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178436 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $3,868.27 CARMEL, INDIANA 46032 PO BOX 660088 9' r� INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 178436 CHECK DATE: 10114/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239040 2999654 -91.14 FOOD BEVERAGES 1047 4239039 678280 817.28 GENERAL PROGRAM SUPPL _1047 4239040 678281 769.50 FOOD BEVERAGES 1047 4239040 686712 68.35 FOOD BEVERAGES 1047 4239039 773374 516.64 GENERAL PROGRAM SUPPL 1047 4239040 773376 93.94 FOOD BEVERAGES 1047 4239040 867188 1,181.43 FOOD BEVERAGES 1047 4239040 9.76828 512.27 FOOD BEVERAGES ,l ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. -ENO DATE NO. NUMBER LOC. REP. ORDERED 9056992 067E3281 09%04/09 905695'75. 1054 0062 09/03/09 r. Your partner beyond the plate.' DELIVERY ROUTE: 1 3 54 3 ORDER NUMBER: 706361 BILL CARMEL CLAY PARKS &RECR1EAT SHIP CARMEL CLAY'.PA (RKS&.RECR)EAT REMIT U.S. FOODSERVICEe INC. TO: 1411 E 116TH ST TO: 1239 CENTRAL 'PeARK DRIVE E TO: CARMEL IN CAR -MEL IN BOX 660088' 46032 46P32 j INDIANAPOLIS IN ATT. �iICHEt LE COMPTON DEPT' Q 900 42S 2118 SHIPPED FROM: 12301 CUMBERLAND•: RD FISHERS IN SHIP DATE: ,09 /'04/09 Rea 02 of 02 FREIGHT TERMS: SPECIAL DRIVER CANNOT lELIVER ON THE ROUNDABOUT 'OUT IN. PAYMENT TERMS: NET 3,0, DAY S. INSTRUCTIONS: QTY. QTY. SALES PRODUCT C p PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED .SHIPPED UNIT, NUMBER i E UNIT PRI PRICE PRODUCT CLASS RECAP .TOTAL DRY PI£CES.ORDERED: 14 PIECES SHIPPED: 14 ITEMS SHIPPED: 12 336.73 TOTAL REFRIGERATED. PIECES ORDERED: 11 PIECES SHIPPED: 1.1 ITEMS SHIPPED: 1.1 221.99 TOTAL FROZEN PIECES ORDERED: 8 PIECES SHIPPED: 8 ITEMS SHIPPED: 4 210.78 INVOICE SUMMARY TOTAL WGT',,$HIPPED: '423.86 PIECES ORDERED: 33. PIECES SNIPPED: 33 ITEMS SHIPPED: 27 PRODUCT TOTAL SS' 769.50 Purdhase Description TAXABLE AMOUNT 00 P.O. i c '���I q P ore n° GEN SALES TAX a.L. 4I SOU i w t-4 2 39 Bud Purchaser wDate PLEASE REMIT THIS.AMOUNT BY 10!04/09 AMOUNT f 769.50 APPrOV81 Date Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the er of (a) 1- 'h%per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all otherince are retained by U.S. FoodserviI, (b) the maximum rate that the custome, may lawfully coc'�ct to pay, and in all events calculated in accordance with applicable law. antl do not reduce product cost,. Product cost is defined as the supplier, pecker or any other vendor delivered cost dr f.o.b, uniPpriceplus X' stantlartl freight less off-invoice discounts or off Invoice allowances (i.e„ manufacturer generated discounts or allowances on particular UA AA items for set periods of time and which are specifically reflected on the involce).' CUSTOMERS SIGNATURE: Visit www Usfood Com for a .fast and easy way to order. R Zf/e� eeecateZtaw�c i�uaCaceod ai +:1' ACCOUNT INVQ.ICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO:..: __•NO:_'- -DATE NO. NUMBER LOC. REP., ORDERED 905 69922 0'678261 "09/04/09 90569575 1054 0062 09/03/09 Your partner beyond the plate.' 'S DELIVERY ROUTE: 1354 3 ORDER NUMBER:. 708361 BILL CAME CL AY PARKS&giCQ SHIP CARMEL C LAY PARKS?r<R.ECREAT REMIT O. 8. FOODSERVICE: INC TO: 1 11 i� 16T_ i `83 Y TO: 1235 CENTRAL PARK DRIVE E TO: r{ BOX 660088 CARMEL I CARMEL IN 46032 S 46032 INDIANAPOLIS. IN 46266 -0088 ATT. MICHELLE COMPTON DEPT #,.00 800 428 2138 SHIPPED FROM: 12301 CUMBERLAND RD F ISHERS' I N SHIP DATE: 09. /04 f 09 P a ge e D i Q f,. t32 FREIGHT TERMS: SPECIAL DR I•VER CANNOT r DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NE T 30 DAYS INSTRUCTIONS' QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK S17, LABEL,` E WEIGHT UNIT PRICE PRICE DRY' 1 GS 1287747 SNACK BAR, CRI• "­A SST�' Iii SS 3/16/ 1. O Z' K>= LL OGG�'S CS 23..8600 23...86 2 CS 1462803 ..SPOON, TEA_ MW �lHT BULK FLS7 1000 EA ..,,PRIME CS 14..0000' 28.00 1 1 CS' 3429305 JUICE, GRAPE f 0% PET BTL' 24/10 OZ THIRSTER CS 17.1500 17.15 2 r 2 CS .4260238 SAUCE, CHS MACHO SHLF STABL. 4/107 OZ'.. ORTEGA CS 47.2240 94.44 1' EA 5083514 CANDY, t 48 .'10. 02: THIfii.l7ER EA 30.4300 30-.43 1 CS 5429303 ,JUI 2_ CS 18.7000: 18.70 1 1 CS .5597604 CHIP, CHS, CNCHY �PLN BAG 64/2 OZ CHEE -T.OS CS 27. 4000 27. 40 I' i CS 5601927 CHIP, POT KTL ,JALAP BAG HAND 64/1. 375' OZ MSS VICKI CS _8. 2000. 28.20 1 1 CS 6276612.. JUICE, GRBY CKTL 27X: PLST 24/10 OZ TROPICANA CS 1S. 7000: 18:70.. 1 'I 'CS 8.429292 ,JUICE, APPL 100% PET BTL 24/10 OZ. THIRSTER CS, 1'7. 1500 17..15 1 1 C 8461451. FORK, MW WHT BULK PLST 1000 EA 'PRIME CS 14.0000'- 1.4. 00 1 1' �y -t$ IP, TORTL:A CORN YLW RND 6/2 LB EL PASADO CS 18..7000 18.70 aa:�y q: ✓LL r REFRIG�l�t� 1 1 S�J I S q FA U SKD REF LODEO. 2/4 LB HARRY'S CS 20.990d: 29.:98 f T 2% PLST REF CHU612 /1 PT DEANS CS 9..9500 9.95 V TM TO Please Refer to-Return Folic 8 1: 1 CS" 5, 10 P,. TO GORZL W/ BASL REF 2/4' LB HARRY'S CS 29.9800 29:98 A 1 CS 4262408 SUP, CHIX NDL REF OLD,FSHND. 2/4 LB HARRY'S CS 29.9800' 29.98 1 '1 CS 4331302 A LE RED DLC 113 FCY WA GR 1 13 EA CROSS VALY. CS 28.930' 28. 93. 1 1' CS. 50'06556. B A A> GRN FRESH 10 LB PACKER' CS 7.6 0. 7.61 1 1 Ca 6291207 M4LK CHOC LOW,FAT`.1% PLS7.REF12 /1 F7, DEAN'S CS 9.9 00 .95 ase Refer to Returu Polic. R D 7O EAT Pte y 1 1,CS b3267b P "P 'h'ONI, S1:GD 14.-16 CT h10. 4/S' LB ROSELI CS 30.3200`"`--_ 30.32 1° 1 GS 71'97775``E D T l"► A EAT Pease A Refer R �o l Reu Q !'ol i.c Yt}FLAIT CS' 9.9500. 9. 95 y ,a CS 9332230, LE T CE, RMN. CH?D FRESH 6/2 LB CROSS VALY CS 0 i8. 15 RE DYE. TO EAT_ •-Please Refer t o Re tirn P01 i i.: CS 9332305_ SA D MIX, ICBRG .W/ RED' .CBG 4/5, LB CROSS VALY c8 17: 1904 17.19 READ TO ,EAT` Please ..e fart Refiurn Policy FROZEN y 3 3 "CS i19( ?i07 CfiUST, PIZA NEFLT THIN .1 "2" RS.'40 %'9`OZ Bt3ldlCi CS 30.'404.0 91..22? 2 2 CS 2'277663' ICE'CREAM BAR, REESF, PHT BUTR 24/4 OZ GOOD HUMOR CS, 16.6900 33.38 1 1 CS 2372928' CHILI, W/ BEAN HEAT SRV FZN .4/5 'LB WHITYWN ©SR CS, 54.1000 54.10 2 2 CS 5218862 ICE CREAM SANDWICH, VNL '�4/.6. `OZ' BLUE. RUNNY t;S 3'0: 0500 32 .10 Interest shall accrue on all unpaid dat5ncas exceeding,estaolished credit terms at a rate equal to the lesser of (a) 1!h %per month or 'Promotional allowances, cash discounts, prompt pa discounts, growlhproArams and all other incentives are retained by U.S: Footlservice (b) themaximum rate that the customenaylawhSllycodpact to pay, and in all events calculated 'in accordance with applicable law, antl dohot wtloce product coaL.Pratluct cost Is defined as the suppller,packer or any other vendor delivered costar Lo.b: unit price plus X ,f standard freight less off invoice discrounts or off-invoice allowances (i.e., manufacturer generated discounts or allowances on particular Visit www.usfood.COm Or *a fitst and eas w specifi cally to,, r refl o e). CUSTOMERS SIGNATURE: L y'to order items for set eriods of time and which are f t ACCOUNT INV IQCE INVOICE CUSTOMER PURCHASE ORDER, SALES SALES DATE NO, NO.. DAT NO. NUMBER LOC. REP. ORDERED 9056992E 0773376 9/11/09 0569575 1054 0062 09./10/09 Your partner beyond the plate° '--BELIVER.Y_ROU 2951 t 1 ORDER NUMBER: 713923 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 660088 46032 46032 INDIANAPOLI IN 46266 -0088. ATT. MICHELLE COMPTON DEPT 00 800 428 8118 SHIPPED FROM: I2301 CUMBERLAND RD FISHERS IN SHIP DATE: Q9f11 /09 P a 8e 01 of 01 FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY, OTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE. DRY 1 1 EA 6210777 CANDY, KIT KAT" VNDG STD 1.5 7 3,6 EA. KIT KAT EA 23.1500 23.15 1 1 EA 8053126 CANDY ESES PHT BUTR CUP 36 EA REESE'S EA 23.4000' 23.40 REFRIGERATED 2 2 EA 0761940 MILK, WHL CRRu" F'LST REF HMGFI7 1 GA GLNVW FRMS B EA 3.7250 1.45 READY TO EAT Please Refer to Return,Policy 1 1 CS 0827477 EGG, UHL PLO HARD CKD BRINE PK1.0 LB GLNVW FIRMS CS 21.3904 21.39. 1 1 CS 2037547 TOMATO, 5X6 FRESH. 51B PACKER CS 10.9000 10..90 1 1 CS 5006556 ANANA, GRN FRESH 10. LB PACKER CS 7.6500 7. a P 'CLASS RECAP TOTAL DRY PIECES' 2 PIECES SHIPPED: 2 JTEMS SHIPPED: 2 46;55 TOTAL REFRIGERATED PIECES ORDERED: r. PIECES SHIPPED: 5 ITEMS SHIPPED: 4 47.39 INVOICE SUMMARY TOTAL WT SHIPPED: 49.19 PIECES ",ORDERED: 7 PIECES SHIPPED: 7 ITEMS.SHIPPED: 6 r PRODUCT TOTAL 93.94 Purchase Description P.O. ffi PorF; y 3 I Oa 2 39 EO TAXABLE AM ao Q.L. A GEN SALES TAX .00 Bud et Purchaser Date Approval Date PLEASE REMIT THIS AMOUNT BY 10/ AMOUNT 93.94 Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) i!hY<per month or Promotional allowances, cash discounts, prompt pa discounts, growth programs and all other incentives are retained by U.S. Foodservicer° (b) the maximum rate that the customdPmaylawfully coeract to pay, and in all events calculated in accordance with applicable law. antl 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 x r standard freight less off- invoice discounts or off- invoice allowances e. manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the invoice).' CUSTOMERS SIGIT TU E Visit www.usfood.com fora fast and easy way to order. A000uwT INVOICE /mvoICs CuoToMsn PURCHASE ORDER SALES exLse DATE NO. wxz DATE No. mumosn LOC. nsp Onosnso 90569922 0686712 O9/04/09 90569575 DROP SHIP BILL ING 1D54 0062 09/03/09 Your partner be the plate' 2951 1OO ORDER NUMBER: 708662 DELIVERY ROUTE: BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. 1411 E. 116 ST 1235 CENTRAL PARK DRIVE E TO: TO: TO: BOX 660088 CARMEL IN 46032 CARMEL IN ATT. CHARLES REDMON 800 428 21.18 SHIPPED FROM: ��omc 09/04/09 PO# 647101 FREIGHT �mu o�m« NET 30 DAYS PAYM ENT TERMS: CITY. OTY. SALES PRODUCT C. PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL 0, WEIGHT ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE DRY X I EA 2045714 r_ C.S 8401166 MARKER, SHLF BIN YLW 6XI.25 I EA METRO CS 4.7500 57.00 2 In PRODUCT CLASS RECAP TOTAL DRY PIECES ORbERED: 13 PIECES SHIPPED: 13 IiTEMS SHIPPED: 2 68.35 INVOICE SUMMARY TOTAL WGT SHIPPED: 14.90 PIECES ORDERED: 13 PIECES SHIPPED: 13 ­VEMS SHIPPED: 2 PRODUCT TOTAL 68.35 JAXABLE AMOUNT .00 GEN SALES TAX .00 PLEASE REMIT THIS AMOUNT BY i0104109 AMOUNT 68.35 UnM &V2 SEP interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) "v`6 ar in nth or Tbm000na allowances cash discounts, prompt pay di nl,,,,,, pr other incentiv retained by U.S. Foodservil (b) the maximum rate that t a bustom—ey lawfully, contact to pay, and in all events calculated in accordance with aptincable law. and d anocrea d uce rb d uctvoliaj Product co a define other vendor o,,erSd cost o, f.d.b. unit pince plus X IL St., accounts or off-invoice allowances (i.e., manufacturer generated dscounts or allowances on particular terrij for set perioda of time and which are specifically reflected on the invoil CUSTOMERS SIGNATURE: Visit www.usfood.com for a fast and easy way to order. CUSTOMER COPY s 4* ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE. NO. NUMBER'.,, LOC. REP ORDERED` 90569922 0976828 09 ✓25/09 90569575 1054 0062 09 >24109 400'r Your 1 partner beyond the plate. DELIVERY ROUTE: 2853 ORDE NUMBER 7P6 BILL CARMEL CLAY PARKSwRECREAT SHIP CARMEL CLAY PARKS REMIT U', S '.FOODSERVICE, INC TO: 1411 E. 116TH ST TO: 1235 CENTRAL, PARK DRIVE E TO CARMEL IN CARMEL IN T3£1X 660088 46032 46032. INDIANAPOLIS IN ATT. I MICHELLE COMPTON DEPT #1: 00 i 1800 462 428 00 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS I N• SHIP DATE: 09125/09' Pa a 02 o f 02 FREIGHT TERMS: SPECIAL DRIVER CANNOT DELIVER (3N THE R08NDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER. DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE- PRICE 4 INVOICE: SUH11ARY TOTAL WGT SHIPPED: 240.40 PIECES ORDERED: 16 PIECES SNIPPED: 16 ITEMS.SHIPPEp: 13 ;K,_ PRODUCT.: TOTAL 512.27 TAXABLE AMOUNT 00 kk, GE N SALES TAX X' W PLEASE: REMIT THIS AMOUNT BY 10/25/04 AMOUNT 12.27, A4: .Purchase Ge�1_�'�'1� ....I�..� noaddy Description t P.O. _gig/ ®�i P F ri �eseyamd 3 90 y� ase�eui� Budget Line Date Purchaser Uollduose(I Approval Date tt esegoand �.t I R Interest shell earue on all unpaid balances exceeding established credit tams at a rata equal to the lesser of (a) I -'h %per month or 'Promotional allowances, cash'dlscounts, prompt pa discounts, growth programs and ell other irwentives are ratalned M U.S. Foodservica' (b) the maximum rata that the customermay IewfuM con4cl to pay, end kt 911 events calculated In accordance with applicable law. and do not reduce product cost. Product cost is defined es Ne suppl,er, pecker or amy other vendor delivered cost or Lo.b, unit price plus X A, standard freight less off invoice discounts or off invoice allowances (i.e:, manufacturer generated discounts or allowances on paNculer G! items for set periods of time and which are specifically reflected on the invoice).* CUSTOMERS SIGNATURE:' Visit VVVVW.usfood.com fora fast and crasy -way to order. a Zf/ef! �recCate ?lau3 �uecrcedxr. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES" SALES i DATE j NO, NO DATE `.NO. iNUMBER LOC." REP."' ORDERED 9,CA56992c_' 097'6828 09/ 905 9 57x. ,litC o;OO Z �C}54 C?Ob2 09/8 '/09 Your partner beyond the plate. DELIVERY ROUTE: 2853 L} ORDER NU tIIER 7 BILL CARMEL CLAY ''PARK!S&.RECREAT, SHIP CARMEL CLAY PARKSwRECREAT REMIT U. FOODSERVICE, INC `P TO: 14.1 .I E 116TH ST TO: 1235 CENTRAL PARK DRIVE E jo: BOX 66 00eS CARMEL IN CARMEL IN 46032 46032 I NI} I ANAP. 6LI S 46266 -0088 ATT. MICHELLE COMP N DEPT 00 804. 42B .2118 SHIPPED FROM: 12 CUMBERLAND RD FIS�ER� IN SHIP DATE: /l25 /09. �c� a 01 f1f 'FREIGHTTERMS:. SPECIAL ���02 ,E ROONDABOUTT OUT IN D RIVER CANNOT DELIVER ON TH .PAYMENT TERMS: NET :30 DAYS INSTRUCTIONS: QTY. QTY: SALES PRODUCT C ORDERED SHIPPED UNIT NUMBER DESCRIPTION O -PACK SIZE LABEL WEIGHT PRICING UNIT 'EXTENDED. :4 E UNIT PRICE PRICE DRY. 1' 1 CS 4260238` SAUCE, CHS NACHO SH STABL 4/107 :OZ ORtEGA CS '47.. 2'200 k" 47.22 i 1. CS 5337712 SAUCE, PIZA T. 0 FULLY PREPD 6/10- CN ROSELI CS 33.,9900 33: i 1 CS' 6501654 DETERGENT, DI S�i MNL LIQ 8/38.OZ DAWN CS 35.220 0: 3S. 2'2 REFRIGERATED''': i. i• CS .0423152'., SOUP, RTATO BttD REF :CODED 2/4 LB HARRY'S GS 29.. 4500 29 .45 i 1 t CS 3501087: Sl11P Tfi1TO GORZL W/ E�ASL REF 2/4 LB HARRY'S GS 2.9:9800 29.98 1 1 CS 426240 SOUP, CHIX NDL REFOLD FSHND 2/4 LB HARRY'S CS 2.94500 29.45 1 1 CS 50065..: DANANA, GRN FRESH 14 LB PACKER C.5 7. 6500 7.65 i. 1 CS. 719 1775 YOGURT, ASST STRBRY BANA A RSP12 /6 OZ YOPLAIT C,S .9500 9 95, READY- EAT Please 'Refer to "Return Palacy 1 1 CS _7332372 CHEESE, MOZZ SHRD. FTHR PS BALI 4/5 LB ROSELI B GS 42.,9000 42 n, READY TO EAT- Pleas of .r' Return Policy .x:. 'COZEN CS 2011278 PRETZEL, KING SOFT BKD FZN 50/s OZ SUPR PRTZL s 276600 1 C$' x'27:66 1 1 '29`28 CHILI, W/ BEAN HEAT SRU' FZN 4/5 LB WHITYWNDSR CS 54. 100. 54 :10 CS 237 4 4 CS 4875571 HOT DOG, AB 5:1' 6" CKD FZN. 10 LB TYSON CS 25.1500 100.60 1 1 CS 5622782 CHICKEN, STRIP BRST MEAT RNDM 4/5 LB FIERCE CS 6.4.1000,;, 64:10 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED,:' 3 PIECES SHIPPED: 3 ITEMS SHIPPED 3 116.43 TOTAL REFRIGERATED PIECES ORDERED:.:- 6'. PIECES SHIPPED:: ,6 ITEMS SHIPPED: 6 149.38 1,0TAL FROZEN' PIECES ORDERED: 7 PIECES SHIPPED: '7 ITEMS SHIPPED: 4 246.46 S EP 2 9. 2009 r _a r Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) t!A per month or 'Promotional allowances, cash discounts prompt pay discounts, growth programs and all other incentives are retained by U.S. FgVsemce (b) the maximum rate that the customermay lawfully =4;ad to pay, and in all events calculated in. accordance with applicable law. and tlo not reduce product cost: Produgl cost is defned as the supplier, packer or any other vendor delivered co st or f.o.b. unit price plus a stantlard freight less ot4invoice discounts oi'off-invoice allowances Q e., manufacturergenerated dismounts or allowances on paNcular items for set periods of time and which ere specihczly,, on the invoice).' CUSTOMERS SIGNATURE Vlslt www usfood.COM for a fast and easy way to order r Zf/eff��seeCateZtocae�ua/�cea� f ACCOUNT INVOICE INVOICE' CUSTOMER~ PURCHASE ORDER SALES, SALES BATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90 569922 08671£i8 09/18/09 94569575 105.4 '.0062 09/17/09 'e Your partner beyond the plate* DELIVERY ROUTE: 3255 3 ORDER NUMBER 720466 BILL CARMEL CLAY PARKS SHIP CARMEL CLAY PARKS &RECREAT REMIT U. S. F 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 COMP TON DEPT 00 800 428 2118 SHIPPED FROM: 18301 CUMBERLAND RD F I SLIER S I N SHIP DATE: 09 18 09 Page 02 of 02 FREIGHT TERMS: SPECIAL DRIVER `CANNOT DELIVER ON THE ROUNDABOUT OUT IN PAYMENTTERMS: NET 30 DAY S 6 OTY. QTY. -SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION. PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E w PRODUPT.CLASS RECAP TOTAL., DRY PIECES ORDERED: 14 P IECES SHIPPED: 14 ITEM SHIPPED: 1z 422.98. TOTAL `REFRIGERATED PIECES BORDERED: S PIECES SHIPPED: 8 ITEMS SHIPPED: 8 x,161.44 TOTAL FROZEN PIECES ORDERED: 18 PIECES SHIPPED: 18 ITEMS SHIPPED: 7 597.01 INVOICE SUMMARY TOTACUbT SHIPPED' 496.33 PIECES ORDERED: 40 PIECES SHIPPED: 40 `ITEMS SHIPPED: 27 Al PRODUCT TOTAL t181.43 1� JAXABi_E AMOUNT i V 4( lJ U 3�El't: SALES TAX Y, .00 Purchase PLEASE REMIT THIS AMOUNT BY .10/18/01 AMOUNT 1181.43 a Description G. L. Bud Lane SEA' 2 9.2009 P,Ip�ttas� APProval Date_ Interest shall accrue on all unpaid balances exceeding establishetl cretllt terms at a rate equal to the lesser of (a) tab %per month or 'Promotional allowances, rash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodservic. (b) the maximum rate that the customdiinay lawfully contact 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.oA. unit price plus X standard freight less oft 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� Dora �ceaixeaa ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 9'0569922 .0867188 09/18/09 90569575 11054 0062 09/i7/09 Your partner beyond the plate* DELIVERY ROUTE: 3255 f 3 ORDER €{UMBER 720466 BILL CARMEL CLAY PARKSvtRECREAT SHIP CARMEL CLAY PARKS <RIEGREAT 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. MI CHELLE COMPTON DEPT 00 800 428 2118 SHIPPED FROM: 1210;1. CUMBERLAND RD F I S.kIERS IN SHIP DATE: 09 1 E3 09 Page 01 �I o f 02 FREIGHT TERMS: SPECIAL DR I VER CANNOT DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: ft. o.. QTY. QTY. SALES PRODUCT C DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT P RICE PRICE DRY 1 1'. CS 3001971 CRACKER, GFSH CHS FLVR BULK 6/31 OZ PEPPERIDGE CS 39.8300 39.83 1 1 C.S 4982450 CEREAL, OAT- N HOMY GRNLA 4/50 OZ NATURE VLY CS 54.3600 54. 2 2 CS .5429303 JUICE, ORNG 66% PET BTL 1t OZ THIRSTER CS 18.7.000 37. 40 1 1. CS 5908769 SNACK 1113f;, CHS ASST FIX 4/32 OZ FLMUNCHIES CS 22x8900 22.89 1 3;- "CS 5957246 CANDY, M&M PLN 6,'42 OZ MARS CS 54.500 54.'50 1 1 CS .6174536 RAISIN, SALES "SLOT. 12/2 LB PACKER CS 40.1400 40.14 1 1 CS k; .A208144 SMACK MIX, CHX .TR -ADL 10/31 OZ CHEX CS 55.7800 55.78 1 1 CS 6327902 SUNFLOWER SEED, SALTD OIL /2 LB US BLU /MON CS 19.7600 19.76 1:. 1 CS' .6531594 CRANBERRY;._,DR3D INFSD 5 LB YLLWFRM FR CS 27.8200 27.82 1 ..1 CS 832-, 900 TOPPING, PNT UNSLTD CHPD DRY 3/2 LB US BLU /MON Cs, 16..9000 16.90 2 2 CS 9162124 DRINK, LMNDE SG /FR RTU PLST :•24/16 OZ CRYSTAL LT CS 20.3100 40.22 3 1 CS 9327842 PRETZEL, TWIST °MINI LB US BLU /MON CS 13.3800 13.38 REFRIGERATED i 1. CS 0423152 SOUP, PTATO BKD REF LODED 2/4 LB HARRY'S CS 29.4500 29 1 1. EA 0761940 MILK, WHL CRRG PLST REF HMGN7 1 GA GLNVW FRMS B EA 3..7250 3a�73, READY TO EAT Pleas Refer t o Return Polic 1 1 CS 0877225 ORANGE, CAT-CHO 88 CT FRESH REF88 EA:,. CROSS VALY CS 28.3600 1 1 CS 3254901 MILK, LOW''FAT 2% PLST REF CHUG12 /1 'PT DEAN'S CS 9.9500 READY TO .EAT Please Refer •to Return Policy 1 1 CS -4`262 408 SOUP, CHIX NDL REF OLD FSHND 2/4 LB HARRY'S CS:. 29 �9�.,' 'r 1 1 CS 5006556 BANANA, GR� FRESH 10 LB PACKER CS 7.6500 7. ,1 1 C$_ 6291207 MILK, CHOC 1% PLST REF12 /1 PT DEAN'S CS 9.9504 91:195. T lease Refer to Return Pol' 1 1, CS 7332372' N n S BAG' 4/5 LP KOSELI B CS` 42: 900fl .e4" 96 it Pl a _r t.9 Return n Ptilacy FN' ]0� 1 1 CS .07669W4 R A V 3 GA GLNVW PkMS CS`. 17.5U40 17 50 1 1 CS 2361723 a /4 ND LMN FZN4 /51 OZ DEVONSHIRE CS 54.0900, 54.09 1 1 CS 2372928 I, .W/ BEAN H T SRV FZN 4/5 LB WHITYWNDSR CS' 54.1000 54.'30 6 6 CS 4277034 COOKIE, CHOC CHNK THAW.& SRV _72/2 OZ BEST MAID CS 35.8800 215.281 2 2 CS °5841069 DANISH, ASST ICED SM TF`F T &S 48/2.25 OZ HILL -.TOP HR CS «4.2000 "48 6 6 CS 6209118 COOKIE, SUGAR SOFT CHWY FZN 72/2 OZ BEST.MAID CS 7.0400 162.24 1 1 CS 9174780 BROWNIE, CHOC MARQE TRIPL 2/97 OZ S ;CS 45.4400 45.40 Interest shall accrue on all un aid balances exceedh established credit tenns at a rate a ual to the lesser of a 1!h% er month or 'Promotional allowances, cash discounts, om t a discounts, rovnh ro rams and all other incentives are retained b U.S. Foods c -le 1 P 9 p .O P Pr PPZ' 9 P 9 Y X (b) the maximum rate that the customE'hnay lawfully coryact to pay, and in all eventewlculated in accoMance with applicable law. and do not reduce product cost. Product cost is de mad as the supplier, packer or any other ventlor delivered cost or f.o.b. unit price Plus standard freight less off- invoice discounts or off- invoice allowances (i.e., manufac urer generated discounts or allowances on particular items for set periods of time and which are specifically.rellected on the invoce).". CUSTOMERS SIGNATURE: Visit www.usfood com for a fast and easy way to= "order r l ..,-..aces' 1 t 'P.,;,I f•i ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NOS DATE NO.. NUMBER LOC. REP. ORDERED r r 90569922 0678280 09/04/09-9D569575 1054 0062 09/03/09 Your partner beyond the plate.' DELIVERY ROUTE: 1 3`34 3 ORDER NUMBER: 708339 BILL CARMEL CLAY PARKS.pi.R'ECREAT SHIP CARMEL CLAY`'%PARKS&RECREAT REMIT U.S. FOODSERVICE, INC. TO: 141.1 E. 1-i6TH ST TO: 1235 CENTRAL PARK. DRIVE: E ;TO: CARMEL IN CARMEL Itrl BOX 66006$ 46032 46032 INDIANAPOLIS IN 46266. -0088 ATT. SARa"! CABLING' DEPT 00 B00' 4�$ 211$ SHIPPED FROM:. 3 01 CUMBERLA RD F I S.F ER I N' SHIP DATE: 09!04! 09 f'age O 1 ct f 01 FREIGHT TERMS: SPECIAL T UR. .DE CARMEL PAYMENTTERMS: NET 30 .DAYS INSTRUCTIONS: ORDERED, C O PRICING UNIT EXTENDED QTY. QTY. SALES PRODUCT DESCRIPTION PACK:SIZE LABEL WEIGHT SHIPPED UNIT NUMBER KE UNIT PRICE PRICE 75 75 CS 0779991 WATER, SPRG NTC PLST BTL 24/16.9 OZ SPRIN6' RFL CS 5.30(30 .4' 397.•50 5 5 CS 6672307 CRACKER,:CHS CT 216 /1.38.OZ,.AUSTIN CS 38.6600. 193.:30 8 CS 7075435 CRACKER, TOST ``PNT. BUTR SS 120/4 EA NABISCO CS 26.48 PRODUCT CLASS RECAP# TOTAL DRY PIECES ORDERED: 88 PIECES SHIPPED: 88 :,ITEMS SNIPPED: 3 .817:28 INVOICE SUMMARY TOTAL OT SHIPPED:. 2211:.34 PIECES ORDERED: 88 PIECES `SAIRPED: 88 ITEMS SHIPPED 3, PRODUCT TOTAL::• 4 `­-I 7 ^J ,_s 81 r t ty ,Y i i l TAXABLE AMOUNT 4 00 ,'SAP:: 2 9.2009e SALES TAX x 00 j.,. PLEASE .RE11IT T)il'5 ACtf3UNT Y it}104ft)9. AMOUNT, 817. Puroso n j x ;i DescrippOfl a. P. P o►R Budget Une Des ct r �1�,p1'LL1XI. 'PIUMI'm I fig Gate Z� j�9 APPS G Interest shall accrue on all unpaid balances exceeding established credit terms et a rate equal to the lesser of (a) 1!/%,pOr month or 'Promotional allowances, cash discounts, prompt payy discounts; growth programs and all other incentivesare retainetl by U.S. Foodservice'° f (b) the maximum rate that the customermay lawfully co�(dct to pay, end in all events calculatetl m ewordance with applicable law.. and do not reduce product cost. Prdduct cost is defined as the supplier, packer or any other vendor delivered cost or Lo.b. unit price plus X standero freight less off invoice discounts onoff- invoice allowances {i.e., manufacturer generated discounts or allowances on particular f items for set periods of time and which are specifically reflected on the invoice).' If V CUSTOMERS SIGNATURE: Visit www.usfogd.COM for a'fast and easy way,to order. �eyGnescate?� ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES 'DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 0 90569922 0773374 09/11/09 90569575 1054 0062 Oq/091 Your partner beyond the plate.' DELIVERY ROUTE: 29 ORDER NUMBER 712494 BILL CARMEL CLAP PAR- KS &RECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT U.S. FOODSERVICIE, INC.. TO: 1 i 1 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 SHIPPEDFROM: CUMBERLAND RD FISHERS IN SHIP DATE: 09 /'11/09 Page 01 of 01 FREIGHT TERMS: SPECIAL DRI VER CANNOT .DELIVER ON THE ROUNDABOUT OUT IN PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER E UNIT PRICE PRICE REFRIGERATED 5 5 CS 4878173 ORANGE, CA CHO 138 CT FRESH 138 EA CROSS VAL•Y CS 29.7100 148.55 7 7 CS 2111936 .BANANA, GRN T,F PTITE FRESH 40 Lip PACKER CS 27.2200 190.54 5 5 CS 9331380 APPLE, FLED D�` x '138 CT FRESH XF138 EA- CROSS VALY CS 35.5100 177.55 PRODUCT CLASS. RECAP'** g TOTAL REFRIGERATED PIECES ORDERED: 17 PIECES SHIPPED: 17 „_I•TEMS SHIPPED: 3 516. b4 tt INVOICE SUMMARY TOTAL WGT SHIPPED: 670.01 PIECES ORDERED: 17 PIECES SHIPPED: 17 ITEMS SHIPPED: 3 PRODUCT TOTAL 516'.64 J SEP 2 9 2009 TAXABLE AMOUNT 44 GE SALES TAX z .00, Gv iU; loo PLEASE REMIT THIS AMOUNT BY 10/11/49 AMOUNT, I 516.64 Purchase C O 04 P.O. 2: y G.L. 1 4 i 40o• Coup• i .3"cz Budg Line Dei If 0 �t J- Purc ase Date' APP Date 7 V` f Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1!/, licable per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth programs and all other incentives are retained by U.S. Foodsernce- h the maximum rate that the customi y contract to pay, DD law. may.lawfull a and in all events calculated in accordance with a and do not reduc duct cost. Product cost is delined e rod as the supplier, acker or any other vendor delivered cost or I.o.b.. unit rice plus X standard Iraight less of f- Invoice discounts or off invoice allowances (i.eP manufacturr 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- i 1 jp9! W3 lm nATO WA ACCOUNT DJmca DMIC3 CU97OL FSR FOCHABB ORDMt ML86 SALBS DA.TB 9 569922 2999654 08 /19/09 90569575 1 1054 0062 08/19/09 mx /RTRDUM ORDER NUMBER: 694262 BIL1 CARME.CLAY PPARSKTS&RECREAT CARMEL CLAY P PARK DRIVE E REMTT U.S. FOODSERVICE, INC. TO: TO: BOX 660088 CARNET, IN CAR14M IN 46032 46032 INDIANAPOLIS IN AITCHARLES REDMON DEPT 00 800 pp CUM ERLA D RD FISHERS INgaDAM 08/18/09 Page 01 of 01 FMORT_ KgKIAL PATMET 30 DAYS nyarmLCmmos: TMUL&. QW. QTY. SALE! PibODOCr BAN PACK ffiZ8 ULHBL VYB�Ii! PRA Ujur 1 MtDMMD WErrm UNCT NUl� UXT F2= PRnB CREDIT MEMO REFERS TO ORIGINAL INVOICE NUMBER: 408976 DATE: 08/18/09 FROZEN 2- CS 0105700 BEEF, PTY GRND 80/20 4:1 SESD 80/4 OZ 1893 CS 45.5700 91.14- 2 Found Later (Found After Stop) INVOICE SUMMARY TOTAL, WGT SHIPPED: 40.00- PIECES SHIPPED: 2- ITEMS SHIPPED: 0 PRODUCT TOTAL 91.14CR TAXABLE AMOUNT .00 GEN SALES TAX .00 OC 1. 2009 AMOUNT 91.14CR 1 0 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 9/4109 678281 Concession /food beverage 22249 F 769.50 9/11/09 773376 Concession /food beverage 93.94 9/4/09 686712 Concession /food beverage 22663 F 68.35 9125109 976828 Concession /food beverage 22663 F 512.27 9/18/09 867188 Concession /food beverage 22598 F 1,181.43 9/4/09 678280 Supplies for Tour de Carmel 22444 817.28 9/11/09 773374 Supplies for Tour de Carmel 22444 F 516.64 8/19/09 2999654 Credit 91.14 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 TOTAL 3,868.27 ,20 Clerk- Treasurer Voucher No. Warrant No. Allowed 20 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266 -0088 In Sum of 3,868.27 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 678281 4239040 769.50 1 hereby certify that the attached invoice(s), or 1047 773376 4239040 93.94 bill(s) is (are) true and correct and that the 1047 686712 4239040 68.35 materials or services itemized thereon for 1047 976828 4239040 512.27 which charge is made were ordered and 1047 867188 4239040 1,181.43 received except 1047 678280 4239039 817.28 1047 773374 4239039 516.64 1047 2999654 4239040 91.14 7 -Oct 2009 Signature 3,868.27 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund