HomeMy WebLinkAbout208895 05/10/2012 CITY:OF C INDIANA VENDOR: 353824 Page 1 of 1
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ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $524.08
CARMEL, INDIANA 46032 Po eox ssooae
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 208895
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 2707193 524.08 FOOD BEVERAGES
ACCOUNT INVOICJ INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO DATE NQ NUMBER LOC. REP. ORDERED
90569922 2707191 04/13/12 90569575 1054 0062 04/12/12
Route:5291 B ORDER NUMBER: 497319
8ill Ship Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc.
!o: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
BOX 660088
CARMEL 1 114 CARMEL IN
46032 46032 4NDIANAPOLIS IN
317 843 3873 46266-0088
Att: MICHELLE COMPTON DEPT 4 00 -800 428 2119
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`ytTrms: NET 30 DAYS Jnstr:
Qty QtV Sales Product Descripton Pack Size Label C Ueight Pricing Unit Extended
/rdered Shipped Unit Number D Unit Price Price
*Nx INVOICE SUMMARY M**
FUEL SURCHARGE 6.25
TOTAL UGT SHIPPED: 197,56 PIECES ORDERED: 20 PIECES SHIPPED: 20 ITENS SHIPPED: is
PRODUCT TOTAL 576.78
APR 19 CHARGES 6.25
TAXABLE AMOUNT .00
GEN SALES TAX .00
This amount is an e5timate at time of shipping prior to any adjustments made at delivery:
Purchase
Description
G.L.41; Z*
Bud t
Lhe es
Approval Date—
ACCOUNT INVOICV INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 2707193 04/13/12 90569575 1054 0062 04/12/12
Route:5291 B /VL�� ORDER NUMBER: 497319
8ill Ship Remit
To: 1411 F� 1�1�!T�f� ST TO: To� E~�^'L'^""~~"E^"E'-� To:
"S Inc
6
CARMEL IN CARMEL IN PDX 46032 46032 INDIANAPOLIS
117 843 307 46266
Att: MICHELLE COMPTON DEPT 00 800 42e 211B
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y��rms� NET 3O DAYS Instr:
qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
rdered Shipped Unit Number D Unit Price Price
DRY
1 CS 0814541 CUP, FM 20 z w-1
I CS 1287747
SNACV BAR, CRL ASST 1W SS 0/16/1.3 OZ VELLOO&S CS 27.7400 27.74
1 CS 2404325 GLOVE, POLY LG TXTD AMBDX` 10/100 EA MONOGRAM B
CS 39.7100 39.71.
1 CS 3708773 SPOON, TEA MW WHT POLYP BULR A000 EA MONOGRAM CS 0.9200 100
I CS 4180923 COOKIE; VNL CREME SNDWH &PC4t. 40/1.7 OZ SNACKUELLS CS 26.2300 26,23
i CS 4573788 SNACK MIX, STWBY YOGRT SS n/1 OZ CHEX CS 32,1100 3Z11
1. CS 5585476 CHIP, PTATO ERD ORIG GLTN/FR'�;4 OZ BARED LAYS CS 28.5500 28.55
4 /2 LB
3 3 CS ?463606 CHIP, TORTLA CORN YLU RND 02 LB EL PASADO CS 18.8200 56.46
1 1 CS 9954371 LID, CUP 32 Z STRAW SLTD PLSMO/50 EA MONOGRAM CS 21.5500 21,55
REFRIGERATED
READY TO EAT Please Refer to Return Polick
READY TO EAT Please Refer to Return PoiJi.cy
I I CS 4800884 MILK, CHOC 1% LOW FAT PLST F PT- PRAIRIE FM CS 10,9000 10 9.1
FROZEN
i CS 23?2?28 CHILI, Q/ BEAN HEAT 9 SRY FZM 415 LB' WHITYUNDER CS 55,9700 55.97
1 CS 4636718 SOUPo CHIX NDL TFF RTU POUCH Z LP CLSC TUREE CS 47.7900 47.0
PRODUCT CLASS RECAP
TUTAL DRY PIECES ORDERED: I PIECES SHIPPED: 0 ITEMS SHIPPED: 412.23
TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 60.79
TOTAL FROZEN PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 03, 76
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
4/13/12 2707193 Concessions 30674 524.08
Total 524.08
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
524.08
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1095 -1 2707193 4239040 524.08 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
9 -May 2012
Signature
524.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund