168227 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC
0 CHECK AMOUNT: $81.74
CARMEL, INDIANA 46032,,, Po BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 168227
CHECK DATE: 1/21/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 422715 81.74 FOOD BEVERAGES
ACCOUNT i INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER, LOC. REP. ORDERED
90569922 0422715 12/19/08. 90569575 1054 0062 12/18/08
DELIVERY ROUTE: 2951 5 ORDER NUMBER: 512466
BILL CARMEL CLAY PARRS &RECREA`f SHIP CARMEL CLAY PARKS;kRECREAT REMIT U. S. FOODSEf;6V I C E, INC.
TO: 1411 E. 116TH ST TO: 1235 CENTAL PARK DRIVE E TO:
CARMEL IN CARMEL IN BOX 660058
46032 46032 INDIANAPOLIS TN.
46266- -0088
ATT. KATE SCHNEIDER DEPT 00 800 428 2118
SHIPPED FROM: '12301 CUMBERLAND RD FISHERS IN SHIPDATE: 12/19/08 Page 01' vf 01
FREIGHT TERMS: SPECIAL DEL IVER TO MAIN 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 EA 4004289 CANDY, BAR SNCKR 2.07 OZ 48 EA SNICKERS EA '30.4300 30
REFRIGERATED
1 1,/ CS 7197775 YOGURT,.VTY PK STWBY DANA 12/6-OZ YOPLAIT CS 9.7200 9.
READY TO EAT -.Please Refer to Return Policy
FROZEN
2 2'✓ CS,, 7242480 MUFFIN, ASST IW FZN 24/4 OZ- SARA LEE CS 19.1700 .38.34
;F
PRODUCT CLASS RECAP
TC17AL' FtEFTiIGE PIECES ORDERED: 1 PIECES ,SHIPPED: T 1 ITE�a. SHrIPPkt} 3p. 43
TOTAL DRY..
ATED PIECES _i�RDERED: 1 PIECES. >S_' IPPEO t °1..r''' ITEi"P',SHI 1• 9:72
TOTAL FROZEN PIECES O�IDERED RY
2' PIECES IPPED: 2 ITEM SNIPPED: 1 38.34
INVOICEL7,t%�'3t
.r tFUEL .SURCHARGE��
TOTAL WGT' SHIPPED 22.71 PIECES ORDERED: 4 PIECES SHIPPED:: 4 ITEMS SHIPPED: 3
m
PRODUCT
Purchase RODi1 .TOTAL 78 49
Descri L
Ption• I,
P.O. n0 C/ j� �r JAN 0 7 2049
CHARGES 25
P rF
G.L.
�00
Budget z,
E A
TAXABLE Af�t3EJNT 00
Line S G�I� SALES T X X 00
e _S_C
Purchaser a� �a P P/ CP
gPProval
/off PLEAS' REMI THIS AMOUNT PY 01/18/09 AMOUNT V 81.74
r e
r
S J
Interest shall accrue on all unpaid balances exceeding astablishad credit terns at a. rate equal( o the lesser of (a) 1 -Ye% per month or 'Promotional allowances; cash discounts, prompt pay discounts, growth'programs,nd all other incentives ere retained by U.S. Foodservicei.
.(b) the maximum rate that the customer may is� filly contract to pay, and in all events calculated in accordance with applicable law. and do not reduce product cost. Product'cost is tlef a as the supplier, packer or any other ventlor delivered cost or f.o.b. unit pdoe plus X l� v I
standard freight less oH- invoice discounts co- cff- invoice allowances (i e., manufacturer generated discounts oc allowances on particular
items for set periods of time and which are specifically reflected on the invoice).' sit www.usfo6d.com for a fast. and easy way to order CUST O MERS GNATU�iE.
Vi
Zf/e�¢�y 2L"ut 8"rlrc�¢o
OMERS
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.
z �a
Payee Purchase Order No. 19570 P
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
12118108 422715 Concession /food beverage PO 19074 P 81.74
Total 81.74
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
81.74
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 422715 4239040 81.74 1 hereby certify that the attached invoice(s), or
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
12 -Jan 2009
Signature
81.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund