172081 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $2,190.27
;T CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 172081
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 1601766 341.52 FOOD BEVERAGES
'•1047 4239040 1640347 342.03 FOOD BEVERAGES
1047 4239040 1728980 1,652.93 FOOD BEVERAGES
,1047 4239040 2978356 72".75 FOOD BEVERAGES
1047 4239040 2'994212 -73.46 FOOD BEVERAGES
ACCOLNS A7NOICE ch eugl06m PURCHAAR ORDER CALKS 9AZm IIATE o 3 0 9 y
LYl t ii] T1 A fin a Rao M7a 7
tc�� 90569922 2994212 03/09/09 90569575 1054 0062 03/09/09 A PR 13 2009 U1
DmX/RTXDum ORDER NUMBER: 566355
CAMEL CLAY PARKS &RECREAT CARMEL CLAY PARKS &RECREAT U.S. FOODSERVICE, INC.
BIIJ1411 E. 116TH ST SHIP 1235 CENTRAL PARK DRIVE E REMIT
TO. CARMEL IN TO CAMEL IN TO: BOX 660088 6001 0 r 8dy
46032 46032 INDIANAPOLIS IN
ATTCHARLES REDMON DEPT 00 800 a
F �12301 CUMBERLAND RD FISHERS INH 02/20/09 Page 01 of 01
SORT: SAL
PATUNET 30 DAYS lNlLMJClt07W=
TER)"
MmEm mom UNLT wullmm rms(n7nON PA[IC SIZE PPJX=M Eti$Iffi PRRS
CREDIT MEMO
REFERS TO ORIGINAL INVOICE NUMBER: 1101689 DATE: 02/20/09
FROZEN
1- CS 4003620 MUFFIN, BRAN 48/4.25 OZ SARA LEE CS 36.7300 36.73-
6 Order Entry Error
1- CS 5003629 MUFFIN, BANA NUT 4.25 Z 4/12/4.25Z SARA LEE CS 36.7300 36.73-
6 Order Entry Error
INVOICE SUMMARY
TOTAL WGT SHIPPED: 25.50- PIECES SHIPPED: 2- ITEMS SHIPPED: 0
PRODUCT TOTAL 73.46CR
TAXABLE AMOUNT .00
GEN SALES TAX .00
AMOUNT 73.46CR
_a,
ACKXX Nr DAroi E DWQICB CugTotm FURCHASH 021M CALSS Was IIATS
LYE um n 1 T9 vn NLA BE R Lc SUM nenaovn
H 90569922 2978356 03/25/09 90569575 1054 0062 03/25/09
=x /5KTx0UnL ORDER NUMBER: 578934
CARMEL CLAY PARKS &RECREAT CARMEL CLAY PARKS &RECREAT U.S. FOODSERVICE, INC. D
EIIa 1411 E. 116TH ST SHIP 1235 CENTRAL PARK DRIVE E REM APR 1 3 2009
TQ TO: m BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
46266 -0088 BY:,
ATT CHARLES REDMON DEPT 00 800 428 2118
g �12301 CUMBERLAND RD FISHERS IN 03/06/09 Page 01 of 01
rtma ir_ UU AL
PAYWET 30 DAYS
TERM&
QW. QTY. LAE MOM= DBSCRIPTTON PACK 9= LADSL W9aa n PRaINC3 HAITI H1[TBli17SD
ORDEM ffiH IPPSII UNLT NULCKM Urm Fm PRllB
CREDIT MEMO
REFERS TO ORIGINAL INVOICE NUMBER: 1265110 DATE: 03/06/09
DRY
1- CS 1328020 DRINK MIX, GRAPE 2 GAL YLD 12/24 OZ THIRSTER CS 24.2500 24.25-
8 Product Not Required
1- CS 5328042 DRINK MIX, CHRY 2 GAL YLD 12/24 OZ THIRSTER CS 24.2500 24.25-
8 Product Not Required
1- CS 6328033 DRINK MIX, ORNG 2 GAL YLD 12/24 OZ THIRSTER CS 24.2500 24.25
8 Product Not Required
INVOICE SUMMARY
TOTAL WGT SHIPPED: 54.00- PIECES SHIPPED: 3- ITEMS SHIPPED: 0
PRODUCT TOTAL 72.75CR
TAXABLE AMOUNT .00
GEN SALES TAX .00
AMOUNT 72.75CR
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO, DATE NO. NUMBER LOC. REP. ORDERED
90569922 1601766 04/03/09 90569575 MCO00008. 1054 '0062 04/02/09
Your partner beyond the plate.., DELIVERY ROUTE: 2,9;'.,11 1 ORDER NUMBER: 566102
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:
BOX 660088
CARMEL IN CARMEL I1\1
46032 46032 I-ND I ANAPOL I S IN
46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPEDFROM: IF -301 CUMBERLAND RD FISHERS IN SHIPDATE: 04/03/09 Pa a 02 of 02
FREIGHT:TERMS:. SPECIAL DELIVER TO WEST ENTRANCE OFF 111TH ST.
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
OTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
INVOICE SUMMARY j
TOTAL UGT SHIPPED: 164.34 PIECES ORDERED 16 PIECES.SHIP��D: 35 ITEMSS1�IPPED: 14
.r
PRODUCT TOTAL 351.03
TAXABLE AMOUNT .00
GEN SALES TAX X 00
l PLEASE REMIT THIS AMOUNT BY 05/03/09 AMOUNT 4 381.03
2
L' CUf7Ci�ns APR 0 8 2009
cl Purchase
j Descriptbn CT
A n(o I NO BY
V icy P.O.
G.L. a 4 47" 300 _l
Bud et
Line
Purchaser Date
Approval Date_____— a
Interest shall accrue on all unpaid balances exceeding[stablished cv nns at a rate eQual to the lesser of (a) 1!h% per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservice'"
(b) the maximum rate that the customer may lawfully contract to ps and in all events calculead in accordance with applicable law. and tlo not reduce product cost. Product cost is defined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X
stand' height less off- invoice discounts or off- invoice allowances (i.e., manufacturer generated discounts or allowances on particular
items for set periods of time and which are specifically reflected on the invoice'
CUSTOMERS SIG ATURE:
Visit www.usfood.Com for a fast and easy way to order. *a-
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE, NO. NUMBER LOC. REP. ORDERED
905.6,9922 1601766 04/03/09 90569575 MC000008 0 1054 0062 04/02/09
Your partner beyond the.plate-'
DELIVERY ROUTE: 2Aa 1 13 ORDER NUMBER: 586102
BILL. CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC.
TO: Y 4 i i E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660:1088
CARMEL, IN CARMEL IN
46032 46032 INDIANAPOLI IN
46266 -0088
ATT. I MICHELLE C.OMPTON DEPT 00 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 034 /03/O9 Page 01 of 032,
FREIGHT TERMS: SPECIAL DEL TO WEST `EN RANCE OFF 111TH ST.
PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY R
1
1- CS 0814236 CUP, FM 16 Z UHT 20/25 EA MONOGRAM w CS 19.4000 19.40
1 1✓ CS 2038842 KETCHUP, TMTO SS SHLF STABL 200/9 GR HEIN CS 10.5300 10.53
1 i CS 5850276 TRAY, PAPR FOOD 6 Z SAGE 4/250 EA DIXIE CS 39.5100 39.51
1 i' EA 6210777 CANDY,-KIT KAT.STD VNDG 1.5 OZ36 EA KIT KAT EA 23.0500 23.05.;•
.1 1 CS 70603999 CAPPUCCINO, FRNCH VNL INST 6/2 LB GFIC CS 44.5900 44:.:59
REFRIGERATED F y
1 1 CS 43313032 APPLE, RED DLC -113 FCY WA GR 113 EA CROSS VALY CS 26.0400 26.04
•FROZEN
1 CS 1397942 SAUSAGE, ITLN CRBL CKD 2/5 LB DOSKOCIL CS 26.48003 .26.48
'i 1✓ CS 201178 PRETZEL, KING BKD FZN 50/5 OZ SUPR PRTZL CS 27.6600 27.66
,f 2 2 CS 2014652 MUFFIN, BLDRY IV .24/4.75 OZ SARA LEE CS 19.4800 38.96
1 v CS 2318848 BAGEL, PLN IDVLY WRPD FZN 72/3 OZ SARA LEE CS 24.7200 24.72
1 1 CS 2333276 SAUSAGE., ITLN SPICYj.CRBL CKD 10 LB ROSELI CS 33.3000 33.30
1 I CS 3328606 BUN, HOT DOG PLN 6 1.7 Z 8/12 EA HILLTOP HR CS 19.8800 19.83
1 1 CS 4058707 MUFFIN, DANA NUT IV FZN 24/4 OZ SPUNKMEYER CS 21.7600 21._76
2 1. CS 4875571 HOT DOG, AB 5:1 6" CKD FZN 10 LB TYSON-- CS 25.1500 25.15
PRODUCT CLASS RECAP
TOTAL DRY, PIECES ORDERED: 5. PIECES SHIPPED: 5 ITEMS SHIPPED: 5 137.08
TOTAL REFRIGERATED PIECES ORDERED. 1 IJEMS SHIPPED: 1 26.04
J.OTAL FRO PIECES 0RDEREr 101 'Mm1 w€f1: 9 IJEM$ SHIPPED: 8 217.91
4J7- 3oo rva y a�9oqo
Interest shall accrue on all unpaid balances exceedingygstablisfred ,crgQ;�!arms at a rate equal to the lesser of (a) l. per month or 'Promotional cash discounts, prompt pay discounts, grovnh progremsand all other incentives are retained by U.S. Foodservicel
)b) the maximum rate that the customer may lawluly contractto pay, and in ell events calculatetl in accordance with applicable law. and do not reduce product cost. Product cast is defined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X
standard freight less off- invoice discounts or off invoice allowances (i.e., manufacturer generated discounts or allowances on particular
items for set periods of time and which are specifically reflected on the invoice)' CUSTOMERS SIGNATURE:
Visit www.usfood.COM for a fast and easy way to order.
Zf/e��•5ruceetate Zlou c �ua�ceaa
L ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
r NO. NO. DATE, ':NO. NUMBER LOC. REP. ORDERED
90569922 '1640347 04/07/09 96569D75 �Q 1054 0062 04/06/09
S
60 our partner beyond the plate.' i y
DELIVERY ROUTE:
1722 1. 1 '.ORDER NUMBER: 588136
BILLS;:, CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U S. FOODSERVICE, INC.
TOE 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
B10 X 660088
CARMEL IN CARMEL IN
46032 46032 I ND I ANA POL I S IN
46266 -4088
ATT. MICHELLE COMP TON I IDEPT Q# 00 800 428 2118
Page 01 of 01
12301 CUMBE RLAND '7/09 Pa
.SHIPRED FROM: RLAND RD FIS I SHIP DATE: 04/0 g
FREIGHT TERMS: SPECIAL DELIVER TO WEST ENTRANCE OFF 111TH ST.
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY.' QTY. SALES PRODUCT
DESCRIPTION PACK SIZE LABEL O WEIGHT-.es, PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
y- E
DRY
CS 4260238 SAUCE, CHS:NACHO.-SHLF STABL 4/107,OZ ORTEGA CS 47.2200 3 141.66
REFIWGERATED
2 2 CS 3382389. CHEESE, MOZZ PROV SHRD FTHR PS4 /5 LP ROSELI S. 62..4600 124.92
READY TO EAT Please. Refer to Return Policyy
.2 ,0 CS ,.5382403 CHEESE, MOZZ 4 WAY SHRD FTHR 4/5 LB' ROSELI
FROZEN
A3 3 CS 4875571 HOT DOG, AEA 5:1 6" CKD FZN 10 LV. ,L,,. TYSON CS 25.1500 75.45
PRODUCT CLASS RECAP #�t
TOTAL DRY j° i JECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS�i IPPED: 1 141.'66
TOTAL REFRIGERATED PIECES ORDERED: 4 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 124.92
TOTAL. FROZEN :'PIECES'ORDERED: 3 PIECES SHIPPED: 3 ITEMS SNIPPED: i 75.45
INVOICE SUMMARY
TOTAL WGT SHIPPED: 150.25 'PIECES ORDERED: 10 PIECES SHIPPED: 8 ITEMS SHIPPED: 3
PRODUCT TOTAL 342.03
Purchased
Description C
P.O. Po F
G.L .io, '7- 3� rnn`--4a3 +o APR S ?009
Budget I+ TAkARLt1' AMOUNT OQ
Una Descr t 4, BY.. GEN SALES TAX Y 00
r Purchaser Date
Approv Date
i r PLEASE AMOUNT v, 05 ✓07/;f�9 AMOUNT 342.03
Interest shall accrue on all unpaid balances exceedihV jstablisW cr eons at a rate equal to the lesser of (a) TYO (per month or N 'Pmmotlorial allowances, cash discounts, prompt payy discounts, growth programs and all other incentives are retained by U.S. Faodservice"'
(b) the maximum rate Uet the customer may lawfully txintrad to pay, and in all events calculated in accordance with'app icable law. and do not }educe ight product cast Product cost is delinetl as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X
standartl fre less oN invoice discounts or off•invoice allowances (Le., manufacturer.generete0 discounts or allowances on particular.
items for set periods of time an which are specifically reflected on the invoice)!
r,. CUSTOMERS SIGNATURE:
Visit www.usf6od.com for a fast and easy way to order.y
Zf/ef�fy! eeelate Ztacvc �ccatsceax
ACCOUNT /mvm|os |mvox:E ouarOMsn PURCHASE ORDER SALES muLsa DATE
NO. mo� DATE, muMssn Loo REP. ORDERED
9O569922 17289 04/14/09 90569575 1054 0062 04/10/09
40 Your partner uey,�m°p�°
DELIVERY RO»TE: 1722 1 ORDER NUMBER: 591799
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S, FOODSERVICE, INC.
To: 141 E 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL it'll
46032 46032 .INDIANAPOLIS IN
ATT. DEPT 00 800 428 2118 1
SHIPPED F R» 12301 CUMBERLAND RD FISHERS IN N Illp DATE: O4/%4/O9 Pa�e 02 of 02
FREIGHT TERMS: SPECIAL DELIVER TO WEST ENTRANCE OFF 111/H ST
PA'ME» TE«ms: NET 30 DAYS INSTRUCTIONS:'
CITY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL 0 WEIGHT
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
INVOICE SUMMARY
TOTAL UGT SHIPPED: 647.66 PIECES ORDERED: 61 PIECES SHIPPED: 61 ITEMS SHIPPED:
PRODUCT TOTAL 1652.93
Tli�ABLE AMOUNT
GEN SALES TAX 7.
PLEASE REMIT THIS AMOUNT BY 05/14/09 AMOUNT 16,52.93
INS P
Budg
tnteml shall accru all unpaid balances ex,ceedmil,listabM a0l*mns at a rate equal to the eiserof (a) 1-1h% per month or 'Promotional allowances, cash discounts, prompt paZ discounts, growth programs and a[I other 11. u lr,erviceT.
that the customer may awfully contra to pay, a in all events calculated in accordance with applicable law. and do n redu a product cost. Product cost is de ned as the suppfi�r, packer or any other vendo nce lue
at c (I 7:tt,
freight to. off-invoice discounts or off-invoice allowances a., manufacturer generated discounts or allowanes on particular
terms 0,
f r set periods of time and which are specifically reflected on the invoice).* cusT61VIERS SIGNATURE:
Visit www.0 sfood.COM for a fast and easy way to order. CUSTOMER COPY
�000umT INVOICE INVOICE ounToMsR PURCHASE ORDER SALES SALES DATE
NO. mo. DATE mo. LOC. nsp. mnosnso
.56 172898O `O4/14/O9 9O569575 1O54 OO62 O4/1O/D9
4 1 '^"w"~°".,"�`he,lat"
�u�x ROUTE: 1 ORDER NUMBER: 59l799
BILL CARMEL CLAY PARKS&RECREAT SHIP REMIT
TO: 1411 E. 116TH ST TD: TO:
BOX 660088
CARIvIEL IN CARMEL. IN
46032 46032 .INDIANAPOLI'S IN
ATT.
123O1 CUMBERLAND RD FISHERS IN SHImm�O4/14/O9 Pa�e 01 of 02
FREIGHT TERMS: mmm DELIVER TO WEST ENTRANCE OFF 111TH ST.
PAYil4T TERMS: NET 30 DAYS
QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE
DRY
V20 20— CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 33.4100 61
;110 to— CS 081,4236 CUP, FM 16 Z WHT 20,Y25 MONOGRAM CS 17.4000 174,00
20 20— CS 081,4541 CUP, FN 20 Z UHT 25/20.EA MONOGRAM CS 22.7600 453.20
1--' CS 1287747 SNACK BAR, CRL ABST IW SS 3/16/1.3 OZ KELLOWS CS 23.7500 23.75
I" EA 4004299 CANDY, BAR SNCKR 2.07 OZ 48 EA SNICKERS EA 30.4300 30.43
I CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEUA CS 47.22
1— CS 5601943 CHIP, POT KTL BBQ BAG SNk.'HS 64/1.375 OZ MISS VICKI CS 28.2100 28.21
REFRIbERATED
READY TO EAT Please Refer to Return FolicV
FROZEN
I CS 11?0107 CRUST, PIZA NEPLT THIN 12" RS 40/9 01 BONICI CS '34. 1"'00 34.12
2 2-- CS 2011278 PRETZEL., KING SOFT BkD FZN 50/5 OZ SUPR PRTZL CS 27.6600 55.32
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 57 -�PIECES SHIPPED: ITEI'jS SHIPPED:' 9 3.508.66
TOTAL REFRIGERATED PIECES ORDERED: I PIECES SHIPPED: FV SHIPPED: 1 54.83
'TOTAL. FROZEN PIECES ORDERED: 3 PIECES SHIPPED: ITEMS SHIPPED: 4 89.44
linteres shall accrue on all unpaid balances exceeding Trom growth programs and all other incentives are retained by U.S. Foodservicel-
,established erms at a rate equal to the lesser of (a) 1 -'A% per month or cf ofionai allowances, cash discounts. pr6mpt
(b) the malinum rate that the customer my lawfully jontracl to l in all events calculated in accordance win applicable law. S dr6du the upplier, packer or any offier vendor delivered cost or f.o.b. unit price plus
it scounts or,off-invoice allowances h (i.e., manufacturer generated discounts or allowances on particular
Corn am' for set periods of time and which are specifically reflected on t a nvoice).', 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.
Box 660088 Date Due
Indianapolis, IN 46266 -0088
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/9/09 2994212 Credit for return (73.46)
3/25/09 2978356 Credit for return (72.75)
4/3/09 1 1601766 Concession /food beverage 20614 F 341.52
4/7/09 1640347 Concession /food beverage 20423 F 342.03
4/14/09 1728980 Concession /food beverage 20434 1,652.93
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 TOTAL 2,190.27
,20
Clerk- Treasurer
oucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
2,190.27
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 2994212 4239040 73.46) 1 hereby certify that the attached invoice(s), or
1047 2978356 4239040 (72.75) bill(s) is (are) true and correct and that the
1047 1601766 4239040 341.52_ materials or services itemized thereon for
1047 1640347 4239040 342.03 which charge is made were ordered and
1047 1728980 4239040 1,652.93 received except
22 -Apr 2009
Signature
2,190.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund