HomeMy WebLinkAbout202334 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC
CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $644.98
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 202334
°N
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
1095 4239040 2186391 644.98 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 2186391 09/13/11 0569575 1054 '0062 09/12/11
Your partner beyond the plate..'
OUTE: 1 n 1 IM w i
BILL SHIP REMIT
TO: �ARMEL CLAY PARKS &RECREAT TO: ARMEL CLAY PARKS <RECREAT TO: S. FO ERVICE, INC.
1411 E. 116TH ST 1235 CENTRAL PARK DRIVE E
BOX 660088
CARMEL IN CARMEL Ihl
6032 46032 INDIANAPOL S' IN
ATT. 317 843 3873 46266 -0088
ICHELLE COMPTON DF a a a•110
SHIPPED FROM: SHIP DATE:
FREIGHT TERMS: SPECIAL
123{?1 CUMBERLAND RD FISHERS IN 09/13/11 P•ege 02 of 02
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: ENTER OFF OF 111TH STREET!!!
QTY. QTY. SALES PRODUCT C
O PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D I WEIGHT UNIT PRICE PRICE•
E
INVOICE SUMMARY
FUEL SURCHARGE 5.25
TOTAL WGT SHIPPED: 170.93 PIECES ORDERED: 15 PIECES SHIPPED: 15 ITEMS SHIPPED: 13
PRODUCT TOTAL 639.73
CHARGES 5.25
TAXABLE AMOUNT .00
GEN SALES TAX Y .00
PLEASE REMIT THIS AMOUNT BY 10/13/11 AMOUNT 644.98
Purchase
Description
P.O. &r F �7
g
G.L.# �Z�J9��� SEP 1 6 1011 E.
Budget I CJ �/�TZAC
Budget
,ku° haser Date
Approval Date
I shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)vb %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
CUSTOMERS SIGNATURE:
Zf/e1�jC�nceeCcr�e �ahcae b"uadoreaa
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 2166391 09/13/11 9 0569575 1054 .0062 09/12/11
partn Your b eyond the plate! DELIVERY ROUTE: c
4 nPT)FR hill ImT13=Q
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICEj INC.
TO: 1411 E. 116T'H ST TO: 1235 CENTRAL PARK DRIVE E TO:
CARMEL IN CARMEL IN BOX 660088
46032 46032 INDIANAPOLIS IN
ATT- MICHELLE COMP TON 317 843 3e73 46266-0088
DEPT 00 800 428 2 1 1 R
SHIPPED FROM: 12:301 CUMBERLAND RD FISHER$ IN SHIP DATE: 09 /13 Page 01 of 02
FREIGHT TERMS: 11 SPECIAL ENTER OFF OF 111TH '!E STREET! 1
PAYMENT TERMS: NET :30 DAYS INSTRUCTIONS:
C
QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIIIHT� PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
E
DRY
I I CS 0765123 LID, CUP 1 Z DOME W/ HOLE 10/100 EA MONOGRAM CS 43.9000 43.90
1 11 CS 4180923 COOKIE, VN CREME SNDWH SNCWL 48/1.7 OZ SNACKWELLS CS 21,9400 21.94
1 1 CS 4573747 :SNACK �X CRML SS S11PLY 60/1.2 OZ CHEX CS 32.1100 32.11
NA
1 1 CS 5897061 C Q '12 Z SNGL POLY COTED15/40 EA MONOGRAM CS 78.3000 78.50
1 1. CS 68188 9
R I
TR Y, PAPR FOOD 5 LB CLAY 2/250-EA NOMOGRAM CS 46A500 46.15
HOO
1
3 3 CS 68 9 Y, PLYST MACHO 6X8X1.75 CLR4/125 EA PACTIV CS 85.9300 257.79
1 1 E 64, If6 CANDY, RESES PNT BUTR CUP 36 EA REESE'S EA 25,9200 25.92
1 1 tIt 9292 JUICE, APPL 100% PET BTL 24/10 OZ THIRSTER CS 20.0400 20.04
1 1 J E.S 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21.5500
21.55
REFRIGERATE
I I CS. 4800884 MILK, CO 1% FAT PLST REF12/1 PT PRAIRIE FM CS 10.4900 10.49
1 .1 CS 5332242 LETTbUC ICBRG S 7 4/5 LB CROSS VALY B CS 17.3500 17.35
READY r6G- e Refer to Return Polic
1 1 CS ._7.197775 YOGURT, ASST PHR 12/6 OZ 6LAIT CS 10.1700 10.17
FROZEN
CS 2372928 CHILI, W/ BEAN HEAT SRV FZN 4/5'LB WHITYWNDSR CS 53.8200 53.82
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 11 PIECES SHIPPED: 11 11'EffS 9 547.90
TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SWWPED: 3 38.01
TOTAL FROZEN PIECES ORDERED: 1 PIECES SHIPPED: I SHIPPI- 1 53.82
SEA' 1 6 2011 I.
A
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) Pb% per month or Visit www.usfood.com for a fast and easy way to order.
b) the maximum rate that the customer may lawfully contract to pay. and in all wants calculated in accordance with applicable law. x
CUSTOMERS SIGNATURE:
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
9113111 2186391 Concessions 28922 644.98
Total 644.98
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
644.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 2186391 4239040 644.98 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Sep 2011
Signature
644.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund