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Home My WebLink About168727 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 0 ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $5,014.50 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 168727 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION 1047 4239040 206790 -45.76 FOOD BEVERAGES 1047 4239040 258776 650.00 FOOD BEVERAGES 1047 4239040 258783 40.56 FOOD BEVERAGES 1047 4239040 342629 702.33 FOOD BEVERAGES 1047 4239039 342630 311.01 GENERAL PROGRAM SUPPL 1047 4239040 376239 1,292.90 FOOD BEVERAGES 1047 4239040 514531 409.59 FOOD BEVERAGES X047 4239040 581257 452.56 FOOD BEVERAGES 1047 4239040 602269 415.27 FOOD BEVERAGES 1047 4239040 625796 233,.33 FOOD BEVERAGES '1047 4239040 658936 128.26 FOOD BEVERAGES 1047 4239040 733063 424.45 FOOD BEVERAGES 4 Carmel e Clay Parks &Recreation CHECK REQUEST Date: =2 Check payable to Name: U S S 2 el—P 2 Address: �0 o w y city, state, zip _lr�c c��- //V 4- lP 1�E Mail check to payee Return check to requestor Check Amount 1 5 0 14.90 Date Required Check needed for del To be paid from PO (if applicable) 7 TOQ Budget account GL io LI 7 y d,3 �nngo Budget Line Description r f -1 i w invoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): A c t!, p ill Coknioloa Requested by (signature): Approved by (signature of Division Manager): on this date Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08) R ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED '40172751 0258783 12/05/08. SAMPLE —PAGE STEVENSO' 1054 0204 12 /C)if08 DELIVERY ROUTE: 2 95 1 1 5 ORDER NUMBER 498338 BILL CONSUMABLE/SAMPLE ,'1054 /SA SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: ATTN: ANG I E GREEN TO 1235 CENTAL PARK DRIVE E TO- P. 0. BOX 8000 BOX 660088 FISHERS IN CARMEL 46038-8000 46032 I N I hID I ANAPOL I S IN 46266 -0088 ATT. ANGIE GREEN DEPT 00- 800 428 2 SHIPPED FROM: 122301 CUMBERLAND RD FISHERS IN SHIPDATE: 12/0 k Page 01 of 01 FREIGHT TERMS: SPECIAL SAMPLE FOR GUSTO 90569575 CARMEL CLAY PARKS PAYMENT TERMS: NET "10 EOM'It INSTRUCTIONS: APPROVED BY GERRY SMITH a+.. 5111PP T6 A LT GUST r QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT, NUMBER E UNIT PRICE PRICE REFRIGERATED• 1 1 CS 1477926 JUICE, ORNG 100% CUP DATE COD�9'6f4 OZ ARDMORE FM CS 16.8100 16.-81 1 1 CS 4331302 APPLE, RED DLC 113 FCY WA GRr1'''13 EA CROSS VALY• CS 23,7500 23.75 INVOICE SUMMARY TOTAL WGT SHIPPED: 64.00 PIECES ORDERED: 2 PIECES`•SHIPPED: 2 ITEMS t3.IPPED: 2 PRODUCT TOTAL 40.56 12009 TA A BLE AMOUNT .00 $Y E SALES', TAX .00 rn .eQSp�.�r PLEASE REMIT THIS AMOUNT BY 01/16/09 AMOUNT 4 40.56 Purchase Description -�o n 'O MP A 1W y 'P.O. l 07 1 F G.L `0- 300 1 00r Lf 2-3 Budget Line Descr =4-0 (9 3 Purchaser Approval Date la a&A b "Interest shall accrue on ell unpaid balances exceeding established credit tam at a rate equal to the lesser of (a) 1 -Pi% per month or 'Promotional allowances, rash discounts, prompt pay tliscounts, growth programs and all other incentives are retained by U.S. Foods.1ica (b) the maximum rate that the customer may lawfully contract to pay, and in all e.•, is calculated In ercordance with applicable law. and do not reduce protluct cost. Product cost is defined as the supplier, packer or any other vendor def o.ed cost or f.o.b. unit price plus X stantlard freight less oN- invoice tliscounts or off invoke allowances (i.e., manufacturer generated discov�s a allowances on particular items for set periods of time and which are specifically reflected on the invoice)." CUSTOMERS SIGNATURE: Visit www.usfood.eom for a fast and easy way to order. ZUef!ArrseeluteZloun s"ciatnead q ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER, •L'OC. REP. ORDERED 0000aaooa� 206790 12/02/08 90569575 PICK UP 212026 1054 0062 DELIVERY ROUTE: Rc?e 1 08 'BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT TO: 1411 E. 116TH ST TO: 1235 CENTAL_ PARK DRIVE E TO: CARME IN E 46032 Itv ATT. KATE SCHNEIDER SHIPPED FROM: SHIP DATE: 12 16 08 P 0 SPECIAL FREIGHT PAYMENT TER I C U r i D L) T E T MEMO INSTRUCTIONS: U 'Vl O T I n Vu QTY. QTY. SALES PRODUCT i. p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE I E ICK UP REASON REASON SELL? O.TY CODE DESCRIPTION Y/N 2 A CS 6131346 FUEL, BUTNE 2 HR CNSTR 06 Order Entry Error Y CS 22.8800 45.76 TOTAL PIECES PICKED UP: 2 TOTAL CUBE: .1.01 ALLOWANCES. .00., RECEIVED C HARGE 00 JAN 2 2009 TOTAL. ADJUSTMENT: 45.76 �.1 y Purchase Description r ''v P.O. 90 'l V fo F r u 0 —i(00 —i(00 l 239pcfp G.L. 1 30 Budget LI n;tbescr Purchase SCR I'C'E a NOT P T I HER AND 'ON TRIP P T p Interest shall,acerue on all unpaid balences,exZ established credit t�rL at ai equal to the lesser of (a) L'h %per month or 'Promotional allowances; cash discounts, prompt pay tliscrounts, growth programs and ell otherincentivesare retained by 11.5. FOOdservice (b) the maximum rate that the customer r1Ny, lewlufly contract to pay, anct in all e;, KS guJ§) @d �aordance with applicable taw. and do not reduce pro c cost. Product cost is tlelined as the supplier, packer or any other vendor delivereo cost or f.o.b. unit price plus standard freight less ofl- invoice discounts or oN- invoice allowances (i:e., manufacturer generated discounts or allowances on particular 1C r p ems for set periods of time and which are spec fically reflected on the invoice v r CUSTOMERS SIGNATURE: t Visit www.usfood.com for a fast and easy way to order. We, b"waw, a ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE. NO. NO. DATE NO. NUMBER LOC. REP. ORDERED V 170569922 0342629 12/12/08 90569575 1054 0062 12/:11/08 as 0000aoo�a¢Q DELIVERY ROUTE: 295 5 ORDER NUMBER: 507291 BILL CARMEL CLAY PARKSiRECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. 1411 E. 116TH ST 1235 GENTAL PARK'DRIVE E TO: TO TO: BOX 660088 I CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN KATE SOHNEIPER DEPT '00 800 ATT. 2.1116 t r SHIPPED FROM: `.12301 C•'t.1M13ERL.AND RD FISHERS IN SHIP DATE: 12/12/06 Page 01 o f 02 DELIVER TO MAIN ENTRANCE FREIGHT TERMS: NET 30 DAYS SPECIAL PAYMENT TERMS: INSTRUCTIONS: QTY.. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION, PACC SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1 1✓ CS 6187801 Cam, HZLNT SHLF.STABL SS 288/.5 OZ INTL DELGT CS 17.4744 17.47 1 CS 9341223 CREAMER,'HALF HALF SS ULTRA 3601.38 OZ GLNVW FRMS CS 16.7300 16.73 REFRIGERATED 2 2 CS 9331380 APPLE, RED DLC 138 CT FRESH XF138 EA CROSS VALY CS 30.2900 0.58 FROZEN 3 3V CS 2014652 MUFFIN, BLBRY`'IW 24/4.75 OZ SARA LEE CS 1Q' 4800 44 5 5.-*'L CS 4277034 COOKIE, CHOC CHNK THAW SRV 72/2 OZ., BEST MAID CS 36.9!x}00 184.50 6 6v CS 51.52855 COOKIE, OTML RAI SOFT CHWY 72/2 OZ BEST MAID CS 34.2 '205.74 1 1%/ CS 6409118 .COOKIE, SUGAR SOFT R CHWY FZN 72/2 OZ BEST. MAID CS 27.5x001 ?7.54 1 1 CS 6450852 COFFEE, LIQ PREM RST FZN 4/1-LT MAXWELL.HS CS 128.120 12b.t2 PRODUCT CLASS RECAP #o i TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED:. 2 34.20 TOTAL REFRIGERATED ,#'IECES ORDERED: r;;. PIECES SNIFFED: 2 ITEMS SHIPPED4, 1 60.58 TOTAL FROZEN PIECES ORDERED: =:tx� PIECES SNIPPED: 16 ITEMS SHIPr' 5 604.30 CEIVED t JAN 2 1 2009 r BY: t Interest shall= eon all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) t.% %per month or Promotional allowances, cash discounts, prompt pa discounts, growth programs and all other incentives are retained by U.S. Foodse'rvice 5 (b) 'the maximum rate that the customer may lawfully mntred to pay, and in all a AtSxal UWQd,iq, ^oNance with applicable law. and do nomad uce product cost. Protlucl cost is delinetl as the supplier, packer or any other ventlnr delivered wst or f.o.b. unit price plus X standard ight less otbinvoics discounts or ofl-invoice allowances (i.e., manufacturer generated drscol •s or allowances on particular items far set periods of time and which are specifically reflected on the invoice)' Visit www.usfood.com for. a f6st and easy way to order. CUSTOMERS SIGNATURE: �ef{��?veeeieete S'uaccceaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER "SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0342629 r i.2/12/06,90569575 1054 0062 12/11/08 DELIVERY ROUTE: 2951 5' ORDER NUMBER: 507291 d BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U. S. FOODSERVICE, INC. TO: 1411 E. 116TH S7 TO: 1235 CENTAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032. 46032 INDIANAPOLIS IN. 46266 -0088 ATT. KATE S,CHNEIDER DEPT 00 800 428 2118 SHIPPED FROM: 1x.. CUMBERLAND RD FISHERS IN SHIP DATE: 122" 210 3 Pag 02 o 02 FREIGHT TERMS: NET 30 DAYS, SPECIAL DELIVER TO MAIN ENTRANCE PAYMENT TERMS: INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT :EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE INVOICE SUMMARY# FUEL SURCHARGE 3.25 TOTAL WGT SHIPPED: 236.60 "'PIECES 20 PIECES SHIPPED: 20 ITEMS SHIPPED: 8 RECEIVED PRODUCT TOTAL -699.08 'SAN' 2009 CHARGES 3 .25 BY: TAXABLE AMOUNT .;00 GEN SALES TAX X .00 PLEASE REMIT THIS AMOUNT BY '01/11/09 AMOUNT 11. 702.33 r1 Purchase, Co rd Purchase Description J Description d C� 4�. .U.L_a U P F P.O: P.o. t 9q os r F —�O 3 %pt� (3.L G.L. F00 /nn Budget Budget 0� Q Line Descx Line Descr �1 d AppPurchaser Purchaser motif k,/ ,c rov Date �VU� a Approval Date Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) I per month or 'Promotional allowances, cash discounts, prompt paydiscounts, growth programsand all otherincentives are relained by U.S. Foodsal ic- °j ;`j (b) the maximum rate that the customer may lawfully contract to. pay, and in all evgyYSkcalculAte� ,.in,a,��rdance with applicable law. antl do not retluce product cost. Product cost is delined as the supplier, packer or any other vendor tleliveretl cost or f.o.b. unit price plus X standard freight Is..(t- invoice' disceunts or off- invoice allowances.(i.e., manufacturer generated discounts or allowances on particular (/[j items for set periods of time and which are specifically reflected on the invoice)' Y CU TOMERS' SIGNATU E: Visit www usfood.6om for a fast,and easy way to'order Zf/e,¢Zlowc�ueuceae ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. Gti' NUMBER LOC. REP. ORDERED 90569922 0376239 12/16/08 90569575 1054 0062 12/15/08 DELIVERY ROUTE: "292 8 ORDER NUMBER: 509728 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY P' KS&RECREAT REMIT U.S. FOODSFRVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO: BOX 6600338 CARMEL IN CARMEL IN 46032 .46032 INDIANAPOLIS. IN 1 1 1 46266 -0088 ATT. KATE SCHNEIDER DEPT 00 800 428 2118`. SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 12/1610'3 Page 01 of 01 FREIGHT TERMS: SPECIAL °.DELIVER TO MAIN ENTRANCE PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT l p' PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY �1. 1 CS 0847400 GRAVY, TRKY RSTD 13/50 OZ HOME TASTE CS 34:.4 #00 34.44 2 2 CS 8243347.'FUEL, CND HEAT 2 HOUR ETHANOL 72 EA CNDLE LAMP CS 59.5000 119.00 REFRIGERATED 18 ACS 4336467 TURKEY, ,BRST SKNLS DELI REF 2 /_S$ LAA PATUXENT 343.26 LB 2.5400 871. 88 0, CS 6373864 TURKEY, BRST SKNLS OVEN PREPD 2/8 LBA PATUXENT FROZEN 9 CS 8343360 MEATBALL, DNNR CKD OLD WORLD 1160/1 OZ CTLMN SLCT CS 29.3700 264.33 PRODUCT CLASS RECAP TOTAL EERY PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 2 153.44 TOTAL REFRIGERATED PIECES *ORDERED: .22 PIECES SHIPPED:. 18 ITEMS SHIPPED: 871.88 TOTAL FROZEN PIECES ORDERED: 9 R`IECES SHIPPED:" 9 ITEMS SHIPPED: 1 264.33 INVOICE SUMMARY# FUEL SURCHARGE 3.25 TOTAL WGT SHIPPED: 548.76 PIECES r ORDERED: PIECES SHIPPED:. 30 ITEMS SHIPPED: 4 C C,f- Jv `O ii n 1.r7 L� e� PDT 4 [,7J PRODUCT TLITAL ffi 1 '99.65 Purchase Description O_ P.O., L 9 Vos or F CHARGES 3.25 N 2009•_ G. L. �C�C� /CSC) q a _3 1? 0g0 BY: TAXABLE AMOUNT .00 B ineD .0 UEN SALES TAX 0 Line Purchaser L Approval Date l r.�� PLEAS4 REMIT THIS AMOUNT BY 01/15/09 e, AMOUNT 1292.90 r z Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1- per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservice'R (b) the maximum rate that the customer may lawfully contract to pay, and in all ev(.its.celcWpiee) �ordance with applicable law. and do not reduce product cost. Protluct cost is defined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X v standard freight less off- invoice discounts or of invoice allowances (i.e manufacturer generated discounts or allowances on parlicular w•" fj items for set periods of time and which are specifically reflected on the invoice).' �1` CUSTOMERS SIGNATURE: E Visit ww,w.usfood.com for a fast and easy way to order. Zf/eo4/rcueateZlocveircac.eaa. ACCOUNT INVOICE .INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0258776 12/05'/08 90569575 1054 0062 12/04/08 DELIVERY ROUTE: 295 ORDER NUMBER: 54, 244 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT U.S. FOODSERVICE, INC. TO: 141.1 E. 1 16T'H ST TO:' 1235 CENTAL 'PARE( DRIVE E TO: BOX 660038 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 ATT. KATE SCHNEIDER DEPT 00 800 428 2118 SHIPPED FROM: 12301',CUMBERLAND RD FISHERS IN SHIPDATE: 12/05/08 Page 01 of 02 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENT.FIC E PAYMENTTERMS: NET ,3 DAYS INSTRUCTIONS: QTY. QTY. SALES' .PRODUCT p PRICING UNIT EXTENDED' ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E. DRY 1✓ EA 0738872 BAG, ORCY PAPR 6 LB WHT '560, EA 110NOGRAM B EA 23.6600 23.66 1 1 CS 5585476 CHIP,•PTATO BKD REG BAG SS X6 OZ BAKED LAYS CS 25.9000 25.90 REFRIGERATED 1 1 'CS 5382403 ''CHEESE, MOZZ 4 WAY SHRD FTHR 4/5 LB ROSELI CS 62.2400 62.x'4 1%'- 1. CS .6329676 PEPPERONI, SLCD 14 -16 CT NO 2/5 LB ROSELI y. CS 31.'4200 31:42 f; FROZEN 1 1 CS 119A.07 CRUST. PIZA NEPLT THIN 12" RS•- /9 OZ BONICI CS 34-.1200 34.12 1" 11 CS 1494947 PORK, BBQ PLLD IN SCE CKD 3011 2/5 LB PATUXENT 41 CS 38.8100 38.81 21 2 CS 3326606 BUN, HOT DOG PLN 6" SLCD FZN 8/12/1.7 OZ HILLTOP HR CS 19.8100 39 Al 5 5 'CS_ 4277034 COOKIE, CHOC CHNK'THAW.& SRV OZ BEST MAID CS': 84.90 36.9800 1 2 -1 2 CS 5152855 COOKIE, OTML RAI SOFT CHWY 72/2 OZ BEST MAID, CS 34.290'0 68.58 5 5 CS 6409118 COOKIE,,,SUGAR SOFT CHWY.FZN 7w /2 DZ BEST MAID CS 27.5000 137.50 PRODUCI''CLASS RECAP TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 49.56 TOTAL REFRIGERATED..' PIECES-ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 93.66 TOTAL FROZEN PIECES ORDERED:, 16 PIECES SHIPPED: 16 'ITEMS SHIPPED: 6 503.53 7, 8 W es,✓ 8AI Y JLL.�D k JAN 1 2009 t Intems1 Shall accrue on all unpaid balances ex rm caedirg established Credit tens at rate equal to the lesser of (a) 1!h per month or 'Promotional allovrarwes, lash discounts, prompt pa discounts, growth programs and all other incentives are retained Dy U.S. Foodservice (b) the maximum rate that the customer may lawfully contract to pay, and in all evrf s cal laced in accordance with applicable law., end tlo not reduce protluct cost. Product cost is defined aslhe supplier, packer or any other ventlor delivered cast or f.o.b. unit price plus a l stancard freight less od- invoke discounts or ofl- 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)." CUSTOM RS SIGNATUR jVIsit www.usfood.com for a fast and easy way to order. Zfje�l� mee Zl°uzVuatceaa 9 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED, 90569922 0258776 12/05/08 90569575 1054 0062 1.2/04/08'.,'' DELIVERY ROUTE: 2951 5 ORDER NUMBER: 5021 44: BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U. S. 'FOODSERVICE, INC. TO: 1411 rE E. .1 16TH ST, TO: 1235 CENTAL PARK DRIVE E TO: CARMEL IN CARMEL IN BOX 660l 46032 46032 INDIANAPOLIS IN 1; 46266 -0088 ATT. KATE ''SCHNEIDER DEPT 00 800 428 2118 SHIPPED FROM: 12301 "CUMBERLAND RD FISHERS TN.- SHIP DATE: 12/05/08 Paige 02 of 02 FREIGHT TERMS: SPECIAL 'DEL T MAIN ENTRANCE PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE INVOICE SUMMARY FUEL SURCHARGE 3.25 TOTAL WGT SHIPPED: 206.30 PIECES ORDERED: 20 PIECES SHIPPED: 20 ITEMS SHIPPED: 10 t` PRODUCT TOTAL 646.75 CHARGES 3.25 TAX'ABL .AMOUNT .00 GEN S ES.TAX Y 00 Purchase Description 0012 c. PO s PLEAS ,,REMIT THIS AMOUNT BY 01/04/04 AMOUNT 650.00 G.L. r F <0 0 �a3 Bud 7 Line D c Purchase r escr OrJ C' SS D escrptin CU`s V�`O [1 Purchaser C Q e D io C.� 0 e Approval P.O. l 9 C7 �er F �r G.L. -_'f 7 00 l c�r� X23 4 0 Cj ti• tr CE E5 L Destx Q �1�2 JAN 2009 Cr Purchaser Approval;..' Interest shall accrue on all unpaid balances exceeding established credit terms at agate equal to the lesser of (a) 1.9e% per month or 'P allowances, cash discounts: prompt paydiscounts, growth programs an are retained by U.S. Foodservics (b) the maximum rate that the customer may lawfully contract to pay, and iri all eireOts qa ed in pcordance with applicable law. d do not reduce product cost. Product cost is delinetl as the supplier, packer o y vendor delivered cost or f.o.b. unit price plus X+ t standard freight less of- invoice discounts or off- invoice allowances (Le., manufacturer generated discounts or allowances on particular o- Visit www `ems for set periods. of time and which are specifically reflected on the invoice).' CUSTOMERS SIGNATUR .usfood.com for a fast and easy way: to order. i �„c Zf/e�4 Zloc�c Suauiead ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES+ SALES DATE LOCH REP. ORDERED NO. 4„ r NO. DATE NO. NUMBER (V 90569922., Q544531 12/30/08 90.569575 9 b�4 °�5Q62 12/29/08 DELIVERY, ROUTE: 17"22' 1 ORDER'NUMBER: 517975 TILL CARMEL CLAY PARKS&RECREAT TO CARMEL CLAY PARKS &RECREAT, REMIT U.S. FOODSERVICE, INC. 1 1411 E. 116TH ST 1235 CENTAL PARK DRIVE E Box 6600818 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 ATT. KATE SCHNEIDER DEPT 00 800 428 2118 t SHIPPED FROM: 1 2301 CUMBERLAND RD F ISHERS I N SHIP DATE: 12 30 /08 Page 01 Of 02 FREIGHT TERMS: r SPECIAL DEL IVER TO MAIN ENTRANCE E PAYMENT TERMS: NET, 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY 1 1 CS 0 CUP, PAPR 16 Z CLO WHT PRPL 20/50 EA MONOGRAM CS 71.1600 71.16 i 1 CS 5597968 CHIP, CORN REG BAG SS 64/2 OZ FRITOS CS 25.6000 25.60 1 1 CS. 5605472 CHIP, MULTGRN HRVST CHEDR BAG 64/1.5 OZ SUN CHIPS CS 26.1000 26.90 REFRIGERATED 1 .:1' CS 4331302 APPLE, RED DLC 113 FCY WA GR .313 EA CROSS. VALY CS 30.1500 30.35 FROZEN 3 3 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ. SUPR PRTZL. CS 27.3900 82.17 1 1 CS 2318848 BAGEL, PLN IDVLY WRPD FZN 72/3 OZ SARA LEE CS 24.7200 24.72 1 1 CS 3328606 BUN, HOT DOG PLN 6" SLCD FZN 8/12/1.7 OZ HILLTOP HR CS 19.8800 19.88 3 3 CS 4875571 HOT DOG, AB 5:1 6" CKD FZN 10 LB TYSON CS 25.1500 75.45 1' 1 CS 5218862 ICE CRM SANDWICH, VNL 24/6 OZ (BLUE BUNNY CS 16.0500 16.05 1 I. CS 81.87999 ICE CRM BAR, CHOC TACO VNL "24/4 OZ KLONDIKE CS 17.9600 17.96 1 1 CS 9520537 ICE CRM BAR, VNL ORIG IW 24/4.5 OZ KLONDIKE CS 16.3000 16.30 CLASS RECAP. TOTAL DRY PIECES` "ORDERED: 3 PIECES SHIPPED: 3 ITEMS ,SHIPPED: 3 123.66 TOTAL REFRIGERATED PIECES ORDERED: 1. PIECES SHIPPED: 1 ITEMS SHIPPED: 1 30.15 TOTAL FROZEN PIECES ORDERED: 11. PIECES SHIPPED: 11 ITEMS SHIPPED: 7 252.53• C VED r, AN 2'1 2009 BY: Imerest shall same on all unpaid balances exceeding established credit terms et a rate equal to the lesser of (e) 1 %per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs aM ell oNer incentives ere retained by U.S. Faodservice (b) the maximum rate that the customer may lawfuly contrail to pay, and in all evunte calculated -In accordance with applicable law. end d not reduce product cost. Product cost is de nod as the supplier, pecker or arty other vendor delivered cost or f.o.b. unit price plus X standard freight less oflanvoice discounts or off- invoice allowances (i.e., manufacturer generated discounts or allowances on P.Naler it for set periods of time and which are spedgcally reflected on the invoice' CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy way to order. wed "Y ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED xi rr ID 90569922 0514531 12 /30 /OB 90569575 105.4 0062 12/29/08 DELIVERY ROUTE: 1722 1 ORDER NUMBER: 517975 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTAL 'ARK DRIVE E TO: BOX 660088 r CARMEL IN 'CARMEL IN 46032 46032 INDIANAPOLIS IN 46266- -0088 ATT. KATE SCHNE I DER L DEPT 00 800 428 2118 SHIPPED FROM:, 12301 CUMBERLAND RD FISHERS ^;a-l'@�I SHIP DATE: 1'2/ Page 02 of 02 FREIGHT TERMS: SPECIAL DEL TO MAIN ENT RANC E PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT a C p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E t� INVOICE SUMMARY FUEL SURCHARGE 3.25 TOTAL WGT SHIPPED: 206.23 PIECES ORDERED: 15 PIECES SHIPPED: 15 ITEMS SHIPPED: 11 PRODUCT TOTAL 406.34 :C .IVE� CHARGES 3.25 i' JAN 2 1 9BLE AMOUNT .00 SALES TAX .00 BY: PLEASE REMIT THIS AMOUNT BY 01/29/09 AMOUNT 409.59 Purchases :7 Description In 4-- 1aLe.COt, �t .PO B L S``'' 7 .3 0 0=llo 3 9,o q-0 Bud Une es furch e 1 J Interest shall accrue on all unpaid balarces exceedln( established credit terms at a rate equal to the lssser of (a) 1 %per rnonN a �C Pmmodonat� antes, cash discounts, prompt pa discounts, growth programs and all other incentives are retained by U.S. Foodservice"' calculated igacoordanco with applicable law. entl rid not reduce product cost. Product cost Is defined as the supplier, pecker or any oNer vandor delivered cost or Lo.b. unit price plus X 6 +r^ standard freight less oH- invoice discounts or off- invoice allowanoes (i.a., manulacNrer generated tliscounts or allowances on petkular b) the ma ilmum rate that the customer may lawfully contract to pay, and in all evq is t •r Items for set periods of time and which are spedticely reflected on the invoke)' CUSTOM SIGNATURE: Visit www.usfood.com for a fast and easy way to order. „F; wG1q�e�a ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0581257 01/06/09 90569575 fO..54 0062 01/05/09 112 DELIVERY ROUTE: 1722 1 ORDER• NUMBER: 521967 BILL j PA 9 N G;� 0- SH a'I P CARMEL CLAY PARKS&RECR�EA'] REMIT U.S. FOODSERVICE, INC. TO• 41- Y 67'} TO: 1235 CENTAL PARK DRIVE E TO: CARMEL IN CARMEL IN BDX 660088 1 46032 46032 INDIANAPOLIS IN 1 46E66-0088. ATT. KATIE SCHNEIDER DEPT 00' 800 428 2118 SHIPPED FROM:. 12301 CUMBERLAND RD FISHERS I N SHIP DATE: 01/06/09 Page 01 of 02 FREIGHT TERMS: SPECIAL DELIVER-TO MAIN ENTRANCE PAYMENT TERMS: :NET..•30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED SNIT NUMBER r'' E UNIT P PRICE DRY 1 1 CS 0209510 CRACKER, SALTINE SS 500/2 EA HILLTOP HR CS 12.7800 12.78' 1 1 CS 1176304 LID, CUP BBL SLID 32 Z PLST 8 /124 -EA SWEETHEART CS 69.4900 69.49 1 1 CS 1287747 SNACK BAR, CRL ASST IW'5S 3/16/4.3 OZ KELLOGG'S CS 23.7500 23.75 1 1 CS 5337712 SAUCE, PIZA TMTO FULLY PREPD 6/#}10 CN ROSELI CS 31.9000 31.90 1 1 CS 5597851 CHIP, TORTLA NACHO CHS TRGLE: 64/1.75.'OZ DORITOS CS 26.9000 26.90 1. 1. CS 5605431 CHIP, MULTGRN'GRDN SALSA BAG 64/1..,5 OZ SUN CHIPS CS 26.9000 26.90 1 1 CS 5605522 CHIP, MULTGRN --ORIG BAG SS' 64/1.5 OZ SUN CHIPS CS' 26.9000 26.90 1 1 CS 7 C -t AP y1/ P UCCIN /g O .F p =VNL INST 6 LE GF., CS 44.5 44.59 C" �j;'.',' L ,�eie.'.Sr'+w4y`:ir:dN:P.+. Pines✓ L, 7t.+'• l�W", MYM. L,' i «YriF'�, L• :ti.MdtNe+..l�w,�� iR WH.T-.. j 7, u.--.,- ttL/ illLFt ]�AF.f.:..�- -�au� ..,:.w,.:,_.. s::"EA�,....- ...._..v ....5'y "f 7,1:6.... <.r ..5:ti 3 CS 9463688 CHIP, TORTLA CORN YLW RND LB, EL.PASADO CS 18.1300 54.39 REFRIGERATED 1 1 CS 0423152 SOUP, PTATO BKD REF LODED 2/4 LA HARRY`S CS 30.1500 30.15, i 1. EA 0761940 MILK, 'WHL CRRG PLST REF HMGNZ, ;'GA GLNVW FRMS B EA 4.4100 4.41 READY TO EAT Please Refer to Return Polick 1: 1 CS 3501087 SWP, TMTO GORZL U/ BASL REF 2 /4. -LB 6RRY'S CS 29.9800 29.98 1 0 CS 4262408 SOUP, CHIX'NDL,, -REF OLD FSHMD `2/4 LB "HARRVS 1 1, CS, 7197775 YOGURT, VTY PK STUBY BANA 3 12/6 OZ YOPLAIT CS 9.7200 9.72 READY TO EAT Please Refer $o Return Policy FROZEN, r 1. 1 CS 2372928 CHILI, W/ BEAN HEAT 4/5, LB WHITEY'S CS 54.9100 54.91 PRODUCT CLASS RECAP# s TOTAL.. DRY.. PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 10 323.39 TOTAL'REFRIGERATED PIECES ORDERED: 5 PIECE3 4 ITEMS SHIPPED: 4 74.26 rTOTAL FROZEN PIECES ORDERED: 1 PIECES SHIPPED: ITEMS. SHIPPED: 1 54.91 R.ECEJ[VIED JAN 2 1 2009 BY: Interest shall accrue wall unpaid bitances exceeding estabLLshed credd terms at a rate equal to the lesser of (a) 1 -Y,% per monN or 'Promotional allowances, cash discounts; prompt Pe discounts; growth proprems end all other -ere retained by U.S: Foodw vicel,, (b) the maximum rate Net the customer may lewluly canlrecl to pay, and in all events algrlated in eaordence with applicable law. end not reduce protlutt coat. Product coat is defined as the supplier, pecker or arty otlrer vendor deMered cost or f.o.b, unit pdco plus X =x "w'�' .r• standard freight less ofl-imoice discounts or qfl- invoke alowances (i.e. menulacturer generated discounts or allowances on particular hems or set periods of time and which are speahcaly pn dre Invoice).' 1 ;Visit www:usfood.com for a,fast. and easy to order CUSTOMERS SIGNATURE: Zf/e �i/raeelate'lloeae r ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER. SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0581257 01/06/091 1 19,0569575 1054 0062 01/05/09 tt� t Y DELIVER ROU T E. ":1722 ORDER NUMBER. 522967 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEiL. CLAY PARKS&RECRIEAT REMIT U.S. FOOD SERVICE, INC. TO: 1411 E. 116TH ST TO: 1235'' CENTAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL, IN 46032 46032 I NDIANAPOLIS. IN ATT. KATE SCHNEIDER DEPT 00' 800 0 4282118' SHIPPED FROM:. 1 2301 CUMBERLAND R D FISHERS IN SHIP DATE: 01/06/09 Page 02 o,f 02. FREIGHT TERMS: SPECIAL DEL IVER' TO MA IN ENTRANCE PAYMENT TERMS: NET 3O DAYS INSTRUCTIONS:, QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION f PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE INVOICE SUMMARY. TOTAL. UOT SNIPPED: 177.39 PIECES OF RED: IS. PIECES. SHIPPED;', 17 ITEMS SHIPPED:. i5 a��# ib# tE�E#'## 3Ef8iF## iF## ffEi��i� #��•��u��'� PRODUCT TOTAL 452.56 Federal Occupation and_ Health Standards. Section 'i� .1200 on Hazard n Communication requires manufacturers and distributors to provide Material Safety Data Sheets,:on non -food products `defined to be hazardous. Products SUCK --as cleaning products and pesticides are ,included in .p.. scoppe of the n `Sta,rrdard. In comp,lian with the law. MSDS are available. -to U'. S. Foodservice• customers and` can by con�tac, ng the Procurement Manager our TAXABt_E AMOUNt 00 district- off ice or'by. advising your sales representative. GEN -SALES TAX X .00 You may contact Proc:urement'Helpdesk at phone (317). 585 6719. PLEASE REMIT THIS AMOUNT BY 02/05/09 AMOUNT 452.56 Purchase Description P.O. LP F G.Lt Y7- 3(x'7'. 9 0 j Budget Line Purchaser APProval Date CEIVED JAN ..2.1 2009 r� B i M 1 t t Interest shall accrue on all unpaid Ibalancea exceeGing established credit leans at a rate er✓ual to the lesser of (a) 1 -'h per nnnlh or 'Promotional allowances cash aiscounLa prompt paydsccums, growth programs and all oNer incentives are retained by U.S FoodserAce"' (b) the maximum rate that the customer may. lawfully contract to pay, antl in all events calculated in accordance with applicable law. .and do not reduce product cost. Product cost is delflined as the supplier, packer or airy other vendor delivered ccst or I.o.b. unit price plus X 1 A 1 +rrw:p *V ••c•• standard (Might less off 'dcswunts or,ofl�moice allowances (i.e., manufacturer generated discounts or allowances on particular `�W lll...///�" ems for eat periods of time and which are spedtcrelry reaeaed on the invoice).' CUSTOMERS SIGNATURE: Visit www.dsfood,com for a fast and easy way to order. Zf /e�4�/r�CeeCateZlu�a�uaC.eeae. AocoumT /wmo/os /mwm/cs oueTOMsn PURCHASE ORDER SALES SALES oArs NO. mo, DATE mm Loo nsp ORDERED 90569922 0602 269 01 /07/09 90569 D E L IVER Y ROUT 100 1 JAN 0 2009'. ORDER NUMBER: 522057 BILL CARMEL CLAY PARKS&RECREAT �H|P TO: to: 1235 CENTAL PARK DR CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN ATT. SHIPPED FROM: mIPDATE: 01/06/09 Page 01 of 01 FRoGHrTERMm COLLECT SPECIAL USF—PO#733069 PAYMENrTERme NET 30 DAYS /wmnummNS. QTY. QTY. SALES PRODUCT 0 PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE DRY 1 1 CS 0465138 DISPENSER, WIDE NTH 24Z NATRL 6 EA TABLECRAFT CS 11.9900 11'...99 4 4 EA 2329126 COVER, PAN 1/3 SIZE S/S FLAT I EA NDG EA 12.5900 :50,36 4 4 EA 7329097 PAN, STMTBL 1/3 SIZE 6"D I EA NDG EA 29.4900 1'17.96 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 14 PIECES SHIPPED: 14 'ITEMS SHIPPED: 5 415.27 SHIPPING TRACKING NUMBER 1ZAE12320383333222 UPS SHIPPING TRACKING NUMBER IZAE12320385'333231 UPS ICE SUMMARY *1'r4 INVO TOTAL WOT SHIPPED: -u3. qi. rIiECES ORDERED: 14 PIECES SHIPPED: 1/4 ATEMS SHIPPED: 5 PRODUGT TOTAL 413.27 Federal Occupation Safetp�/ ani�-�alth Staildards. Section 1910.1200 an Hazard Communication requires manu�-�4_bia_ andidistributors to provide Material SafetV Data Sheets an noi7fqod.Zn7. defined to be hazardous. Products such as cleaning products a7lid zesticides are included in the sco e of the Standard. In compliance with MSOS are available to UT Foodservice customers and can be obtained by contacting the Procurement Manager in our JAXABLE AMOUNT .00 You may contact Procurement HLalpdesk at Ohone (317) 585 6719. ass Description PLEASE REMIT THIS AMOU14T BY 02/06/09 AMOUNT 415.27 G. L. -z3 RECEIVED Interest shall axwe on all unpaid balances exceeding established credit t mrs at a rate equal to the lesser of (a) VIA 'Promotional allowances, cash discounts, prompt pg discounts, growth programisand all other incentives are retained by U.S. Foodservic. an i ully do not reduce product cost. Product zst is de ined as the supplier, packer or any other vendor delivered cost or f.o.b. unit price P Us (b) the maximum rate that the customer may lawl contract to pay, and in al,'-wents, calculated jj, accordance with a pplicable It h tandard freight less off-invoicii discounts or off-invoice allowances (i.e., manu cturer generated discounts or allowances on par ti cu lar X am or set periods of fine and which are specifically rollecled on the invoice).� CUSTOMERS SIGNATURE: visit www.usfood.cOM for a fast and easy way to order. CUSTOMER COPY ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE.: NO. NO. DATE NO. NUMBER LOC. REP. ORDERED, rr 90569922 0625796 01./09/09 90569575 1054 0062 01/08/09 DELIVERY ROUTE: 2951 j 6 ORDER NUMBER: 524726 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO: BOX 660089 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 46266 -0088 ATT. KATE SCHNE I DER DEPT 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS I N SHIPDATE: 01/09/09 Page 01 of 01 FREIGHT TERMS: SPECIAL DEL TO MA ENTRANCE 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 1 1 CS 0791590 CONTAINER, FM 12 Z WHT SQT 20/25 EA MONOGRAM CS 23.3900 33.39 1 1 CS 0852103 CONTAINER, Fit 8X8 1 CMPT 3° HI2 /100 EA MONOGRAM CS 25.9800 25.98 1 1 CS 5610571 CROUTON, CUBE SESD SS TFF 250/.25 OZ MONARCH CS 19.0200 19.02 1 i EA 8053126 CANDY, RESES PHT BUTR CUP 36 EA REESE'S EA 22.8400 22.84 1 1 CS 9051087 LID, FM NON VENTED 10/50 EA WIN CUP CS 21.7200 21.72 REFRIGERATED 1 0, CS 4262408.,- SOUP, GHIX NDL F&F OLD-iFSHND 2/4 Lt.) HARRY'S FROZEN 3 3 CS 2011.278 PRETZEL, KING SOFT BKD FZN 50/5 :OZ SUPR PRTZL CS 27.6600 82..8, 1 I CS 6326557 SOUP, CHIX NDL TUB FZN CLSC 3/4 LB CLSC TUREE CS 37.4000 37..'40' PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 5 112.95 TOTAL REFRIGERATED PIECES ORDERED: 1 PIECES SHIPPED: 0 ITEMS SHIPPED: 0 TOTAL FROZEN PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 120.38 INVOICE SUMMARY TOTAL WGT.SHIPPED: 87.56 PIECES ORDERED: 10 PIECES SHIPPED: 9 ITEMS SHIPPED: 7 ��n�, i��t��ar# ��s��r�. n��t��tn�t��# ��s�az• nn�n��r�t�t�sa�� #��r��:�n��n��n��s�r�t�� Q"�� fir P r `P,,.'s q rAL 333.33 Federal Occupation Safety and Health Standards. Section 1.910. 1200 on Hazard Commun,jca�tion requires manufac,turers distributors to provide Material p p a Safety Data Sheets on-non -:Food products defined to be hazardous. Products such as cleaning.products and esticides are included in the scope of the d,L Standard. In complidnce with Ue law. MSDS are available to U.S. F'oodservice g S t Inc. customers and can be.::sahtained by contacting the Procurement Manager in our une Ito, LE E .r district office or by advising your sales representative. IM, .00 may contact Proc:ureme!zJ' a= 0 (317) 585 6719. I CIV"F: H JAN 2 1 2009 PLEASE REMIT THIS AMOUNT BY 02/08/09 AMOUNT 233.33 Y: Interest shall accrue on all unpaid balances exceeding established credit tamts at a rate equal to the lesser of (a) 1.%% per month or 'Promatlonal allowances, cash discounts, Drompt pay discounts, growth programs end all other incentives are retained by U.S. Foodservice" (b) the maximum rate that the customer may lawfulty contrem to pay, end In all evc- calculated in exordance with applicable law. and do not reduce product cost Product cost is definetl as the supplier, packer or any aNer vendor tleliveretl 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. k/efll&ate�au�$rtel,eeoa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER. r SALES SALES DATE NO. NO. DATE NO. NUMBER LOC: REP. ORDERED r r 90569922 0733063 01/20/09 90569575 1,054 w,;0062 0,1 19/09 5 v. DELIVERY ROUTE:. 172 1 ORDER NUMBER 531258 SHIP REMIT BILL CARMEL CLAY PARKd.RECREAT CARMEL CLAY PARKS &RECREAT b U. ICE, INC. TO: 1411 E. 116TH TO: 1235 CENTRAL PARK DRIVE E TO: 3 CARMEL IN CARMEL IN BOX 66C}088 46032 46032 INDIANAPOLIS IN ATT. f3 MICHELLE CPfPTUN DEPT 00 46266 -0088' w .800 42S 2118 SHIPPED FROM: 1,2301 .CUMBERLAND RD FISHERS IN SHIP DATE: 01/120/09 Page O1 ref 02 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT:. UNIT PRICE PRICE E DRY 1 1' CS 5585476• CHIP, PTATO BKD REG BAG SS 6.4/,,125 OZ BAKED LAYS CS 26.9500 26.95 �1 1 CS 5601679 CHIP,. PTATO ,REG PLN BAG SS 6 OZ LAY'S CS 26.9500 26.95 1 0 EA 6210777 CANDY, KIT KAT STD VNDG 1.5 OZ36 EA KIT TAT ---3 3 CS 9089079• POPCORN, RAW W/ OIL SALT36 /8 OZ FANCY FARM CS. 20.4200 61.26 REFRIGERATED ``-1 1 CS 2340875 CHEESE, CRM PLN SS PLST CUP 104/1 OZ GLNVW FRMS CS 20.4504 20.45 READY TO EAT Please Refer. to Return Police FROZEN 1 1 CS 1494947 PORK, BB4 PLLD' IN SCE' CKD 31)M;2/5 LB PATUXENT CS 38.8140 38.81 2 '�--2 CS 2014652 MUI='FIN, BLBRY IW 24/4.75 OZ SARA LEE CS 19.4800 38.96 1. 1 CS 2318848 BAGEL', PLN IDVLY WRPD FZN OZ SARA LEE C5 24.7200 24.72 2 2 CS. 3328606 BUN,- HOT DOG PLN 6 "•SLCD FZN '8/12/1.7 OZ HILLTOP HR C,S.,: 19.8800 39. 76 3 3. CS 48 75571 HOT DOG, AB 5:1 6" CKD• FZN -10 LB TYSON CG 25.4500 75.45 1 1 CS 5 -18862 ICE CRM SANDWICH, VNL '':2416 -0Z BLUE BUNNY CS 16.0500 16.05. 1 i .CS 7242480 MUFFIN, ASST Iii FZN 24/4 OZ SARA LEE CS 19.1700 19.17 2. 2 CS 8187999 ICE CRM BAR, CHOC TACO VNL 24/4 'OZ KLONDIKE CS 1 7.9600 35.92 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED; SHIPPED: S ITEMS SHIPPED: 3 115.16 TOTAL REFRIGERATED PIECES. ORDERED: 1 PIECES SHIPPED: A. ITEMS SHIPPED 1 20.45 TO TAL FROZEN PI;ECES ORDERED: 13 PIECES SHIPPED: .13 "'ITEMS. SHIPPED: 8 288.84 Purchase Description cf�.r♦�.f P.O. p �V G.L. W 7 �{a3, YC JAN a Bud 2 2009 Une Descr Purchas O BY: Approv Interest shall accrue on as unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1 11 per month or 'Prom000r et allowam ea cash discounts, prarWt payy dissounls, grewM Drogue otlrer iroentives ere retained by U.S. Foodservico (b) the maximum rate that the customer may lawfully contract to pay, and in all evens calculated in as -with applicable law. eM do not reduce product cost. Product cast is do ad as tiie supplier, pecker or any other vendor delivered cost or f.o.b. unit price plus X d; S• :.c.- standard freight less off- Invoice discounts or ogminvoice allowances (i.e., manufacturer generated discounts or allowances on particular hems for eat 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.... ?Ve, Zloua $rteL,ceaa fie ACCOUNT INVOICE INVOICE' CUSTOMER PURCHASE ORDER,: SALES SALES DATE F R NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 0733463 01/20/09 90569575 1054 4062, 01/19/09 DELIVERY ROUTE: 1722 1 ORDER NUMBER: 5312' 5E3 BILL SHIP REMIT CARMEL CLAY PARKS�cRECREAT CARMEL CLAY F'ARKB< <RECREAT U.S. FOODSERtJICE, INC. TO: 1411 E. 116TH ST. TO: 1235 CENTRAL PARK DRIVE E TO: BOX 660088 CARMEL. IN CARMEL IN 46032 46032 INDIANAPOLIS IN 4b26b -0088 ATT. MICHELLE COMP`i`ON DEPT 00 800 428 2118 ~ri SHIPPED FROM: 12301 CUMBERLAND RD 'FISHERS IA! SHIP DATE: 01!20!09 Page ,Q2 of .02 FREIGHT TERMS: SPECIAL DEL I VERI TO MAIN ENTRANCE PAYMENT TERMS: NET 34 DAYS INSTRUCTIONS: QTY. QTY.' SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL WEIGHT �rP+ t E ti UNIT PRICE PRICE x' INVOICE SUMMARY TOTAL 4�,OT SHIPPED: 182.01 PIECES ORDERED: 20 PIECES SHIPPED: 19 ITEMS SHIP I2 ��s��. �a��r��a• #��t��•�s��•�c•��• sty# ��tr�• ��s��• °sr•��a��•o�,as��•tif�•��e�� PkOD?UCT TOTAL 424.45 .€ederal'Bcupa'tion 5afeV and Heal th Standards. Section 19 1200 on Hazard C,ommun :&ation. requires manufacturers and distributors to pr6vide-Material Sa'fetV Data Sheets on on -food .products 'defin6d to be hazardous. Products *"guch as,-c'leaning produ'tts and pesticides are included in th scope- of the Standard.,) In compliance with the law. MSDS are available o U: S. Fovdservice t '3nc customers and Gan be obtained by contacting the rocu men't Manager. in our TAXABLE_ AMOUNT' .00 n district office or by advising your sales representative GEN•SALES TAX X .00,. .W`lou inay contact Procurement Nelpdesk at phone (317) 585 :6719.. PLEASE R�M,IT .THIS•AMOUNT BY 02/19!09 AMOUNT 424.45 r+4 it r F AN G. T. 2 x 2009 Intenset shall accrue on all unpaid balances exceeding established eredit terms at a rate equal to the of (a) I -SS% Per nonth a prornoftr al allowances ceshoiscounb, prompt ply dscounts, gmiM programs and as other incentives are'retained by U.S. Foodservice I (b) Me maximum rate that ate customer may lawf contract to pay, and in as event wkulated,in accordance wish applicable law. and do not reduce product cost. Product cost is defined as dte sup ,i pecker or my other vendor delivered cost or f.o.b. unit price plw Y •a. standard freight less ofFinvoice discoums or oft invoice allowances (i.e., manufacturer generated discounts or allowances on pardcular ///i° ....rr✓✓ cams for sat periods of ame and whidt are specifically reflected on the invoice)! CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy way to order. Zf/es� Zloutr. i�ualreaxs H I ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES; DATE NO. NO. DATE NO. NUMBER LOC. REP., ORDERED 3 r 90569922 0656936 01/13/09 90569575 1054 0062 ;01/12/09 DELIVERY ROUTE: 29 21 I 8. ORDER NUMBER: 526560 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, yINC. TO: 1411 E. 116TH ST TO 1235 CENTAL' PARK DRIVE E TO: BOX 660088; CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS a IN 46266 -0088 ATT. KATE SCHNEIDER- DEPT t# 00 800 428 2116 .5 SHIPPED FROM: 1 2 CUMBERLAND RD FISHERS IN SHIP DATE: 01/13/09 Page O1 of 01 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY: Q p CITY. SALES PRODUCT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE DRY __.1- 1. CS 5337712 SAUCE, PIZA TMTO FULLY, PREPD 6/@#10 CH ROS£LI CS 31.9000 31.90 h..., REFRIGERATED 1 1 CS '5382403 CHEESE, MOZZ 4 WAY SHRD FTHR 4/S LB ROSELI' JS 62.2400 62.24 FROZEN 1 1 CS 1190107 CRUST, PIZA H£PLT'THIH 1 12" FS 40/9 OZ' BOHICI, CS 34.1200 34.12 PRODUCT CLASS RECAP# TOTAL DR. PIECES ORDERED: 1. PIECES SHIPPED: 1, iTEMS.SHIPPED: 1 31.90 TOTAL REFRIGERATED PIECES ORDERED: 1 PIECES.SHIPPED: 1 ITEMS SHIPPED: 1 62.24 TOTAL FROZEN PIECES ORDERED: 1 PIECES SHIPPED: I ITEMS SHIPPED: 1 34.12 r INVOICE SUMMARY tt� TOTAL WOT SHIPPED: 85.20 PIECES ORDERED: 3 F:IECES SHIPPED: 3 ITEMS SHIPPED: 3 PRODUCT TOTAL 128.26 Federal Occupation Safety'and Health Standards. Section 1910,1200 on.Hazard Communication requires manufacturers and distributors •to,'proviAe Safety Data Sheets on non -flood products defined to be hazardous. Products such as cleaning products and pesticides are included in the scopa of'.the, Standard. In compliance with the law. MSD5 are available to U.. Foodservice w nc. customers and can be obtained biy. -a cone- atting the Procurem4nt Managi r, in our TAXABLE MOUNT .00 istrict office or u by advising yourj' les representative., G£N SALES TAX X .00 =o may contact Procurement Helpdesti at phone (317) 585 6719. Purchase'. PLEASE REMIT THIS AMOUNT BY, 02/12/09 AMOUNT 128.26 Description P.O. C1 o P ,.RECEIVED 1Z Q.L# 4 7- -goo -goo 9 o�f0 JAN 2 1 2009 Budget A', Line Desd a Interest shall aarue WWI unpald antes exceed tablished c to t e e ual to the lesser of (a) 1 -K% per month or 'Promotional allowances, cash discounts, prompt paydiscounts, growth programs and all other incentives are retained by U.S. Foodservice. (b) the maximurt,ypt¢,tg �tomer may lawful o etl In accordance with applicable law. and do not reduce product cost Product cost Is dellned es the supplier, packer or any other vendor delivered cost or f.o.b. unit price plus X ^^1Y'YY stand freight less off invoice discounts or of invoice allowances (is., manufacturer generated discounts or allowances on particular Items for set periods of time and which are specifically reflected on the Invoice' F Visit www.usfood.com for a fast and easy way to order. CUSTOMERS SIGNATUR ACCOUNT INVOICE 1INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED v�•onoo .90569922'0342630 12/12/06 90569575 1054 0062, 12/11/06 DELIVERY ROUTE: 29 51 5 ORDER NUMBER: 507365 BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERV I CE.- INC. TO: 1411 E. 116TH ST 1235 CENTAL PARK DRIVE E TO: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN ATT. KATE SO4NE I DER DEPT #-00 a 800 462 428 2118 SHIPPED FROM:• 12301 CUMBERLAND RD FISHERS IN SHIPDATE: 12/12/08 Page 02 of 02 FREIGHT TERMS: SPECIAL DEL I VER TO MAIN ENTRANCE PAYMENT TERMS: NET 30 DAY INSTRUCTIONS: QTY. .I QTY. SALES PRODUCT C PRICING UNIT (EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE' E INVOI�6E SUMMARY TOTAL.WGT.SKIPPED: •''.371.10 PIECES ORDERED: 14 PIECES SHIPPED: 14 ITEMS SHIPPED:' 9 PRODUCT TOTAL 311.01 p� J'�j t V ED TAXABLE AMOUNT .00 J�:N 2009 GEN SALES TAX x .00 BY: PLEASE REMIT THIS AMOUNT BY 01/11/09 AMOUNT 311.01 Purchase P.O.# Por6 j G.L. 1 /7. y( Budget Line Descr j Purchaser d Date.-Ul Approv T qr4( U DateDq 3 Interest Shan accrue on all unpaid balances exceeding ostebli5hed credit terms at a rate equal to the lesser of (a) 1! per month or 'Promotional allowances, cash discounts; prompt pa discounts, growth programs and all other incentives are retained by J.S. Foodservice r (b) the maximum rata that the astomer may lawfully ccntreIX to pay, end in all evws calcu�tKiin ar prdance with applicaGe law. and do not reduce product cost. Product cost is defined as the supplier, packer or any other vendor dallve:ed cosbhr f.o.D. unit price plus standar allowances on particular Ireighf less off invoice discounts or off-invoice' allowances (i.e., manufacturer generated discou- cr X c items for set periods of time and which are specifically rat[ ected on the invoice). QUSTOMERS SIGNtTUREF 'Visit www.usfood.COM for a fast and easy way.to order. 2//e�¢ eeiute2lacvcE"uauceoQ ACCOUNT' INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO: NO. DATE NO. NUMBER LOC. REP. ORDERED. oa 0000a 90569922 0342630 12/12/08'9Q569575 1054.- 0062 12/11/08 DELIVERY ROUTE: 2951 5 ORDER NUMBER: 507365 BILL CAR.M' EL CLAY PAR'KS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 1411. E. 116T ST TO 1235 C ENTAL ,PARK DRIVE E TO: .BOX 660088 CARMEL IN' CARMEL IN 46032 46032' INDIANAPOLIS IN 46266 -0088 ATT. KATE S NEIDER DEPT 00 800 428 2118 SHIPPED FROM: 12301 CbMBERLAND RD FISHERS I N sHIP DATE. 12/12/08 Page 01 of 02 FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE PAYME HT TERMS: NET ,30 DAYS INSTRUCTIONS: QTY. OTY. SALES PRODUCT O PRICING UNIT EXTENDED ORDERED SHIPPED, UNIT NUMBER DESCRIPTION PACK SIZE LABEL D' WEIGHT E r UNIT PRICE PRICE DRY 1 1 CS 4949194 MI)6�CK 'BTRMLK STHRN STY TFF6 /5 LB HILLTOP HR'! CS 27 9100 27.91 .2 2- CS 7368715 JUICE, ORNG 100% PET SHLF 8/64 OZ THIRSTER CS 28.9800 57.96 1 1✓ 'CS 901'7070 GLAZE, STWBY 4/1 GA WICKS CS 26.4500 26.45 1 1. C-S 932 ?63.6, SYRUP, PNCK'MAPL FLVRD 4/1 GA HARVEST VL B CS' 22.6800 ;72.68 REFRIGERATED 1 1--" CS 0527218 TOPPING, WHPD NONDARY AERSL 12/14 OZ. GLNVW FRMS- CS 21.7800 21.78- 4 4`• CS 0785493 MILK, 2Y REDUCED FAT CRRG PLST4 /1 GA GLNVW FRMS B CS 13.,1000 52'40 READY TO EAT.- Please -Refer to Return:PolicyyA 1 1✓ CS 5615752 MARGARINE, BLVD WHPD,SS REF 900/5 OR. GLNVW FRMS CS 23.-6100 23 FROZEN 2 2 CS 7 SAUSAGE, PORK LNK SKNLS CKD 12 LBA PATUXENT CS 30.3000 60.60 1 i✓ CS 7419294 STRAWBERRY, UHL IMP IQF FZN 10 LB MONARCH CS 17.6200 17.62 PRODUCT CLASS RECAP# TOTAL DRY PIECES ORDERED: 5 PIECES SHIPPED: 5 ,.ITEMS SHIPPED: 4' 135.00 TOTAL REFRIGERATED PIECES ORDERED: 6 PIECES 6• ITEMS SHIPPED: 3 97.79 TOTAL FROZEN PIECES ORDERED 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 2. 78.22 3 d Interest snail accrue on all unpaid balances exceeding established credit terns at a rate equal to the lesser of (a) 1 -�k %per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programsantl all other incentives are retained by U.S. Foodservice'° (b) the maximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law, and do 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 standartl freight less oft invoice discounts or off invoice allowances (i.e., manufacturer generated discounts or allowances on pani Pl ar X Items for set periods of time and which are specifically reflected on the invoice)' CU8T01VIERS SIGNATURE: Visit www.UsfOod.com for a fast and easy way to order. 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)) Amount 12/2/08 206790 Concession /food beverage PO 19074 P (45.76) 1215/08 258783 Concession /food beverage PO 19074 P 40.56 12/5/08 258776 Concession /food beverage PO 19408 P 650.00 12/12/08 342629 Concession /food beverage PO 19408 P 702.33 12/16/08 376239 Concession /food beverage PO 19408 P 1,292.90 12/30/08 514531 Concession /food beverage PO 19408 P 409.59 1/6/09 581257 Concession /food beverage PO 19408 P 452.56 1/7/09 602269 Concession /food beverage PO 19408 P 415.27 119/09 625796 Concession /food beverage PO 19408 P 233.33 1/20/09 733063 Concession /food beverage PO 19408 P 424.45 1/13/09 658936 Concession /food beverage PO 19408 P 128.26 12/12/081342630 Food for Breakfast w /santa PO 19232 F 311.01 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 5,014.50 1 20 Clerk- Treasurer (oucher No. Warrant No. Allowed 20 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266 -0088 In Sum of 5,014.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 206790 4239040 'b (45.76) 1 hereby certify that the attached invoice(s), or 1047 258783 4239040 6 /,40.56 bill(s) is (are) true and correct and that the 1047 258776 4239040 V650.00 materials or services itemized thereon for 1047 342629 4239040 $p x/702.33 which charge is made were ordered and 1047 376239 4239040 $0� 2 22.90 received except 1047 514531 4239040 $'01 409.59 1047 581257 4239040 V452.56 1047 602269 4239040 415.27 1047 625796 4239040 33.33 1047 733063 4239040 .v.424.45 2 -Feb 2009 1047 658936 4239040 128.26 1047 342630 4239039 i 0� ✓311.01 Signature 5,014.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund