HomeMy WebLinkAbout202790 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $836.66
CARMEL, INDIANA 46032 PO BOX 660088
M4 ?or`o INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 202790
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 2124003 138.75 GENERAL PROGRAM SUPPL
1096 4239039 2128795 265.86 GENERAL PROGRAM SUPPL
1095 4239040 2398687 431.05 FOOD BEVERAGES
f ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. E NO. NUMBER LOC. REP. ORDERED
9056992r. 234x67 0 11 05 69575 1054 0062 69/1
Your partner "a'.. the plate.
E: 2251 f 3 ORDER NUMBER: 2
BILL CARMEL CLAY F'ARKSwRECREA'T SHIP CARMEL CLAY F'Aft1"+S&RECREAT REMIT U.S. F"C]ODSERVIGE, 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 3573 46266 -°0088
ATT. I MICHELLE COMPTON IDEPT 00 1 600 428 2118
SHIPPED FROM: 12301 C UMBERLAND AND RD F• I SHERS 'I N SHIP DATE: 69 20 f 1 1 P a g e 02 of O2
FREIGHT TERMS: SPECIAL 'ENTER OFF OF 111TH, STREET 4
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT O PRICING UNIT EXTENDED
ORDERED SHIPPED V UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT ?UNIT PRICE PRICE
<a.
INVOICE SUMMARY.
FUEL SURCHARGE.
TOTALVIST.SHIPPED: 181. 3 PIECES ORDERED: 15 PIECES SHIPPED: 15 ITEMS SHIPPED: 14
PRODUCT TOTAL 425.80
CHARGES 5.25 op 4Y;SEP qT x� s ..��EE UNT .00
N �dLE• AX X 00
Purchase
Description Co N CAS S f O NS
P.p.# F. PLEASE R THIS AMOUNT BY 10 /20 /11 AMOUNT �.O
G.L. C)Q 1 D
L ine 6t ,b� 6''�VCc
Lina
Purchaser Date
Approval Date
i ntereat shall wxueenaaunpal e�eingastaa +�na� �enc�nsa a;a��aal+ome+�5atolia %pa m�oa, Visit www.usfood.com for a fast and easy way to order.
the maximum rate that the cust6mefmay IdvAulry ConPeol lO pay, and iq all events calculated in accordance with eppllcahle law.
CUSTOMERS SIGNATURE:
ZUeff¢i�ceceate s'uetareae
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90564922 2398687 .09/20/11 90569575 0 �a 1054 0062 09/19/11
Your partner beyond the plate'
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DELIVERY ROUTE: "T 2w5- 1 3 �r D 1220
BILL CARMEL CLAY PARKS&RECREAT SHIP D RMEL CLAY PARKS&RECREAT REMIT U. S. FOODSERVICE,•. INC.
TO: 1411 E 116TH ST T0: 1 5 TRAL PARV. DR I VF E TO:
II
CARMEL IN MEL, I t3OX b6O088
46032 i INDIANAPOLIS IN
317 8 1$73 46266 -0088
ATT. 1 1ICHELLE COMPTION IDEPT 00 4300 428 2
SHIPPED FROM: 12301 CUMBERLANb RD FISHERS. IN SHIP DATE: D9I2C7 11 �;E
x P age 01 O� 02 FREIGHT TERMS: SPECIAL E4TER OFF 1 1'T IWT
PAYMENT TERMS NET 30 DAYS INSTRUCTIONS:
CITY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY
1 1 CS 0209510 ACKER, SALTINE:SALTD TFF SS 500/2 EA HILLTOP HR CS 14.0500 14.05
1 1 CS 4371571 CAPPUCCINO, FRNCH VNL INST 6/2 LB RITUALS CS 51.5000 I(Ai 51.
1 CS 5429303 ICE, ORNG 100% PET PTL 24/10 OZ THIRSTER CS 19.6100 19.61
1 1 CS 6260665 OOKIE,, FUDGE STRPE MINI SS 60/2 OZ KEEBLER CS 22.1900 22.19
REFRIGERATED
1 1 CS 0654269 rj&MUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 22.9000 22.90
READY .TO EAT Please Refer to Return Folicyy
1 1 CS 0654341 �UMMUS, GRLC RSTI7 NONDARY REF 12/44,4- 56 OZ BAPRA CS 22.9400 22.90
ADY TD EAT Please Refer 6 Retu' 0 Icy
1 .1 CS;
S 30130452 6ALAD, TUNA ALBCR TFF REF 2/5.LB FIERCE B CS 38.9000 38.90
RF DY TO EAT Please Refer Return Polic
1 .1 CS 443004343 NI 22 REDUC FAT PLST REF 12/1 PT RAIi;IE FM CS 11.4700 11.47
1. 1 CS 5332242 -CcTTUCE, ICBRG SHRD 1/4" CLND 4/5 L14 CROSS VALY B CS 17..5600 17.86
READY TO EAT Please Refer to Return Policy
FROZEN.,.
2 2- CS 20112743• rRETZEL; KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 20.8440 57.68
1 1 CS .3335825 XTLN MILD CRBL PORK 2/5 LB ROSELI CS 34.9400 30.94
1 1 CS 5-` P, CmIX NDL TFF RTU POUCH 4/8 LB CLSC TUREE CS. 47.7900 47.79
1 .1 CSt CHOC 2.5 Z UNSL BKD 48/2.5 OZ OREO CS 43.6804 43.643
i
S &PM -A I AN BAR, CHOC TACO VNL24 /4 OZ. KLONDIKE CS0.:. 24. 3300 24.33
sM o 'CT CLASS RECAP
TOTAL DRY 9.IlCiS ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 4 107.35
T43TAL, REFRIGE6xATED eve.► OR DERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 5 114.03;
TOTAL. FROZEN ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 5 204:42
U I 4t_P 2 2011
t
tinges, nae acwn onail 'npadba qual o f 1- hY.w-cmh ot Visit www.usfobd.com for a fast.and easy way to order. X
(b) the maximum rate that the customer may law lly conlrac to pay, and in all e e s akwlatgd in accomance wuh applicable law.
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CUSTOMERS SIGNATURE:
J to 2(/e1f�eelate 2Leun �udln�g4.
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO, NUMBER LOC. REP. ORDERED
90569922 2124003 09/09/11 90569575 1054 0062 09/06/11
Your partner Beyond the plate.' DELIVERY Rota: 5262 7 OR DE NUMBER 309954
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS €tRECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
AflX 660068
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
327 643 3873 46266 -0088
ATT MICHELLE COMPTON DEPT 00 800 428 2118
sHipm)FRoM:12301 CUMBERLAND RD FISHERS IN SHIP DA TE: 09/09/ 11 Page 01 of 01
FREIGHT TERMS: IV1r 30 DAYS S PECIAL
ECTl or+s:ENTER OFF OF I I I TH STREET 1 1 1
JAYMENT TERNS:
OTY. QTY. SALES PRODUCT Q PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
DRY
25 25 CS 0779991 WATER, SPRO NTRL PLST PTL 24 /16.9 OZ SPRING RFL CS 5.3000 132.50
L �4 REFRIGERATED
2 CS 0878173 ORANGE, CA CHO FRESH REF 138 EA CROSS VALY CS 24.7600 49.52 4 CS 21.11938 BANANA, GRN TIP PTITE 150 CT 40 LR PACKER CS `3.8900 95.56, 2 CS 9331380 APPLE, RED OLE 136 CT XFCY 138 EA CROSS VALY CS 41.5500 83.10'.
X# PRODUCT CLASS RECAP *r y1-_-
TOTAL DRY PIECES•ORDERED: 25 PIECES SHIPPED: 25 ITEMS SHIPPED: 1 132.50
TOTAL REFRIGERATED PIECE'S ORDERED: 8 PIECES SNIPPED. 8 ITEMS SHIPPED: 3 226.18
INVOICE SUMMARY
FUEL SURCHARGE 6.25.
TOTAL. WGT SNIPPED: 1003.50 PIECES ORDERED: 33 PIECES SHIPPED: 33 ITEMS SHIPPED: 4
�r PRODUCT TOTAL S 360.68
IJ CHARGES 6.25
Purdtase
Do wd SEP 2 5 2011 TAXABLE AMOUNT .00
i
P.O. 0 or F
GEN SALES TAX X .00
Lun
L _ASE.AEMIT THIS AMOUNT BY 10/09/11 AM
App
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4 m. RAinsn mle amt M waaomer mer tw+uN tm9x! d p+f. ar7 h a e+•,q da�4a n v�ars d, pplmWO CUSTOMERS SIGNATURE:
DISTRICT COP:
?Ue,4tc�xeclate2waT
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 2128795 09/09/11 90569575 1054 0062 09/09/11
Your paflnEr aa1on0 tlu plate:
4EUVERY ROUTE: I ORDER NUMBER: 313949
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT 0 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
31.7 643 3873 46266--0088
ATT. MICHELLE COMPTON DEPT 00 L 800 4 2118
P 0Rom: 12301 CUMBERLAND RD FISHERS IN 09/09/11 Page 01 of 01
FREIGNTTERMS: SPECI PAGE WILL PICK UP
'AYMENTTERMS: NET 30 D AYS INSTRUCTIONS:
OTY. OTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED V UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE
DRY
3 3 CS 6672281 CRACKER, CHS PNT BUTR 216/1.38 OZ AUSTIN CS 44.3100 S 132.93
3 3 CS 6672307 CRACKER, CHS 6 CT 216/1.38 OZ AUSTIN CS 44.3100 132.93
INVOICE SUMMARY
TOTAL WGT SHIPPED: 111.78 PIECES ORDERED: 6 PIECES SNIPPED: 6
PRODUCT TOTAL S 265.86
TAXABLE AMOUNT .00
GEN SALES TAX Y. .00
I
puTChase
PLEASE REMIT THIS AMOUNT BY 10/09/11 AMOUNT 265.86
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CUSTOMERS SIGNATURE:
DISTRICT COPY '2UC
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
9/20/11 2398687 Concessions 28922 431.05
9/9111 2124003 Water for Tour de Carmel 28841 138.75
9/9/11 2128795 Crackers for Tour de Carmel 28841 265.86
Total 835.66
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
835.66
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1095 -1 2398687 4239040 431.05 1 hereby certify that the attached invoice(s), or
1096 -60 2124003 4239039 138.75 bill(s) is (are) true and correct and that the
1096 -60 2128795 4239039 265.86 materials or services itemized thereon for
which charge is made were ordered and
received except
6 -Oct 2011
Signature
835.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund