169658 03/04/2009 a *f 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: $1,017.39
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 169658
CHECK DATE: 314/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AM OUNT DESCRIPTION
1047 4239040 936862 '466.87 FOOD BEVERAGES
1047 4239040 970087 591.08 FOOD BEVERAGES
1047 4239040 CREDIT Z, ,.,-40.56 FOOD BEVERAGES_
ACCUUNI INVul INvulill ll I UIVILH FUHL;IlAbL wit bAl JALI!l 1JA I r
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
'M 001M 000 G
7 G 2 0 -'W"'K -,Ci i 0 0210-
DELIVERY ROUTE: azk
EL 'I A I t 1! 3 F 0 0 F-zr- F V f E J.'Nl f
BILL SHIP CA 5 Yl E C. -AV PARi REMIT
TO:
:1,235 CE111-1 F A R I.A. X. V E E
TO TO: tt
4 6 Q 1 1 A IN! A P 0 L- S
•,6, 66-- -0101) 3 8
P T �X 800 428 211e
V
F I 1, 1 1-?1)F-.r- V-
SHIPPED FROM: SHIP
SPECIAL
REIGHT TERMS: SAMP LE F1, �—f,1 9 M r4 5'. CAR- CLA'c' F` 1.4.
I A
INSTRUCTIONS: APPROVED U` ISE l' 1 rtr 4YMENT TERMS: I v T1
-3 C 0
OTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL WEIGHT PRICING UNIT EXTENDED
D
ORDERED SHIPPED b UNIT NUMBER UNIT PRICE PRICE
E
-1 9 2 �n` 1 l D f 0A, h ILUV i4 ARDKIRE Fh C 5, J. 6 ED.' i 0
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Purchase
Description
P.O. I q 0 f rP F
G.L. 7 --300-100- Lf Z3 (CFTVFD
-'VF-D
Budget escr
Lin JAN 1-1 2009
Purchaser e D--4& nd
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=BY:
Approval Datll Z--z 'i
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d
Thor ��oicc 'Was I I I eA -<Z our
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latest shall accrue all unpaid balances exceeding eslaDl6h0a Credit terms at a rat equal to the lesser of (a) Pb% per month of 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all olnec incenur., �-cai,,cj b US. `3odsaN-`
e
in cafr,,iaftaa accordance .,In spe,could k r
Me .—,nn late that (me usicane—sy aMull Contract 1. pay, a,. Ill events calculated do not I ll. 051,, d,1111d a, 111, suppler 7: D fD.D pl�,
standard fr n l ,.o c
e h h ht� -ances or, paroule, x
discount, or v-i re nis.
ifams for set coneds .1 time and which are specifically affected on the rvoicd) CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
905699222 0936862 02/06/09 90569575 1054 0062 02/05/09
DELIVERY ROUTE: 2951 5 ORDER NUMBER: 543946
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
CARMEL, IN CARMEL IN BOX 66008a
4.6032 46432 INDIANAPOLI IN
46266 -0088
ATT. MICH COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 122301 CUMBERLAND -RD FISHERS IN SHIP DATE: 02 /06/09 Page 02 of :02
FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE
PAYMENT TERMS: COD C HECK
INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E UNIT PRICE PRICE
INVOICE .SUMMARY
TOTAL WOT SHIPPED: 1,77. 11 PIECES ORDERED 13 PIECES :SHIPPED: 13 ITEMS SHIPPED: 10
PRODUCT TOTAL 466.87
H ES TA x
��xA��� artats�r a
.y as r
PLEASE REMIT THIS,.AMRUMT. BY 02/0670 AMOUNT 466.87
r
Purchase
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�a dr c.��4(��
Descriptiotl
P.O.
G.L#
Bud et 2005
Unetscr .10 Cv 7l ce�o� o 7 F ES 1
Purchaser n Al
Approval D&te f,[r3 4q.
Interest shall accrue on all unpaid balances exceeding' established credit terms et a refs equal to Vte lesser of (a) t!h% per month or, 'Promotional allowances, cash discounts, prompt Paydiscounts: growth programs and all other incentives ere retained by U.S. Foodservice"'
(b) the maximum one t the customer.. may lawfully contract m pay, and in aLL events cakxiletad in accordance wM applicable law. and do not reduce product cost: Product cost is defined as the supplier, pecker or arty otlwr veMor tlelhered cost or I.o.b. unit pri ce plus .,uv
standard 1. ght lass oHtimoke discouns or oM invoice allowances (i.e., manufacturer generated discounts or allowances on partwuler X C. r ,r
name for set pedocisof time and which amspecilwalyreflectedon the invace CUSTOMERS SIGNATURE:'
Visit www.uSfood.COM for a fast and easy way to order. �f/a CUSTOMERS ERS SIGNAT UR�.eeaa
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES' DATE
NO. NO. 'DATE NO. NUMBER LOC. REP. ORDERED
90569922 0936862. 02/06/49 90569575 1054 0062 02/05/09
DELIVERY ROUTE: 295 1 5 ORDER NUMBER: 543946
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICE, INC.
TO:\v,. 1411 E. 116TH ST TO: 1235 'CENTRAL PARK DRIVE. E TO
BOX 660088
CARMEL IN CARMEL IN
46032. 46032. INDIANAPOLIS IN
46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM:. 12301 CUMBERLAND RD FISHERS IN sHIP,OATE: 02/06/09 Page 01 of ,02
FREIGHT TERMS: SPECIAL DELIVER TO MAIN ENTRANCE
PAYMENT TERMS:. .COD. CHECK INSTRUCTIONS:
CITY. CITY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT. NUMBER DESCRIPTION PACK SIZE' LABEL E WEIGHT UNIT PRICE PRICE
DRY
1 1 CS 1487747 SMACK BAR, CRL ASST 16 SS 3/16/1'.3 OZ KELLOGG'S CS 23:7500 23.75
3 3 CS 4260238 SAUCE, CHS MACHO SHLF STABL 4/107 OZ' ORTEDA CS" 47.2200 141.66
1 1 CS 61.79121 CAPPUCCINO, HZLNT INST PWDR 6/2 LB GE.IC CS 44.5600 .44..56
REFRIGERATED.
1 0 CS, 7197775 YOGURT, VTY PK STWBY BANA 12%6, OZ YOPLAIT Y
READY TO EAT Please Refer to Return.'Policyy u
ii *SUB* 1 CS 1199298 YOGURT, VTY STWBY. PCH LIGHT 6 12/6 OZ YOPLAIT j CS 1 9.7200
READY TO EAT Please Refer. to Re.turn Pf�l1C
1 1 CS 8197774 YOGURT, VTY STWBY.MXD B,RRY REF12 /6 OZ YDPL tq CS 9.7200: 9.72
R >aDY TO EAT Please Refer Return P ,I' c�
1 1 CS 9331380 APPLE, RED DL.0 138 CT FRESH.XF138 EA 7 ROSS VRLY, CS 27.7700 27.77
FROZEN
2 2 CS 4058707 MUFFIN, BANA NUT IW FZN 24/4 OZ SPUNKMEYEK CS 21.9800 43.96
1 1 CS 5218862 ICE CRM SANDWICH, VNL 24/6 OZ BLUE "BUNNY CS 16.0500 16.05
1 I CS 6450852 COFFEE, LIQ PREM RST FZN 4/1-LT MAXWELL HS CS 131.2200 131.22
1 1 CS 8187999 ICE CRM'BAR, CHOC TACIT VNL 24 /4.OZ KLONDIKE q CS 18.4600 18.46
PRODUCT CLASS.RECAP
TOTAL DRY PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 3 209.97
TOTAL REFRIGERATED PIECES ORDERED: 3. PIECES SHIPPED 3, ITEMS.SHIPPED: 3 47.21
TOTAL FROZEN PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 4 209.69
(merest shall accnre on al unpaid balances exceeding established Credit tams at a mte equal to the lesser of (a) 1"55% per month or •Promotional allowances, rash discounts, prom ➢1 payy discourds, growth programs end all other incentives ere retained by U.S. Foodservice"'
(b) the maximum rate that the astomer may lawluly contract to pay, and in as events pkuWtad m acm dance with aMcable law. and do not reduce Product msl Product mst s defined as the supplier, packer or arty oduer verudor delivered rp91 or f.o.b. unit price plus'
standard freight less off"invoice discounts a olfwinvoice allowances (i.e., manutacturer generated discounts or allowances on partuaWr X
items for set penods of time and which are specifically reflected on the invoice).* CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order. ZUeeeta�auni�uetceoQ
ACCOUNT INVOICE INVOICE 'CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER r LOCa ,REP. ORDERED
'90569922 0970087 02/10'/09 90569575 1054 0662 09/09
DELIVERY ROUTE: 172a .1 ORDER NUMBER: 546217
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARK5&RECREAT REMIT U.S. FOODSERVICE, INC.
TO: 1411 E. 1 '16TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 66008E
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
46266 -0088
ATT. MICHELLE COMPTON DEPT #'O0 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN' SHIP DATE: 02/10/09. Page 02 of 02
FREIGHT TERMS: SPECIAL DELIVER TO WEST ENTRANCE
PAYMENT TERMS. NET 3 0 DAYS INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p WEIGHT PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK'SIZE LABEL E UNIT PRI PRICE
INVOICE SUMIi'ARY
TOTAL WOT SNIPPED.:. 236;.10 PIECES ORDERED: 22 PIECES SHIPPED: 22 ITEMS SHIPPED: 20
PRODUCT TOTAL 591.08
•N
+h. TAXABLE AMOUNT
r5EN SALES TAX .00
N y
~x Purchase PLEASE REMIT THIS AMOUNT BY 031 AMOUNT 591.08
Description C1 `I (/�1Q G Ccrk a)
P.O. F
G.L '47- 300 -�00- qa 3 96
Budget
.Line Desor Ind E GEPJ! o2iJ�Dll7h.Q� F
Purchaser
j
Interest shell acame on ell unpaid belencas ecceedirg established credit reirre at a rate equal to the lesser of (a) t•'h% per month or 'Prormtionsl allowances; cash dlxounm, prompt pay discounts, growM programs end all other Incentives are retained M U.S. Foods�l 1�
(b) the maamum rate that the customer may lawfully contract to pay, and in v events calculated in accordance with applicable law. entl do rrot reduce product cost. Praducl coat la defined es the supplier, pecker or any other vendor delivered cost or f.o.b. ung price plus X
standard freight less off -nvokg discourda or oNinvoce BllowarlCe9 (i.e., manufacturer generated discounts or allowances on particular
items for set periods of dme and which are specfcay re flected on the invdce�' CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order.
7(/a7rAce4&2le�oe$uatceea
ACCOUNT INVOICE INVOICE CUSTOMER, PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO: NUMBER LOC. REP, ORDERED
`905699.a2". 02/10/09.90569575 1:054 0062 02/09/09
K 1722 1
J DELIVERY ROUTE: ORDER NUMBER: 54'u217
BkLL CARMEL CLAY PARKS&REC.REAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.. S. F'OODSERVICE, INC.
TO: 1411 E. 116TH ST TO 1235' CENTRAL PARK DR VE E TO:
CARMEL IN dARM L BOX 660088
46032 46032 INDIANAPOLIS IN
462bb -0098
ATT.. MICHELLE CgMPTON DEPT 001 800 428.4 21.18
SHIPPEDFRbM: 122301 CUMBERLAND RD FI SHERS IN .',SHIP DATE: 02/10/09 Page 01 o f.. 02
FREIGHTTERMS: SPECIAL DEL IVER WES ENTRANC
PAYMENT TERMS:., NET 30 DAYS INSTRUCTIONS:
QTY QTY. SALES PRODUCT WEIGHT p PRICING UNIT EXTENDED
ORDERED SHIPPED. UNIT NUMBER, DESCRIPTION PACK SIZE LABEL E UNIT PR PRICE F
DRY
OT Ll CS 0641080 CUP, 2 Z SFLE PTN.TNSLT PLS.T.. 10/250 EA MONOGRAM B CS. 35.4700 35.47
I- l- CS 2079390 KIT,' CTLY SPOON MW WHT PLST 1000. EA BERRY KITS CS 28.9000 28: 90
ip b- CS 3372315 BAG, T -SHIRT POLY T -SAK .1000 EA ROYAL PAPR CS 25.0600 .25.06
.i✓ io CS 4027f16 BAG, FOOD STRG 6.5X7 FLIP TOP 2000 EA HANDGARDS CS 59:8200 59.82
cur CS '4365953 BAG, FOOD STIRS 2 GAL 13.X16 100 MONOGRAM, LS
351300 35`.13
1.T 1 CS 5597851 CHIP, TORTILA NACHO CHS TRGLE 64/1 75`•OZ DORITOS CS' 27.9900 27.99
1. 11 EA 't342158 DRESSING, CSR CRMY Q_ST SHLF 1 GA MONARCH B E9 14.4350 14..•44.
1. d• CS 8015109 KIT, CTLY FORK MW,WHT PLST 1000 EA BERRY KITS CS 28.9000 28.90
;s 4
rw,•.,1 rai ".a- ..:c::pr. sue.
r,
`:o .o,- .rn:-`-:,u .+:.r •�r�p u r- �«T.:,,yyr u :.s Y a: uivs .::3 .:2 a E s 4 a yti. c.
C.GFR.I "VC�97TGi/ T..... f r.. �i'
3'' CS .,082"7477 EGG, WHL PLD' HARD CKD BRINE k14 LB GLNVW FRMS CS 21.3500 21.35
i 1' CS '1327501 TORTILLA, FLOUR"12° STCHD REF;x°12 /1 DZ EL PASADO C3 29 1400 29.14
1 1 CS 133�3�9 BACON, PORT{ TPHG T'C 5 APLWD 2/5 LB ROSELI s CS L-0 {t 42 .,y2
1• i' CS 2037547 TOMATO, 5X6 FRESH ,5 LB PACKER CS 10.1000 10.10
2 EA 5332630 CHEESE, CHEDR SHRD FTHR REF 5 LB ELPAS /GLNV B EA 11.1550 22•:.'31
1 1 CS 7327505 TORTILLA, FLOUR GRN SPNH 611 DZ EL PASADO CS 25.1100 25.114
Y 1 EA 7328537 DRESSING, Eq.0 CHS CHNKY REF 1 GA MONARCH B EA 14.2250 14.:•23
1' 1 EA 9328253 DRESSING, RANCH BTRMLK CRMY 1 GA MONARCH B EA 11.16150 11.62
1 1 CS 9332230, LETTUCE, RMN CHPD FRESH 6/2 LB CROSS VALY CS 20.5500 20.55
READY TO EAT Please Refer to Return Policyy
1 1 CS 9332305 SALAD MIX, ICBRG W/ RED' CBG 415 :l.8 CROSS VALY CS 19.6600 19.66
READY TO EAT Please Refer to Return Policy
FROZEN r
2 CS 2011273" PRETZEL, KING SOFT BKD FZN x.' OZ! SUPR PR`TZL CS 27.6600 55.32
1 1 CS`-..5622782 CHICKEN, STRIP FJTA CKD 4/5 LB PIERCE CS 63.7600 63.76
PRODUCT CLASS RECAP4
TOTAL DRY PIECES ORDERED: 4 .8 PIECES SHIPPED: 8 ITEMS SHIPPED: 8 255.71
TOTAL_ REFRIGERATED PIECES ORDERED: 11 PIECES 'SHIPPED: 11 'ITEMS SHIPPED: 10 216.29
TOTAL FROZEN PIECES ORDERED: 3 PIECES' SHIPPED: 3 ITEMS SHIPPED: 2 119.08
f
interest shall accrue an all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1 -h %per month or -promotional allowances cash discounts, prompt pa discounts, growth programs and all other incentives are retained by U.S Foodservicen
(b) the maximum rate that the cu stomer may I awl ully contram to pay, and in all events calculated in accordance with applicable law. and do not reduce produm cost. Product cost is defined as the supplier, packer or arty other vendor delivered cost or f,o.b. unit price plus !f 7
standard freight less otl•invaice discounts or off- invoice alowarces (i.e.; menulaciurer generated discounts or allowances on particular X
items for set periods of time and which are specifically reflected ohthe invoice). CUSTOMERS SIGNATURE:
visit www.usfood.com for a, -fast and easy way, to order.=
We, 4A AeeCute ?�ecae 2$r[C1eeG¢
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
2/6/09 936862 Concession /food beverage 466.87
2/10/09 970087 Concession /food beverage 591.08
2/23/09 Credit Credit for invoice 258783 (40.56)
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 1,017.39
20_
Clerk- Treasurer
toucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
1,017.39
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 936862 4239040 466.87 1 hereby certify that the attached invoice(s), or
1047 970087 4239040 591.08 bill(s) is (are) true and correct and that the
1047 Credit 4239040 (40.56) materials or services itemized thereon for
which charge is made were ordered and
received except
26 -Feb 2009
Signature
1,017.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund