: 2(/er1 f�ualxeoa Approval_ Date f�eeueteZlourc i ACCOUNT iNVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE `9 NO:. NO. DATE NO, NUMBER LOC. REP. ORDERED 905699,r C?Bb2637 0l/29/19iS6957Sr iC54. 00 9056992 Your partner beyond the plate! V `mil �f' DELIVERY_ROUTE; 5291 5 VVV"" L l ORDER NUMBER E75841 BILL "ARMEL CLAY PARKS&RECREAT SHIP CARMEL CL.`AY PARKS&RECREAT REMIT U. S. FOODSERIJICE, INC.' TO: 1411 E. 1 16TH ST TO: 1235 CENTRAL PARK DRIVE E TO: wARMEL IN CARMEL IN BOX 660088 46032 46038 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT. 1ICHELLE COMPTON DEPT 00 800 428 21le, SHIPPED FROM:1 P-30 I CUMBERLAND RD FISHERS. I SHIP DATE: 07 /29111_ Pcig a 01 of 02, „FREIGHT TERMS:. SPECIAL ENTER OFF OF 111TH STREET PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: C QTY. QTY, SALES PRODUCT O PRICING UNIT EXTENDED D UNIT PRICE PRICE ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL WEIGHT x E DRY EA MONOGRAM CS 32.2900 3 CLIP SFLE 1 5:2.5 Z PLST.. 10/250 EA MONOGRAM B, CS' 374544 37_ ,1 CS 0764654 LID, .CUP 45_ 1 1 C8 079 CUP,,- FM 32 Z WHT 25/2.0 2 1 1 CS 2444325 GLQVE, POLY LO TXTD AMBDX 10 11.00 EA MONOGRAM 'R CS 35.5540 3 1 CS 3372315 BAQ,: T -SHIRT 12X7X23 POLY 1000. EA ROYAL PAPR CS 26.9600 6 6 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/147 OZ ORTEGA CS 49. otloo 1 1 CS 4329397 KETCHUP, TMTO SQZ FOIL SS SHLFSO(L ';9 GR MONARCH CS 15.1300 1 C8 5311600 CONE, 'ICE CRF CAKE 22S FLAT "36/ ,0� FA ,JOY CONE CS '37.3300 37. 7 1 1 CS, 5329289 MUSTARD, YLW SS 5.5 GR SHLF 544 5.500 GR MONARCH CS 11..960.0. 1 1 EA 5521919 PEPPER, ,ALP SLCD PLST SHLF -i EL PASADO B EA 8.3725 1 1 CS 5597604 CHIP, CHS CNCHY PLN SS BAG 1 `64/ OZ CHEF -TOS CS 29.8510 2'; 85 1 i CS 7009988 SAUCE, CHILI HOT DOG U/ BEEF 6/108, OZ CHEF MATE GS 65.4500" 6Y. 45 1 EA 8053126 ,CANDY: RES£S PNT BUTRti UP 36:1 £A_'4 REESE'S EA 25.9200 2 1• 1- CS 8355927 NAPKIN, DISPR IN'lD ld 1�T 6 sk1024 5.0 EA EASYhdAP C5 55. 1500 1 CS 9089079 POPCORN, RAW KIT 'W/ 01 ?SALT36 FANCY FARM CS 22.5700 X2.57 3 3 CS 9463688 CHIP, TORTLA CORN 'Y1 W RIND 6/21 LB EL PASADO CS 19.8800 y. a REFRIGERATED et 1 1 CS, 0654 69 HUMMUS,.RSTD RED PPR NONDARY ''?/4:56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer' to Return Pal 1 I CS 0654301 HUMMUS, GRLC RSTD NONDARY REP 42'/ #.•56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer o Return Polio 1 1 C5 2000453 SALAD, CHrX CRMY REF 2/ 1 PIERCE A B CS 38.1900 38,19 READY TO EAT Please {refer .to Re't u,rn Policy CS 3000452 SALAD, .TUNA ALBCR TFF REF 2/5 LB MERGE B GS 38.9000 Please Refer to Return Pol is .READY TO `EAT yy i 1. EA 4365'219 CHEESE, AMER SLCD .1.35 SUPRCR 5 l b GLNVW FRMS R EA 18.7700 1 1 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 1211' PT PRAIRIE FM CS, 11,2100 1 I -'1 1 1 CS 48001384 MILK, CHOC 1Y`LOW.FAT PLST REF12 /1 PT PRAIRIE FM CS 10.5400 10.54 6 6, CS 4884151 ICE,CREAM 'MIX, SOFT SRV VNL.4%2 /2.5 CAA PRAIRIE FM CS 33.7100 20 28 READY TO EAT Please Refer to' ROturn.Policy 1" 1 CS 5606556 BANANA, 'GRN FRESH REF ION LB: F'ACKER CS 7.7800 i 1 CS 5332242 LETTUCE, ICBRG SHRD 1/4 CIAD °4 /S °LB: CROSS VALY B CS 17.5500 i?r55 READY .TO: EAT Please Refer to Return Polic r, 1 i CS 7197775 YOGURT, ASST STRUBNA A RSPBRY '1:2/6 .OZ YOPLAIT CS 10. 1704 10.17 6 i u CS ICE MILK MIX, SOFT SRV 'CHgG 4.{2/2.5 GA PRAIRIE FM CS 32.1100' a. G` READY, TO EAT.- Please. €refer to RetUtn Poli.cV. Interest shall acme on all unpaid balances exceedm9 established credit terms et a rate equal to the le43er d(a):I -1%per month or. Visit WWW.USfOOd.GOm a•fast and easy way t0 order. (b) the maximum r;g that the customer may lawlully contract io pay, and in all events oalculated in aaordehce with applicable law. x �•I r ..t ;1 it h:^ ...t_ ,r Yt r i.i .10 T O �t S1 7�GKi2 s�i RuOtK£dd- c ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0862635 07/29/11 90569575 SPECIAL ORDER 1054 '0062 07/28/11 Your beyond the plate.' DELIVERY ROUTE:. 529 5 L ORDER NUMBER: 275775 BILL "ARMEL CLAY PARKS &RECREAT SHIP ARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERV ICE. INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: 'ARMEL BOX 660088 IN 'ARMEL IN 16032 46032 317 843 3873 INDIANAPOLIS IN ATT. 1ICHELLE COMPTON EPT 00 46266 -0088 800 428 2118 SHIPPED FROM:1 2301 CUMBERLAND RD FISHERS IN SHIP DATE: 07 /29!11 Page 01 of 01 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET! PAYMENTTERMS:NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED V' UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1 1 CS 8312571 SYRUP, FONTN RSP BLU 5:1 PLST 4/1 GA LYONS MAG CS 39.2000 39.20 PRODUCT CLASS RECAP,# r' TOTAL DRY PIECES ORDERED: t1 PIECES SHIPPED:. 1 ITEMS SHIPRED: 1 39.20 INVOICE SUMMARY. n TOTAL WGT SHIPPED: 42.80 PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED 1 ��a��c��•�a��st• Paz' Est' �•>s# e��a��st��, ��t��n�� #��e��e��st PRODUCT .TOTAL 8 39.20 Federal_ Occupation Safety and Health Standards. Section 19`4:1200 on Hazard Communication requires manufacturers and distributors to pro ide Material Safety;, :Data Sheets on non -fold products defined to be hazardous. Products such et cleaning products and ..pesticides are included in the"scope of the Standard. In compliance with the law. MSDS are available to U.S. Foodser°vice Inc. and can be obtained by contacti.ng the Procurement Manager an.our n TAXABLE AMOUNT` .00. district office or by advising your sales representa.ti,ve. 1 GEN SALES TAX X. r: 00 ;f You. ma';J contact KEVIN BURTON at phone (:371) 585 6822. a ��n��st• �n��n�n��n��# n• �n��•> ��n��a�• ��st�t� 3F��n�n•zE��t�a�n�r�St PLEASE REbIT THIS AMOUNT BY 08/28/11 AMOUNT 39.20 W o II AUG 0.11011 r Interest shall accrue on all unpaid balan%e xceeding established credit terms at a rate equal to the lesser of(a) 1 1h% per month or Visit www.usfood.Com for fast and easy way to order. (b) the maximum rate that the customer may lawfully contract to pay, and in all events calculated in a=rdance with applicable law. X j C STOMERS SIGNATURE: i Grt. r t •r:. i�` i :1 Zf/e1��r�r?eelate Zleun i�ualeesd. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED ::!%your partner beyond the plate.' 90569922 0763962 07/26/11 90569575 r q 1054 0062 07/26/11 l �3 DELIVERY ROUTE: y c D NUMBE 74S BILL SHIP REMIT TO: CARMEL CLAY PARKS &RIECREAT TO: CARMEL CLAY PARKS &RECREAT TO: U.S. FOODSERVICE; INC. 1411 E. 116TH ST 1235 CENTRAL PARK DRIVE E CARMEL IN CARMEL IN BOX 660089 46032 46032 INDIANAPOLIS IN ATT. 317 843 3873 46266 -0088 MTrHFI I F rnMPTnI} n T it 00 ROO 4PR 211118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 07/26/11 Page 01 of 01 FREIGHT TERMS: SPECIAL PAGE WILL PICK UP PAYMENT TERMS: NET 3 0 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PR PRICE DRY 1 1 CS 7328024 DRINK MIX, FRT PNCH 2 GAL YLD 12/24 OZ THIRSTER CS 27.0000 27.00 INVOICE SUMMARY. TOTAL WGT SHIPPED: 18.00 PIECES ORDERED: 1 PIECES SHIPPED: 1 PRODUCT TOTAL 27.00 i TAXABLE AMOUNT .00 GEM SALES TAX Y. .00 PLEASE REMIT THIS AMOUNT BY 08/25/11 AMOUNT 27.00 a. Purchase Description l V[� -e[ P.O. p P or F ��.�c Budget Line Descr Ee Purchaser Date Approval Dato Interest shall a arue on e0 unpaid balances exceeding established crediUerms at a rate equal to the lesser ol(a)t %per month or Visit www.usfood.com for a fast and easy way to order. the maximum rate that the customer may Iawluly contract to pay, and in all events calculated in accordance with applicable law. x CUSTOMERS SIGNATURE: ACCOUNT INVOICE INVOICE"•: ''CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE 'NO. NUMBER LOC. REP. ORDERED 90569922 0735344 /26/11 90569575 1054 0062 07/25%11 Your partner beyond the plate.' DEL, "ERY ROUTE: 2251 4 ORDER NUMB 272266 R BILL CARMEL CLAD PARKS <RECREAT SHIP ;,ARI'1EL CLAY PARKSR:RECREAT REMIT U.S. FOODSERVICE, INC. I TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: ;,ARMEL IN :,ARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT. `9ICHELLE COMPTON DEPT 00 11300 428 2118 SHIPPEDFROM:12301 CUMBERLAND RD FISHERS IN SHIPDATE:07 /26/11 Page 02 of 02 .FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET! PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT O PRICING UNIT EXTENDED 'ORDERED SHIPPED UNIT.- NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE TOTAL FROZEN PIECES ORDERED: 25 PIECES SHIPPED: 25 ITEMS SHIPPED: 8 689..25: I INVOICE SUMMARY# ;a FUEL SURCHARGE 6.25• TOTAL WGT'•SHIPPED: 648.91 PIECES ORDERED: 47 PIECES SHIPPED: 47 ITEMS SHIPPED: 23` F E��# s�# ��n�# ��t�## xa�# sr�r��r� #��r #��s�n #��s��t� �t> k��# ��t��a�n��t� #�•��r #�ts•� PRODUCT TOTAL 1437.95 Federal.Occupation and Health Standards. Section 1910.1200 on Hazard ,Communication requires manufacturers and distributors to provide Material M1 *-Safety Data Sheets on n•on -food products defined to be hazardous. Products CHARGES 6.25' such as cleaning products and pesticides are included in the scope of the -4 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 b.yy advising your sales representative. GEN SALES TAX .00 You may contact KEVIiV BURTON at phone 0 (371) 585 6822. #it t##! F## 94#### #iFih #4F #iF #if #iF #3E 9F# iF# 3F• Jt### iE• tt## it# iE# �F ##iE#if ##iE #i4 #9Q# PLEASE REMIT THIS AMOUNT BY 08/25/11 AMOUNT 1444.20 Purchase Description P.O. S l7 fi P"r G.L. O G?'! r ne-D Li n ne Descr �I Purchaser Date AUG U x .2011 L APProval Date_ Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)vh per momh or Visit www.usfood.com for a fast and easy way to order. (b) the maximum rate that the custom ma er y lawfully contract to pay, and in all events calculated in accordance with applicable law. X e CUSTOMERS SIGNATURE: ?(/e�/i�reeiate Zloua S"rtataeaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER V SALES'. SALES DATE l NO. NO. DATE NO. NUMBER LOC.. ':•REP. ORDERED 90569922 0735344 07126/11 90569575 N -3 1054 04,62 07/25/ 1 1 Your partner beyond the plate' jv' C tr DELIVERY ROUTE: 225 4 ORDER NUh E F72 _bb BILL ARMEL CLAY PARKS &RECREAT SHIP ARMEL. CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: ARMEL IN.ARMEL IN BOX 660088 46032 46032 317 843 3873 INDIANAPOLIS IN ATT. `1I CHELLE COMPTON DEPT 00 462b6 -0088 800 428 2118 SHIPPEDFROM:12301 CUMBERLAND RD FISHERS IN SHIP DATE: 07 Page 01 of 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH ,STR I I I PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: CITY. ~I QTY. SALES PRODUCT p 'PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE D`RY ?i 1�CS 0332726 DRINK MIX, FRT PNCH PWDR OTG 4/30 EA CRYSTAL LT CS 39.9700 9_ 1 1' CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 32.2900 1 1 CS 0814541 CUP, FM 20 Z WHT 25,1. O EA MONOGRAM CS 20.3200 m ;7 1 I CS 3256104 LID, CUP 12 -24 Z BBL PLST 1000 EA WINCUP CS 16:1000 16.1 6 6 426023$ SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 49.0000 2 i 1 CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS 37 "'3300 37.33 1 1 CS 6818819 TRAY, PAPR FOOD 5 L CLAY 2/250 EA MONOGRAM CS 46.1500 1 I CS.. 8907156 FORK, MW WHT POLYP BULK PLST 1000 EA MONOGRAM CS 14.9000 i 1 1 CS, 9954371 LID, CUP Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 25.1000 25 REFRIGERATED 1 1 CS 0654269 HUMMUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA GS 22.9000.. READY TO EAT Please Refer to Return Policyy 1 CS '0654301 HUMMUS, GRLC RSTD NONDARY REF 12/4.56 OZ SABRA CS 22.,9040 22.90 READY TO EAT Please Re' fer to Return Polio1 1 I c'` CS 2000453 SALAD, CHIX CRMY REF 2/5 LB PIERCE B CS 39 0900. 39 .9- READY TO EAT Please Refer to Return Polio f j� 1 I EA 4365219 CHEESE, AMER SLCD 135 SUPRCR 5 LB 6LNVW FRMS B EA 18:7700 1s 3 3 CS 4684151 ICE: CREAM MIX, SOFT SRV VNL 4%2/2:5 GA PRAIRIE FM CS 33.7100 READY TO EAT Please Refer to Return Policyy 1 1� CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB CROSS'VALY B CS 17.51300 17.55 READY TO EAT Please Refer to Return. Policy FROZEN 4 4 CS 1715069 BEEF, PTY GRND 75/2'5 4_1_ RND 40/4 OZ CTLMN SLCT4 CS 30.5000 8 E3� CS 2011278 PRETZEL, KING I9W8`FZN d f 50/5 0"L SUPR PRTZL CS 28. $400 30 1 1 CS .2 -014652 MUFFIN, BLBRY 24/4 OZ SARA LEE CS 19.9800 8.. 4 4 CS 3330099 HOT DOG, AB 6:1 6e' RLR GRIL 10 LB PATUXENT CS 28.9600 i1S 1 CS 3335825 SAUSAGE, ITLN MILD CFBL PORK 2/5 LB ROSELI CS 30.3600 30.3 3 3 CS 4690525 ICE CREAM CUP, ITTIBITZ CK &CR 24/5 OZ KEMPS CS 25.3200 75 3 3 'CS 4904603 ICE: CREAM CUP, CKY DOUGH ITTIB24 /5 OZ KEMPS CS 25.3200 5 R 1 1 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6/1.65 OZ POPSICLE CS 18,4300 r q3 PRODUCT CLASS RECAP TOTAL PIECES ORDERED: 14 PIECES SHIPPED:. 14 'ITE:MS SHIPPED: 91 526.36 TOTAL REFRIGERATED PIECES ORDERED: 8 PIECES'SHIPPED: 8 ITEMS SHIPPED: 6'w 222.34 1 lraeastaha llac« ueonanunpaldbalancesaceedigestab[ ished« edil arms at aral8equaltothelesse rof(a)1.'h %p«monthar Visit www.usfood.Com for a fast and easy way to order. (b) the maximum rate that the customer may lawfully contra« to pay, end In all events calculated in accordance with applicable law. J( USTOMERS SIGNATURE: f .y 1. k �r 1 I i ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER 1 SALES SALES DATE I NO. DATE NO. NUMBER kin`LOC.� REP. ORDERED 9056992 066219 /22/11' 69575 1654 0062 07/ 21/14 Your partner beyond the plate! ELIVERY ROUTE BILL 'ARMEL CLAY PARKS&RECREAT SHIP REMIT ARMEL CLAY PARKS &RECREAT �'�j� 00DSERV INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E T r 'ARMEL IN ",ARMEL IN BOX .660088 16032 36032 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT. MICHELLE COMPTON PT it n SHIPPED 1ROM:1 230 1 CUMBERLAND RD FISHERS r:: I N SHIP DATE: 07 22 11 `T Page 03 of '03 FREIGHT TERMS: SPECIAL ENTER OFF OF 1 I PAYMENTTERMS:NET. 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER r�.. D UNIT PRICE PRICE E INVOICE SUMMARY TOTAL WOT SHIPPED: 1973.95 PIECES ORDERED: 158.y PIECES SHIPPED: 138 ITEMS SHIPPED: 55 zF�• �r��• ��r�# �st��n��n��# ��a��t� •�•n��t��3E��t��f�• 4i° PRODUCT TOTAL 4414.71 Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard Communication requires-manufacturers distributors to provide Material Safety Data Sheets on non —food products defined to be hazardous. Products y such as cleaning products and esticides are included in the scope of the Standard. In compliance with Ue 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 X 04 You may contact KEVIN BURTON- at phone #,(371) 585 6822. V. n��# �n# s��e# ��s n�sr• 1F�n•> ss ��a��st• ��s��• �t�s�# �s��n�c� •>~��a� #n #��s��n D E. EMIT THIS AMOUNT BY 08/21/11 AMOUNT 4414.71 AUG p 1 fi j,�� Purchase Description P.O.# PorF l B udg e t D Li Line escr &D Purchaser Date Da s'1 Approval to Interest shall accrue on all unpaid ba1K4 exce set ar tSo surd nth or Visit www.usfood.com for a fast�and easy way to order. (b) the maximum rate that the customer may lawtully contract to pay, and in atl events wtcuiated in acoordance wM applicable law. X U OMER SIGNA_ }URE: Zf/e'f1�te Zl°ua 8'iiaGceaa ACCOUNT INVOICE INVOICE '4 CUSTOMER PURCHASE ORDER SALES SALES DATE k NO.. NO _DATE NO. NUMBER LOC. REP. ORDERED r 9056992 766219 O t /22/ 1 1903 69575 1054 00E,2 07/21/11 Your partner beyond the plate.' I DELIVERY ROUTE: 5283 4 R t )M ofK RR BILL a SHIP REMIT ARMEL CLAY PARKS&RECREAT "ARMEL CLAY PARKSBcRECREAT TO FOODSERVIC INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E i ARMEL IN ARMEL IN BOX 660088 46032 46032 r;�. INDIANAPOLIS IN ATT. 1ICHELLE COMPTON DEPTS #300873 80066PR00811R SHIPPEDFROM:12 CUMBERLAND. RD FISHERS IN SHIP DATE: 07 /22/11 Page 02 of 03- FREIGHT TERMS: SPECIAL ENTER OFF OF 111 TH� STREET PAYMENTTERMS:NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE, PRICE READY TO EAT Please Refer to Return Polic 1 CS 5006556 BANANA, GRN FRESH REF `10 LB kCKER CS 7.7800 7.78 1 1 CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB CROSS VALY B CS 17.5600 1771 READY TO EAT Please Refer to Return Policyy 1 CS 7197775 YOGURT, ASST STRWBNA RSPBRY 12/6 OZ YOPLAIT GS 10.1700 ,3 8 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4X2/2.5 GA PRAIRIE FM CS 34.8300 278.64 READY TO EAT Please Refer to Return Policy FROZEN 2 CS 1157387 ICE CREAM BAR, DREAM STICK VNL2/24/3 OZ BLUE BUNNY CS 15.9100 5 CS 1715069 BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 TS 8 CS 2011278 PRETZEL, KING BKD FZN 50/5 07. SUPR PRTZL _CS 28.8400 ZJO 3 CS 2260099 ICE CREAM SANDWICH, CKY CRM 24/4.5 AZ BLUE BUNNY CS 17.8700 '33. 3. 3 CS 2277663 ICE CREAM BAR, REESS PNT BUTR 24/4 OZ GOOD HUMOR CS 19.3900 4 4 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 31.4900 1 10 CS 3330099 HOT DOG, AB 6:1 6" RLR GRIL 10 LB PATUXENT CS 28.9500 2cj 8 8 CS 4690392 ICE CREAM CUP, ITTIBITZ'iCOTN- 24/5 OZ KEMPS GS 25 3200 fl 2 �3 CS 4P49 ICE CREAM CUP, ITTIBITZ CK&CR:24 /5 OZ KEMPS CS 25.3200 .56 `b 6 CS 4#;'9 8519 ICE CREAM CUP, IT -BANA{ SPLTr t'- /5 OZ KEMPS CS 25. 3200 1. 6 CS 4904603 ICE CRAM CUP, CKY 'DOUGH,IT nIR2 /5 "OZ KEMPS CS 25.3200 �5- 5 CS 5218862 ICE CREAM S ANDWICH, VNL'`' OZ BLUE BUNNY CS- 15.7604 4 CS 5509708 PIZZA, CHS DEEP DISH 7" L17;�B_ /7 IN BOSCD'S CS 67.3900 2,b 3 3 CS 5741178 BUN,. HMBGR PLN 4 SI,_CD(I L f;. Q/12 EA HILLTOP HR CS 23.6300 7 4 CS 5 "!41228 BUN, HOT DOG P N"ISLCD 2/12 EA HILLTOP HR CS 29.8704 -rT� 1 CS 6153027 BROWNIE, CHOCj7:�5 Z UNSL BKD 48/2.5 OZ OREO 43.6800 •4 4 CS 7175.128 ICE CREAM CONE, VNL TFF 2/12/4.6 OZ BB .CHAMP 18.8400 73_2 u/ 6 CS $1.$7999 ICE CREAM BAR, CHOC TACO 'V�1L24/4 OZ KLOtdD'IKE,,)'��(�� CS -98 145 1 CS 9763061 POPSICLE, ORNG CHRY GRAP 65 OZ FOPSIC�5 CS 18.4300 113 FPODUGT GL� tSE&AF'# Z �bD oI Y ,l TOTAL DRY PIECES ORDERED: 44 PIECES SHIPPED: 44 IT��►SHIPPED: 27 1262.06 TOTAL REFRIGERATED PIECES ORDERED: 23 PIECES SHIPPED: 23 ITEMS SHIPPED: 9 679.23 TOTAL FROZEN PIECES ORDERED: 91 PIECES SHIPPED: 91 ITEMS SHIPPED: 19 2473.42 Interest shall argue on ell unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)I. %per month or Visit www.usfood.com for a fast and easy way to order. X (b) the maximum rate that the Customer may lawfully contract to pay, and In all events calculated in accordance with applicable law. CUSTOMERS SIGNATURE: a9 I .t �Zl/efll,�cec�ate SuaC,reaa. f r ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES NO. N 0, DATE 3 NO. NUMBER LOC. REP. 90569922 11 90569575 l 1054 00£yz )Your partner beyond the plate.' DELIVERY ROUTE: 5281 4 Alllmn1= z REMIT BILL ARMEL CLAY PARKS�iRECREAT 31iIPy .ARMEL. CLAY PARKS &RECREAT U� FOODSERVIC' �n. To: l41 1 E E. 116TH ST TO 235 CENTRAL_ PARK DRIVE E To: 'ARMEL IN .ARMEL IN /r BOX 660088. 4.6032 16032 INDIANAPOLIS I N 317 843 3873. 46266 -0088 ATT. 1 1ICHELLE COMPTON DEPT 00 ROO aaa -Pffm t•, SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN sHIPDATE /22/11 '/Page 01 'o f 03 FREIGHT TERMS: j ENTER OF F OF 111TH-- STf;tEET. I PAYMENTTERMS:NET' 30 -DAYS INSTRUCTIONS QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE r t DRY i CS 0332726 DRTANEV IX. F T PNCH PWD O T G 4/30 EA CRYSTAL LT CS 39.9700 3 7 R 2 CS 0814236 CUP n 13 Z W. 20/25 EA MONOGRAM CS 16.9900 f 1 CS 08. 1.4541 CUP, FM 20r Z WHT f 25/20 EA MONOGRAM CS 20..5200 1 CS 1287747 SNACK -BAR, CRL' ASST IW SS 3/16/1.3 OZ KELLOGG'S CS 27. 1300 17 2 CS '2404325 GLOVE, P I Y I r, TXTD :AMBDX 10/100 EA, MONOGRAM B -CS 35.5500 71. 1_0_ 1 CS 3256104 LID, CUP 2 -24 Zi BBL PLST 1000 EA WINCUP CS 16.1000 iA;:_M l 1. CS 4238291 DRINK MIX, BLU- RSP'LMN ISL.i 15/21.1 OZ KOOL•AID CS 47.8800 47 CS 4260238 SAUC .._rC.HS__,MACK�`iHLF STABL 4/107 OZ ORTEGA CS 49.0000 -'x.00 1 CS 4329397 _RM_P _T TO SRZ FOIL SS SHLF500 /9 OR MONARCH CS 15.2900 9 1 CS 5311600 CONE, ICE CRM CAKE 2?�,S FLAT 36f20 EQ JOY CONE CS 37:3300 37. 3 1 CS 5329289 MUSTARD, YLW SS- 5a ff SHLF 500 /5.500•GR MONARCH CS 11.9600 1 EA 55219.19 PEPPER, JLF�PLST SHLF 1 GA EL PASADO R EA 11.3400 1. CS 5585476 CHIP, PTAT D ORIG`GLTN /FR 64/1.125 OZ BAKED LAYS CS 28.5500 R I O 2 CS 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 28.5500 2 2 CS 5597968 CHIP, CORM ORIG. TFF S__� R A'G 64/2 OZ FRiITOS ._-CS 28.5500' 2 CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.5 OZ LAY'S CS 28.5500 1 CS 5601927 CHIP, PTATO KTL JL f' _fig BAG 64/1. 375 OZ MISS VICKI CS 29.8504 1 CS 5601943 CHIP, PTATO KTL W S 6'4/1 °'375 OZ MISS VICKI CS 29.8500 1 CS, 5605431 CHIP, MULTGRN GRDN SALSA SS \A64' 1.5 OZ SUN CHIPS CS 28.9600 r_B_`,�5 y 1 GS' 5605472 CHIP, MULTGRN CNEDR SS BAG Er'dfi.5 OZ SUN CHIPS. CS 28.9600 i'2;18 g� ✓1 1 EA 6210777. CANDY, KIT KAT VNDG STQ ;,1:5 7, EA KIT KAT EA .25.9400 94 1 CS 6260665 COOKIE, FUDGE STRPEIMINI -60/2 OZ KEEBLER CS 22.1900 f 1 CS 6329213 RELISH,. SWT S8; -SHLF TABL 200/9 OR MONARCH. CS 13.3600 V3_3 6 2 CS .6820039 TRAY, PL YST CLR4 /125 EA PACTIV �jCS 79.5600 159"T� ✓1 1. CS 7009988 RAl lrc C i H 0 G!/ BEEF bJ10$ OZ CHEF M E$ S CS, 66. 4400 00 2 CS 8907222 s F��P1W rI► r u YP BULK 1400 EA MONQGR 140700 14 S c/10 10 CS 9463688 C PK, ORTLA CORK! YLW RND 6/2 LB EL PA SAID �+fY y Z3 U L S 19. 8800 198. 0 r y FEE IGERATED 1 CS 065426$ HUMUS, RSTD RED P'PR NONDARY 12/4.56 OZ SABRA ,CS 22.9000 22.90 READY TO EAT Please Refer �'Return Policy ✓1 1 CS 0654301 HUMMUS, GRLC RSTD NONDARY REF 12/4.56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer to Return Policy 1 CS 2000453 SALAD, CRIX CRMY REF 2/5 LB PIERCE B• 'CS 39.0900 39.09 READY TO EAT Please Refer to Return Policy 1 CS 48 0884 MILK, CHOC 1% LOW FAT PLST'REF12 /1 PT PRAIRIE FM CS 10.5100 14.51 8 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4X2/2.5 GA PRAIRIE FM CS 33.7100 96 Interest shall accruem ell unpaid balances exceeding estaWishedcreditterms at a rate equal to Nelesser of(a)d!h4Gpermonthor 1 Visit www .usfood.com fora fast and easy way to order. (b) the maximum rate that the customer may laxluny contract to pay, and in an events calcglalatl`In a nce wah appl)cable law, 1 X C e SIGNATU R E: ry SALES SALES DATE 'ACCOUNT INVOICE INVOICE CUSTb'MER PURCHASE ORDER 1 NO NO DATE NO, NUMBER LOC. REP. ORDERED 90.66c 922 05321333..:07/19/11 90564575 1054 0062 07/18/11 Your partner beyond the plate' DELIVERY ROUTE: C 3 ORDER NUMBER: e66523 BILL "ARMEL CLAY P14 KS&RECREAT SHIP "ARMEL CLAY 'OARKS &RECREAT REMIT. U. S., .FoobSERVICE, INC. TO: 1411 E. 116TH ST TO 1235 CENTRAL :;.PARK DRIVE; E TO: :AR h( MEL I N .ARMEL I BOX 66408@ 46032 1603e I ND I ANAP OL I'S IN 17 843 3873 46266 °0088: ATT. 11CHELLE Ci3C'IPT:Oi�I EPT 00 1800 428 2118. Y SHIPPEDFROM:12 CUMBERLAND .RD FISHERS Iii! r s NIPDATE:07 /19/11 Page 03 .o 03 FREIG}irTERM SPECIAL ENTER OF'F' OF 111TH STREET!-! PAYMENT TERMSPE 30 DAYS INSTRUCTIONS: QTY QTY: SALES PRODUCT 0 PRICING UNIT. EXTENDED DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE ORDERED SHIPPED UNIT NUMBER E .PRODUCT CLAW RECAP TOT AL'DRY- PIECES ORDERED: 73 PIECES SHIPPED: 76 ITEMS SHIPPED: 37 25.07.46 TOTAL, REFRIGERATED PIECES ORDERED: 9 P.IEEES SHIPPED: 9 ITEMS SHIPPED: 9 210.92 TOTAL FROZEN PIECES ORDERED: 85 PIECES SNIPPED: 85 ITEMS SHIPPED: 17 2552.13 _INVOICE SUMMARY TOTAL WeT SHIPPED: 1848.50 PIECES ORDERED: 157 PIECES .SHIPPEI?: J64 ITEMS SHIPPED: 63 ��t��r# ��r�. aSr€ ��n��t� �t��a��a��r>, �a��; a• ��n��€ �a��r��e�� •��•ar�t��aS•��a��. PRODUCT TOTAL Federal 'Occupation Safety and Heal'th Standards. Section 19,10. 1200 on Hazard Com€uunication requires'maoufacturers and distributors to' provide .i9aterial iE Safety+ Data Sheets•, n nohw -food: products defined to be. hazardous: Products such as .:cleaning .pr'6duct'' e.stic'ldes are included in the appe of the Standard. In.complxance: the law. MSDS are available to Foodservice re Inc. 1 customers and Cair'� obtained ,bV contacting the Procurement Manager r TAXABLE AMOUNT 00 distr'A t office or byy,"Advisin•g. sales representative. GEM SALES TAX. Y _04 a You may: contact KEVI ,RURTDN- at phone. 8# (371) 585 .6022. ��arst• ��at�m�• o��: st:## ��u��e��• n��•s Fnsrns��• ��a�� .��•��s� #�+r��• PLEASE kEH :THIS AMOUNT BY 08/18/11 AMOUNT 'b 5270 :51 Purchase Description P.O. Bud et U'le Descr A UG Q :Z 2011 Purchaser Date, Approval a a Date mta� 5nauactie�u ��eaw ain�enaar :neaeat�nasa arale�eal�,mel�erartal! month or Visit www.usfood.com for a fast.and easy way to order. f (bl tba maximum rate met the cusp mer maY lawlulty contract to pay acid in all ¢vents calWlated in accordance with applicable law. i' CUSTOMERS SIGNATURE: �eecate S' ZUefl 'llaw� uauuaa ACCOUNT INVOICE' INVOICE CUSTOMER PURCHASE ORDER SALES. SALES DATE NO. gip,: DATE NO. NUMBER 16c REP. ORDERED 50569922 0532833. .07419/11 99569.575 1454 0062 07/18/11 Your partner beYOnd the plate DELIVERY ROUTE: 22 11 ORDER NUMB 2 66523 BILL: `ARMEL L LAY PARK`S IiECREA f SHIP "ARMEL CLAY PARKS&RECREAT REMIT U FQODSERVICE, INC. TO: 141; 1 E. 116TH," T TQ 1235 CENTRAL PARK DRIVE E TO: ;ARMEL 4 IN rARMEL IN BOX 660C)88 1 6032 16032 I ND I ANAP'oL I S IN 317 843 3873 46266 --0088 ATT. 11CHELL.E COMPTON ;)EPT Q0 800._428.2118 SHIPPED FROMA 2 301 C UMBERL I�tD E�BL3 FISHERS IN SHIP DATE:07 1 9 11 z d` <Rc�.9 Q (J l� O3 FREIGHT TERMS: t SPECIAL ENTER OFF OF 1 STRE ET 1 1 NET 30 DAYS, a,:, PAYMENT TERMS: INSTRUCTIONS:' QTY. QTY. SALES 'PRODUCT O PRICING UNIT. EXTENDED ORDERED SHIPPED UNIT .,NUMBER DESCRIPTION PACK SIZE LABEL D ^WEIGHT UNIT PRICE PRICE E. au V Gb Y46, UHIP, TURT CURN YL.W RND 6/2 LB EL PASADO CS 17.8800 198. 80 REFRIGERATED 1 1 CS 0654269 HUMMUS, RSTD RED PPR NONDARY 1214.56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer "to Return Frolic 1 I CS 065430I.. HUMMUS, GRLC RSTD NONDARY REF 12/4.56. 9ABRA C� 22.9000 22.90 READY TO EAT Please Refer to Return Pelic� i 1 CS 20004 ",SALAD, CHI?: CRMY REF 2 /5 Fs' IERCE B CS 39.0900 39.49 READY TO EAT .Please Refer'to.Return Pol ityr 1 1 CS 3000452 SALAD, TUNA PREPD REP` 2/5 LB ILGRh PRD B CS. 39,3500 39.35 READY TO EAT Please Refer .to' Return Polic 1 it CS 3331337 APPLE, RED DLC 88 CT XFCY 88. .EA CROSS VALY CS 35.9.700 35.97 1 1 EA' 43'65219 CHEESE, AMER SLCD'135 SUPRCR 5_40 GLNVW FRMS B EA 18.6400 18.69 1 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 12V! .PT PRAIRIE FM CS 11.3400 11.34 1 1 CS 4800884 'MILE{, CHOC 1% LOW FAT PLST PEF12 /I..PT PRAIRIE FM CS 10.510!3' 10:51 1. .1 CS 7197775 YOGURT, ASST• STRUBNA A RSPBRY 12/6': OZ YOPLAIT CS 10.1700 10.17 FROZEN 3 3 CS 1715069 BEEF, PTY GRND 75/25 4:1 RND 40 /4.,OZ CTLMN.SLCT CS .30.5000 91.50 12 12 CS 2011278.' PRETZEL, KING SOFT:_BKD FZN 50 /!'.Oz SUPR PRTZL CS 28.8400 346.08 1 I. CS 2014652 MUFFIN, BLBRY 'IW 24/ OZ SARA LEE CS 19.9800. 19.98 2 2 CS 2260099 ICE SANDWICH, CKY A CRM 24/4.5 OZ BLUE BUNNY CS. 17,8700 35.74 1 1 CS 2318548 -BAGEL, PLN 3 Z THAW SRiV FZN Try •13Z SARA LEE CS 32.8104 32.81 6 6 CS 3041423 .CORN DOG, AN CM FZN 4f! STATE FAIR CS 31.4900 198.94 10 10 CS 3330.099 ''HOT DOG, AB 6:1 6" RLR GRIL 10 LB PATUXENT CS 28.9500 289:50 1 1 CS 4058707 MUFFIN, BANG NUT 'IU FZN 24Z -4: OZ SPUNKMEYER CS 24.3300 24.33 8.': 8 CS 41,90392 ICE CREAM CUP, ITTIBITZ COTN 24/5i ,0Z KEMPS CS 25.3200 202.56 8 8 CS 4690525 ICE-CREAM CUP, ITTIBITZ CK&CR' 24/5"OZ KEMPS CS 25.3200 202.56 8 8 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5- OZ KEMPS CS 25.3200 202.56 e 8 CS 4904603" ICE CREAM CUP, CKY DOUGH ITTIB24f5 OZ KEMPS CS 25.3200" 202,56 7. 7•, CS 5509708 PIZZA, CHS DEEP DISH 7" W/ BOX36/7`3N BOSCO'S .ICS 67.390Q: 471:73 2• 2 CS 57411.78 BUN. HMBGR PLN 4'" SLCD 10/1;=2 EA HILLTOP HR "CS 23.6300 47.26 4 4 CS 57841228 BUN, HOT DOCK �l N gL SLCD '12 2 EA HILLTOP HR CS 29.8700 119.48 2 2., CS 71.751'28 ICE: CREAM T /12/4. 6 OZ BB CHAMP CS 18. 8400 37.68 •.2 -2 CS 9763061 POPSICLE, ORNG C Y 91 f 01611. 65 OZ POPSICLE CS 1$.43013 36.96 Interest shall accrue w all unpaid balances exceeding established uedit [enns el a rate aqua! to Ma lesser of 6 W :per T x gt s od.com for a fast and easy way to order. (b) Me makimum ra191hat rhB CBaldmBr may lawfully COnUeCI IB pay, and in ell ar Bala C81CBI81ed in flCSardanCe WA B la I X IJSTQMERS ff I C SIGNATURE: ZUesi:/rneeluteltaue ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE t- NO.. NO: DATE NO. NUMBER LOC. REP. ORDERED 90569922. 0532833. P7/ 19 /1 1 90569575 1054 0062 07/ I B/ 11 Yaul' partner beyond the plate.` DELIVERY ROUTE: 225;1 ORDER NUMBER 266:323 BILL 'ARMEL CLAY PARKS&RECREAT SHIP 'ARMEL CLAY P'ARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO 1411 E 116TH ST TO: L235 CENTRAL PARK DRIVE E TO: :ARMEL IN t.ARI'iEL IN BOX 664088 6032 6032 INDIANAPOLIS IN 317 843.3873 46266 -OOSB ATT. 1 ICHELLE COMPTON PEPT .00 800 428 2118 sHIPPEDFROM !2 01 CUMBERLAND RD' FISHER'S IN SHIP DATE:07 /19/11 Page dl of Q3 FREIGHT TERMS: SPECIAL ENTER OFF OF 11 STREET 'PAY.MENTTERMS: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 4 E DRY 1 1 CS 0445098 TAPE, THRML CASH RGS WNT 50.RL MONOGRAM CS 71.8500 s 71:85 1 1 CS 0'791616 'CUP, FM 32 Z UHT 2V20 EA MONOGRAM CS. 32.2900 32.. 2 CS. 0814541 CUP, FM 20..Z WHT 25/24 EA MONOGRAM CS 20.5200'- 41.04 2 2 CS. 1462803 SPOON, TEA IOW €BHT BULK P'LST 1000_ EA PRIME CS 14.0700 28..14" 2 2- 2404325 CLOVE, POLY LG' TXTD AMBDX 10%1!00 EA MONOGRAM B CS 35.5500 71.10 1 i CS '2551323 CU PAFR BORD 4 Z CONE WATER 25%204 EA SOLO CS 65. 5500' 65.55^ 1 f CS 3256104 LID, CUP 12 -24 Z BBL PLST. 1000 EA W INCUP CS' .16..1000 6.10"' 1 1 EA 4053336 CANDY, BAR MILD CHOG 36 .EA HERSHEY EA 26.2100 26. 21� 1 1 CS 4238291 ;'..DRINK MIX, BLU MILK, L MN ISL. 1512'1.:1 OZ. KOOL. AID CS 47. 8800 4-7.88 10 :10 CS 4260238 ..SAUCE, CHS NACHO SHLF STABL 4/107, OZ ORTEGA. CS 49,0000 490.00E 4 4 CS 4329377 IGETCHUP, TMTO SQZ FOIL.. SS SHLF5QO, 9 OR MONARCH CS 15.2900 61.16 1. 1 CS 5311600 `CONE, ICE CRM CAKE 226 FLAP .36/20 EA JOY COME CS' 37.3300 37.33 2 CS 53,29289 MUSTARD, YLW SS 5' GR SHLF 500/5.504 OR MONARCH. CS 11.9,600 23.92 is 9. CS :5402541!4 SPON LIZ 4* R NYLON CELLU 20 E MONOGRAM C5 24.5900 24.59 2 2 CS 5513429 CHIP, CORN REG SS 104/1 oz FRITOS CS 34.8000 69.60 1 1 CS 5585476 CHIP, PTATO BKD ORIG GLTN /FR 64/1•: 125 OZ BAKED LAYS CS 28.5500. 28.55j 2 CS 5597604:' CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEF -TOS CS' 29.8500: 59.70; 2 2' CS 559785.1: CHIP, TORTLA NACHO�'CH5 TRGLE 6411, <.7..5 OZ DOF�ITi7 CS. ?13.5500 57, 10 3 0' CS 55979E;,S CHIP, CORN ORIG TF� SS BAG 64/2 OZ FRITOS 1 1- 'CS '5601679 CHIP, PTATO REG PLN SS BAG 64/1,5'13Z LAY'S. CS 28.5500 2B. 55r. i 1 CS '5601 CHIP, PTATO KTi JLP SS BAG 64/1 -.375 OZ KISS VICKI CS 29.8500 29.1#5'! 1 I CS 560 �9�43 CHIP, PTATO KTL BBQ SS BAG 64/1.37'5 OZ MISS VICKI CS 29.8500 29.85 1 3, C:S 5605431 :CHIP, MULTGRN. GRON SALSA SS 6441.5 OZ SUN CHIPS CS 28.9600 28.96 1 `1. CS 5605472 CLIP, MULTGRN CHEDR SS BAG 64/1.5 OZ SUN CHIPS GS 28.9600 28.96 1 1 CS 5603522 -CWP, MULTGRN ORIG SS BAG 64/1.5 OZ~ SUN CHIPS St 28. 6 _9600 28.9 1 1.. EA 62�i`` 77 FVA`NbY, KIT.' KAT VNDG STD 1.5 Z-36 EA" KNIT. KAT V:' AA. 25 940 0 .94 6329213 kELTSH, 13,' 1 1 CS SWT SS SHLF STABL 200/9 OR MONARCH 'CS' 13.3600 13.36 4. 4 CT 6131' 819 i RAY'i. FLYSTF .LB LAY 2/250 EA MONOGRAM t-. 6,920039 :TRAY, O 1 X.� 751• '4/125 EA 1=A 1 E GS 4b 1500. 4b 15 1 CS 70499BB SAUCE, CHILI HOT DOG BE�EFF CTIV CS 79.5600 31..$.24/ JIB ""OZ CHEF MATE CS 66.4400 66.44r 1 I CS 7328024' DRINK MIX, FRT PNCH 2 GAL YLD 1'2/2 OZ THIRSTER- CS 27.0000. 27.00 2 2 EA 80531.26 CANDY, RESES PNT BUTR CUP 36 EA REESE'S EA 25.9200 51.134 1; 1 CS 8301.913 FRUIT. MIX, BIT IN JCE TFF BWL'36 /4 OZ DOLE CS. 21.9500 .21. 95 2 2 CS 8355927: NAPKIN, DISPR INFLD WHT° 6. 5X1024/250 EA EASYNAP CS 61.4000 122. 80'� 1 1 CS' 891'4855 STRAW, JMB 7.75" CLR, UWRP STD'24 /504 EA .MONOGRAM B CS 54.2300 2 1 1 CS 9089079. POPCORN, RAW KIT W/ OIL R SALT36 /8 OZ FANCY FARM CS 2 2.5700 .22.57 1 1 CS 9328311 WRAP, FOIL 12X10.75 INFLD POP 12/200 EA MONOGRAM GS. 310.. 9000 1.10.90 Interest shall accrue on all un aid balanced e,ceedin established cretlh 4ermsat a rate ual Io the lesser of a 1 'h ar rn6111h o) d P 9 e9 I) d Vi w- W- UStood.com for a iast and "easy way to order. the maximum rate that the Nstem2r may lawfulty contract to pay antl in all events calculated m accordance wN1 apPlicablalaw. X f CUSTOMERS ATURE: r y. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, E NO. NUMBER LOC. REP. ORDERED 90569" 1_ 05278 071 18/11 564575 Michel le 1054 0062 07'/16/11 Your partner beyond the plate. DELIVERY ROUTE: 661 1 COR NUMBER: 265829 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. F'OODSER E, INC. .TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E T BOX 660086 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN ATT. 317 843 3873 46266 -00 8 t"IICHELLE COMPTON DEPT 00 HIAO 425 118 SHIPPED FROM: 1 CUMBERLAND RD F ISHERS IN SHIPDATi 07/18/11 Page 01 of 01 FREIGHT TERMS: SPECIAL C V 5 t p i c k u.p PAYMENT TERMS: NET '30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE DRY 1 1 CS 1100247 CHIP, CORN RES SS 120/.75 OZ FRITOS CS ?.2700 27 2 2 CS 432939 KETCHUP, TMTO SQZ FOIL SS SHLF500 /9 GR MONARCH CS 15.2900 ;.x.58 1 0 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS 1 1 CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF 6/108 OZ CHEF MATE CS 66,4400 66.44 1 1 CS 8355927 NAPKIN, DISPR INFLD WHT 6.5X1024/250 EA EASYNAP CS 61.4000 61.40. REFRIGERATED 1 '1 CS 0654269. HUMMUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 22.9000 22:90• d READY TO EAT Please Refer to Return Policy 1 .1 CS 0654301. HUMMUS, GRLC RSTD NONDARY REF 12/4.56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer to Return Pclic 1 1 EA 43652 'CHEESE, AMER SLCD 135 SUPRCR 5 LB 6LNVW FRMS B EA 18 18. 1 I. CS 7197775 YOGURT, ASST STRWBNA R RSPBRY 12/6 OZ YOPLAIT CS 10,1700 10. 17 FROZEN 3 3 CS 2011278 PRETZEL, KING SOF HKD FZN 50/5 Oz SUPR PRTZL CS 28.8400 86.52. 1 1- CS 3041423 CORN DOG, AM CN F N 48/4 OZ STATE FAIR CS 31.4900 31.49 INVOICE SUMMARY TOTAL WOT SHIPPED: 16 PIECES ORDERED: 14 PIECES SHIPPED: 13 M AUG PRODUC TOTAL 60. Purchase Description AU f� P.O P or F TAXABLE AMOUNT .00 G.L. 3�1O!5C OEM SALES TAX Y .'00 Budget Une-Zescr Purchaser Date A,�pro��a1 PLEASE REMIT THIS AMOUNT BY 08/17/11 AMOUNT 6 360.36 Date m, ar h st m rusa id tthe onle, m a* 1 l y% e5t ra c an tppy, i art,gac�l�mma�ccseraoowift ap for a fast and easy way to order. @I the maumum rete n al the customer may l oeed cdmra li to pay, and In a1! al a nte calculated ho ifte r cl wish h pe t mo Visit www.usfood.com X CIA r STOMERS SIGNATURE: ZUerF�viceeiate'I�ou,c b'uatceaa ACCOUNT INVOICE INVOICE' ."CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO. NUMBER LOC. REP. ORDERED 90569922.0465872 0711,5/11 905.69575 1054 0062 07/14/11 Your partner beyond the plate.' DELIVERY ROUTE: 5 291 5 ORDER NUMBER: 263862 BILL aARMEL CLAY PARKS°w.RECREAT SHIP ARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVI'CE, INC. TO: 1411 E. 116TH ST TO. 1235 CENTRAL PARK DRIVE E TO: ,:ARMEL IN CARMEL IN BOX 660088 46032 4.6032 317 843 3873 INDIANAPOLIS :[N ATT. I 1ICHELLE CO!"IPTON DEPT Of 00 800 428 462 21 18 SHIPPED FROM: 1 301 CUMBERLAND RD FISHtRiS I.N S HIP. DATE 07 /15/11 Page 03,E of 03 FREIGHT TERMS: NET 30 DAYS I SPECIAL ENTER OFF OF 111 TH STREET PAYMENT TERMS: INSTRUCTIONS: CITY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED.. SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRI PRICE INVOICE SUMMARY JDT�AL WGT SHIPPED«; 929:76 PIECES ORDERED: 78 PIECES SHIPPED: 78 ITEMS SHIPPED: 45 x ��sttt��# ��frst��tst�sf��sr��' f} srst•# �e�r��s r�sr' t�tst3 t��se��sc�sr��r�� '��sr��xn'�t�'��r�';f. PRODUCT TOTAL 2133.28 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 esticides are included in the scoppe of the Standard. In compliance with Ue 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 byy advising your.sales representative. GEN SALES TAX. .00 You may contact BURTON at phone Of (371) 585 6822 n PLEASE REMIT.THIS AMOUNT BY 08/14/11 AMOUNT 2133.28 Purchase Description P.O. 'PorF G.L.# r AUG 0 1011 I Bud Line Descr Purchaser r .Date �W: Approval Date M C interest sha0 accrue on ell unpaid balances exceeding esreblished credit terms at a rate equal to the lesser of (a)1 16% �mr0 isit L ww of ?,com for a fast and .easy way to order. X (b) the maximum rate Nat the asiomer may ]avAuly contract to pay, and in en events calculated in accordance with a6�g CUSTOMERS SIGNATURE: T ACCOUNT INVOICE INVOICE CUSTOMER` PURCHASE ORDER X k SALES SALES DATE t NO NO. DATE`. NO. NUMBER LOC REP. ORDERED. rc: 905699.SC 0465872 07/ 15/ 11 .90569575., 155555 0062 07! 11 1 Your partner beyond the plate.' DELIVERY ROUTE: 529 O RDER NUMB ER: 2638 BILL :ARMEL. CLAY PARKS&RECREAT' SHIP ARMEL: PARKS &RECREAT REMIT; U FOODSERVICE, INC: TO: 1411 E. 116TH ST TO: 1235 CENTRAL.PARK DRIVE:E TO: ARME.L IN ..ARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN 17 843 3873 46266 -0088 ATT. 4ICHELLE COMPTON PEPT 00 800 428 2118 SHIPPED FROM: 12:30 1 CUMBERLAND RD FISHERS IN sH P onTe:07 15 11 Page 02 of 03 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET I PAYMENT TERMS. 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 FROZEN 2 2 `CS 1715069 BEEF,.PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 5 61.00 4 4 CS '2011276 PRETZEL, -KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 28.8400 115.36 1 1 i CS 2014652 MUFFIN, BLBRY IW 24/4 OZ SARA LEE CS. 19.9800 19.98 i 1 CS 2260099 ICE CREAM SANDWICH, CKY CRM 24/4.5 OZ BLUE BUNNY CS, 17.8700 17..87 3 3- CS 2277663 ICE CREAM BAR, REESS PNT BUTR 24/4 OZ.: GOOD HUMOR CS 18.5300 55.59 1 'CS 3041423 CORN DOG, AM CN FZN 1 48/4 OZ. STATE FAIR CS 31.6200 31.62 r 2 C'S 3330099 HOT DOG, AB 6:1 6" RLR GRIL 10 LB PATUXENT CS 28.0300 56'.06 1 1 CS 33.35825 SAUSAGE, ITLN MILD CRBL PORK 2/5 LB' ROSELI CS 30.1800 30.18 3 3, CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ. KEMPS CS 25.3200 75.96 6 6 CS 4690525 ICE CREAM CUP, ITTIBITZ CK &CR 24/5 OZ KEMPS CS 25.3200 151.92 6 6- CS 4904603• ICE CREAM CUP, CKY DOUGH ITTIB24 /5 OZ KEMPS CS 25.3200 151.92 .1 1, CS 5218862 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 15.7600 15.76 1 1 CS 5509708 PIZZA, CHS DEEP DISH 7" W/ BOX36/7 IN BOSCO'S CS 63.9700 ._63.97 .2 2-. CS 5741228 BUN, HOT DOG PLN 6" SLCD 12/12 EA HILLTOP HR CS 29.8700 •59.74 .3 3- CS 8187999 ICE CREAM BAR, CHOC TACO VNL24 /4 OZ KLONDIKE CS 24.3300 72.-99 1 1 CS 8552317 MUFFIN, COF CAKE PECN CIN IW 24/4 OZ SARA LEE CS 25.1200 25.12 1 .1-1 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6/1.65 OZ POPSICLE CS 18.4300 18.43 PRODUCT CLASS RECAP TOTAL DRY- PIECES ORDERED: 21 PIECES SHIPPED: `14 21 ITEMS SHIPPED: 17 599.43 .TOTAL REFRIGERATED PIECES ORDERED: 18 PIECES SHIPPED: 18 ITEMS SHIPPED: 11 510.38 TOTAL FROZEN PIECES ORDERED: 39 PIECES SHIPPED: 39 ITEMS SHIPPED: 17 1023.47 �0 t Interest sham eccme on am unpaid balances exceeding estehNShed uedit terms aterate equalb Ue lesser al {a(1!hW pcq monmw Visit www.usfood.com for a fast an&easy to order. (b) the maximum rate that the customer may lawfumy contact to pay, an0 in all events wlalated in amdame with applicabla law. X CUSTOMERS SIGNATURE: r ACCOUNT INVOICE INVOICE ,CUSTOMER PURCHASE ORDER, SALES SALES DATE NO NO, DATE NO. NUMBER 4 LOC y. k REP ORDERED 90569922 0465872 07/15/11 90569575 n fl54 0062 07 k4/ 13k, Your partner beyond the plate.' DELIVERY ROUTE: 529] 5 ORDER NUMBER: 263862 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, I NC. TO: 1411' E. 116TH ST TO 3235 CENTRAL PARK DRIVE E TO: CARMEL IN „ARMEL IN BOX 660088 46032 6032 INDIANAPOLIS IN 17...843 3873 46266 -0089 ATT. 11CHEL.LE COMPTON DEPT 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS I•N SHIPDATE /15/31 Page 01 of 03 N FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET!!! PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: OTY: OTY. SALES PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION- PACK SIZE LABEL D WEIGHT UNIT PRICE. PRICE E DRY 1 1 CS 0791616 CUP, FM 32 Z UHT 25/20 EA MONOGRAM CS 32.2900 s' 32.29 3' 3 CS 2404325 GLOVE, POLY LO TXTD AMBDX 10 /100 EA MONOGRAM B CS- 35.5500 106.65 •1 1 CS 3256104 LID, CUP 12 -24 Z BBL PLST 1000 EA WINCUP CS 16.1000 1A., 10 1 1 EA 4053336 CANDY, BAR MILK CHOC 36 EA HERSHEY EA 26.2100 26.11 1 1 CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS 37.3300 37.33 I 1 CS 5329289 MUSTARD, YLW SS 5.5 OR SHLF 500/5.500 OR MONARCH CS. 11.9600 11.96 1 1•.- CS 5585476 CHIP, PTATO BKD ORIG GLTN /FR 64/1.125 OZ BAKED LAYS CS 28.5500 28.55^ 2 2 CS 5597604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ GHEE -TOS CS 29.8500 59.70 2 2- CS, 5597968- CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 28.5500 57.10- 1 1 CS 5601,927 CHIP, PTATO KTL JLP SS BAG 64/1.375 OZ MISS VICKI CS 29.8500 29.85 1 1' CS 5601943 CHIP, PTATO KTL BBQ SS BAG 64/1.375 OZ MISS VICKI CS 29.8500 .29.8�, 1 1 CS 5605431 CHIP, MULTGRN GRDN SALSA SS 64/1.5f8Z SUN CHIPS CS 28.9600 28 i,rr CS 5605472 CHIP, MULTGRN CHEDR SS BAG 64/1.5 .OZ SUN CHIPS CS 28.9600 28..9, 1 1 CS 5605522 CHIP, MULTGRN ORIG SS BAG 64/1.5 OZ SUN CHIPS CS 28.9600 28.,96 1 IN EA 6210777 CANDY,. KIT KAT VNDG STO 1.5 Z 36 EA KIT KAT EA 25.9400 25.94 1 1 EA 8053126 CANDY, RESES PNT.BUTR CUP 36 EA REESE'S EA 25.9200 25.92 1 I CS 9954371 LID, CUP. 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 25.1000 25.10- REFRIGERATED 1 1 CS '0654269 HUMMUS, RSTD RED PPR NONDARY 32,/4.56 'OZ; 'SABRA CS 22.9000 22.90 READY TO EAT Please Refer to Return:Policyy 1 i CS 0654301 HUMMU t(,,�� RSTD NONDARY REF 12/4.56 SABRA CS 22.9000 22.90 READY��Qyf Please Refer to Return Policy 1 .1 CS 2000453 SALAD, C I CRI�Y ..REF 2/5 LB FIERCE B r CS 39.0900 39.09 READY TO EAT tple ®e Refer. to Return n FoI 1 CS .,3000452 SALAD, TUNA PKE D REF 2/5 LB'' PILGRM PRD B C5 39.3500 39.35 READY TO EAT Please Refer to Ret6,'Polic 1 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 "'Fit PRAIRIE FM CS 11.3900 11.39 6 6 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 PRAIRIE FM CS 33.7100 202.26 READY TO EAT Please Refer to Return' Policyy 1' 1. CS 5006556 BAtiANA, GRN Fk SH REF 10 LB FACKER CS 7.7800 7, 78 1 1 CS: 5332242` LETTU LBRG SHRD, 1/4° CLND 4/5 LB CROSS VALY B CS 17.6500 17.65 READY TO'EAT Please Refer t6 Return Polic��rr 1. 1 GS` 6329676 PEPPERONI, SLCD 14 -16 CT NO 2/5 LB ROSELI CS 32.4000 32.'40 1 1 CSt 7197775 YOGURT, ASST STRWBNA RSPBRY 12/6 OZ YOPLAIT CS 10,1700 10.17 3 3 CS 7451354 ICE MILK SOFT. SRV CHOC 4X2/2.5 GA' PRAIRIE FM., CS 34.8300 x.04.49 READY TO EAT Please Refer to Return PW icy Interest shah barue on e0 unpaid balances exceeding established credit lerms at a rate equal to the lesser of (a) t h %per month or Visit wwwmstoodxc l fo a fast and easy ;way .to order. ?T (b) the maximum rate that the customer may lawluly contras to pay anbm"all events calculated in a=rdange wnh.ap i able law. r 1 r X Y CUSTOMERS SIGNATURE: z 1 r,• t� �,`,f.?.i j��r.. ;P r .��..��'Z(/elfr�r�iceecate 2`acva S'acaCaeam' ACCOUNT INVOICE. INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO.. NO, DATE NO. NUMBER LOC. REP. ORDERED 90569922 0465871 07/15/11 90569575. SPEC hAI_:' ORDER 9 1054 0062 07/ 13•/ 11 Your partner beyond the plate.' DELIVERY ROUTE: 529 1 5 ORDER NUMBER: 262323 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. L16TH ST TO 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 17 843 3873 46266 -•0088 ATT. vIICHELLE COMPTON IDEPT 00 800 428 2118 SHIPPED FROM: 1P- -301 CUMBERLAND RD FISHERS IN .j,,jHIP DATE: 07I15 /11 PagQe 01 of 01 I FREIGHT TERMS: SPECIAL SPECIAL ORDERS CAN NOT BE RIETURNED PAYMENT TERMS: NET 30 DAYS 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 1 -CS 3024700 SYRUP, FONTN CHRY SNOW CONE 4/1 GA LYONS MAG CS 39.2000 b 39.20 1 1. EA 8548406 SYRUP, FONTN ORNG RTU JUG ICE i GA LYONS MAG EA 39.2000 39.20 1 1 CS 9139098 'SYRUP, FONTN LIME SNOW CONE 471 GA LYONS MAG CS 39.2000 39.20 FROZEN 10 10 CS 0256206 POPSICLE, SPIDERMAN 6/12 EA GOOD HUMOR CS 40.1.900 401 90 10 10 CS .4215331 POPSICLE,_3 COLOR BOMB POP 6/24/2.tOZ FLUE. RUNNY. CS 27.3800 273`80 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 3 117..60 TOTAL FROZEN PIECES ORDERED: 20 PIECES SHIPPED: 20 ITEMS SHIPPED: 2 675.70 INVOICE SUMMARY .TOTAL UGT; SHIPPED: 412.47 PIECES ORDERED: 23' PIECES SHIPPED: 23 ITEMS SHIPPED: 5 it��3rntf�• tt• s��sr��t��t�� •�n;fiat•;f•s�•�t�i fin• �sr�t��ta��• ��_��tzt��n��t��a��r�� PRODUCT TOTAL 793.30 Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard *'Communication requires manufacturers and distributors to provide Material Safety Data Sheets an non- food,`prodvcts defined =t `-be hazardous. Products such as'cleaning products and ppe5t'ic3.des are included in the scope of the Standard. In compliance with the law.i•.t1SQ$ are available to U.S. Foodservice Inc. customers and can be'o6tai,tiled by contacting the Procurement Manager in our TAXABLE AMOUNT ..00 district office or byy advisi. g'�our sales rei4rptative. GEN SALES TAX X .00 You- mat/ contact KEVI[� BURTON at. phge �(37,) 585 6822.�.A-• 6 #u Pu cchase �13f� #skse #tt #stfaa�t�tt Description b V D �F �h' T THIS AMOUNT PAY 08/14/11 AMOUNT '793.30 P.O. P or F 1J a' P r G.L. Ali` 0.1 2 O11 Budget Line Descr Purchaser Date t Approval Date (merest shall accrue wall unpaid balances exceeding establlshed credit terms at a tate equal to thelesser of A Ph %per month of Visit www:usf6od.`eom for a fast and easy way to order. (b) the maximum rate that the customer may lawfully convect to pay and in all events calculated in accordance with applicable law. 1 y 1 f j� i X l l`7 l v CUSTOMERS SIGNATURE: 'a• �U L I r H�: Zf/ev1/c�eetate'll�*'t i�uaCKeaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO. NUMBER LOC. REP. ORDERED 90569922 2432426 06/10/11 90569575 1054 0062 06/09/11 Your partner beyond the plate: DELIVERY ROUTE: 9PR 3 BILL CARMEL CLAY• PARKS&RECREAT SHIP CARMEL CLAY PARKS&IRECREAT REMIT V.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN ATT. 317 843 3873 46266 -0088 DEPT 00 800 428 8 SHIPPED FROM: SHIP DATE: 12301 CUMBERLAND RD FISHERS IN 06 /10 /I1 Page 01 of 02 FREIG9TERMS: SPECULL ENTER OFF OF 111TH STREET!!! PAYMENT TERMS: NET 30 DA INSTRUCTIONS: CITY. OTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE DRY 1 1 t 0892059 PLATE, FM 9° 1 CMPT UHT 4/125 EA MONOGRAM CS 28.2400 28.24 2 2 ✓LLS 3660792 MARSHMALLOW, UHT MINI 4/5 LB KRAFT CS 25.4900 50.98 2 2 ✓,�S 5957246 CANDY, M &M PLN 6/42 OZ MARS CS 54.7000 109.40 1 1 ✓�S 6174536 RAISIN, SOLES SLCT 12/2 LB PACKER CS 43.2600 43.26 2 2 CS 6208144 SNACK MIX, CHX TRADL 10/31 OZ CHEX CS 58.6400 117.28 1 1 ✓CS 6364798 BAG, FOOD STRG 6X7 UTILY RESEA1000 EA MONOGRAM CS 45.7700 45.77 3 3 L ,,-CS 9327842 PRETZEL', TWIST MINI 7 LB MONARCH CS 13.3900 40.17 FRIGERATED 1 1 CS 0823096 GG, SHL MED GRD A WHIT FRESH 15 DZ GLNVW FIRMS CS 14.8500 14.85 1 1 CS 2111938 VBANANA, GRN TIP PTITE 150 CT 40 LB PACKER CS 29.1700 29.17 2 2 CS 2340875r/CHEESE, CRM PLN SS PLST CUP 100/1 OZ GLNVW FIRMS CS 22.9100 45.82 YEADY TO EAT Please Refer to Return Policy 1 1• CS 3406477 ✓CHEESE, CRM STWBY SS PLST CUP 100/.75 OZ GLNVW FIRMS CS 24.0300 24.03 READY TO EAT Please Refer to Return Policy FROZEN 2 2 CS 0394973 VbAGEL, ASST 4 Z PARBK FZN 10/6 IRK HILLTOP HR CS 26.0600 52.12 1 1 CS 0395376 vRAGEL, CIN RAI 4 Z SLCD THAW &10/6 PK HILLTOP HR CS 20.8200 20.82 1 1 CS 0411041 4 AGEL, EVTHG 4 Z SLCD THAW 72/4 OZ BURRY CS 28.1600 28.16 2 2 CS 0602656 t/ JUICE, APPL 100% SS CUP FZN 72/4 OZ SUN CUP CS 16.7700 33.54 2 2 CS 0641837 L- JUICE, GRAPE 100% SS CUP FZN 72/4 OZ SUN CUP CS 17,9500 "35.90 2 2 CS 7412836 %-dUICE, ORNG 100% CUP FZN 72/4 OZ SUN CUP CS 15.0400 30.08 2 2 CS 9038159 vOONUT, CAKE HOLE PLN FZN 440/0.4 OZ RICH'S CS 28.5300 57.06 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 7 435.10 TOTAL REFRIGERATED PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 4 113.87 TOTAL FROZEN PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 7 257.68 Kem srt, exve In J u�etl M:rco esaa4q maprsneD C, taco n e rate pail b Ile lone d (1) 1 -'k% P. mmvn d (y me mmwme Ce IW m aeSlw may awAAy oor b Day. eN N ae eaeem mb+b:el ki Lmotm ep Loo. X Visit www.usfood.COm for a fast and easy way to order. CUSTOMERS SIGNATURE: DISTRICT COPY 7f/a�4/r¢,eectate?jeca�uauDeda ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 2432426 06/10/11 90569575 1054 0062 06/09/11 Vour partner beyond the plate.' DELIVERY ROUTE: 5283 3 ORDER NUMBER: 234733 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: CARMEL IN CARMEL IN BOX 660088 46032 46032 INDIANAPOLIS IN ATT. 317 843 3873 46266 0088 MICHELLE COMPTON DEPT 00 1 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP 06/10/11 Page 02 of 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET!!! PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. CITY. SALES PRODUCT C O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE t♦ *tE INVOICE SUMMARY *tl* TOTAL UGT SHIPPED: 444.47 PIECES ORDERED: 29 PIECES SHIPPED: 29 ITEMS SHIPPED: 18 PRODUCT TOTAL S 806.65 TAXABLE AMOUNT .00 GEN SALES TAX X .00 PLEASE REMIT THIS AMOUNT BY 07/10/11 AMOUNT S 806.65 h!rm slyl mrnr m upua 6mhrcu a!: iacn d e w epW b M ksw (q i'6Y pr mom ar WI as nitre. fro m ne wmrtnr eery mrven m 0 h J "sm maerea h am farm" era epparaCie In. X CUSTOMERS SIGNATURE: Visit www.usfood.Com for a fast and easy way to order. DISTRICT COPY We-, Afte- &.&*acac�rtdlte46 ACCOUNT INVOICE INY ICE CUSTOMER PURCHASE ORDER "SALES SALES DATE NO. K DAT NO. NUMBER L'OC. REP. ORDERED' 9056992' 03513 6 07/12!]1 0569575 1054 0062 07/11!.11 i Vour partner beyond the plate' 2173 1 2 `t UTE: OkDER NUMBER: 260582 i BILL CfiRMEL CLAY PARKS&RECREAT gHlp—CARMEL CLAY RARKSgrRECREAT A `REMIT U. S. FOODSERVICE, INC. 1411 E. 11'6TH ST f23� CENTRAL PARK DRIVE E TAO: TO: 1j BOX 660086 j TO: CARMEL IN IN 46032 t X603(2'` INDIANAPOLIS IN M 317 -'843 3873 46266 -OOBB ATT. MICHELLE COMPTON DEPT 00.. 800 428 2118 r' 12301' CUMBERLAND RD FISHERS 07/ 12/ 1 Pa a 03 o.f 03 SWPPED FROM: r SHIP DATE: 9 FREIGHT TERMS: NET 30 DAYS SPECIAL ENTER OFF OF 111TH STREET!!! PAYMENT TERMS: INSTRUCTIONS: C S QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT. PRICE PRICE E INVOICE SUMMARY TOTAL WGT SHIPPED:. 2079.29 PIECES ORDERED: 159 PIECES SHIPPED: 159 ITEMS SHIPPED: 44 PRODUCT.TOTAL 4673.50 .0`d'eraI Occupation Safety and Health Standards 19.10.1200 on Hazard Communication. rbq'Uires ,manufacturers and distributors to provide Material n ety Data.Sheets on non -fpod products defined to be hazardous. Products cb as.cleaning products and' esticides included in the scope of the #Standard.. In compliance with Ue law. MSDS are available to U.S. Foodservice 3 customers.and can be obtained by contacting the Procprement Manager in our TAXABLE AMOUNT.' 00 i�rict,:office or, byy advising your sales representative." n GEN SALES TAX x .00 ;Yew maV gantact KETA BURTON• at phone N (371) 585 6822. y n #3td #dn #nnn�rnazk�r #ntt dY PLEASE REMIT THIS AMOUNT BY 08/11/11 AMOUNT 4673.50, Purchase 1 lH� Description ftm i J U L. 2 �a 2 P.O. a.��1�J P o�..° G.L. I�1� X12390 t° Budget ,�yy Line vescr '`�VC 1 Mob 1 c Purchaser Date Approval c. Date l v� Irderem she#accrue on all u paid balances exceeding established credo terms at a rate equal to the lesser ot(a)1 �h%perr ,11, ar Visit www.usfood.eom for a fast and easy way to order.` (b) the maximum rate that the customer my lawfully contract to pay, and in all events caloulatad in accordance wila applicable law. X O RS SIGNATURE: ACCOUNTc INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO.', NUMBER LOC. REP. ORDERED 90569928 0351366 07/22/ 90589575. 1054 0062 07/11/11 Ytur beyond the plate.' DELIVERY ROUTE: 2173 2 ORDER NUMBER: 260582 BILL .',CARMEI,f,•'CLAY; PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT,.' REMIT U'..S._' FOODSERVICE, INC. TO `1411'E �$bTH. ST TO 1235' C PARK I1R LVE E TO: CARMEL IN CARMEL Iiy L30X &f�0088 32 4. 46032 I ND I POL I S I N 317 84.3 3873. 462 MICHELLEO' COMPTON DEPT 00 800 21.18 ATT "-12.301 CUMBERLAND'RD FISHERS IN 0.7_/,12/11 Page 02. cif.`. 03 SHIPPED FROM: SHIP DATE: Q ENTER OFF OF 111TH STIEE ?1'.! FREIGHT TERMS: jqET .30 DAYS SPECIAL '.l PAYMENT TERMS: INSTRUCTIONS: OTY,. QTY. SALES PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED. UNIT NUMBER DESCRIPTION PACK SIZE. LABEL D WEIGHT UNIT PRICE PRICE rnn ru E 1'. CS 115738:7 ICE CRAM BAR, DREAM STICK VNL2/24/3 OZ BLUE BUNNY CS 15.9100 15.91 .8 CS 171%60' BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLOT CS 30..5000' 244.00 1�. CS 2011.78 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 28.8400 346.08 2 CS 2277663 ICE CREAM BAR, RE£SS PNT BUTR 24/4 OZ GOOD HUMOR CS 18 :5300: 37.08 6- CS 3041423 CORN, DOG, AM CN FZN '48/4. OZ STATE FAIR CS 31.6200- .189.72 1 T 10., CS 3330099 HOT'DOG, AB 6:1 6" RLR GRIL 10 LB PATUXENT CS 28.0300 .280.30 ,,•C.S ICE CREAM CUP, ITTIBITZ COTN .24/5 OZ KEMPS CS 25- .3200. 202.56. 8" I3- C'S 4690525 ICE CREAM CUP. ITTI:BITZ CK &CR`24 OZ KEMPS CS 25.3200 202.56 CS 46. CE CREAM CUP, I- BANA SPLT 24/5 OZ KEMPS CS :25.3200 202.58 P 04603 ICE CREAM CUP: CKY DOUGH ITTIk�24 /5 OZ KEMPS CS 25: 3200 202.56 C5 ff 3 CS 5218862 ICE CREAM SANDUICH, VNL X4 /6 OZ BLUE BUNNY CS 15. 7600 47.28 8. CS 5509708. PIZZA,. CHS DEEP -DISH.7" W/ BOX36/7 IN BOSCO'S CS 63'.9700. 511.76 -4' CS 57.41178 BUN, HMBGR PLN 4 SLCU. 10/12 EA HILLTOP HR CS 23.6300 94.52 8 CS ..`5741228 QUA, HOT DOG PLN 6" SLCD 12412 EA HILL CS 29.8700': 2 38.96 3 3.k.' CS' 7175128. ICE CREAM CONE, VNL 'T,FF 2/12/4.6 OZ BB CHAMP'`- CS 13.8400 5.6.52 V 4• CS 8187999 ICE CREAM BAR, CHOC. -4ACO A VNL24' /4 OZ KLONDIKE CS 24..3300 97.32 I' 1 ACS 976306° POPSICLE, ORNG CHRY GRAPE SG/F12/6/1.65 OZ POPSICLE 'CS 18:4300 18.43 PRODUCT CLASS ,RECAP TOTAL -DRY' PIECES ORDERED: 35, PIECES SHIPPED: 35 ITEMS SHIPPED 15 1097.59 TOTAL, REFRIGERATED PIECES ORDERED: 22 PIECES SHIPPED: 22 ITEMS SHIPPED: 12 587.81 TOTOL FROZEN PIECES.ORDERED: 102. PIECES SHIPPED: 102 ITEMS SHIPPED: 17,., 2988.10 r t Interest shall accme on an unpaid balances exceeding established credit teens at a -rite equal to the lesser of (a) P/A per month or Visit www- :usfood.corn a fast and easy way to order. (b) the maximum rate that the customer may lawfully contract to Pay, and in all events calculated in accordance with applicable law. X k STOMERS Sl R uai,ceaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. Np, DATE NO. NUMBER LOC. REP. ORDERED f ?0569922 0351:366 07/12/11 90569575 DELIVERY ROUTE: 1.054 0062 07/11/11 Your partner beyond the plate.' 2173 I 2 ORDER NUMBER: 260582 BILL. CARMEL CLAY PARKS&RECREAT SHIP CARMEL, CLAY PARKS&RECR.EAT REMIT U. S. FOODSERVICE, INC. 14.11- E TO TO: TO.: CARMEL IN CARMEL IN BOX 660088 46032 6032 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT. MICHELLE COMPTON DEPT 00 BOO 428 2118 SHIPPED FROM: 123 CUMBERLAND RD FISHERS $d11 SHIP DATE: 07/ 12/ 11 Page 01: of ,03 FREIGHTTERMS: NET 30 DAYS SPECIAL ENTER OFF OF 111TH STREET!!! PAYMENT TERMS:` INSTRUCTIONS: QTY. QTY. SALES PRODUCT C O WEIGHT PRICING UNIT EXTENDED .ORDE DESCRIPTION PACK SIZE LABEL RED 'SHIPPED UNIT NUMBER E UNIT PRICE PRICE DRY 1 1 CS 0791558 CONTAINER, FM 4.Z SQT WHT 25/40 EA MONOGRAM CS 14.1800 19.18 1 1%/ CS 0791616 CUP, FM 32 Z WHT 1 25/20 EA MONOGRAM CS 32.2900 32_:.,29 -2 2 -5-� 0814541 CUP, FM 20 Z WHT 25•/20 EA MONOGRAM CS 20.5200 41'. "04 2'' S C'S 3256104 LIDc"CUP 12 -24 Z BBL PLST 1000 EA WINCUP it. CS 16:1000 32.20 t 10 16 CS .260238 SAUCE, CMS NACHO SHL:F STABL 4Y.107 OZ ORTEGA CS 49..0000 490.00 2 2 CS 4329397 KETCHUP, TMTO SQZ FOIL SS SHLF500 /9 GR MONARCH CS .15.2900 30.58 1'. i, CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS 37.3300 37.33 i ,1 CS X32928 MUSTARD, YLU SS'5'.5 GR SHLF 500/5.500 GR MONARCH CS 1 1.9600 11.96 1 EA 62,10777 CANDY, KIT KAT,.VNDG STD 1.5 Z 36, EA KIT KAT 'EA 25.9400 25.94 CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF �6�//108 OZ CHEF MATE CS 66:4400' 66.44 EA 8053126 CANDY, RESES PNT BUTR CUP 3b' EA REESE'S EA 25;r-9200. 25.92 '1 9t 'CS 8''355927 :NAPKIN, DISPR INFLD WHT 6.5X1024/250 EA EASYNAP CS •61.4000 61.40 CS 8901`22 SPOON, TEA MW WHT POLYP BULK 1000 EA MONOGRAM CS 14.0700 14.07 B 8 CS 9463688 CHIP, TORTLA CORN YLW RND !6/2 LB EL' PASADO CS 19-8800 159.,0+4 2 CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10 /50' MONOGRAM CS 25.1000 50.20 M y y REFRIGERATED a 2 2 CS 0654269 HUMMUS, RSTD RED�PPR NONDARY 1214.56 OZ SABRA C 2�.9g00 r= 45.80 a READY TO EAT Please Refer to .Return Policyy' -.2 "R CS 0654301 HUMMUS, GRLC•RSTD NONDAIRY REF-12/4.56 OZ SABRA GS 22.9000 4 1 45.'80 READY TO EAT Please Refer;.to Return Policy 11/ i CS 2UQ0453 SALAD, CHIX CRMY REF 2/5 LB PIERCE B CS 39.0900 39.09' READY TO EAT Please Refer to`Return Policy 1` :CS 3000,452 SALAD, TUNA PREPD REF 2/5 LB PILGRM PRO B CS 39 :3500 39.35 READY TO EAT Please Refer.,to Return Policyy A. 1 EA 4365219 CHEESE,'AMER SLCD 135 SUPRCR 5 LB. GLNVW FkMS B EA 18.5900 f` 18.59 S CS 4800843 MILK,,27. REDUC FAT PLST REF. 12/1 PT PRAIRIE FM CS. '11.3900•' 1� -Z CS .4800884 MILK, CHOC 1% LOW FAT PLST REFI2 /1 PT PRAIRIE FM tr ,CS; 10.6100+ 10.61 CS '4884151. ICE CREAM MIX, SOFT SRV VNL 4 %2/2.5 GA PRAIRIE FMr'CS4. 33.7100 ±202.26 r. READY PTO EAT Please Refer to Return' Policy' CS 50'06556'-` :BANANA, GRN FRESH REF 10 LB PACKER y CS 7..7800 7.78 CS 5332242 LETTUCE, ICBRG SHRD 1 /4`r CLND 4/5 LB CROSS VALY R CS 17.6x00 17-65 READY TO 'EAT Please Refer. to Return Policy CS, 719.7775 YOGURT, ASST STRWBNA RSPBRY"-12 /6 OZ YOPLAIT CS 10.1700 10.17 4 C 7451354 'ICE MILK MIX, SOFT SRV CHOC 43;2/2.5 GA ..PRAIRIE FM CS 34.8300 139.32 s.'.: READY TO EAT Please Refer ,to •Return Policy Interest shall acwe an all unpaid balances exceed1ng established credit terms at arena equal to the lesser of (a) n!h% per month or Visit www, usfood.com for. a fast and easy way to order (b( the maximum rata that the cusndiner Iaw tract to pay, and in all events calculated inacQordance with applicable law. CUSTOMERS SIGNATURE: a,...' .Ih. r I a.. ,a i• ...r 't w. w Zf/ef/� �rXI/L $uaC„eao. c ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. �'DA NO. NUMBER LOC. REP. ORDERED 9056992 �2 1 4� 0569575 1054 0062 07/11/11 Your beyond the plate.' 9 91 1 i ORDER NUMBER: 260158 DELIVERY ROU,TE:. BILL CARMEL CLAY PARKS&RECREAT SHIP `C REL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: CARMEL IN CARMEL IN BOX 660088 i 46032 46032 INDIANAPOLIS IN 317 843 3873 46266 -0088 ATT MICHELLE COMPTON .DEPT #k 00 800 428 2118 l SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 07/11/11 Page 01 o 01 FREIGHT TERMS: NET 3O DAYS SPECIAL CUSTOMER PICK UP PAYMENT TERMS: INSTRUCTIONS: CITY. CITY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRI PRICE r DRY 2 2 CS 4329397 KETCHUP; TMTO SQZ FOIL SS SHLF500 /9 GR MONARCH CS 15.2900 30.58 FROZEN 2 2 CS 1715069 BEEF; PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 61.00 2 2 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 28.8400 57.68 1 1 CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ KEMPS CS 25.3200 25.32 1 1, CS 4690525 ICE CREAM CUP, ITTIBITZ CKBCR 24/5 OZ KEMPS CS 25.3200 25.32 1 1 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 OZ KEMPS CS 25.3200 25.32 1 1 CS 4904603 ICE CREAM CUP, CKY DOUGH ITTIB24 /5 OZ KEMPS CS 25.3200 25.32 1 1 CS 5509708 PIZZA, CHS DEEP DISH 7 W/ BOX36 /7 IN BOSCO'S CS 63.9700 63-.97 INVOICE SUMMARY TOTAL WGT SHIPPED: 112.86 PIECES ORDERED: 11 PIECES SHIPPED: 11 PRODUCT TOTAL 314.51 TAXABLE AMOUNT 00 Purchase GEN SALES TAX X F� 00" Description p or F P.O. G.L.# PLEASE REMIT THIS AMOUNT BY 08/10/11 AMOUNT 314.51 Budget y Line Descr Date 2 Purchaser Date— Approval JUL 2 p 2011 �9 BY: Interest shall accrue on all unpaid balances exceeding estabfshed credit terms at a rate equal to the lesser of(a)I %per month or Visit www.usfood.com for a fast and easy way to order. (b) the maximum rate that the customer may lawluly contract to pay, and in all events calculated in accordance whh applicable law. CUSTOMERS SIGNATURE: Zf/v�4fyuec� to �4k*a S'uataeaa i ACCOUNT OIG CUSTOMER PURCHASE ORDER SALES SALES DATE j ✓r NO. NO. DATE NO. NUMBER LOC. REP.- ORDERED 9056992 0294991 0 !09! 11 0569575 /�1 1054 0062 07/09/ 11 j Your partner beyond the plate' t� j ROU TE 9924 1 ORDER NUMBER: c BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY .PARK$ &RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST T0: 1235 CENTRAL';P,, DRIVE, E TO: CARMEL IN CARMEL r- IN BOX 6600e8 46032 46032 INDIANAPOLIS IN 317 ATT. MICHELLE COMPTON DEPT .800 SHIPPED FROM: 1230 CUMBERLAND RD FISHERS IN sl+ia'oATe: 07/09/11 Page 0 of 01 FREIGHT TERMS: NET 3O DAYS SPECIAL ENTER OFF. OF 111TH STREET!!! PAYMENT TERMS: INSTRUCTIONS: OTY. QTY. SALES PRODUCT 'C• k C ,i DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E DRY 1 1 CS 6820039 TRAY, PLYST NACHO 6X8X1.75 CLR4 /125 EA PACTIV CS 79.5600 '79.56 FROZEN 8 8 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 SUPR PRTZL CS 28:8400 230.12 .INVOICE SUMMARY TOTAL'WGT SHIPPED: 140.00 PIECES ORDERED: 9 PIECES SHIPPED:" 9 PRODUCT TOTAL •310:28 TAXABLE AMOUNt .00 GEN SALES TAX X .00 Purchase Description P or F PLEASE REMIT THIS AMOUNT BY 08/08/11 AMOUNT 310.28 P.O. G.L. Budget Line Descr Purchaser Date Date Approval U 2 2 BY: A Interest shall accrueon all unpaid balances exceeding established credit terms at a rate'iqual to lhelem% at(a)I!h %par month or Visit www:usfo6d.eom for a fast and-easy way to order. (b) the maximum rate that the astomer may lawfully contract to pay, and In all events calwlaad in accordance with applicable law. X CUSTOMERS SIGNATURE: ACCOUNT INVOICE IN O SALES SALES DATE CE CUSTOMER PURCHASE ORDER NO. NO, DATE NO. NUMBER LOC. REP. ORDERED I 9056992'? 4926 21 �O9/ 11 69575 Q �Q 1054 0062 07/06/11 Your partner beyond the plate. D 9891 1 4 U ORDER NUMBER: 258491 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN t,.. 46032 46032 INDIANAPOLIS IN 317 843 3873 46266 --0088 f ATT. PAGE WILL PICK UP -DEPT 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND R D FISHERS IN SHIP DATE: 07/09/11 Page 01 o f 01 FREIGHT TERMS: SPECIAL TM PAGE STEVENSON WILL P/U PAYMENTTERMs: NET 30 DAYS INSTRUCTIONS: v w QTY. CITY. SALES PRODUCT 0 PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE DRY 2 2 CS 6820039 TRAY, PLYST NACHIO 6X8X1.7A..CLR4 /125 EA PACTIV CS 79.5600 FROZEN `a 2 2 CS 2011:27b PRETZEL, KING SOFT BKD FZN 50 /5 OZ SUPR PRTZL CS 28.8400 INVOICE SUMMARY 4 TOTAL WGT SHIPPED: 52. 50 N: PIECES ORDERED: 4 PIECES SHIPPED 4 PRODUCT TOTAL 216.80 TAXABLE AMOUNT .00 GEN SALES TAX .00 Purchase. PLEASE REMIT THIS AMOUNT BY 08/08/11.x_,. AMOUNT 216.80 Description i P.O. #—,P or F n G.L. Bud J LIL 2 2011 Line Descr Purchaser Date BY: Approval Date Ibterest shall accrue on all unpaid balances exceeding established credit terms at ante equalto the lesserol(a)I per month or Visit www. usfood.com for a fast and easy way to order. the maximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law. X 1,/ I CUSTOMERS SIGNATURE: ?&,,4A&w,6cz au- 6",4i eat ACCOUNT |mvO|os CuaToMsn PURCHASE ORDER SALES SALES DATE NO. NUMBER LOC. REP. ORDERED 9O569� 0569575 1054 0062 07/07/11 p"*""'..r"« the plate! ROUTE 5263 3 ORDER NUMBER: 257880 DELIVERY BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 17 843 3873 46266 ATT. ICHELLE COMPTON PEPT 00 E300 428 2118 SHIPPED FROM. CUMBERLAND RD FISHERS IN SHIP DATE: O7/O8/11 Page O] of O] FREIGHT TERMS: SP mm ENTER OFF OF 111TH STREET!!� ��en�nma.NET 3O DAYS moCTIowo. OTY. OTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 46 PIECES SHIPPED: 46 ITEMS SHIPPED: 29 1419.59 TOTAL REFRIGERATED PIECES ORDERED: 25 PIECES SHIPPED: 25 ITEMS SHIPPED: 13 702.01 TOTAL FROZEN PIECES ORDERED: 87 PIECES SHIPPED: 87 ITEMS SHIPPED: 20 2478.57 INVOICE SUMMARY TOTAL WGT SHIPPED: 1954.28 PIECES ORDERED: 158 PIECES SHIPPED: 158 ITEMS SHIPPED: 62 PRODUCT TOTAL 4600.17 Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to provide Material Safety Data Sheets on non products defined to be hazardous. Products such as cleaning products and esticides are included in the scoge of the Standard. In compliance with Ue law. MSDS are available to U. Foodservice Inc. customers and can be obtained bt contacting the Procurement Manager in our TAXABLE AMOUNT .00 district office or by advis I ng your sales representative. GEN SALES TAX x .00 You may contact KEVIN BURTON at phone 14 (371) 585 6822. PLEASE REMIT THIS AMOUNT BY 08/07/11 AMOUNT Purchase Description Bud t Linetescr 2011 Jill Purchaser Date_ Inivest sha exern all unp;Tbalances mceediiV estat6shed5edil lenns at a fate equal lqeeles� of (a) 1"6% 0 the, ViSitwww.usfood.com for a fast and easy way to order. (b) the nlaAmurn rate that the ousimm my lawfulN contract to pay, and in all events caloulated in acoordame wilh app x CUSTOMERS SIGNATURE: DISTRICT COPY ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO. NUMBER LOC. REP. ORDERED 90569922 0265433 07/08/11 90569575 tA 1054 0062 07/07/11 S" 7S Your ""s ".Y."d the plate! DELI ROUTE: 5283 3 ORDER NUMBER: 257680 BILL CARMEL. CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U FOODSERVICE, INC. TO: 1411 E. 116TH ST TO' 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 ATT. IM ICHELLE COMPTON PEPT 00 800 428 2118 SHIPPED FROM: 1 2301 CUMBERLAND RD FISHERS IN SHIP DATE! 07 06 11 Page 01 of 03 FREIGHT TERMS: NET 30 DAYS SPECIAL ENTER OFF OF 111 TH STREET! PAYMENT TERMS: INSTRUCTIONS: C QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED V UNIT NUMBER D UN PRICE PRICE E DRY 113 3 CS 0814541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS 20.520 61.56 vi 1 CS 1287747 SNACK BAR, CRL ASST SS 3/16/1.3 OZ KELLOGG'S CS 27.130,0 27.13 ✓2 2 CS 1462803 SPOON, TEA MW WHT BULK PLST 1000 EA PRIME CS 14.0700 28.14 J1 I CS 2404325 GLOVE, POLY LG TXTD AMBDX 10/100 EA MONOGRAM B CS 35.5500 35.55 2 CS 3256104 LID, CUP 1.2-24 Z BBL PLST 1000 EA WINCUP CS 16.1000 32.20 I EA 4004289 CANDY, BAR SNCKR 2.07 OZ 48 EA SNICKERS EA 34.2700 34.27 ✓1 1 EA 4053336 CANDY, BAR MILK CHOC 36 EA HERSHEY EA 26.2100 26.21 ✓6 6 CS 4260238 SAUCE) CHS MACHO SHLF STABL 4/107 02 ORTEGA CS 49.0000 294.00. ✓i I CS 4329397 KETCHUP, TMTO SQZ FOIL SS SHLF500/9 OR MONARCH CS 15.2900 15.29 vi I CS 5280391 ONION, CHPD SS 200/9 OR HEINZ CS 16.3500 16.35 2 CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS -17, 74.66 vi I CS 5585476 CHIP, PTATO BKD ORIG GLTN/FR 64/1.125 OZ BAKED LAYS CS 2B..5500 213,55 I CS 5597604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 29.'11100 29.01 ttl I CS 5597851 CHIP, TORTLA MACHO CHS TROLE 64/1.75 OZ DORITOS CS 28.5500 28-55 %/2 2 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS_ 29.0300 58.06 vi I CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.5 02 LAYS CS 28.5500 28.55 A I CS 5601927 CHIP, PTATO KTL JLP SS BAD 64/1.375 OZ MISS VICKI CS. 27.8500 29,.85 V1 I CS 5601943 CHIP, PTATO KTL BBQ SS BAG 64/1.375 OZ MISS VICKI CS 29.8500 29.85 1/1 1 CS 5605431 CHIP, MULTGRN CRON SALSA SS 64/1.5 OZ SUN CHIPS CS 29.4600 29.46 1 CS 5605472 CHIP, MULTGRN CHEDR SS BAG 64/1.5 OZ SUN CHIPS CS 29.4600 29.46 V1 I CS SLO5522 CHIP, MULTGRN ORIG SS BAG 64/1.5 OZ SUN CHIPS CS 28.8300 28.83 V1 I EA 6210777 CANDY, KIT KAT VNDG STD 1.5 2 36 EA KIT KAT EA 25.9400 25-94 .4 1 CS 6329213 RELISH, SWT SS SHLF STABIL 200/9 OR MONARCH CS 13.3600 13.36 %j3 3 CS 6818819 TRAY, PAPR FOOD 5 LB CLAY 2/250 EA MONOGRAM CS 46.1500 138.45 ✓1 I CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF 6/108 OZ CHEF MATE CS 66.4400 66.44 1 1/1 1 EA 8053126 CANDY, RESES PHT BUTR CUP 36 EA REESE'S EA 25.9200 25.92 ✓1 I CS 8914855 STRAW, JMB 7.75" GLR UWRPD STD24/500 EA MONOGRAM B CS 54.2300 54.23 N/4 4 CS 9463688 CHIP, TORTILA CORN YLW FIND 6/2 LB EL PASADO Cs 19.8800 79.52 ✓2 2 CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 25.1000 50.20 REFRIGERATED I CS 0654269 HUMMUS, RSTD RED PPR NONDARY 12/4,56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please Refer to Return Polic 1 CS 0654301 HUMMUS, ORLC RSTD NONDARY REF 12/4-56 OZ �A CS 22.9000 22.90 READY TO EAT Please Refer to Return Policy I CS 2000453 SALAD, CHIX CRMY REF 2/5 LB RCE B CS 39.0900 39.09 READY TO EAT Please Refer to Return Policy interest snail a=eon all ��pajd balances exce s she L t d tarmsetann Visit vrww.usfood.corn for a fast and easy way to order. (b) Wn ft lid b to pay, the morlum roe that ine cusiomer may lawlety in all e calculated in accordant: with applicable law. x CUSTOMERS SIGNATURE: DISTRICT COPY We.14A&9ce1(19& IWIM 6",W44 ACCOUNT |mwo|Cs |mvoICs cuaToMsn PURCHASE ORDER auLsa SALES DATE NO. NO. DATE mo. muMosn LOC. nsp. Onosnso 90569922 0265433 07/08/11 90569575 1054 0062 07/07/11 m"'�,t '^"mlu the *ate.' DELIVERY ROUTE: 5283 ORDER NUMBER: 257880 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E 116TH ST TO: 1 C PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 317 843 3873 46266 ATT. SHIPPED FROM: 123Q1 CUMBERLAND RD FISHERS IN SHIP DATE: O7/Q8/11 Page 02 of O] FREIGHT TEnuo. �mm ENTER OFF OF 111TH STREET!!! nnmcwr�nma.NET 30 DAYS INSTR OTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE READY TO EAT Please Refer to Return P I' V1 I CS 3331337 APPLE, RED DLC 88 CT XFCY 88 EA 6OSS VALY CS 35.9700 35.97 vi I EA 4365219 CHEESE, AMER SLCD 135 SUPRCR 5 LB GLNVW FIRMS B EA 18.5500 18.55 vi I CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT PRAIRIE FM cs 11.4300 11.43 Vi I CS 4800884 MILK, CHOC 1% LOW FAT PLST REF12/1 PT PRAIRIE FM CS 10.4000 10.40 8 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PRAIRIE FM CS 33.7100 269.68 READY TO EAT Please Refer to Return Polic 1 CS 5006556 BANANA, GRN FRESH REF 10 LB NCKER 7.7800 7.78 I CS 5332242 LETTUCE, ICBRG SHRID 1/4 CLND 4/5 LB CROSS VALY B CS 17.6000 17.60 READY TO EAT Please Refer to Return Polic I CS 7197775 YOGURT, ASST STRWBNA RSPBRY 12/6 OZ 6LAIT CS 10.1700 10.17 V6 6 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2.5 GA PRAIRIE FM CS 34.8300 208.98 READY TO EAT Please Refer to Return PolicV FROZEN 1 1 CS 1157387 ICE CREAM BAR, DREAM STICK VNL2/24/3 OZ BLUE BUNNY CS 15.9100 15.91 /7 7 CS 1715069 BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLCT CS 30.5000 213.50 �SUB** 0 CS 3000296 PRETZEL, SOFT BRD FZN 100/2.5 OZ SUPR PRTZL I CS 2014652 MUFFIN, BLBRY IW 24/4 OZ SARA LEE CS 19.9800 19.98 v3 3 CS 2260099 ICE CREAM SANDWICH, CRY CRM 24/4.5 OZ BLUE BUNNY CS 17.8700 53.61 3 3 CS 2277663 ICE CREAM BAR, REESS PNT BUTR 24/4 OZ GOOD HUMOR CS 18-5300 55.59 1/1 1 CS 2318848 BAGEL, PLN 3 Z THAW SRV FZN 72/3 OZ SARA LEE CS 32.8100 32.81 1/ 6 6 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 31.5100 189.06 V8 8 CS 3330099 HOT DOG, AB 6:1 6 RLR GRIL 10 LB PATUXENT CS 28.0300 224.24 1, 1 CS 4058707 MUFFIN, BANA NUT IW FZN 24/4 OZ SPUNKMEYER CS 24.3300 24.33 vs a CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ REMPS CS 27.1500 217.20 �8 8 CS 4690525 ICE CREAM CUP, ITTIBITZ CK&CR 24/5 OZ KEMPS CS 25.7200 205.76 8 8 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 OZ KEMPS CS 27.1500 217.20 TOB 8 CS 4904603 ICE CREAM CUP, CRY DOUGH ITTIB24/5 OZ KEMPS CS 27.1500 217.20 /2 2 CS 5218862 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 15.7600 31.52 --6 6 CS 5509708 PIZZA, CHS DEEP DISH 7 W/ BOX36/7 IN BOSCO CS 63.9700 383.82 V 5 CS 5741178 BUM, HMBGR PLN 4 SLCD 10/12 EA HILLTOP HR CS 23.6300 118.15 V4 4 CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4.6 OZ BB CHAMP CS 18.8400 75.36 v5 5 CS 8187999 ICE CREAM BAR, CHOC VNL24/4 OZ KLONDIKE CS 24.3300 121.65 1.4 1 CS 9763061 POPSICLEj ORNG CHRY.GRAPE SG/F12/6/1.65 OZ POPSICLE CS 18.0000 18.00 Interest shall a=e on all unpaid bautmc:es Visit www.usfood.com for a fast and easy way to order. (b) the maximum rate that the wstmw my lawfully oonmw to pay. and in a CUSTOMERS SIGNATURE: DISTRICT COPY Wc,4AAw*a& *=m'6=*ace" 4 AC OUNT INVOICE INVOICE CUSTOMER PURCHASE O._RDER SALES SALES DATE f�0. NO. DATE NO. NUMBER LOC. REP. ORDERED i 9056992 0239092'':' O 07 1 1 0561157.5 C 1054 062 07 t 47 t 1 Your partner beyond the plate.' ELIVERYROUTE 975 0' 1 OkDER NUMBER: 257255 BILL CARMEL CLAW RARKS&RECREAT IP CARMEL CLAY PARKS F�ECFdEAT REMIT. FCIQDSERVICE: INC. TO: 1411 E. 116TH ST TO:' 235 CENTRAL PARK DRIVE E TO: CARMEL IN CARMEL I BOX 660088 ii 46032 46032 INDIANAPOLIS IN 317 843 3873 46266- -0088 ATT. MICHELLE COMPT13N I DEPT 00 1 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 07/07/11 Page 01 o 01 FREIGHT TERMS: SPECIAL CUSTOMER RICK UP PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: OTY. QTY.. SALES PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 2 2 CS 9463688 CHIP, TORTLA CORN YLU RAID 6/2 LB EL PASADO CS 19.8800 39.76 FROZEN 2 2 CS 2277663 ICE CREAM BAR, REESS PNT BUTR 24/4 OZ GOOD HUMOR CS 18.5300 37.46 2 2 CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ KEMPS CS 27.1500 54.30 2 2 C5 4690525 ICE CREAM CUP, ITTIBITZ CK &GR=24 /5 OZ KEMPS CS 25.7200 51. 2 2 CS 4694519 ICE CREAM CUP, IT BANA SP T 24/5 OZ KEMPS CS I 27.1500 54.30 2 0 CS 4904603 ICE CREAM CUP, CKY DOUGH TTID24 /5 G.Z KEMRS- 2 CS 8187999 ICE CREAM{ BAR.. CHOC 'TACO UNL2414 tat KLONDIKE CS \1'24.3300 48.66 INVOICE SUMMARY TOTAL WGT SHIPPED: 0, 32 O DERED: 14 PIECES SHIPPED) 12 p T PRODUCT TOTAL 285,52 �,I 2 2011 BY: P urchase i. Description 'TAXABLE AMOUNT .00 GEN, TAX Y '00 P.O. F 7 73 rr or P G.L.# Budget Line D escr PLEASE REMIT. THIS AMOUNT BY 08/04/11 AMOUNT 285 552 Purchaser Date Approval Date Interest Shall accrue on all unpaid balances exceeding establil Credit termsat a= ate equal to the lesserot (al 14A permen+n o= Visit w w w .usfood.com for a fast and e asy to order. X )n) the max cu imum rate that the customer may lawful ty contract to pay, and in all events call in accordance with applicable law.. y Wa y CUSTOMERS SIGNATURE: C1Q auc rcaioceaex 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. 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)) 28773 285.52 717111 239092 Concessions 28773 4,600.17 718111 265433 Concessions 216.80 719111 292661 Concessions 310.2B 719/11 294991 Concessions 314.51 7/11/11 329154 Concessions 28773 4,673.50 7/12111 351366 Concessions 28651 806.65 6110111 2432426 Family campout food 28810 793.30 7115111 465871 Concessions 28810 2,133.28 7115111 465872 Concessions 28843 360.36 7118111 527813 Concessions 28810 5,270.51 7119111 532833 Concessions Total 19,764.88 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 TOTAL OF 28,499.79 2 PAGES ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO #or INVOICE N0. CCT #!TITLE ----AMOUNT Board Members Dept 1095 -1 239092 4239040 285.52 1 hereby certify that the attached invoice(s), or 1095 -1 265433 4239040 4,600.17 bill(s) is (are) true and correct and that the 1095 -1 292661 4239040 216.80 materials or services itemized thereon for 1095 -1 294991 4239040 310.28 which charge-is made were ordered and 1095 -1 329154 4239040 314.51 received except 1095 -1 351366 4239040 4,673.50 1096 -60 2432426 4239039 806.65 1095 -1 465871 4239040 793.30 1095 -1 465872 4239040 2,133.28 1095 -1 527813 4239040 360.36 9 -Aug 2011 1095 -1 532833 4239040 5,270.51 TOTAL FROM PAGE 2 8,734.91 Signature 28,499.79 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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 7/22/11 662198 Concessions 28843 4,414.71 7126111 735344 Concessions 28810 1,444.20 7126111 763962 Concessions 27.00 7/29/11 862635 Concessions 39.20 7/29/11 862637 Concessions 28843 2,809.80 Total 8,734.91 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 353824 U S FoodService, Inc. Allowed 20 Box 660088 Indianapolis, IN 46266 -0088 In Sum of 8,734.91 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 662198 4239040 4,414.71 1 hereby certify that the attached invoice(s), or 1095 -1 735344 4239040 1,444.20 bill(s) is (are) true and correct and that the 1095 -1 763962 4239040 27.00 materials or services itemized thereon for 1095 -1 862635 4239040 39.20 which charge is made were ordered and 1095 -1 862637 4239040 2,809.80 received except 9 -Aug 2011 Signature 8,734.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund