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201032 08/30/2011
CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $7,851.98 CARMEL, INDIANA 46032 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 201032 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1068140 3,948.32 FOOD BEVERAGES 1095 4239040 1145880 1,611.61 FOOD BEVERAGES 1095 4239040 886391 72.37 FOOD BEVERAGES 1095 4239040 930736 2,219.68 FOOD BEVERAGES T INVOICE INVOICE CUSTOME PURCHASE ORDER SALES SALES DATE NO. DATE N NUMBER LOC. REP. ORDERED r A 6 9 C COU 9222 U$3836391 07/30/11 905 575 @atul Pick Up 1054 0062 07/29111 Your partner beyond the plate! j DELIVERY ROUTE: 247 l 1 \"/1 QF; D�� iBER 276341 BILL -ARMEL CLAY P KS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMI U. S. POODSERVICE, INC. TO: L411 E. 116TH ST TO L235 CENTRAL- DRIVE E TO. 'ARMEL IN t:ARMEL IN BOX 660028 16032 46032 INDIANAPOLIS IN I1ICHELLE COMPTON �)EPT 3 00 @0 @73 800bb -ATT. 0 4Z 8 21 2118 SHIPPED FROM: ©1 CUMBERLAND RD FISHERS IN S HIP DATE.07 /30 Page 01 of 01 FREIGHTTERMS:E-{0 DAYS SPECIAL S e orders a eturnable Page PAYMENT TERMS. INSTRUCTIONS Levenson to pick u p Sa turday morning OTY. OTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT P PRICE DRY 1 1 C8 2255396 CONE, ICE CRM CAKE FLAT BOTM 28145 EA JOY CONE CS 72. 3700 72,37 i PRODUCT CLASS RECAP f TOTAL DRY PIECES ORDERED1 1 PIECES SHIPPED: 1. ITEMS SHIPPED: 1 72.37 INVOICE SUMMARY .TOTAL tJOT SHIPPED: 4.09 PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1. x Federal Occupation Safety and Health Standards. Section 1910.1200 on Hazard PRODUCT-TOTAL 72.37 Communication requires manufacturers and distributors to provide Material Safety Data Sheets on non -food products defined to be hazardous. Products I such as cleaning products and esticides are included in the scarpe of the h Standard. In compliance with he law. MSDS are available to U.S. !^oodservice Inc c ustomers and can be obtained bar contacting the Procurement Manager in our TAXABLE AMOUNT S .00 district office or bt,+ advising your sales representative. OEM SALES TAX .00 You ma,V contact KEVlN BURTON at phone #'(371) 585 6822. PLEASE REMIT THIS AMOUNT BY 08/29/11 AMOUNT CiS f o 5 Purchase 2Q 11 r Description AUG 0 9 P.O.# PorF Baclget Line Descr Purchaser Date Approval Date 1 Interest ihall aocrueoo all unpaid hdances eeceedingeetablishad credil lemma at a rate equal to the lesserof(al VA per month or Visit www.usfood.com for a fast and easy way to order. (b) the maximum rata that me customer may lawfully contreot to pay, and in all events calculated in 8=r0ance with applicable law. X OMERS SIGNATURE: 2l1e a ACCOUNT INVOICE •INVOICE CUSTOMER PLIRCHASE SALES SALES DATE NO. N TE NO. NUMBER LOC. REP. ORDERED 9056992 0930736 8/02/11" 0569575 TODSE .54 0062 08/01/11 Your rtner beyond the plate.' D OUTE: 2251 �3 RD NUMBER: 278165 BILL CARMEL CLAY PARKS&RECREAT SHIP •'ARMEL CLAY PARKS&RECREAT VICE, INC. TO: 1411.E. 116TH ST TO: 1235 CENTRAL PARK DRIVE.E CARMEL IN ARMEL IN 088 4'6032 46032 POLI' IN 17 843 3873 088 ATT. `1ICHELLE COMPTON DEPT 00 21 8 SHIPPED FROM: 12'.JO1 CUMBERLAND RD FISHERS IN SHIP DATE: OBl P a g e 02 of 02 FREIGHT TERMS: SPECIAL ENTER OFD OF 111TH r I I I PAYMENT TERMS: NET 30 DAYS 1% INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL O. i .WEIGHT UNIT PRICE PRICE E 3 3 CS 3041423 :CORN DOG, AM CN FZN /4 OZ STATE FAIR CS 31.4900 •94.47 8 8 `CS 3330099 HOT DOG, AB 6:1 6 "•RLR GRIL 0 LD PATUXENT CS 28.9600 231'.68 3 3 CS 4690392 ICE .CREAM CUP, ITTIBITZ COT,N 2 OZ KEMPS CS 25.3200 75.96 3 3 CS. 4690525 ICE CREAM CUP, ITTIBITZ CKBCRV24 /5 OZ KEMPS CS 25.:3200 '75.96 .3 3 CS 4904603 ICE CREAM CUP, CKY DOUGH IT 11N /5 OZ KEMPS CS 25.3200 75:96 1 1 CS 5218862 ICE CREAM SANDWICH, VNL 4 4/6 OZ FLUE BUNNY 'i CS 15.'7600 AS. 76 1 1 'CS 5509708 PIZZA, CHS DEEP DISH 7" W/ IN BOSLO'.S CS 63.9700 63. 7 3 .3 CS 5741178 BUN, HMBGR PLN 4" SLCD 10/12 EA HILLTOP Hk CS 23.6400 70... 2 'I• 4 CS 5741228 BUN, HOT DOG PLN 6" SLCD 1 EA HILLTOP HR CS 29.3700 119:48 2 .2 CS 8187999 ICE CREAM BAR, CHOC TACO a AL OZ KLONDIKE CS' 24.3300 48: 66' 1 1 CS 9763061 POPSICLE, ORNG CHRY .GRAPE SG. 2/6/1.65 OZ POPSICLE t CS 19.2600 19.26 PRODUCT CLASS RECAP r TOTAL DR-x PIECES ORDERED: 21 PIECES SHIPPED: 21 ITEMS SHIPPED: 18 643.18 y TOTAL REFRIGERATED PIECES ORDERED: '0 =ACES SHIPPED: 10 ITEMS SHIPPED: 6 295.30 TOTAL. FROZEN PIECES ORDERED: 46 .PIECES SHIPPED:. 46 ITEMS SHIPPED: 15 1281.20 INVOICE SUMMARY TOTAL WGT SHIPPED: 1042.41 PIECES ORDERED: 77 PIECES SHIPPED: 77 ITEMS SHIPPED: 39 t PRODUCT TOTAL 4 2219.68 H AUG O 2011 GEh! .00 X 40 :r ticn �'�Yl1�QJJL1ll6V�0 PLEASE REMIT THIS AMOUNT BY 09/01/1 AMOUNT 2219.68 `-tudgat Line Descr Y l t lmerest shall accrue on all unpaid b 9 W 9 tkq 5 Visit www.usfood.com for a fast and easy way to order. (b) the maximum rate that the customer may lawfully conhalY to Pay, and in all events calalatea m accordance w apps a aw. X Approval Date CUSTOMERS SIGNATURE: 12f/eff��l,iceetgte Zlocac b"uataeaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER, LOC. REP._ ORDERED 90569922 0930736 08/02/11 1054 0062 08/01/11 Your'a beyond the /late.' DELIVERY ROUTE: 22 rtner 3 'OR ER N F 2781 BILL ARMEL CLAY PARKS&RECREAT SHIP 'ARMEL CLAY PAf24(5LcRECREAT. REMIT U S. F ODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL: PARK DRIVE E TO: "ARMEL IN ARMEL IN BOX 66 088 46032 46032 I ND I AhfAPQL I S IN ATT. MICHELLE° COMPTON jEPTB #30x$73 462bbf-0088 '800 428 2118 i SHIPPEDFROM: CUMBERLAND RD FISHERS IN SHIP DATE: OB /02/11 Page 01 O f 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 11T STREE t PAYMENTTERMS:NET 30 DAYS INSTRUCTIONS: s• I QTY. CITY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E 1 DRY f 1 CS 0332726 DRINK MIX, FRT PNCH PtJDR OTG\,/4/30 EA CRYSTAL LT CS 35.0500 35.05 1' 1 CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 32.2900 32.29 1 1 CS 0814236 CUP, FM 16 Z'WHT 20/25 EA MONOGRAM CS 16.9900 16.99 1 1 CS 0814541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS 20.5200 20:52 1. I CS 3256104' LID, CUP 12 -24 Z BBL PLST/ 108 'EA WINCUP CS 16.1000 16.10 1 >1 EA 4053336 CANDY, BAR MILK CHOC 36.EA HERSHEY EA 26.2100 26,21. CS 4238291 DRINK MIX, BLU R5P LMN ISL 1. 5/21.1 OZ KOOL'AID CS 47.8800- 47.88 3 3:. CS 4260238 SAUCE, CHS NACHO SHLF STABL e/4/,�.•07 OZ ORTEGA CS 49.0000 a 147'.00 1 CS 4329397 KETCHUP, TMTO SRZ FOIL SS SHW- O/9 G,R MONARCH CS 15.1300 15.4 3 1 1. CS 5311600 CONE, ICE CRM CAKE 22S FLAT ✓``86120 EA JOY CONE CS 37.3300 37.33 G 1 1 CS 5329289 MUSTARD, YLW SS. 15.5 GR SHLF ✓3'0'4/5.500 GR MONARCH CS 11.9600 1'Y 96 :1 1 CS 5601679 CHIP, FTATO REG,�LN S5 BAG 64l1.5 OZ LAY'S CS 28.5500 28.55 1 1 CS 6329213 RELISH, •SWT SS SHLF STABL'�;% 200/9 GR MONARCH CS 12.5900 12:.69 1 1. CS 6818819 TRAY, PAPR FOOD 5 LB CLAY x°":24250 EA MONOGRAM CS 46.1500 46.15 ,1 1 CS -7009988 SAUCE, CHILI HOT DOG W/ BEEF' \A ,1��08 OZ CHEF MATE CS 65.4500 65''. •45 1 1 CS 9089079 POPCORN, RAW KIT W/ OIL s a OZ FANCY FARM CS 22'.:5700 2 2 GS 9463688 CHIP, TORTLA CORN YLW RND frY2 LB EL PASADO CS 19.880D, 39.76 1 1 CS 9954371 LID, CUP 32 Z STRAW SLTD PLST%40 /50 EA MONOGRAM CS 21.5500 21r;. REFRIGERATED ti 1 .1 CS .0654269 HUMMUS, RSTD RED. PPR NONDARY ✓12/4.56 OZ SABRA CS 22.9000 2'x.94 READY TO EAT Please Refer to �{e,turn Policyy 1 1 CS ..0654301 HUMMUS, GRLC RSTD NONDARY REFv12 /4.56 OZ SABRA CS 22.9000 22.90 READY TO EAT Please R fer to Return Policy i 1 CS 2000453 SALAD, CHIX CRMY REF ,y 2 /5-LB PIERCE B CS 38.1900 38.19 READY TO EAT Please Refer to Return Policyy 1. 1 1 EA 4365219 CHEESE, AMER SLCD 135 SUPRCR� LB GLNVW FRMS B EA- 13..8450 13.85 3 •.3 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4 %2%2. 5 '.GA PRAIRIE FM CS 33.7100 101.13 READY TO EAT Please Refer to Return P 3;, 3 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4`2/2.5 GA P RAIRIE FM CS .32. 1100 96.33 READY TO EAT Please Refer to Return Pdlicy y; FROZEN 4 4 CS 17156 BEEF, PTY GRND 75/25.4:1 RND 40/4 OZ`v CTLMN SLCT CS 30.5000 122.00 8 8 CS 20.11278 PRETZEL, KING SOFT BKD FZN 50/5 Oz SUPR.PRTZL CS 28.8400 230.72 1 1 CS 2260,099 .ICE CREAM SANDWICH, CKY CRM 24/4.5 0 -BLUE BUNNY CS 17.8700 17.87 1 1 CS 2277663 ICE CREAM BAR, REESS PMT BUTR 24/4 OZ GOOD HUMOR .CS 18.5300 18.53 Interest shall acme on all unpaid balances exceeding established aedil terms at a rate equal" the lesser ol_(art•lh% par month or Visit W r foa fast and easy way to order. (b( the maximum rate that he mstomer may lawlulN contract to pay, and In all events rakulatad in accordance wih appllcabte law. X .CUSTOMERS SIGNATURE: G a:c kJ r' ZUe�ffyr�recCatz llocos ACCOUNT INVOICE INVOICE CUSTOMER' PURCHASE ORDER T SALES SALES DATE N0" N NO: NUMBER LOC. REP. ORDERED 9C�56Q922 1068140 6/05/11 90569575. 1054 0062 08/04/11 tner beyond the plate.' i DELIVERY ROUTE: 52 91 7 4 ORDER NUMBER: 2 81949 I BILL CARMEL CLAY PARKS&RECREAT SHIP ZARMEL CLAY PARKSwRECREAT REMIT U. S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTRAL DRIVE E TO: CARMEL IN uARh!EL IN BOX 660088 46032 46032 •INDIANAPOLIS IN ATT. `1ICHELLE COMPTON DEPTB #300873 46266 -0088 800 428 2118 SHIPP6FROM: CUMBERLAND RD FISHERS IN SHIP DATE: 0 6/05/11 Page 03 of 03 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET! PAYMENTTERMS:NET 30 DAYS INSTRUCTIONS: QTY. QTY., SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION "PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E zt INVOICE SUMMARY TOTAL WGT SHIPPED: .1787.46 PIECES ORDERED: 137 PIECES SHIPPED: 137 ITEMS SHIPPED: 56 PRODUC"t 'TOTAL 8' 3948.32 TAXABLE AMOUNT .00 CTEN. SALES TAX Y. 00 PLEASE REMIT THIS AMOUNT BY 09/04/11 AMOUNT 3948.32 Purchase Description �ZYZC25�SI1�'ls P.O. V Budget' Line Descr Purchaser Date Approval Date' J., l Interest shall accrue on all unpaid d balances exceeding estabfuhed credit tents at a rate ual to the lesser of a wh% month or y w— 17 (b).ser.lmumrete that the ccustomer ma lawfully blish w O l>er Visit www.usfood.com for a fast and easy way to order. y y pay, and in all events calculated in accordance with applicable law. CUSTOMERS SIGNATURE: Zf/e�'1f�rieucete ZLaluz Gue�Keaa .tit I;• ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1068140 08/05/11 90569575 1054 0062 08104111 Your partner beyond the plate.• DELIVERY ROUTE: �l 4 GIRDER NUMBER 2 81 949 949 BILL "ARMEL CLAY PARKS&RECREAT SHIP "ARMIEL CLAY •PATS &RECREAT REMIT ,`t1. S.. FOODSERVICE, I'NC. TO: 1411 E. 116TH ST T 1235 CENTRAL .PARK DRIVE E TO: BOX 660088. "ARMEL IN �ARMEL. IN 46032 46032 INDIANAPOLIS IN 317 843 3873 i�;`f 46266 -0088 ATT. ITCHELUE COMPTON DEPT 00 800 428 2118 t <SH iPPED FROM 1 CUMBERLAND R37 FISHERS I N ,SHIP DATE QB/ 05! i 1. f'.a q e 02 (3 Q3 FREIGHT TERMS k r A SPECIAL'` ENTER OF OF .11 1TH STREET!!! t PAYMENT TERMS:�' ;430 DAYS N5TRUCTIOHS 2`IWa� R QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE .i 4 Stl 436521y Cmt 5t, kllh a 'SIIJPRCR B GLMVW FR ri5 P EA 18,6900 !37._38 1 CS 4800843 'MILK, 2X REDUC FAT PLST REF 1211''':vit PRAIRIE FM CS 11.3600 11. 36 VI 1 CS 4BOO884 MILK, GHOC Z LOW FAT PLST REF12 /1 PT, PRAIRIE FM CS 10.7400 10.74 r 6 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4 %2 /2.�A PRAIRIE FM C8. 33.7100 202..26 READY TO EAT Please Refer to Return Polic y°1 1 CS 5006556 BANANA, GRN FRESH FIEF 10 LB ACKER CS 7, 7500 7.78 V1 1 CS .7197775 YOGURT, ASST STRWBNA A RSPBRY 12 OZ YOPLAIT CS 10. 1700 .1'0:.17 V6 6 CS' 7451354 ICE MILK MIX, ►OF`T SRV CHOC 4%2/2.5 GA PRAIRIE FM CS 32.1100 192.66 I READY TO EAT Please Refer to Return Policy FROZEN 1. CS 1157387 ICE CREAM BAR, DREAM STICK VNL2 /24 /3�.'OZ BLUE BUNNY CS ].5.91013 15..91 V 5 5 CS 71 5069, BEEF, PTY GRND 75/25 4:1 RND 40/4 O7 CTLMN SLOT CS 30.5000 1 d#3' 8' CS ".:011278 PRETZEL; KING SOFT BKD FZN 50/5 OZ SUPR FRTZL CS 28.8400 230.'72 %A 1 CS 014652 MUFFIN, BLBRY IW 24 "!4 OZ SARA LEE CS 19L,9900 19.98 %/t 2 CS "x.260099 ICE CREAM SANDWICH,' CKY CRM 2 OZ BLUE FUNNY GS 17.8700 35.7s4 12 2 CS (277663 ICE CREAM BAR, REESS FNT BUTR 24/4 QZ GOOD HUMOR CS 18.5300 37.06 00 11?; CS 3330099 HOT AB 1.6" RLR GRIT. 10 /LBOZ PATUXENT CS 2B. 9600 X 9. I GS 4 MUFFIN, BANA NUT 1U FZN 24/4. OZ SF UNKMEYER CS 24.3,300 24 33 ;,/5 5 CS 46903'92' ICE: CREAM CUP, ITTIBITZ COTN 24/5. ,OZ KEMPS CS 25.3100 126. Y5 '5 CS 46905'5 3:CE CREAM CUP, ITTIBITZ CK &CR 24/5' Z KEMPS CS 23.3200 124.60 5 5 GS .4694519 ICE: CREAM CUP, IT BANA SPLT 24/51 KEMPS "'°ACS 25.3200 120.60 ys 'S CS 4904603 ICE CREAM CUP, CKY DOUGH ITTIB24 /5 KEMPS -CS 25.3200 126.60 tf3 °'3 CS 52 18'8 62° -ICE CREAM SANDWICH, VNL 24/6. UZ BLUE BUNNY CS 15.7600 47.2$ %/4 4 CS, 5509708' PIZZA, CHS DEEP DISH 7" W/ BOX3617tIH BOSCO`S ;CS 6319700 255.88 1 CS 6153027 BROWNIE, CHOC 2.5 Z UNSL BKD 48/2::5 OZ OREO CS 43..6900 43..68 ,Fs1 -1 CS 7175120 ICE CREAM CONE, VNL.TFF 2/12/4.6 OZ BB CHAMP CS 18.8400 18,.84. A. E/ 3 3 CS .8187999 ICE 'CREA#4, BAR, CHOC TACO VN 24/ "4 0Z KL'ON ©'I411~ C5 24.3300 72.•:99 PRODUCT CLASS RECAP TO'CAL °4)RY PIECES ORDERED; 48 PIE'CEa SHIPPED: 4f3 ITEMS SHIPPED: '27 ,.,1444;.. ?2.. TOTAL REFRIGERATED PIECES ORDERED: 22 PIECES SHIPPED: 22 ITEMS SHIPPED: 11 .595.24; TOTAL FROZEN. PIECES ORDERED: 67 PIECES SHIPPED: 67 'ITEMS SHIPPED: iB :19043.36 Interest shall accrue an all unpaid balances exceeding established Credit terms at a rate equelgo the lesser: of j87 I.-A per monm or Visit www.usfood.eom for a fast and easy way to order. [d) the maximum rate that Iha customer may lawfully contract to pay, and it all eaents calculated !n eccordanee with.epplicaple law. x CUSTOMERS SIGNATURE: t ,l i 1ax E :i 1. ta'� ....:.3 ,S 'd 'fs, ^t. :S ct.. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DA NO. NUMBER LOC. REP. ORDERED 90569922 1068140 08/05/11 90569575 g 1054 0062 08/04/11 Your beyond the plate.' DELIVERY ROUTE: 5291 4 l ORDER NUMBER: 261949 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 317 843 3873 46266-OOBS ATT.`MICHELLE COMPTON DEPT 00 900 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 02 05 11 Page 01 of 03 FREIGHT TERMS: NET :30 DAYS W SPECIAL ENTER OFF OF 111TH STREET! PAYMENT TERMS: F v INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED DES RIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER LSl r E UNIT PRI PRICE d1 i CS' 0765081 CUP, PAPR BORD 12 Z SNGL POLY 20/50 EA MONOGRAM CS 111.6500 111,65 �1 CS 0791558 CONTAINER, FM 4 Z SQT WHT 25/40 EA MONOGRAM CS 19.1800 ;19.18 2 CS `0791616 CUE', FM 32 Z WHT 25/20 'EA MONOGRAMS CS 32.2900 �2 2 CS 0814236 CUP, FM 16 Z WHT 20/25. MONOGRAM CS 16.9900 33.98 ./2 2 CS 0814541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS 20.5200 41.04 I V2 2 CS 1462803 SPOON, TEA MW WHT BULK PLST 1000 EA PRIME CS 14.0700 28.14 V' 2 CS 3256104 LID, CUE' 12 -24 Z BBL PLST 1000 EA WINCUP CS 16.1000 32.20 1 EA 4004289 CANDY, BAR SNCCR 2.07 OZ 48 EA SNICKERS EA 34.2700 34.27 .1 CS 4180923 COOKIE, VNL CREME SNDWH SNCWL 48/1.7 OZ SNACKWELLS CS 20.0800 210.08 1 4 8 CS 4260238' SAUCE, CHS NACHO SHLF STABL 4/107 ORTEGA CS 49.0000 392,:00 2 CS 4329397 KETCHUP, TMTO SQZ FOIL SS SHLF500 /9 OR MONARCH CS 15.1300 30`.` °26 1 CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE CS 37 -3300 3733 1 CS 5329289r MUSTARD, YLW SS 5.5 OR SHLF 500/5.500 OR MONARCH CS t 11.9600 11...96 1 EA 55J.1919 PEPPER, JLP SLCD PLST SHLF 1 GA EL F'ASADO B EA 11.3000 1130 1 CS 55 7604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEF -TOS CS 29.8500 (f 1 CS 5597851 CHIP',.TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 28.5500 28.55 1 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2: FRITOS CS 28 -,5500 28.55 �3 1 CS 5704077 COOKIE; NUTTR BUTR 1 Z SS 48/1 NUTTk BUTk CS 28.2500 �''i-2S v#4 1 CS 6208144 SNACK MIX, CHX TRADL 10/31 OZ CHEX CS 61.9900 61.99 vi 1 EA 6210777 CANDY, ..:KIT KAT VNDG STD 1.5 Z 36. EA "t[ KIT KAT EA 25.9400 25.94 %,4 1 CS 7009988 SAUCE, 'CHILI HOT DOG Afl�:BEEF 6/108 OZ CHEF tTATE CS 65,4500 X 65. 45 x/1 4 1 EA 8036576 a CANDY, 48 EA 1'1 M EA 34.2000 34.20 J1 1 CS 8301913 FRUIT M i��TFF B L 36/4 OZ DOLE CS 21.9500 21.95 ✓1 1_ CS 9089079 POPCORN, 3 A T36/8 OZ ,FANCY: FARM CS 22.5700 2 ?.57 .01 1t CS 9187956 COOMI� 1V FK48 /1.1 OZ SNACKWELLS CS 27.3100 wz 31 J. 8 CS 9463688 CHIP, a C =6/2 LPt 'ASADO CS 19.8fl00 159;.04 F` i2 2 CS 9964371 LID, C 32 STR�At�I LST t'.1'015p A MONOGRRt� CS 21.5500 43. -10 1 i u REFRIGERATED s; V CS 0654269 HUMMUS,'RSTD RED PPR NONDARY 12/4x; 6 OZ SABRA CS 22.9000 22.90.• READY TO EAT Please Refer to Retut., Policy 1 CS 0654301 HUMMUS, GRLC RSTO NONDARY REF 12/4.'56 OZ SABRA CS 22.9000' 22.90 READY TO EAT Please Refer to Return Polic F A 1 CS 2000453 ;SALAD, CHIX CRMY REF 2/5 LB PIERCE B CS 38.1900 38.19 READY TO EAT Please Refer to Return Policyy J 1 1 CS 3000452 SALAD,. TUNA ALBCR TFF REF 2/5 LB TIERCE B CS 38.9000 38,90 READY TO EAT Please Refer to Return Policy e on all unpaid balances mcco ur,.s a11shed rsedt terms at a rate equal to me le4ser of (a)1A% tnonm or Visit www.ust6o'd.com for a fast.and easy way to order. -rte that me customer may lawfulty contract tp pay, and in an events calculated in accordance with applicable law. X CUSTOMERS SIGNATURE: 'I�acuy i 2f/ei! Suai,reod• L s ACCOUNT CE INVOICE CUSTOMER PURCHASE ORDER 'SALES SALES DATE NO. NO. NO. NUMBER LOC. REP. ORDERED 9056992 1145860 8/09/11 90569575 1054 0062 08/08/11 Your partner beyond the plate.' DELIVERY ROUTE: 22 4 ORDER NUMBER: 284393 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 46 46032 INDIANAPOLIS IN ATT. MICHELLE COMPTON DEPTB #300873 46266 -0089 900 428 2118 SHIPPED FROM: 12"301 CUMBERLAND RD FISHERS IN SHIP DATE: 08I09 /11 Page 02 of 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET! PAYMENT TERMS: 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 TOTAL FROZEN PIECES ORDERED: 29 PIECES SHIPPED: 29 ITEMS SHIPPED: 11 829.00 INVOICE SUMMARY FUEL SURCHARGE 6,25 TOTAL WGT SNIPPED: 486.55 PIECES ORDERED: 47 PIECES SHIPPED: 47 ITEMS SHIPPED: 24 PRODUCT TOTAL 1605.36 CHARGES 6.25 TAXABLE AMOUNT .00 GEN -SALES TAX .00 PLEASE REMIT THIS AMOUNT BY 07/68/11 AMOUNT 1611.61 Purchase c o' Description P..O.# rF G.L. Budget CJ et ,a 5� ��Xa Line et `a__, Purchaser Date O d Approval Date AUG 16 201 o st shell accrue on all unpaid balances exceeding established credittema a1 a rate equal to the lesser ol(a) 1 !h% per month or maximum rate that me Customer may lawluay contract to pay, and in all events calculated in accordance wM applicable law. CUSTOMERS SIGNATURE: Visit www.usfood.COM for a fast and easy way to order. 'he ate?�oun�u d ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1145880 08/09/11 90569575 Rs- 1054 0062 06/08/11 Itclu, p artner be,.., the plate! DELIVERY ROUTE: 2251 4 ORDER NUMBER: 284393 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 317 843 3873 46266-0088 ATT, MICHELLE COMPTON DEPT 00 800 2118 SHIPPED FROM: 1 2:501 CUMBERLAND RD FISHERS IN SHIP DATE: 08 /09111. Page 01 of 02 FREIGHT TERMS: SPECIAL ENTER OFF OF 11 TH ST-R,EET! 1 PAYWENTTERms:NET 30 DAYS INSTRUCTIONS: C PRICING r CITY. QTY. SALES PRODUCT 0 E UNIT EXTENDED DESCRIPTION PACK SIZE LABEL W ORDERED SHIPPED V UNIT NUMBER D NI PRICE PRICE E, DRY 1 1 CS 0332726 DRINK MIX, FRT PNCH PWDR OTo 4/36 EA CRYSTAL. LT CS 35.0500 35.05 1 1 CS 4238291 DRINK MIX, BLU RSP LMN ISL 15/21.1 OZ KOOL AID CS 47.8800 ..47.88 1 1 CS .6818819 TRAY, PAPR FOOD 5 LB,CLAY 2/250 EA MONOGRAM CS '46.1500 .-46.15 4 4 CS 6820039 TRAY, PLYST NACHO 6XBX1.75 CLR4/125.EA PACTIV CS 85. 343.72 1 1 EA 8053126 CANDY, RESES PNT BUTR CUP 36 EA REESE'S EA 25.9200 25.92 1 1 CS 8355927 NAPKIN, DISPR INFLD WHT 6.5XIO24/250 EA EASYNAP CS 55.1500 55.15 3 3 CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 19.8800 .59.64 REFRIGERATED 1 1. 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 I I CS 0654301 HUMMUS, GRLC RSTO NONDARY REF 12/4.56 OZ 6BRA CS 22.9000 22.90 READY TO EAT Please Refer to Return Policy 4 1 CS 2000453 SALAD, CHIX CRMY REF 2/5 LB IERCE B CS 38.1900 38 READY TO EAT Please Refer to Return Policy i CS 3000452 SALAD, TUNA ALBCR TFF REF 2/5 LB IERCE B cs 38.9000 READY TO EAT Please Refer to Return Polic I I CS 029676 PEPPERONI, SLCD 14-16 CT NO 2/5 LB KOSELI CS 29.7900 29.79 1 1 CS 7197775 YOGURT; ASST STRUBNA RSPBRY 12/6 OZ YOPLAIT CS 10.1700 '10.11 FROZEN 4 4 CS 1715069 BEEF, PTY GRND 75/25 4:1 RND 40/4 OZ CTLMN SLOT CS 30.5000 122.00 6 6 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 28.8400 173.04 1 1 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ. STATE FAIR cs 31.4900 31.49 3 3 CS 4690392 ICE CREAM CUP, ITTIBITZ COTM 24/5 OZ KEMPS cs 25.3200 75.96 3 3 CS 4690525 ICE CREAM CUP, ITTIBITZ CK&CR 24/5 OZ KEMPS cs 25.3200 75.96 3 3 CS 4694519 ICE CREAM CUP, IT BANA SPLT 24/5 OZ KEMPS CS 25.3200 1 k. 1 75.96 CS 5509708 PIZZA, CHS DEEP DISH 7 W/ BOX36/7 IN BOSCO'S cs 63.9700 63.97 1 1 CS 5741178 BUN, HMBGR PLN 4" SLCD 10/12 EA HILLTOP HR cs 23.6400 23.64 4 CS 5741228 BUN, HOT DOG PLN 6 SLCD 12/12 EA HILLTOP HR cs 29.8700 119.48 1 '1 CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4.6 OZ BB CHAMP CS 18.8400 18.84 2 2 CS 8I87999 ICE CREAM BAR, CHOC TACO St VNL24/4 OZ KLONDIKE CS 24.3300 48.66 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 7 613.31 TOTAL•-REFRIGERATED PIECES ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 6 162.85 tm.W Shall e=rue on all unpaid battlnces excei established l xedq terms at a rate equal to the team per (a) vh% I l a (b) the maximum vale that tne customer my lawj to pay. and in all events w1oulated in accordance with appl-;Iln- X C USTOMERS SIGNATURE: Visit itivvivii.Lisfood.c0l'i for a fast and easy way,t6 order. 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 Amount 72.37 Date Number (or note attached invoice(s) or bill(s)) PO 7/30/11 886391 Concessions 28843 2 8/2/11 930736 Concessions 28843 3,948.32 8/5/11 1068140 Concessions 28843 1,611.61 8/9/11 1145880 Concessions Total 7,851.98 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. 353824 U S FoodService, Inc. Allowed 20 Box 660088 Indianapolis, IN 46266 -0088 In Sum of 7,851.98 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 886391 4239040 72.37 1 hereby certify that the attached invoice(s), or 1095 -1 930736 4239040 2,219.68 bill(s) is (are) true and correct and that the 1095 -1 1068140 4239040 3,948.32 materials or services itemized thereon for 1095 -1 1145880 4239040 1,611.61 which charge is made were ordered and received except 23 -Aug 2011 Signature 7,851.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund