177882 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $1,187.28
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 177882
CHECK DATE: 9/2912009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBE AMOUNT DESCRIPTION
1047 4239040 383518 71.40 FOOD BEVERAGES
1047 4239040 470870 49.91 FOOD BEVERAGES
1047 4239040 470871 1,065.97 FOOD BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO..� DAT_E NO. NUMBER LOC.,--.l REP. ORDERED
9 05699Fj� 038 31.i 313 08! 1 09 90J6y575 1054 oo�z o 3! i ��rJ9
Your partner beyond the plate.`
1
DELIVER OUTS: 00 1 ORDER NUMBER: 690120
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKSF<RECREA'T REMIT U.S. FOODS;E.RVICE, INC.
TO: 1411 E. 1 i 6TH ST TO: 1235 CENTRAL PARK DRIVE E- TO.:
BOX 660088
CARMEL IN CARMEL IN
46032 46032' INDIANAPOLIS IN
44266 -0088
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
SHIPPED FROM: SHIP DATE: 08/14 Pag 0 O f 01
FREIGHT TERMS: COLLECT SPECIAL DRIVER CANNOT. DELIVER ON THE IROUNDA13OUT OUT IN
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: USF— PO#433072
QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
3 3 EA 7344492 SCREEN, PIZA ALUM 12 HD 1 EA ALLIED M ET EA 23.8000 71.40
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 3' PIECES SHIPPED: .3 ITEMS SHIPPED: 1 71.40
SHIPPING TRACKING NUMBER 1ZAE1232030'2657047 LIPS
INVOICE SUMMARY
TOTAL WGIT SHIPPED: .45 PIECES ORDERED: 3 PI.ECES.SHIPPEII: 3 ITEMS SHIPPED: 1
PRODUCT TOTAL. 71.40
TAXABLE: AMOUNT' .00
GEN SALES TAX Z. .00
PLEASE REFIT THIS AMOUNT BY 09/14/09 AMOUNT 71.40
0-�
SEP 0 4 2009
BY:
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to me lesser of (a) 1- per "in or 'Promotional allowances, cash discounts, promptpay discounts, growthprograms and all otherincentivesare 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 protluct cost• Protlud cost is detinetl as the supplier, packer or any other vendor delivered cost or f.o.D. unit price Plus X
standard freight less off!Zoe discounts or od- invoice allowances (i.e., manufacturer generated discounts or allowances on particular
items for set periodsoltimeandwhicharespedficalyreflectedontheinvoice).' CUSTOMERS SIGNATURE:
Visit www.usfood.com for a fast and easy way to order. CUSTOMER COPY ZUe'4A"e'- 14& *0"4T"z eaa
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO.' NUMBER LOC, R€P. ORDERED
r
9056992 09/21/09 70569575 SPECIAL .:ORDER 1054 0062 08/19/09
Younpartner beyond the plate.'
DELIVERY ROUTE: 1 OR DER NUMBER: 694847
BILL CARMEL CLAY PARKS.&RECREA'T SHIP CARMEL CLAY PARKS&RECREAT REMIT U. S. FOODSERVICE, INC.
TO: 1411 E. 116TH ST TO: 1235. CENTRAL. PARK DRIVE E TO:
SOX 660088
CARMEL IN CARMEL I1\1
46032 4.6032" INDIANAPOLIS IN
46266 -0088
ATT.' CHARLES REDMON DEPT 00 800 428 21.18
SHIPPEDFROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: ()8/21/09 Page 01 of 01
FREIGHT TERMS: SPECIAL SPECIAL ORDERS CAN NOT DE RETURNED
PAYMENT TERMS: NEC 30 DAYS INSTRUCTIONS: V
QTY, OTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
1 1 CS 2255 96 CONE, ICE CRM CAKE LAT BOTM 28/45 EA' JOY CONE CS 49. 91.06 49.91
PRODUCT CLASS 'RECAP
TOTAL Df{Y PIECES ORDERED: 1
PIECES SHIPPED: 1 ITEMS .SH.IPPED:.:. 1: X19.91
a� INVOICE SUMMARY at
TOTAL. WGT.SHIPPED: 4.09 PIECES ORDERED: 1 PIECES SHIPPED: 1 ITEMS SHIPPED: 1_
PRODUCT TOTAL 49.91
TAXABLE AMOUNT 40
4�_
GEH .SALES TAX X .00
PLEASE REMIT THIS AMOUNT BY 09/20409 AMOUNT 49.91
Purchase
Description C.cn
P.O.
G.L. r i L17! 3!2D- oo- a 9 c 4o r' et
LBIneDestx Ve, S E P Q 4 200,9
Purchaser
Approval Date BY:
Interest shah same on 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 pay discounts, growth programs end all other incentives are retainetl by U.S. Foodservieew
the maximum rate that the customer may lawfully.contmd to pay, and in all events calculated in accordance with applicable law. and do not reduce product cost. Product cost is tle load as the supplier, packer of any other vendor tleliverad cost or I.o.b. unit price plus
standard freight less off- invoins discounts w oft invoice alowances (i.e., manWacNra, generated discounts or allowances on particular X
ems for periods of time end which are specilloaly tellecled en he invaice�' CUSTOMERS SIGNATURE'
Visit www.usfood -com fora fast and easy way to order. �je1gu�,gu,�K
I
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. N A NO. NUMBER LOC RtFP. ORDERED
9056992 0.47087'1. 08 0569575 1054 006 06/20/09
Your partner beyond the plate.'
DELIVERY ROUTE: 11 1 O RDER NUMBER 696641'
BILL,' CARMDL. CLAY 'PARKS &RECREAT SHIP CARMEL CLAY .PARKS &RECREAT REMIT U.S. FOCODSERVICE: INC.
TO: 141.1 E. 116TH ST TO: 1835 CENTRAL 'ARK'. DRIVE E TO:
BOX 660088
CARMEL IN CARMEL
46032 46032... INDIANAPOLIS IN
46266 -0088
ATT..' MICHELLE COMPTON s DEPT 00 600 428 211.8
SHIPPEDFROM:12301 CUMBERLAND RD FISHERS IN, SHIP DATE: 06 /21'/09 Page 02 of 02
FREIGHT TERMS: SPECIAL DRIVER 'CANNOT DELIVER ON THE ROUNDABOUT OUT AN
PAYMENTTERMS NE'T DAYS INSTRUCTIONS: n..
QTY QTY. SALES PRODUCT p PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER .DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
.'TOTAL FROZEN PIECES ORDERED: 23 'PIECES SHIPPED: 23 ITEMS SKIPPED, 111 671.24
INVOICE SUMMARY
TOTAL WGT SHIPPED: 5 PIECES ORDERED: 40 PIECES SKIPPED: 39. ITEMS SHIPPED: 25
P 1065.'97
PRODUCT, TOTAL, S '9
TAXABL.E AMOUNT .00
GEN SALES TAX ..00
r
PLEASE REMIT THIS AMOUNT BY 09/20/09: AMOUNT 1465.97
SEP 0:4
DO;
Purchase C [BY
Description
P.O. P
G.L. a 7 3 /O 4�� h O 39 c40
Bud g et
true DescrV
Purchaser
Approval
Date__,_...
Interest shall accrue on all unpaid balances exceeding established credit terms at agate equal to the lesser of (a) 1 Yz% per month or 'Promotional allowances, cash discounts, prompt pay discounts, growth pmgrems and all other Incentives are retained o U.S. FoodseM"
(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 mduce product cost. Product cost Is deffined es the supplier, packer or any other vendor delivered ooat or Lo.b. unit price Plus
s
U AII
tandard freight less od invoice discounts or o &invoice allowances (i.e., manufacturer generated discounts or allowances on particular
flame for set periods of time and which are specifically retlecie i on the mvoice)., CUSTOMERS SIGNATURE'
Visit www.usfood.com for a fast,and easy way to order.
26er?
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO: DATE NO. LOC o P. ORDERED.
A.
90569922 0470871 08/21/09 0569575 1054 4062 08/"2'0/09
Your partner beyond the plate.'
DELIVERY ROUTE: 51 ORDER NUMBER: 6V6641
BILL CARMEL CLAY PARKS&RECREAT SHIR: CARMEL CLAY PARKS&RECREAT.. REMIT
U.S. FOODSERVICE, INC.
TO '141.1 E. 116TH ST TO: 12235 CENTRAL PARK DRIVE E TO:
BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN X
46266 -0088
ATT: MICHELLE.. COMP.TON DEPT 800 800 0 428 '.211,$
SHIPPED FROM: 12301 CUMBERLAND RD E'ISHERS IN SHIP DATE: 08 /21/09 av Pa 'g a 01 of 02
FREIGHT TERMS: r' SPECIAL DRIVER CANNOT .DELIVER ON THE ROUNDABOUT OUT ZN
PAYMENTTERMS;. NET 30 DAYS INSTRUCTIONS:
QTY QTY:';*. SALES. PRODUCT C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
DRY
2 1 CS O445698 TAPE, THRML CASH RGSTR. 50 RL MONOGRAM CS 74.4500 74.45
1 1 CS 0588509 CHILI, MEAT-:'HOT DOG 6/110 OZ" HOME TASTE CS 44.4500 44.45
3 3 C$ 1329747 MUSTARD, SS SHLF STABL.. 544/4. S. OR MONARCH CS 9.4540 28. 35
1 1 CS 4518849 TRAY, PAPR FOOD 5 LB SAGE 2/230 EA MONOGRAM CS 48 :2200 48.22
1. 1. CS .5337712. SAUCE, PIZA TMTO FULLY- .FREPD 6/##,10 CN ROSELI CS 33. 9940 33.'t9
1 1. CS 5597851 CHIP, TORTILA NACHO) CHS TRGLE 64/1.75 OZ DORITOS CS 26.9500 26.95
I 1 CS 5597968 CHIP, CORN BAG 64/2 OZ FRITOS C5 26.9500 26.95
1 1. CS 5605522 CHIP, MULTGRN ORIG BAG 64/1.5 OZ SUN CHIPS CS 26.9500 26.955
y REFRIGERATED
1 1 EA*_" 2 335842 DRESSING, CSR CLSC REF 1 GA MONARCH _B EA 2 21.97
1 970'0
1 1 C.&3254901 MILK; ,LOW FAT 2% PLST REF CHUG12 /1 PT DEAN'S CS 9.9500 9.95
READ Y TO. EAT. Please Refer to .Re PA
nPolic'
1 1 CS 006556 BANANA, GRN FRESH 10 LB CKER GS. 7.6100, 7..61
1 CS 6291207 MILK, CHOC-LOW FAT 1X PLST REF12 /1 PT DEAN.`S t CS 9.9540
READY TO EAT Please,Refer to Return PoliC
EA 9327230. CHEESE, PARK GkTD REF IMF' 5'L9 Ft£?SE1 I I� EA 16.7925 16.:79
1 CS 9332230 LETTUCE', RMN CHt'D FRESH b/2 LH CROSS 'VALY CS 18. 1540 X 18. 15
.READY TO EAT Please Refer •t6,Return- Policy
FROZEN
4 'A CS 0105700 BEEF, PTY GRND 80/20 4:1 SESD 80/4 'OZ 1893 CS 45. 182.28
1 1 CS 1190107 CRUST, P IZ.A' NEPLT THIN 12" RS 40/9 OZ BONICT CS 30.4000 .30.40
3., 3 CS 2011278 PRETZEL, KING SOFT BKD PZN 50/5. OZ: SUPR CS 27 ,.100 82 *98
3 .3 CS 4690:392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ'` KEMPS CS 5.3 75.30
3 3 CS 4904603 ICE CREAM CUR, CKY DOUGH TTTIB24 /5 OZ KEMPS. CS." 251000 1 1 75.30
I 1 C 80963 PQPSICLE, ASST FLVR.HTHCL ON 12/12/1..750Z POPSICLE W CS 27.. 780 27.78
1 i G f�.OPI C R EAM SANDWICH, t�NL 24/6 OZ' BLUE BUNNY CS 16.050 16.05
1 CS_.: n CtICKES'P F�iT.A CKD 4/5 LB' PIERCE C S 850k' 63.85
3 3 Y'7 BJN, HIM P 4FV' SLCD 10/12 EA HILLTOP HR CS `22: 4600 67.20
1 1 t C1,CE/ i VNL, CHAMP" Iii 24/4.6 OT BLUE BUNNY CS 17.5000 17.50
2 2 952 ICE CR A `��A VNL. ORIG IW 24/4.5 OZ KLONDIKE CS 16.3040 32.60 1. t l rCZ P�
�T DUCT CLASS RECAP
TOTAL DRY PIECES ''ORDERED: 11 PIECES SHIPPED: 10 ITEMS SHIPPED; 8 310.31
TOTAL REFRIGERATED P 6 PI ECES SHIPPED: 6 I TEMS SHIPPM: 6 84.42
Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to the lesser of (a) Nh% per month or 'Promotional allowances, cash discounts, prompt l discounts, aregh programs and ell other incentives are retained by U.S. Foedsernce�
(b) the maximum.rate that the customer maylawluAy contract to pay, end in all events calculated in accordance with applicable law. and do not reduce product costa Product cost is ds med as the supplier, pecker or any other vendor delivered cost or f.o. unit price plus
standard freight less off- invoice discounts or off- invoice allowances (i.e., manufacturer generated discounts or allowances on particular X
items far set periods of time and which are specfically reflected on the inv oice).' CUSTOMERS SIGNATURE:
Visit www.usfood
for a fast and easy way to order:
Zf/ of /yrr�eetate'dlocusv�aauceea..
ACCOUNTS PAYABLE VOUCHER
t 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
8115109 383518 Concession /food beverage 22424 F 71.40
8121109 470870 Concession /food beverage 22505 p 49.91
8/21/09 470871 Concession /food beverage 22505 F 1,065.97
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 1,187.28
20_
Clerk- Treasurer
✓oucher No. Warrant No.
Allowed 20
353824 U S FoodService, Inc.
Box 660088
Indianapolis, IN 46266 -0088 In Sum of
1,187.28
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 383518 4239040 71.40 1 hereby certify that the attached invoice(s), or
1047 470870 4239040 49.91 bill(s) is (are) true and correct and that the
1047 470871 4239040 1,065.97 materials or services itemized thereon for
which charge is made were ordered and
received except
24 -Sep 2009
Signature
1,187.28 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I