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206476 02/14/2012 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: $1,902.45 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 206476 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 161235 1,505.93 FOOD BEVERAGES 1095 4239040 438910 396.52 FOOD BEVERAGES ACCOUNT INVOICE. INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE 1\10 N O. DATE NO NUMBER LOC REP. ORDERED 90569922 01.61235 01/20/1 Y0569575 1054 0062. 01/19/12 R e�utt�: 9 1 5, r.__. ORDER NUMBER 422209 Bi Sh i -p R emit CAR_MFL CLAY PART "\S &RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Iric To: 14 1. x E 1.1. bTH ST Tii 1235 tw:l`taT'FtAl._ PARK _DR I t7E� 1C BOX 660088 CARMEL_ IN CARMIEL I1\1 46032 46032 INDIANAPOLIS IN 317 843 3B73 46266 -0088 Att MICHELLE COMPTON DEPT 00 800,428 2118 ShzpF•rm.. 1.2301 CUMBERLAND RD FISHERS IN .�hipD: ,07. P ©2 :of 02, ShxpFrm; F rt Tr'ms. SipC zaI ENTER OFF O F 1 1.TH STREET!! FrtTrms: f ,vffr NET 30 DAYS Ins tr: PytTrms: Qty Sty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price 2 2 CS 5 ICE CREAM SANDWICH, VNL. 24/6 OZ BLUE BUNNY CS 17. 1400 34.28 1 1 CS 5509708 PIZZA, CHS DEEP DISH 7" W/ BOX36 /7 IN BOSCO'S CS 63.9700 63.97 4 4 CS 5741228 BUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 29.9600.., 119,84 2 2 CS X31.37999 I'C'E CREAM BAR. CHOC TACO V14L.24/4 OZ KLONDIKE CS 2'4.3300 48. 66 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 26 PIECES SHIPPED: 26 ITEMS SHIPPED: 17 696.77 TOTAL. REFRIGERATED PIECES ORDERED: 8 PIECES SHIPPED: a ITEMS a 172.46 TOTAL FROZEN PIECES ORDERED: 20 PIECES SHIPPED: 20 ITEMS 9 631.45 INVOICE "SUM11'ARY FUEL SURCHARGE 5.25 TOTAL WGT SHIP'P'ED: 708.41 PIECES ORDERED 54 PIECES SHIPPED: 54 ITEMS SHIPPED: 34 PRODUCT TOTAL 1500.68 it Federal Occupation rSafe•ty and Health Standards. Section 1910.1200 on Hazard Communication requires manufacturers and distributors to provide Material U. Safety. Data Sheets on non -rood products ned to be hazardous,. CHARGES 5 4 such as cleaning products and p are included in the scope of the i Standard. In compliance with the law. MSDS are available to US Foods, Inc. cuSstomers "and can be obtained by contacting Procurement Manager in our TAXABLE` AMOUNT 40 district office or byy advising your sates representative. GEN SALES TAX :L .00: You may contact KEVIi4 BURTON at phone 0 371 585 6822. ##�E# ESE# iF# 3F�•###? E• �t• �i#§ E# tr' �4## ��f# �u• if# �ti• E#• tt•#• tt• #;i• ##�t•�# #��i•rF•�� Purchase This amount is an at time of shipping prior to any ad justments made "at delivery: 1505.93 P.O. P or© r915 -1-. LL Z 390 0 G.L. TJ,� Budget f� I f.wv�X Line Descr Purchaser e Date Approval PLC lls�f ;1"t ;F�+fVO- CE ::k- 1:1�3'JOICE (,,PST ll,IF1R PURCHASE -ORDER ,SALES SALES -DAT, r.►c� awn r ur�r�Er 0 ERE D' DATE 9E)565 ?2 i�I6a1E?35 011?0i1. 9G?5.c�9575 1054,- 0062. 01/49/ -12 Rout. 5, 91 1 a NUhiI3FR 42 09 r f R CARMF' CLAY PARIS <REL'REAT, (,AR�1EL SLAY F';AFKS �F LJc);S�F'o;ods, ,,Inc -t= Y 3 T a 1 11-6 1.235` CENTRAL �3'R' "ICE ,:E f a �.,e�. 7 I31X664088; C ARi*tEL II' r^AIIF.4,. 46032y� INDFANAPGLIS L,N 317 e43 3037., 4 6 E�- 0089`' rl t Ni I CHELLm1W COI"IF?.TCll�i DEPT 00 8t��, 158 S 11 °S :t1.ipF r,n. 1301 ;VMLi1RLAND RD FISHERS IN .rh,r- pD:-, P;:ge 01 o.f.,,02 Sh i pF•rm: F'r t.Trrns r y ap �i I ENT'ER CIF F OF i1- �STREE,I i i Fr- tTr��s: s F ,r r~r s NET 3 DAY s f1;T� trig: Qty qty Sales Product Descrip•ton F, 1°'k Siz Lab C Weigh i t Pr j. Unit Extended Ordered Shipped Unit Number w. ac �Uni it °Price"""'" Pric DRY 1 1 'CS 08142136 CUE'., x:1°1 t b WHT �0 ✓s5 FA„ I�ICINQLiPi 4i� ,CS 17 y2500 1 1 .1 CS X814541 CUP'; F1� 7 t 1 T ?5/'2 FA 1'CC3NOGF`AY1 C'S 2?1 '8300 �1 83" 1 i✓' (::S 1206424 FrASTFY,''F'OP TART 57W13Y FR'TCF 2 r2 /2 EA KELLOGG'S- ,3, CS r39:9b,00 .3, 39.96.,. 1 I C 240432 1 GLOOE'l POLY L €3 TXTD AMBDX 101100 EA MONOGRAM B CS 38:5800 38'`5£3 i x i C5 3256104,:,..-LID, "CUP.; 12- -'£L PLST 100 FA WINCUF:: CS 16:;5904; 16.9 .L 1 CA 4053336 CANDY, BAR" MILK C1 i1lC 36 E A HERSHEY EA' `'6 2104 F 26.21 4 4 ,.i` CS' 4260'238 'SAUCE; CHS NACHO ;:sHL:F: STABL 41107, -i1Z ORTEGA. K CS 49 .0000 196..00 t 1. 1 CS 4: 29397 KETCHUP, TMTO' SOZ FOIL 5S SHLT GR 'MONARCH r5. 1A.- 8100``,_ 1 I EA 55219.1: P'EPP• Ek,,: JL.P ..SLCD A,LST GHLF,. 1. GA fEL. �PASAQO B r,EA 8: 7,200 8: 72;, 1: 1 CS 5597604• CHIP, `'CHS CNCHY PLN SS` AG 64/2' OZ GHEE- -TOS "4'"CS 29.8500 29 2 2✓ CS 5601679 CHIR, .PTATO R G°: PLN S5 BAG 64/1.5 OZ LAY'S CS 28.5500.- I I✓ EA 6210777 CANDY, KIT KAT V1�lDG STD 1..5 Z ,16 'EA KIT MAT EA 25.`9400` 25.'9 1 C S b4w930 ,Jt.l IC C;,., #CF�NBY ,DRNk '271 ,f'E 4°, PL-ST 24/4-0 OZ TH- IRSTEtt G.�i 23 ,00 2? 23.29 x 3 C'S �'t 891379` P'OP'CORN; RAW `KIT W/ Ofif SAL:T36 8 OZ EANCY'``F'ARM CS 2'" 5700 b7'. 71�__ I Iv CS 9.341223 C 7 _CREA11ER, HAL, sA HAL1 UHT DARY 360/.375 :OZ GLNVW -FRNS cS 16 .6600 4 4 CS 9463688 CHIP TORTLA "CORW YLW FIND '1 L B E L PASADC1' e 18. as 18 `d 1 1 GS 99,? LILT, -CUP, 32 Z 57FtiAW SLTr7; PLAT 10150 EA�,, NONOGR M C5, 20 9900 r 20 94' REFRIDE RATE D 1 1 CS 05���b9` i'' HUl�i°PUS;" 'i�,STC2 Rr~.D PP'Pt NONDARY" 1'1'4. 56 �SABP�A C 22�. 9000' ­22. 90 READY TO EAT°:7�Pl Refer •to e ,Polio 1. 1 c6 0'bS �3�30 1IUf°iMU�, ..GRLC RSTD� N6NbAF Y F�FrF 12h#.'Sb �ifl Ptit CS 22?. 22.'90 R!"(f7Y 't O EAT'_ Pleas Refer: o ,Re °burn °P±o1 icy GS 4t3008�4 3 MI'L `K'; REDtJG FA7 P`LS F FiCF 1y11 P P._ FtAIR'I'E t 10' 2�0a' ::n� I61, 1 I .XG 4800884: MILK, C GG ,11_ LOU -FAT PL, T REF,I IT, f T. PRA TIE r*Fi`1, CS 11:30.00, 11. 3 1: i CS 5 u2'2" LETTUCE, 'IC RCi °'"SHE'D 1.14 CLi1D 415 ``L8'" GROSS 'VA "LY ff �x. CS 1'7:4400 A7•�Oo READY 'r0< EAT_. TI-ea-se ,CT N peter o fielcurn P'a1'ic'a; r� Cb I6 215.,.1_8 :-o-ELI I _.�k; GS 32. 900 '.29' 1 1 i/" CS 6;329676 PEPPERONI, SL "1�4 `C)d`' I 1 C5F 719"7775 YO URT', ,ASS�T� S.TRW1BNAi fSPBRY' 12/6 .f Zz YOPLAIJ r4;� CS „4 1a.:- 1,600 10.. 1b�,; 1. GS 9;33i38t AP'P'I...F��� 'FED D'LC� 1.311" CT` XF'CY 1.38,:E.A. CROSS'' -VALY mN .`C 45:4500 ,15_...45 4..:; 4`� 201.1?.78 :,P'FiFT I L, KI�t�G �OP.P��F�1�,4i F���#�;. ;.�.4�5�f1Z: ��SUP'R: P T�ZL.�� ��.CS 28.7000 114.80 i 1 f 23 ?29?8 CHILI, Wl BCAN HEAT` "Si V `97W 4' 5, -LB, WHITYWNL7SR '53:8904'; 53.89 4 4 HOT, ;006, AB-6* 1 6,1' RLR GF IL 1 0 Lb CS "9�: 31?O0 117.28 30. 9-4 1 CS 1 CS' 33 5825` SAUSAG'E, I"TL M 'CR�L''P'{3R1� 3p� 2/ s L8 FiCISELI; m �C5 44 is,. I>t/ CS 46367:18 SOUP, CH1X TP'F RTU”- .POUGH-1 418. LS, G1 St' TURE.E r. IaS 47.7900 47.79 I N C l a. L. E. CUSTOMER P'UR t.,i:'tri5 I:: f.:I R D E.E7 JAI-ES SAL .ES DA TE NO. NO. DATE. -NO NttMBER L. -OC, REP. 0rRD1 QE0 �I� f�' %C 2rW? C761:i i'�1() 01/31/1-2 ��'C)�i �9'M7S x(!54 004 G 0/1 ;P tti ou t.e :_'c 51- [Tf�I�E€ PJtcil`#DER; .r.}•3�; 20— 7 D' S h. i p 22.22__ CAeRMEL.. C;L_AY PF�4"• KS C.A�€�?PtE l: C.L.:e� t?:�I� i�.c ldE�F� �i� I' Us; Et�ot# Foods, Inc. To: 1411 E. 1167111 ST I"ot 1235 CENTRAL---PARK 17R:t% E To C AR!''1EL. Iivt CARI'�EL. Il�.I J 3�CIk 660088 46032 46032 iii INDIANAPOL IN 31.7 'r34 s 3873 26 0088 I C HEL LE C 011P TC] DE PI I 00 800 2 118- A t t h. �.._.....w__. 2222 7r i p F'r,n: 1 2301 C t€'t3I3ERI_AND RD FISHERS I by a t Trrns: sp i a l ENTER O 'F" OF III I+i STREE r I 7 t 7`r,m INIET ':30 DAY 117 S t v: Q"tif 9-ty gales Pi- oduct De•cripton P:ach 'Si Labi?I C weigh -1 1; Pr.ci.ng 4jnit I. ".xter;ded j, Shipped Unit Number D Unit Price I rc:a INVOICE SUNIIARY ire FUEL SLIRC'HARGE 2222. 5.25 TOTAL WGT SHI'PPEE): 161.75 P1'.E(',ES ORDERED: 15 PIECES SHIPPED: 14 IrENS- SHIPPED: 12 3i' fit 3r 3(• ?t JF it •1# Y(• •Ia :t it• 31i •tF k ?h $f :�F .h kE #i fi F i "r 7k :'Y •YE -iF 3; •7i• 3: iF ?+i• il• H• ?EE x f4 3f id• -�-?1 7F x �r if it i�r ae •14 PRODUCT 'TOTAL 391. 217 t:Pderal Occupation safe•tV and Health 1 8"t<andards. Sectdora on riaza d y 2222 Communication ma- nufacturers i.md .dis'L'•i'ibutors to provide Material at Safety Data Sheae•t.s can non -food products €ef ned 'to be hazdrdous. Prodtic:f,_> GHARfiES x such as cleaning produc�t�: ar ;d Pesticides are _included in he scope or' the Standard. In c.o;rapi.a.ance, with the law. riSDS -are �wai.:l.�b e to US F•c?ad;, InC. aE customers and t:an be obtained by co?r•t acting the F'rer_m Manager in our TAXAPI.E- AViOUNT .00 ♦t district office or b advitsi our ':s�aj `a- i'�?pi`E? rEni•?r: "'JE?. 3Y (E:,N ,S TAX YK. 'You ma; cca•r ;•tac•t' kEV:1:P'I BURTON �t `ry3i�n� f3 ?i.1 585' 682?. �iEN?# 3' s• i*.# 3E#### 3E##•1 �iFit•###$ ifit## ik## aE#, 3F�t• 3F## �1r #•Sc�rir #iFit�•fit_k•.��:•Aiv' its#- 3�r •lE>'�•r'ffii #�FY.�b:vF� fit•• N. ?�:�4• #�:.u:s,�.kc�.y,..i4 _s This 'af is an estimate at. ,irue of Shipping pr i -?7 'fin an _ad jus•tmentx mrade at dE'L "li:%t?Y'• 396.52 2222. Purchase FEB p q n Description L4a. F P P.O. 7y}y�y G.L.# �OqS- 1 ^yZ39Q F.E..Q I ?01Z Budget Line Descr Purchaser Date 2222...... 2222 Approval Date_.___ ACC UNT IC� INVOICE CUST R' PURCHASE ORDER ��\LES GALES hi' N DATE Nn. NUMBER REP "ORDERFD-- 9D569922 0438910 O1/31/12 90 569575 1O54 0062 01/30/12 -R9ute�2f�51 �'-�-��n�~^~ _---°[RlDER NUM8ER.: 430203—'--- 8ill Gh p Remit J. CARMEL CLAY PAR KS&R E(.J?EAT CARMEL CLAY PARKS&RECREAT US Foods, Inc- To 1.411 E. 11.67+4 ST To. BOX 660080 C-43 3e73 Att: 4!2_8 2118 7hipFrm. 123 M O1 CUBERLAND RD FISH£RS IN Ship-D: O1/31/12 .Page OI of O2 �rtTrms fpcial ENTER OFF OF 111TH` STREET "petTrms. NET 3U DAYS Instr: Pty Qty Sales Product Descriptoo- Pack Size Label C Weight Pricing Unit Extended �rdered Shipped Unit Number D Unit Price Price DRY REAR TO EAT Please Refer to Re+urn PolAct READY TO EAT Please Refer to RetUrTl PC 1. i C PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 6 PIECES SHIPPED: 1 31 ITE.MS- SHIPPED ­'­5 150 TOTAL REFRIGERATED- r 1ECES ORDERED: 5 Fllr E C E s 1c: H I p 1- E D: 5 ITEMS' SHIPPED: 5 TOTAL FROZEN PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEM,) SHIPPED: 2 nO �klp�uov",//»anm� 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 1120112 161235 Concessions 30394 1,505.93 1131112 438910 Concessions 30442 396.52 Total 1,902.45 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 1,902.45 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 161235_ 4239040 1,505.93 1 hereby certify that the attached invoice(s), or 1095 -1 438910 4239040 396.52 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 9 -Feb 2012 fivL Signature 1,902.45 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund