207634 03/26/2012 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: $1,571.98
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 207634
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1410069 1,005.35 FOOD BEVERAGES
1095 4239040 1472360 87.66 FOOD BEVERAGES
1095 4239040 1645700 415.77 FOOD BEVERAGES
1095 4239040 1739563 63.20 FOOD BEVERAGES
v ACCOUNT INVOICE INVOIA CUSTOMER PURCHASE ORDER SALES SALES DATE
WE NV DATE- NO, NUM8ER LOC. Rl"P. ORDERED
90569922 1 41OD6f- (}3/02/12 90560575 1054 0062 03/01;12
Route:5191 9 ORDER NUMBER: 459601
CARMEL CLAY PARKS&RECREA" CARMEL CLAY PARKS&RECREA"T US Foods, Inc;
8i lI S+/�� Remi t
To: 1411 E, 116TH ST Too IE35 CENTRAL PARK DRIVE E To:
46032 46032 INDIANAPOLIS IN
217 843 IS73 46266-00%
Att:
ipFrm� 123G1 �UM8ERLAND RD FISH�R8 IN Sh ipi�: 02/02/12 Page 02 of 02
-r tTrms: scial ENTER OFF OF 111TH STREET!!!
��7rmsi NET 30 QAYS Inst�
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
irdered Shipped Unit Number D Unit Price Price
100110E SUMMARY
FULL SURCHARGE 6.25
TOTAL W6T SHIPPED: 479,70 PIECES ORDEREDi 36 PIECES SHIPPED: W ITEMS SHIPPED: 22
PRODUCT TOTAL 99rio
CHARGES 6.25
TAXABLE ANOUNT .00
GEN SALES TAX
ThW amount is an estimate at time wi shipping prior to anv adjustments m8da at delivevV: s 1005.35
Purchase
Description
Budget
Line De
AR 0 7 2012
scr
Purohaser Date—
Approval Date—
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP ORDERED
90569922 1410069 03/02/12 90569575 /7 .7/~L�`� 1054 00 03/01/12
Route:5191 9 ORDER NUMBER: 459601
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
CARMEL N CARMEL IN BOX 66008a
46032 46032 INDIANAPOLIS IN
317 843 3873 46266-0080
Att:
ThipFrm: 12301 CUMBERLAND RD FISHERS IN Shipl7: 03/02/12 Page 01 of 02
/'t7rms�
Spcial ENTER OFF OF 111TH STREET!!!
`yt7rms: NET 30 DAYS Instr.
Qty QV Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
rdered Shipped Unit Number D Unit Price Price
DRY
4 4 CS 4260238 ONUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 49.000 199.64
1 3. CS 5601927 It. 1P, PTATO KTL JLP SS BAG 64/1.375 OZ MISS VICK! CS 30.000 30.15
1 IL CS 560194-1 IF, PTATO KTL BDQ SS BAG 64/1.375 OZ MISS VICKI CS 30.1500 30.15
3 3 CS 90690?9 PCPCORN, RAW KIT W/ OIL SALT36/8 OZ FANCY FARM CS 21.4500 70.25
4 4 CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 18.8200 75.28
PVFRIGERATED
READY TO EAT Please Refer to Return Polic ev I
ADY TO EAT Please Refer to Return PoIic
1 1. CS 4800843 ov&v" 2% REDUC FAT PLST REF 12/1 PT KRAIRIE Fri CS 1.0-4500 1.0.4
I CS 4800884 u ILK, CHOC 1% LOU FAT PLST REF12/1 PT PRAIRIE FM CS 11.3000 11.30
READY TO EAT Please Refer to Return Policy
1 1 CS 2014652 i BLPRY IW 24/4 OZ SARA LEE CS 20.2900 20.29
2 2 CS 3041423-,AORN DOG AN CN FZN 48/4 OZ STATE FAIR CS 33.4100 66.82
4 4 CS 3330099 J110T DOGI AB 6:1 6- RLR GRIL 10 LB PATUXENT CS 29.6900 118.7--)
1 11 CS 5218862 'CE CREAN SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 1?.i400 17.14
I I CS 5741228 1 HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 29.9600 29.96
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 17 PIECES SHIPPED: 17 ITEMS SHIPPED: 9 511.67
TOTAL REFRIGERATED PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: S Thoo
TOTAL FROZEN PIECES ORDERED: 14 PIECES SHIPPED: 14 ITEMS SHIPPED: 8 396.43
ACCOQNT IIII VOIC INVOICE CUSTOM2R PURC{{AE}E ORDER SALES SALES DA E
NO NO DATE NO NU ill 8ER LOC REP. ORDD�ED
9O56992�� 1A."727601 O�/O5/12 9O569575 1D5 C (-16 O3/��q/12
k6� �7/~
Roote�1]O1 9 \»��—��k7 ORDER NUMBER� 46O�29
�ill (�hip Relit
T
PA
o Tu� E To:
At
�h�pFrm 12301 CUMBERLAND RD ISHERS ipD: P�4ze '1 o 4` "J1
rms, SP 11 TH STREET�!�
`yt7rms NET 7-O DAY" no t?-
�ty Qty Sales Prod�ct Descripton Pack Size Pricing Umit [xte�de�
r�ered Shipped Unit Number D Qnit �rice �rice
V DO
I SHIPPED-
Purchase
Description Qay-\
P or
Budaot
Purchaser Date—
Approval Date—
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NOK DATE NO. NUMBER LOC. REP ORDERED
90569922 1645700 03/09/12 95569575 1{)54 0D6p 03/08/12
1�r
ORDER Route� 0 m�by ORDER NUMBER 465849
Bill ��hip Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREA
To: 1411 E 116TH BT
E. To: 1235 CENTRAL PARK DRIVE E To:
BOX 6600SE
AR E
46032 46032 INDIANAPOLIS IN
.6t7 841 1877k 46266-OOBB
Att: MIC HELLE
7hipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 08/09/12 p' OR
-rtTrms�
Spcia2 ENTER OFF OF 111TH STREET!}!
ye7rms NET 30 DAYS Instr.
Qty qty Sales Product DescriPton Pack Size Label C Weight Pricing Unit Extended
|rdered Shipped Unit Number D Unit Price Price
I CS 3256104 11D. CUP j2-24 Z BBL PLST 1000 EA WINCUP CS 16,5900 16.59
1 Q 4329397 !JtTNMI-P, TMT0 FCY BE FUIL PKT 500/9 GR MONARCH CS 14,9600 14.96
I CS 5329289 ''A"D YLW SS 5.5 OR SHLF 500/5.500 GR MONARCH CS .12.2100 12.21
1 CS 0907156 JERK MW WHT POLYP BULK PLST 1000 EA MON06RAN CS 16.3800 16a38
.1 QS 9107956 -CgWXIE, DEVIL FOOD FT/FR CH/FR40/1.1 OZ SMACKWELLS CS 26.7700 26177
1 AS 9954371 CUP 32 Z STRAW SLTD PLST 10/50 EA MON06RAM CS 21.5500 2105
REFRIGERATED
READY TO EAT Please Refer to Return Polivv
1 EA .3000452 SALAD, TUNA ALDCR TFF REF 5 LB PIERCE P EA 26.9600 26.96
READY TO EAT Please Refer to Return Polly
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 11 PIECES SHIPPED: 11 1TEMS SHIPPED:
TOTAL REFRICERATED PIECES ORDERED: 3 PIECES SHIPPE& 3 ITEHS SHIPPED: 64,11
TOTAL FROZEN PIECES 0DERED: I PIECES SHIPPED: I ITENS 63.9J
ACCOUNT INVOIG£ INVOICE CUSTOMER PURCHASE ORDER SAL-ES SALES DATE
NO NO DATE N NUM8ER LOC. ��REP. ORDERED
9O569922 1645700 D 9O569575 105 'OO62 O3/O8/12
Route: 5291 8 UMBER: 465,948
Ship Remit
To: 1411 E. 116TH ST To: T BOX 660088
317 843 1873 4CJ-1266-0089
Att: MICHEL.L.E COMPTON DEPT 00 800 428 21.1.8
�hip FT m. 12301 CUMBERLAND RD FISHERS IN-�hjpI7. 07.A/09/12 Page 02 of 02
�r�Trms -Spcia2 ENTER OFF OF 111TH STREET�!!
'yt7rms: NET 30 DAYS Instr.
qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Uoit Extended
/rdered Shipped Unit Number D Unit Price Price
F*UE1. SURCH-ARGE 6. 25
PIECES SHIPPED: Itz ITEMS SHIPPED: .1
OTAL WGT SHIPPED: 116.89 PIECES ORDERED: 1.71,
PRODUCT TOTAL V 409-.52
CHARGES 6. 25
GE1 SALES TAX .00
This amouvit is ail estirnate at time of sh:Lpping p to aiiy adjustiTients made at deliverV: 415.77
'~'°a"e
Description
P.O.
Budget
Line Descr Fb
Purchaser Dat*_____ �dQ ��Y�
�0 ^.n.` �v.�
Approval Date___
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Box 660088
Indianapolis, IN 46266 -0088
In Sum of
1,571.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1095 -1 1410069 4239040 1,005.35 1 hereby certify that the attached invoice(s), or
1095 -1 1472360 4239040 87.66 bill(s) is (are) true and correct and that the
1095 -1 1645700 4239040 415.77 materials or services itemized thereon for
1095 -1 1739563 4239040 63.20 which charge is made were ordered and
received except
22 -Mar 2012
Signature
1,571.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNT INVOICE INVOICE CuoTomsn PURCHASE ORDER SALES SALES DATE
NO' mo. muMosn LOC. REP. ORDERED
9Q569 569575 1054 0062 03/13/12
�W�
9549 1 ORDER NUMBER: 469044
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKS&RECREAT RE US Foods, I C.
1EO* BOX 660088
TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E 0:
US o
OX
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
ATT.
317 843 3873 46266 OCIEBS
100 e
MICHELLE COMPTON -DEPT 00 ESOO 4283 21
SHIPPED FROM: 2301 CUMBERLAND RD FISHERS' IN SHIP DATE: 03/13/12 Page 01 of 01
p�mx r�mo SPECIAL customer will p ic soon!!
NET �O DAYS
PAYMENT TERMS: /wmno�mw.
DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED
ORDERED� SHIPPED UNIT NUMBER D UNIT PRICE PRICE
INVOICE SUMMARY
'TOTAL WGT SHIPPED: 32.50 PIECES ORDERED: 2 PIECES SHIPPED: 2
PRODUCT TOTAL 63.20
TAXABLE AMOUNT .00
GEN SALES TAX x .00
PLEASE REMIT THIS AMOUNT BY 04/12/12 AMOUNT 63.20
Purchase
Description Cj0j1_)(f-_1:�Sxni
Budaet
Purchaser Date
Approval Date
The pwitall, =Iunt.,7Zamall 11*6 a d =,c I. I the Visit www.usfood.corn for a f and easy way to order. X
Wrinmoddi", all inventories of lead Ot' Other Pmducts derKed hom these commodities, and any wmaltim m VDceeds tram the sale of
(b) the maximurn rate that the stonna my la nt 0 ay a in all events calmlated in —Drdance Wnh ZA a.. CUSTOMER COPY We,4A"ea4a *-om V",lwe"
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. Terms
Box 660088
Indianapolis, IN 46266 -0088
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/2112 1410069 Concessions 30535 1,005.35
3/5/12 1472360 Concessions 87.66
3/9/12 1645700 Concessions 30567 415.77
3/13/12 1739563 Concessions 30567 63.20
Total 1,571.98
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Box 660088
Indianapolis, IN 46266 -0088
In Sum of
1,571.98
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1095 -1 1410069 4239040 1,005.35 1 hereby certify that the attached invoice(s), or
1095 -1 1472360 4239040 87.66 bill(s) is (are) true and correct and that the
1095 -1 1645700 4239040 415.77 materials or services itemized thereon for
1095 -1 1739563 4239040 63.20 which charge is made were ordered and
received except
22 -Mar 2012
Signature
1,571.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund