HomeMy WebLinkAbout203656 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $1,189.51
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 203656
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 409893 67.71 FOOD BEVERAGES
1095 4239040 455352 616.84 FOOD BEVERAGES
1095 4239040 675573 504.96 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER: PURCHASE'ORDER SALES SALES DATE
NO.
1 e NO. ATE NO: NUMBER LOC. REP. ORDERED
905699 0675573 10!28/11 90569575". 1054 0062 10
Your partner beyond the plate.',
ELi, Ett PTE: 5291 1:, 10 ORDER NUMBER: 356642
BILL CARMEL CLAY PARKS&RECREAT, SHIP CARMEL CLAY PARKS, &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E. 116T'H ST TO: 1.235 GIENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLTS IN
ATT.
M ICHELLE COMPTON DEPT 317 843 3873 46266 -0088
00 800 428 2118
SHIPPED FROM: 1 2 301 C U MB ERLAND RD FISHERS IN* SHIP`DATE: 10 f 88f 11 Page 02 of O2
FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH.STREET!
PAYMENT,TEFIft NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES' PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT U PRICE PRICE°
INVOICE SUMMARY
"FUEL. SURCHARGE
'.TOTAL WGT SHIPPED: 190.93 PIECES ORDERED: 16 PIECE9�.SHIPPED: 16 ITEMS SHIPPED: 13
PRODUCT TOTAL 51.1...01.
CHARGES 5,..:25..
TAXABLE AMOUNT 00
GEN SALES TAX X4•.,
PLEASE" RECUT jRIS_ AMOUNT BY 11/27/11 AtlOtlhiT 516.26
t
Purchase Wks NO V '0 1 2011 V
Description 5�
P.O. 30
1 (D U• P o F
-�-2
G.L. BY:
Budget r�
Line Qescr
r
Date
Purchaser
Approval Date
Tna�+xnaaaa wra �ammoaiaaal�aaanm�Imw�aae�oa�mi� ,mmasmwmyu staw�+zao1, 10aima Visit Www.usfood.com for a fast and easy way to order.
Perishable Agriculbiral Commodities Act, 1930 0 U.S.C. 499e(e)). ilia cello of mesa commodroes retains a bust cum wer these X
c modifies, an inventories of load m OUW prorbx:ls dwrmd from these cemmodibm, and a receivables a proceeds from the sale of
Vieiecommoditiesunblhillpayment's rece OSTrympo- •r•T••�
Irdwest shall aoaae an aY unpaid balarcea exceed'mg esteMished aedil teens at a rate equal to the lasso of (a) 1•h% per month o
(b) the maku tale that the customer may IawluAy WnlraCi to pay, and in en events calculated in aomrdanca wnh applicable law.
ACCOUNT INVOICE __INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
i' NO:. NO DATE Np, NUMBER LOC. REP. ORDERED
90569922. 067573 10/28 11 69 75 1054 0062. 10/27/ 11
Vour partner beyond the plate.' DELI ERY '`aQ TE: .`329 7 1 O A ORDER NUMBER 356642
BILL CARMEL`” CLAY PARKS &RECRE:AT SHIP CARMEL CLAY PARKS &RECRE AT REMIT U. S. FOODSERVI'CE, INC.
TO: 1411 E'. 116TH ST TO 1235 CENTRAL PARK DRIVE: E TO:
CARMEL
BOX .66008E3
IN CARMEL IN
4.6032 3%
46032 INDI ANAPOLIS IN
317 843 3873 46266 -0088
ATT. MICHELLE COMPTON f DEPT 00 eOO 42E3 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN ,SHIP,. DATE: 10 28 11 Page 01 of 02
FREIGHT TERMS: NET 30 PAYS SPECIAL ENTER OFF OF 111,TH STREET 4
PAYMENT TERMS: INSTRUCTIONS:
QTY. QTY. SALES PRODUCT t" C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D11' WEIGHT ti,` UNIT PRICE PRICE
E..,"
DRY
1 1 CS 1206424 PASTRY,' POP TART STWBY FRTD: 2 7"2/2 .EA KtL.LOGG Is .CS 39..9600 39'.,96
1 1 CS 2404325 GLOVE, POLY L(3 TXTD. :AMBDX 10 /100"t MONOGRAM B CS 42.9000' 42.90
3 3 CS 4260238. SAUCE, CHS NACHO SHLF STABL. 4/1,07 0'Z ORTEGA CS 49.0000 147.00
1 EA 5521919 PEPPER, JLP SLCD PLST SHLF, 1 GA EL PASADO B EA 11.3000 11_,30
1 1 CS 5597604 CHIP,, CHS CNCHY PLW' .SS :BAG 64/2 'OZ" CHE:E--TCiS" CS 29.8500 29.'8.5."
x: 1` :1 CS: 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1 "OZ. DORITOS f. CS 28. 5500. 28,5
1" 1 CS 5601679 CHIP, PTATO REG PLN;SS BAG 64/1.5 OZ LAY'$' CS 28.5500 28':55
1 1 CS .5704077 COOKIE, NUTTR BUTR 1 Z "SS 48/1 OZ w NUTTR BUTR CS 28. 28.25
1 1 CS, 6260665 COOKIE, FUDGE STRPE MINI" SS 60/2 OZ KEEBLER CS 22.1900
R
REFRIGERATED
1 EA 2000453 SALAD, CHIX CRMY ".REF 5 LB PIERCE" EA 25:,7800 25.78
READY "TO:EAT r Please Refer. to Return +Polio
1: CS 5332242 L
LETTUCE,M ICBRG SHRD 1/4" CLND 4/5 LB ROSS VALY B 16 ,3900 18,•39
k
1
EADY EAT Pleas6* Refer, to Retu.rr- Policy
FRO" N
2 2 CS 3041423 C
N DOG, AM CN. FZN 48/4 OZ STATE FAIR CS. 31.9800 63. "96
1 1 CS 4058707 UFFIN� BANA NUT 10 FZN 24/4 OZ SPUNKt9EYER CS 24.3300 24..:
PRODUCT CLASS RECAP
TOTAL DRY PIECES OR 1
TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED .1 I:iE4 ;i SHIPPED: I 378:55
TE: ;SHIPPED: 2 1�
T OTAL FROZEN PIECES ORDERED; 3" PIECES SHIPPED. 3 ITEMS ""SHIPPED: 2 29
SO I
rt
f lo�j j y2 �9U�lU
r'
r( r
l�
r
Tlrepeishabeag bdtura cpnmodi a setlontlri3invulCeamsoldsu tauthorizedbyse�en5(eimme .Visit www.usfood.com for a fast and eas y. way to order:
PeriVlaUle PgdculWral CpnmodiUes Act, 1930 (7 U.S.C. 499e(c)). Tire seller of these commodities retains a trust claim over these, X
commodities, all inventories of tood or other products derived from Use cgnmoditles, and any receivables cur Proceeds horn the sale of
these conmoditim until full payment is received. i' CUSTOMERS SIGNATURE:
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1 h% per month or a
(b) the maximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance wdh applicable.Ia.. st0
ACCOUNT INVOICE INVOICE CUSTOMER 1'u"urtim,
nv.
NO. E NO. NUMBER\ LOC. RE►', vn..�..__
90569922 4455352 10/21/11 '0569575 10 OOb 10/20/11
Your partner beyond the plate..'
DELIVERY ROU 5283 6 ORDER NUMB jM 3`A0480
BILL SHIP REMIT
CARMEL CLAY PARKS &RECREAT CARMEL CLAY PARKS&RECREAT U.S. FOODSERVICE, INC
TO: 1411 E. 116TH ST .TO: 1235 CENTRAL PARK DRIVE E TO:.'
BOX 660088,
CARMEL IN CARMEL Irl
46032• 46032 INDIANAPOLIS IN
317 843 3873 46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 4213 2118
SHIPPEDFROM: 1210.1• CUMBERLAND. RD FISHERS IN SHIP DATE: '10 /21/11 Page 02 of 02
FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET!
PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT C PRICING' UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER
DESCRIPTION, PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
INVOICE SUMMARY.
FUEL 'SURCHARGE. 5.25
p. .TOTAL 1JGT SHIPPED: 213.37 PIECES ORDERED: -22 PIECES SHIPPED: 22 ITEMS SHIPPED: -17
PRODUCT TOTAL 611.3x.
CHARGES, 5.25
TAXABLE AMOUNT .00
GEN SALES TAX 7 .00
Purchase
Description
M
P.O. PLEASE REMIT THIS AMOUNT BY 11'/20/11 AMOUNT 616:84
l 1p P r F
G.L. �-1 Z3 40
Budget 1� ,p
Line Descr t 1Q0(l�i�/��
Purchaser Date �gy
Approval Date a MIN 1®/
OCT X11
o si�N •aa aaGaaaeaiaioyOg, -i
The pedsneWaVicumawcorrunod ItSiedon rho lmCZarea* mmealammrywuatZ 4wsecnens(c)mme Visit www.usfood.com for a fast and easy way to order.
Perishable Agnculaual Commodities Pct 1930 p U.S.C. 499e(c)). The seller of these commomes retains a trust claim war these
wnmotlities, air, mertpies of food a other product derived from Use commodses, and arty receivables or proceeds hom the sale of
Use commodities until Ml payment is receNed.
Imerest stoat accrue on all unpaid balances exceeding astabNshed credit term ser s at a rate equal to the les of (a) t 1 1A per month or CUSTOMERS, SIGNATURE:
(b) the rnaximm rate that the customer may lawfully contract to pay, and in all slants calculated m accordance wait applicable law.
Zf/e,4A/ri(eelate Zloun 66a4aom
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DA,rz
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
a.
0455352 10/21/11 90569575. j 1054 046 10/20/11
Your partner beyond the e plate. °s `"4..,, y (J
DELIVERY ROUTE: 52133 6 ORDER NUMBER.: 350480
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"
f ,330X 660088
CARMEL IN CARMEL IN
46032 46032
:''INDIANAPOLIS IN
317 843 3873 46266 -0088
ATT. MICHELLE GOI "4PTON DEPT 00 800 42#3 27.18
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS I N SHIP DATE: 14 f 2;1 11
Pa U 1. o 02
FREIGHT,TERMS: SPECIAL ENTER. O F F' OF 111TH STREET!!!
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING r' UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL WEIGHT
ORDERED SHIPPED UNIT NUMBER y D UNIT PRICE PRICE
E
rt
URY
i 1. CS 3256104 LID, CUP 1. 2 -2 "Z BBL PLST 1.0 EA- WI,NCUP CS 16.1000 16.10
1 .1 EA 4053336 CANDY, BAR MILK CHOC 36 EA HERSHEY EA 26.2100 26::2.1
1 '1 CS 4329397:'*ETGHUP, TMTO SQZ FOIL SS- SHLF500f9 OR MONARCH CB 15.2000 15.24
1 1. EA 6210777 CANDY; KIT KAT VNDG STD 1.5 Z 36 EA K,IT. KAT. 3 EA.' 25.9400 25.94
2 2 EA 8053126 12....Y, RASES PNT BUTR CUP 36 EA. REESE'S EA 25.9200 51:84
`ter AEFR �fG TED
Ca; 06542 HUMMR57D RED I='fiR NONDARY 12/4.56 OZ SABRA CS 22.9000 22.90
RE- O EAT Please Refer. to Return Pali'�y
1 200045' AD, CHIX CROP REF 5 LB FIERCE R EA ,r 25.74300 2 :78,
READY TO EAT Please Refer to Return Po1ic+�
tea: _4800843 MILK, 2% RE FAT PLST REF 12/1 PT RATRIE FM. CS 1.1. 0.600 11.06
1 r; 4800884 NILK, CHOC 1Z LOW FAT PLST REF12 /1 PT PRAIRIE FM CS 10.7900 10:79
1 ;;S 6329676 PEPPERONI, SLCD 14 -16 CT NO 2/5 LB ROSELI CS 32:2900 32.. 29
1 CS 7197775 YDOURT, ASST STRWBNA RSPBRY 12/6 OZ YOPLAIT CS 10.1700 .10-.17
t
FAOZEN
3 4 -CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PR TZL GS 28.8400 66.52
1 1.. CS' 4014632 MUFF•I.N, BLBRY IW 24/4 -OZ SARA LEE CS., .20.. 0200 20.02
1 1.' CS 5218862 ICE CREAM. SANDWICH, VNl_ 24/6 �7. BLUE BUNNY GS 17.1400 17.14
-2 2 'CS 5509708 PIZZA, CHS DEEP- .DISH 7" W/ B OX36 /7 IN BOSCO's CS 63.9700 -127.94
2' 2 CS 61.53027 BROWNIE, CHOC 2..5 UNSL BKD .48/2-5 OZ. OREQ CS 43.6800 87.36.
1 I Ca .8].87999 IC CREAM BAR, -CHOC TACO VNL24 /4 OZ KLOND-IKE CS 24. 3300 24:33
PRODUCT CLASS, RECAP
TOTAL DRY' PIECES ORDERED: 6 PIECE'S. SHIPPED: 6 ;IT.EMS SHIPPED: 5 135:25
TOTAL- .REFRXCERATED PIECES ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 1.1.2_..99
TOTAL FROZEN PIECES ORDERED: 10 PIECES.SHIPPED: 10 ITEMS SHIPPED: 6- -.31
T'6 P' rishable agn dUllll ral commodNea listed on m�imr«aara sad suq�, m'meaammrY m,�aw edw n�(Imma Visit www.usfciod.com for a'fast and easy way to order. r.
Pedsha0le Agricultural Cahmodides Pct, 1930 p U.S.C. 499efc11� The seller of these axnmoditles mmins a Wst claim wen these
commodities, all imerrtrxies of mod or other products denied hom these canmodi9es, and any receNables a proeeeds hem the sak of
0d "m °parnent smcehed. P CUSTOMERS SIGNATURE:
IMeresl Shell aanre on all unpaxl balances exceeding established credit terms at a rate equal to me lesser of (a) 1!h:6 per month or
(Dlihe maximum rate that the customer may lawluly contras to pay, aMin all events calculated N aocoNanco wdh applicable law.,
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES
NO. Oc NO. NUMBER LOC. REP. ORDERED
9056992i_ 040989 1O/20/11 9! `69575 R /p, 1,054 40362 10/19/11
Your partner beyond the plate' C�
'DE YROL 9181._/ 1 ORDER NUMBER: 349715
BILL CARMEL CLAY PARKS&RE.CREAT SHIP 7CARMEL CLAY PAR'KS&RECREAT REMIT U. S. FOODSERVICE# INC,
TO: 1411 E. 116TH ST TO: CENTRAL PARK DRIVE E TO:
CARMEL IN CARMEL IN BOX '660088
46032 46032 'INDIANAPOLIS IN
317843 3873 46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 10 /20/11, Page 01 of 01
FREIGHT TERMS: SPECIAL PAGE WILL PICK UP
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:.
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL WEIGHT
ORDERED SHIPPED UNIT, NUMBER E UNIT PRICE PRICE
DRY
3 3 CS 9089079 POPCORN, RAW KIT W/ OIL SALT36 /8 OZ FANCY FARM CS 22.5700 67.71
a� PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 3 PIECES SHIPPED:- 3 ITEMS SHIPPED: 67.71
INVOICE SUMMARY
TOTAL WGT SHIPPED:. 54.00 PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS' SHIPPED: 1
o
..PRODUCT TOTAL' 67.71
OCT 2 8
TAXABLE AMOUNT.. 00
GEN SALES TA .00
Purchase nt�n
Description P O ;Ju Po F 'LEASE REMIT THIS AMOUNT BY 11/19/11 AMOUNT 67.71
Budget
Line Descr
Purchaser
Dat e
Approval
V
a te
mepatsnaneagncewaicaamodroa5115eaontnsimoiceamSaidawlecttotheslawmymatawahzadwsecna ,s(c)of me Visit www.usfood.com for a fast and easy way o order. C
Perishable Agrkuaural Commodities Act. 1930(7 U.S.C. 499e(c)). The seller of these commodit retains a trust Clem war these Y y X�
commodities, all inventories of food a other products derived from tlrese Commodities, and any recoWtoles or Proceeds from the sale of
these commodmesurmi full paymentisrecerced. CUSTOMERS SIGNATURE:
Interest shell accrue an ell unpaid balances exceeding established aedil terms et a mte equal to the leas of (a) 1•�h %par month or a1.�
(b) the maximum rate that the customs maY Wwtuay Contract to pay, and in as wants calculated in accordance with applicable law.
2Uer1/i�Cee[ate'lleun �uauceae'
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
10/20/11 409893 Concessions 30160 67.71
10/21/11 455352 Concessions 30160 616.84
10/28/11 675573 Concessions 30164 504.96..
Total 1,189.51
I 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
1,189.51
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1095 -1 409893 4239040 67.71 1 hereby certify that the attached invoice(s), or
1095 -1 455352 4239040 616.84 bill(s) is (are) true and correct and that the
1095 -1 675573 4239040 504.96 materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Nov 2011
Signature
1,189.51 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund