178897 10/28/2009 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: $909.64
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 178897
CHECK DATE: 10/2812009
Z DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239040 1071926 262.76 FOOD BEVERAGES
1047 4239040 1187200 187.06 FOOD BEVERAGES
1047 4239039 976827 459.82 GENERAL PROGRAM SUPPL
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE "ORDER SALES SALES DATE
NO. NO.' NUMBER LOC. 'REP. ,,ORDER,ED
90569922 L719;]r /02/09 90569575 1054 0062 10/01./09
Your partner beyond the plate, ELIVER Y ROUTE: 11 52 4 ORDER NUMBER: 733310
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 IN
46032 46032 INDIANAPOLIS IN
46266=-0088
ATT. MICHELLE: COMPTON DEPT 00 800 426 2118
SHIPPEDFROM: CUMBERLAN RD FISHERS IN SHIP DATE: 10/022/09 Page-02 of 02
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABO.UT OUT. IN
PAYMENT TERMS. -YS. NET 305 INSTRUCTIONS:
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
'ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL' E WEIGHT U PRICE PRICE
v.. INVOICE SUMMARY #aa
TOTAL UOT SHIPPED: 154.49 PIECES ORDERED: 14 PIECES SHIPPED: 13 ITEMS SHIPPED: 10
PRODUCT TOTAL 285.94
•r
TAXABLE AMOUNT .00
GEN SALES TAX .Oct
Purchase �J PLEASE REMIT THIS AMOUNT BY 11/O1/Q9 AMOl1NT 485.94
Description C- I f1S
P.Q. (3 S P oe
G.L L 1
Budget 3000-- 1 00` -4-3`�
Budget y cc� )U
Line Descr
a Purchaser Date
Approval Date
OCT 0 8 2009
Imeresl; „all accrue on all unpaid balances exceeding estabtished uerms 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. FoodseNic"
j
(b) the imum rate that the customer may Iawlully contract to p ay, and in all events calculated In accordance with applicable law. and do not reduce protluct cost Product cost Is defined as the supplier, pecker or any other vendor delivered cost or Lo.b. unit price plus
standard freight less oN- invoice discounts or ottinvolce allowances (i.e., manufacturer generatetl discounts or allowances on particular X,
items for set pedoda of time and which are specifically reflected on the invoice).'
CUSTOMERS SIGN URE:
Visit www.usfood -com for a fast and easy way to order.
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ACCOUNT 1�INVOICE,1 INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER;: LOC. REP. ORDERED
9056992 1071926 10/"02/09 90569575 4054 0062 IWO1 /09
Your partner beyond the plate! DELIVERY ROUTE: 11 4 ORDER NUMBER: 733310
BILL C;ARIIEL• CLAY PARKS&RECREAT SHIP CARMEL CLAY 0ARKS&RECREAT REMIT U.S. FOODSERVTCE, INC.
TO: 1411 E. 11611 -fi ST TO 1235 CENTRAL PARK DRIVE E ;TO:
BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
46266 -0088
ATT. MICHELLE COMP'TON DEPT 00 800 428 2118
SHIPPEDFROM; IF- C UMBERLAND RD '.F*ISHERS IN I SHIP DATE: 10/02/09 Pa 01 o f 02
FREIGHT TERMS; SPECIAL
DRIVER CANNOT DELIVER ON THE R08NDABOUT. OUT IW
PAYMENT TERMS: NET 30 DAYS t °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 Ci f) ESA 6:10777 CANDY, KIT KAT VNDG STD 1'.5 Z 36 EA KIT KAT EA 23.1800 23.18"
1 0 EA 8053126 CANDY; RESES PNT BUTR CUP 36 EA REE�SE`S
1 I-"- CS 8429292 JUICE, APPS. 1.007. PET'BTL 24/10 OZ THIRSTER CS 21.6000 21.60
REFRIGERAfID
0j S 64231;52 SOUP, PTAT'O BKD REF LODE} 2/4 E.B HARRY'S
SUBB6 WIT,4•f PRODUCT 9333568
1 1 EA 0761940 MILK, WHL 'CRRG PLST REF HNGNZ 1 GA GLNVW FRMS B EA 5.4504; 5., 45
READY TO EAT ?lease 'Refer to R urn Polio
1 1.:r: CS' 3254901. MILK, LOU ;FAT 2% PLST REF CHUG1271 PT 6N'S CS 9 9500 9.95
HEADY TO FAT Please Refer to Return Polic�j
J. 1 �r CS 4262408' SOUP, CHIX'. NDL' REF OLD FSHND 2/4 LB HARRY'S CS 29.4800 29.48
1 i:5,,- CS '6291247�' MILK, CHOC: LOW "FAT 1% PLST 'REF12 /1 PT DEAN'S CS 9.9500 9.95
READY TO EAT Please Refer to. Polict
1 1 S 9332230 LETTUCE, RIIN CHPD FRESH 6/2 I.B. �kflSS VALY CS 18.2400;
READY TO EAT Please Refer t o Return Policy
SUB I CS �sOUP, P TO CRL'1 LJ/ "BACK TUB 3/4 LB CLSC TUREE C5 37.3200 L 37.32
F 4 T- �0423152
2'v 21 s {YI, L�i3 BKD FZN 50/5 OZ SU'Fi E'RTZL C5 27.6600 55 32
3 3 -C 4S 57 AB 5: 1 6" CKD FZN 10 LB TYSON C5 25. 1500 75.•45
PRODUCT,, CLASS RECAP
x€
TOTAL DRY PIECES ORDERED: 3 PIECES SHIPPED: 2' ITEMS SHIPPED: 2 44.78
:.TCTAi REFRIGERATED PIECES ORDERED: 6 PIECES SHIPPED: S. ITEMS SHIPPED: 5 73.07
.TOTAL E'�tOZEN
P IECES 5 PIECES SHIPPED: 6 ITEM5 5HTPPED: 3 168.09
Interest shell acc e on all unpaid balances exceed
ruir,, establised credlt terms at a rete equ l to t
ahe lesser o (a) t.µ %per month or •Promotional allowances, cash discounts, prompt pa� discounts, growt programs and all other incentives are retained by U.S. Foodsemice-
(b) the maximum rate that the customer may lawful contrect to h pay, and in all events calalated in exoNance f wiM applicable law. and do. not reduce product cost. Product cost is de fined as the supplier packer or any other vendor delivered cost or t.o.b. unit pnce plus
Standard freight less o11-invoice discounts or oft "invoice allowances (i.e., manufacturer generated discounts'or allowances on particular X Ich
wwl
i tems
and easy way to rder
s et
faste a re i nvoice).' CUSTOMERS SIGNATURE
Visit w.usfood.co
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..ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES;'." SALES 11 DATE
NO. NO. DATE NO. NUMBER LOC: "`REP. ORDERED
A J:
90 569922 0976827 09/25/09 90569575 1054 0062 09/24/09,
Your partner beyond the plate!
DELIVERY ROUTE: 4 ORDER NUMBER: 7E6653
BILL CARMEL CLAY PARK &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FC7t7DSEIZViCE, IiVC't
TO: 1411'. E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 6601788
CARMEL IN CARMEL IN'
46032 46032 INDIANAPOLIS T N
46266- 0088 1
ATT. FAMILY CAMPOUT DEPT 00 800 428 21 1.8
SHIPPED FROM: 12301 CUMBERLAND fjD FISHERS IN. SHIP DATE: 09 Page 01 of 02
tj
FREIGHT TERMS: SPECIAL DR I VER CANT OT DELIVER ON THE ROUNDABOUT OUT I
PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS:
QTY. QTY: SALES PRODUCT p PRICING UNIT EXTENDED
DESCRIPTION PACK SIZE LABEL' WEIGHT
ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE
DRY 54.3600 5436
1 CS 59572 CEREA T
46 CANDYM�IIPLN HOMY GRNLA 6/42 OZ MARS VLY" CS.. 57.8200 55:64,
2 C 6531594 CRANBERRY,' DRIED INFSD 5 LB�, _YLLWFRM FR CS.
REFRIGERATED
2 CS 0518217 JUI APP�L. 100% W/ VITMN C 72/4 OZ SUN-CUP CS 13. 8000 7:,61?
2 2 "CS 0520023 'JUlbt, 'GRAPE 100% CUP, REF 72/4 OZ SUN CUP CS 15.8000" 31•:60
1 1 CS 082309„6 EGG,', WHL I:N SHL NED UHT ORD A 15 DZ•, GLNVW FRMS CS, -9.9500.. 9.95
1 1 CS 211:1938 BANANA, GfiN IP P3 ITE FRESH 40 LB F'ACICER CS 27,.'2200 '27.2'2
3 3 CS 2340875 CHEESE, CR41 PLN SS PLST CUP 100/1 OZ GLNVW FRMS CS''' 20`.4500 61.35:
READY TO TEAT Please Refer to Return Policy
CIN' RAI 2.3 Z ,SLCD T3S. 1../1 PK HILLTOP HR CS 4700. 47
FROZEN 1.
1 i,� CS 0395293 GEL, 22
1 1` CS 03953`27" BAGEL, BLBRY 4 Z SLC& THAW SRV /6 PR HILLTOP HR, CS 23.4200 23.42
1 1 CS 0395384 BAGEL, PLH; 4 Z SLCD THAW SRV 10/6 PK HILLTOP HR y CS .19.1000, 19.10
1 1 C;S 741.1 JUICE, ERN G SLCD THAW SRV 72/4 OZ BURRY CS 28 "�45s7Q 28.45 r'
1 1 C 0�41141 1 BAGEL, EV
1 1 CS 74 18159 DONUT, CAKE 100% CUP FZN 72/4 OZ SUN CUP CS 14.,96`40. 14.91
E HOLE PLN FZN 440/0.4 OZ RICH'S CS 29.8240 29.82
PRODUCE CLASS RECAP
TOTAL DRY PIECES ORDERED 4 PIECES.SHIPPED: 4 ITEfIS SHIPPED: 3 163.88`
TOTAL..REFRIGERATED PIECES ORDERED: 9 PIECES SHIPPED: 9 ITEMS SHIPPED: 5 157.77
TOTAL'. FROZEN PIECES ORDERED: 6 PIECES SHIPPED: 6; ITEMS SHIPPED: 6 138: 22
Purchm
Descrip
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P. F
G.L.
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APP
Interest shall accrue omall unpaid balances exceeding established credit terms at a rate equal to theiesser of (a) 1!h °h per month or •pr kallowances, cashdisccunts, prompt pa discounts, growth programs and ell other incentives are retained by U.S. Footleervice'
(b) the maximum rate that the customer may lewlulty contract to pay, and in all events ealculated,in accordance with appl¢ able law. an6'd0 rrd reduce pmduc6mab6roduLt:rOyt� Q ipe as the supplier; packer or any other vendor delivered cost or f.o.b. unit price plus
standard freight less of .invoice disccunts:or o .,n,bi a atl a (l.e., manufacturer generated dismounts or allowances on particular X
hems for set periods of time and which ere specifically reflected on the Involce) CUSTOMERS SIGNATURE
Vlsrt.www.usfood•com for a fast and easy way to order.
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ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES .,SALES .DATE
t
NO. NO. DATE`` NO: NUMBER LOC: REP r ORDERED.
9C?569922 .097bE327 09/25/615, 9C) 569575 1Q5'4 0062 g9f,F34/,09
Your partner beyond the plate.'
DELIVERY ROUTE: 2 $53 I 4 y.. ORDER NUMBER: '7E6653
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL
'CLAY PARKS°sf2ECREAI REMIT V. S. FQODSERVICE, INC
TO: 1411 E. 116TH S'r TO: 1235: CENTRAL PARK DRIVE E ,TO
.BOX 660088
CARMEL IN CARMEL IN
46038 46032 INDIANAPOLIS IN
46266 -008$
ATT. FAMILY CAMPOUT L7.EPT #00 800 428 21.18
SHIPPED FROM: 123() Ct.lMB ER LAND RD F F I SHER S I N SHIP DATE: o9 25/09 P c3 2 C)2 o f 02
FREIGHT TERMS: SPECIAL DR IVER CANNOT DELIVER ON THE R0 NDABOUT ,.OUT I N
.PAYMENT TERMS: NET 30 .DAY'S INSTRUCTIONS:
QTY QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D' WEIGHT UNIT PRICE PRICE
E
rr
INVOICE SUMMARY
TOTAL UGT SHIPPED: 280. PIECES ORDERED: 19 PIECES SHIPPED: 19 ITEMS SHIPPEO: 1?�
PRODUCT TOTAL. 459.82
a t d?
TAXABLE AMOUNT 0fl 04
4 GEhI SALES TAX X
f PLEASE REMIT ,THIS AMOUNT BY .10/25/09 AMOUNT
459 :82
4 j, TY`
f
4
t
Interest shalt accrue on all unpaid balances exceeding established credit terms ate rate equal. to the lesser. of ta) 1!h %per month or 'Promotional allowances, cash discounts, prompt %ydiscounts; growth programs and all other incentives are retained by U.S Foodservice"! zf
(b) the maximum rate Nat the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law. and do not reduce product cast. Product cost is defned asftie supplier, packer or any other vendor delivered cost or f o b: unit price plus
E�iel standard freight less off invoice di scounts or off-invoice allowances (i e., manufacturer generated discounts or allowances;on Particular X
tems for set periods of time and which are specifically reflected on the invoice)J a CUSTOMERS, SIGNATURE
P �`,Visit`www:usfoodtcom for a•fast and easy way to ordbrr.
n '�'df/e�fy`K rr
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. NUMBER LOC. REP. ORDERED
94569922 t187200 10/09/09 4769575 1054 0062 10iY2109
YOUR partner beyond the plate.' DELIVERY ROUTE: 2552 D ORDER NUMBER: 739023
I
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 IN
460:32 46032 INDIANAPOLIS IN
46266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIPDATE: 10/09/09. Pa g a 01 of 01
FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN
PAYMENT TERMS: NET 30 DAYS I 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 33061575 CAPPUCCINO, ENO TOFEE INST 6/2 LB GFIC CS 64.6100 64.61
1 0 EA 8053126 CANDY, RESES PENT BUTR CUP 36 EA REESE'S
1 1 CS 9341223 CREAMER, HALF HALF SS ULTRA 360/:375 OZ GLNVW FRMS CS 12.9000 12.90
2 2 CS 9463688 CHIP, TORTLA.CORN YLW RND .6/2 LB EL PASADO CS 16.7000 37:
REFRIGERATED
1 I' CS 4331302 APPLE, RED DLC :113 FCY WA OR 113 EA CROSS VALY CS 29.0700 ¢.9..07
1 1. CS 5006556 .BANANA, GRN FRESH 10 LB PACKER C5 7.6500 7 -.65
1 1 CS 9.332230 LETTUCE, RMN CHRD, FRESH 6/2 LB CROSS VALY QS 18. 2400 18.24
BEADY TO EAT Please Refer to.Return Polic c I I
1 1' CS "9332305 SALAD MIXi ICBRG W/ RED CBG 4 /5•LB CROSS VALY CS 17.1900 17.19
READY TO EAT Please Refer.to Return Policy
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 5 PIECES SHIPPED: 4 ITEMS SHIPPED: 3 114.91
TOTAL REFRIGERATED PIECES ORDERED: 4 PIECES SHIPPED: 4- ITEMS.SHIPPED: 4' 72.15
INVOICE SUMMARY
TOTAL WGT SHIPPED: 127.80 PIECES ORDERED: 9 PIECES SHIPPED: ITEMS SHIPPED: 7
PRODUCT TOTAL 187.Oe5
Purchase 1
Description r l"v
P.O. ra� P r F
G.L.
Budget �Q GEN 44 x. .00
Line �escr
Purchaser
Date E,
Approval. Date
PLEASE REMIT THIS AMOUNT BY 11/08/09 AMOUNT 187.06
t
!I
A All
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1•S% per month or 'Promotional allowances, cash dlscounts, prompt pay discounts, growth programs and all other Incentives are retained by U.S. Foodservice'°
(b) the maximum rate Nat the customer may lawfuly tontred to pay, end 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 I.o.b. unit n pprice wplus ar X
standard freight periods less of time offdmolce discounts or off-invoics allowances (l.e., manufacturer generated discounts or allowances oaNl
Items for set and which are specifically reflected on the Invoice).' 4 CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order. We,.,4AA e,e4& a4mF a4_"
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
10/2/09 1071926 Concession /food beverage
22705 F 262.76
9/25/09 E 6827 Famil cam out su lies 22613 F 459.82
10/9/09 7200 Concession /food beverage 22748 F 187.06
I hereby certify that the attached invoice(s), or biu(s) is (are) true and correct and I have audited same in accordance 909.64
TOTAL
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
909.64
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1071926 4239040 262.76 1 hereby certify that the attached invoice(s), or
1047 976827 4239039 459.82 bill(s) is (are) true and correct and that the
1047 1187200 4239040 187.06 materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
909.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund