209858 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
F ONE CIVIC SQUARE U S FOODSERVICE, INC
CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $11,863.64
INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 209858
ON
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1065802 2,510.88 FOOD BEVERAGES
1095 4239040 1084612 139.36 FOOD BEVERAGES
1095 4239040 2980787 -19.36 FOOD BEVERAGES
1095 4239040 493323 780.60 FOOD BEVERAGES
1095 4239040 734875 112.97 FOOD BEVERAGES
1095 4239040 855540 5,621.87 FOOD BEVERAGES
1095 4239040 924775 164.80 FOOD BEVERAGES
1095 4239040 924778 2,552.52 FOOD BEVERAGES
We CREDIT MEMO
FOOM Page 1 of 1
ACCOUNT NUMBER CREDIT MEMO NUMBER INVOICE NUMBER ORDER NUMBER PURCHASE ORDER SALES LOCATION SALES REP
90569922 2980787 1410069 470248 1054 62
CUSTOMER NUMBER CREDIT MEMO DATE INVOICE DATE ORDER DATE SPECIAL INSTRUCTIONS
90569575 2012/03/14 03/0212012 03/14/2012 INV 1410069 DATE: 3 -2 -12 TRANSFER P# 5326426 LETTUCE CLN AND TRIM
BILL TO SHIP TO REMIT TO
CARMEL CLAY PARKS &RECREAT CARMEL CLAY PARKS &RECREAT US Foods, Inc.
1411 E. 116TH ST 1235 CENTRAL PARK DRIVE E BOX 660088
CARMEL. IN 46032 CARMEL, IN 46032 INDIANAPOLIS, IN 46266 -0088
ATTN: MICHELLE COMPTON Dept.: 0 (800) 428 -2118
(000) 000 -0000 (317) 843 -3873
IMPORTANT NOTICE
THE PRICE SHOWN ON YOUR INVOICE MAY NOT BE NET OF ALL DISCOUNTS, ALLOWANCES AND INCENTIVES. ANY INCENTIVE, DISCOUNT OR ALLOWANCE PROVIDED IS PROVIDED AS A
DISCOUNT WHICH MAY SUBJECT YOU TO REPORTING AND /OR DISCLOSURE REQUIREMENTS UNDER APPLICABLE FEDERAL OR STATE LAW.
INVOICE LINE DETAILS
QUANTITY SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE WEIGHT PRICING UNIT EXTENDED
UNIT NUMBER UNIT PRICE PRICE
1
INVOICE SUMMARY
Product Total $0.00
PROMOTIONAL ALLOWANCE $19.36 CR
Sales Tax Rate: 0.00 $0.00
AMOUNT $19.36 CR
Purchase
Description zlnntwn It Lt0 1f
P.O.# PorF
G.L.
Budoet
Line bescr
Purchaser Date
Approval Date
Page 1 of 1
i
ORDER SALES SALES DATE
R LOC. REP ORDERED
1054 0062 05/07/12
8ill Remit
o
To: To: To
BOX 66008e
46032 46032 INDIANAPOLIS IN
317 840 387 46266-0088
Att: MICHELLE COMPTON DEPT 00 900 42a 2118
ThipFrm 12301 CUMBERLAND RD FISHERS IN Ship& 05/08/12 Page 02 of 02
,'tyrms. Spcial ENTER OFF TW
'yQrms: 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
INVOICE SUMMARY
FUEL SURCHARGE 6.25
TOTAL UOT SHIPPED: 260.48 PIECES ORDERED: 24 PIECES SHIPPED: 24 ITEMS SHIPPED: 19
PRODUCT TOTAL 774.35
CHARGES &25
TAXABLE AMOUNT .00
GEN SALES TAX .00
This amount is an estimate at time of shippjpq prior to any adjustments made at deliyerV: 780.60
Rivohaoe
Description 4"Z_
MAY 310 2012 P.O
G. L.
Rudoet
u
Purchawr
Approval Dote______
r
e j
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO. DATE NO. NUMB ER LOC. REP. ORDERED
90569922 0493323 05/08/12 90569575
~�y� 1D54 0062 05/07/12
Route:2251 4 ORDER NUMBER: 519496
Bill 8hip Remit
CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREA US Foods, Inc.
Toi 1411 E, 116TH ST To: 1235 CENTRAL PARK DRIVE E TA
46032 46012 INDIANAPOLIS IN
1 317 843 3873 46266-0088
Att:
7hipFrw 12301 CUMBERLAND RD FISHERS IN Shjp& 05/08/12 Page 01 of 02
7 rtTrms: Spcia2 ENTER OFF OF 111TH STREET!!!
'ytTrms. 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
DRY
i I CS 0791550 CONTAINER, FM 4 Z SQT WHT 25/40 EA MONOGRAM CS 19.1800 19.10
4 2 CS 0791616 CUP FM 32 Z WHT 25/20 EA MONOGRAM CS 35.4300 7086
1 1. CS 2404325 GLOVE, POLY LG TXTD ANBDX 10/1.00 EA NON06RAN B CS 39.7100 39.71
i i CS 3256104 LID! CUP 12-24 Z BDL PLST 1000 EA WINCUP CS 16.9200 16.92
1 0 CS 3708674 FORK, NW WHT POLYP BULK PLST 1.000 EA MONLOORAN
S UB I CS 8461451 FORK, HW WHT BULK PLST 1000 EA PRIM[-.. CS 15.5000 15.50
1 CS 3708703 KNIFE, MW WHT POLYP BULK PLST 1000 EA MONOGRAM CS 15.0000 1S.06
2 2 CS 3708773 SPOON; TEA MW WHT POLYP PULR 1000 EA MONOGRAM CS 14.9200 2904
i I CS 5280391 ONION, CHPD PKT SS 200/9 OR HEINZ CS 16.3500 16.05
1 1 CS 5329289 MUSTARD, YLW SS 5.5 GR SHLF 500/5.500 GR MONARCH CS 12.7300 1.2.73
1 1 CS 6818819 TRAY, PAPR FOOD 5 Q CLAY 2/250 EA NONOGRAN CS 44.1200 44.12
I CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF 6/102 OZ CHEF MATE CS 65.4500 65.45
i CS 8353927 NAPKIN, DISPR INFLD WHT 6.5X1024/250 EA EASYNAP CS 57.9200 57.92
I CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21.5500 21.55
PRODUCT CLASS RECAP I
TOTAL DRY PIECES ORDERED: 24 PIECES SHIPPED: 24 ITEMS SHIPPED: 19 ?74.30
Purchase
Description
110.# PorF
aL#
Budget
Des By.
BNn
Punoouoe Oaue______
Approval omto
t
o
1 1
1.
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
u NO. NO. DATE NO. NUMBER LOC. REP. ORDERED
90569922 0734875 05/15/12 90569575 C .7 990 1054 0062 05/15/12
I)ELIVERYROUTE: 9699
ORDER NUMBER: 527135
BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL CLAY PARKSgRECREAT REMIT US Foods, Inc.
TO: 1411 E. 116TH ST TO 1235 CENTRAL PARK DRIVE E TO:
BOX 660086
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
317 843 3873 46266 —OOBS
ATT. MICHELLE COMPTON DEPT #b 00 800 488 2118
sHIPP DFROM 12'301 CUMBERLAND RD_ FISHERS IN S HIP 05/15/12 Page 01 o f 01
FREIGHT TERMS: NET 30 DAYS SPECIAL CUSTOMER PICK UP
PAYMENT TERMS: "INSTRUCTIONS:
QTY. OTY. SALES PRODUCT C PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE
1 1 EA 2000453_ SALAD, CHIX°CRMY__REF 5 LB__.- PIERCE B EA 26.9900 26.99
READY TO EAT_- Please Refer to Return P61ici
CS___ 532642 LETTUCE", "ICBRG CLND A TRIMD 4/6 EA GROSS VALY B CS 22.0100 22.01
READY TO EAT Please Refer to Return Policy
1 0 CS 5218862 ICE VNL 24/6 OZ BLUE
1_- 1 CS 5509708 PIZZA CHS 7" DEEP DISH FZN W/36/10.22 OZ BOSCO'S CS 63.9700 63.97
INVOICE SUMMARY
TOTAL WGT SHIPPED: 62.00 PIECES ORDERED:, 4 PIECES SHIPPED 3
PRODUCT TOTAL 112.97
TAXABLE AMOUNT .00
-MAY -O ZO- GEN SALES TAX y .00
Purchase PLEASE REMIT THIS AMOUNT 06/14/12 AMOUNT 0 112.97
__..Description.
-p or F
P.O.
—Bud et
Line Descr
r
_Date
Purchaser
Date
Thaoadsnarea hi5lmroi�eaasoldsube� mme5mumy u s awed :ea b he Visit www.usfoods.com for a fast and eas y y wa to order.
Perishable Ayncultuml Commodities Pt1, 1930 Q U.S.C. 499e(c)). The seller of these wmmedibes retains a trust claim over itese X
commodNes, all inventories of food ar atria products demietl hom Nese cammodides, and arty receivables a proceeds fmm the sale of
these commoditres urdit tull paymem is received. CUSTOMERS SIGNATURE:
Interest shall accrue on ell unpaid balances exceeding established credit terms at a rate equal to the lesser al (a) 1!h %per month or
(b) Ne maximum rate that the astomer may lawluly contract W pay, and in ore events calculated in aaordance whh applicable law. [Ve;4(l� w" Faj4m44
v'
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k
ORDER S SALES DATE
NO 01 NO NUMBER LOC. REP. ORDERED
9O5699 1O54 DO62 05/17/12
ER 530209
Bill i Remit
CARMEL CLAY PARKS&RECREAT CARME CLAY PARKS&RECREAT US Foods, Inc.
To: To: 1235 CENTRAL PARK DRIVE E T
BOX 660088
OL
46032 46032 INDIANAPOLIS IN
317 843 3873 46266---0088
Att: MICHELLE COMPTON DEPT 00 :8 428 2118
ShipF 12301 CUMBERLAND RD FISHERS IN ShipD. 05/18/12 Page 03 of 03
Ship Fr m:
FrtTrms�� c�
Sp C7 ENTER OFF OF T
FrtTrms:
PyG' NET 30 DAYS Ins tr.
PytTrms:
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
I I CS 855231 MUFFIN, COF CAKE PECN CTH 'Alt.) 24/4 OZ SARA LEE ("IS 25.6200 25.62
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED:, 1.08 PIECES SHIPPED: I CIS ITEMS SHIPPED: 45 3706.45
TOTAL REFRIGERATED PIECES ORDERED: 13 PIECES SHIPPED: 13 ITEMS SHIPPEE): to 313.97
TOTAL FROZE14 PIECES ORDERED: 46 PIECES SHIPPED: 46 ITEMS SHIPPED: 13 IL01.45
TOTAL WOT SHIPPED: 1919.98 PIECES Or 167 PIECES SHIPPED: 167 ITEMS SHIPPED: 68
PRODUCT TOTAL 5621.87
TAXABLE AMOU11T 00
GEN TAX .00
This amount is an estimate at time of shipping prior to any adjustments made at delivery: 5621.67
Purchase
Description
Bud t
LineSscr
Purchaser Date_
"pv Dnm______
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V
ti
AC N T O IN ICE I CUSTOMER PURCHASE ORDER ���'`SA SALES DATE
�NO. NQ. DATE WO. NUMBER LOC. REP. ORDERED
9D569922 O8�5�4� O5�18/l2 9O569575 1054 0062 05/17/12
yk��_
Route:5283 3 ORDER NUM8ERi 530209
8 ilI ��hAp Remit US Foods, Inc.
To: E. 116TH ST To: 1235 CENTRAL PARK DRIVE F To:
CARMEL IN 46032 46032 INDIANAPOLIS IN
717 843 3871 46266-0088
Att: MICHELLE COMPTON DEPT 00 L_800 423 2119
ShipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 05/18/12 Page O1 of 03
8hipFrm:
FrtTrms: Spcial ENTER OFF OF 111TH STREETY!
FrtTrms:
PytTrms: NET 30 DAYS Instr:
FytTrms:
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Eitended
Ordered Shipped Unit Number D Unit price Price
RY
6 3 CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 35,4300 106.29
3 3 CS 0814236 CUP, FN 16 Z WHT 20/25 EA MON06RAN CS 17.5100 52.53
3 3 IS 0014541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS 21.8300 65.49
I 1 1207747 SMACK BAR, CRL ASST IW SS 3/16/1.3 OZ KELLOGG'S CS 2S.2900 28.29
3 V S 1462803 SPOON, TEA MW WHT BULK PLST 1000 EA PRIME CS 14,0700 42.21
2 1 1404325 GLOVE, POLY LO TXTD ANBOX 10/100 EA MONOGRAM B CS 39.7100 79.42
3 3 :,W 3256104 LID, CUP 12-24 Z BBL PLST 1000 EA WiNCUP CS 16.9200 30.76
2 2 y Tyl 40042S9 CANDY, BAR SNCVR 207 OZ 48 EA SNICKERS EA 34.2700 68.54
2 2 If 1053336 CANDY, BAR MILK CHOC 36/1.55Z HERSHEY EA 26.2100 52.42
15 15 4 0 426023S SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS W1600 752,40
3 'v _�;Z 09289 MUSTARD, YLW SS 5.S OR SHLF 500/5,500 OR MONARCH C 9 12.7300 38-19
Z Z Q? 5597604 CHIP CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 290500 59.70
2 __2 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 28.8400 57.68
I I v 560679. CHIP, PTATO REG PLN SS BAG 64/1.5 OZ LAY'S CS 28.5500 28.55
1 1. 5601927 CHIP, PTATO kTL JLP SS BAG 64/1.375 OZ MISS VICKI CS 30.1500 30.15
1 11 5601?43 CHIP, PTATO KTK BBQ SS BAG 64/1.375 OZ MISS VICKI CS 30.1500 30.15
1 1 5605431 CHIP, MULTORN GRDN SALSA SS 64/1.5 OZ SUN CHIPS CS 29,8500 29.85
1 1 AS LOSS& CHIP, MULTGPN ORIG SS 64/1.5 OZ SUN CHIPS CS 29.8500 29. 85%
Q 2 Af 6210777 CANDY; KIT VATANOG STD 1Z Z 36 EA KIT kAT EA 25,9400 51.88
1 200/9 OR MONARCH
Z' 2 1818819 TRAY, PAPR FOOD 5 LB CLAY 2/250 EA MONOGRAM CS 44.1200 88.24
2 2 000576 CANDY, MaM PNT 1:74 OZ 48 EA N A M EA 34.1900 68.38
ACCOE_ ►E INVOICE INVOICE CUSTOMER PURCHASE C.11�S=•1��R SALES SALES LATE
NO NO. DATE NO: NUMBER LOC REP. ORDERED
905699 22 085 5540 05/le/12 90569575 1014 0062 05417/12
Ro ute 5e'.83 :3 ORDE1 Mt.}I` BER 539209
CARMEL CLAY PARKS &RE:CREA�T� CARMEL. CLAY PARO�.S&RECREAT US T =cods, In
To: 1.x{•1.1 E 116TH ST T"o: 1235 CENTRAL.. PARK DRIVE T= To:
CARMEL IN CARMEL IN BOX b600
43e
46032 46032 INDIAEUAP'(:IUS Ifrd
317 543 3873 462 66-008e
Att: MICHELLE COMPTON DEPT 00 `c 00 428 51183
ShspFrm: 12301 CUMBERLAND RD FISHERS IN Shi,xr& 05/18/12 Page 02 of 03
ShipFrm:
FrtTr s. pc .ia l ENTER OFF F" OF 111TH STRT ET i E E
FrtTrms:
PVt0X17s: N 30 DA Y S .1"ns tr.
P VtT
Qty Qtkl Sales Product t.escr:il:ton 1"',:ck Size Label. C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
1 1 CS 0189079 61.451 FORK, MW 1,1HT BULK PL ST 1000 E A PRIME' CS 15.5000 15.50
1 1. CS 1.4855 STRAW, JI` B 7.75 CLR UWRPD STD24 /500 EA MONOGRAM B CS 72.7700 72.77
6 6 CS POPCORN, FLAW KIT W/ OIL SAL.T16 /8 07' FANCY FARM CS 23.8300 142.98
2 CS 7956 COOKIE, DEVIL. FOOD FT /FR CH /FR48/1.1 OZ Sb1AC14WELLS CS 26.7700 53.54
1 2 2 CS 328311 WRAP, FOIL 1200.75 !NFLD POP 12/200 EA MONOGRAM B CS 85.0600 170.12
I I CS- 41223 CREAMER, HALF 9-HALF UHT DAFFY 360/.375 OZ GLNV1.1 FRMS CS 16.7600 16.76
10 10 CS v,463688 CHIP, TORTLA CORN YL U RND 6 /2 LB EL P'ASADO CS 19.0200 19000
3 3 CS 4954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21.5500 64.65
REFRIGERATED
2 2 CS 065426 9 HU°EMUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 22 9000 45.80
READY TO EAT Please Refer to Return Pol'
2 2 CS 06``24301 "'HUMMUS, GRLC RSTO NONDARY REEF 12/4.56 07 1ABRA CS 22.9000 45.80
READY T O EAT` Please Refer to Return Police/
I 1 CS 1.1.99.'98 V°r'O�',URT, ASST LIGHT' RBST FREE 1'2/6 OZ YOP'LAIT CS 9.3200 9.32
1 1 CS 2000453 ,,6AL `,D, CHIX CRMY REF 2/5 LB PIERCE Cr CS 39.9800 39.98
READY TO EAT Please Refer to Return Pol'
I 1 CS 300045' ,AL.AD, TUNA ALBCR TFF' REF 2/5 LS F'IE=.RCE B CS 39.9400 39.94
P;[-ADY TO EAT P :Lea ae Refer I o ;e turn P'aal i r
I 1 CS 4800843 vF'( *0 2Z RFDUC FAT' P°LST REF 12/1 PT PRAIRIE F1'1 CS 10.5500 10.55
1 1 CS 4800884 ./(ET�.K, CHOC 1% LOW FAT PL`:.�T' REF1.6 /1 PT PRAIRIE FM CS 10.5500 10.55,
1 1 CS 5332242 T TUCE, ICBRO SHRD 1/4" CLND 4 /5 Q CROSS VALY B CS 17.1100 17.11
MPERONI, DY TO EAT Please Refer to Return Pol:ic;�
2 2 CS 6329676 S1,.CD 14-16 CT NO 2/5 LB �JOSELI CS 31.5500 63.10
1 I. CS 9331.380 APPLE, RED DLC 136 CT XFCY 138 EA CROSS VALY CS 31.8200 31.82
FROZEN
10 10 ./C- 201127£3 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUP'R PRTZL CS 31.6000 316.00
1 1 ,S 2014652.; MUFFIN, BLBRY IW 24/4 07 SARA LEE CS 21.7000 21.70
4 4 ,/O 3041423 CORN DOG, AN CH P'ZN 48/4 OZ STATE FAIR CS 33.4100 133.64
10 10 ✓CS 3330099 HO'T' DOR, AB 6:1 6" RLR GRIL.. 10 LB PATUXENT CS 29.9700 299.70
S 3335825 SAUSAGE, ITLN MILD CRBL PORK 2 /5 LB ROSELI CS 26.1200 52.24
1 T i 4058707 MUFFIN, BANA NOT IW FZN 24/4 OZ SPUNVNEYER CS 24.3300 24.33
2 521886'2 ICE CREAN SANDWICH, NL 24/6 OZ BLUE: BUNNY CS 17.1400 34.28
3 3 ✓�S 5 209708 PIZZA, CHS 7u DEEP` DISH FZ N W/36/10.22 OZ BOSCO'S CS 63.9700 191.91
6 6 (,S 574122E3 BUN, HOT' DOG 6" HINGE `:,LC:D 'T'FF12 /12 EA HILLTOP' HR CS 29.9700 179.82
3 3 ,ACS 6153027 BROWNIE, CHOC 2.5 Z UNSL BBD 48/2.5 QZ DREG CS 41.5500 124.65
1 1 o?S 7526106 COFFEE:, L.IQ 100% COL. BN FZN C:TN2 /1 25 LT DOUWEFGBR T CS 14x3. 9000 148.90
2 2 vCS X31137999 ICE CREAN BAR, CHOC TACO VNL24 /4 OZ KLONDIKE CS 24.3300 413.66
ACCOUN IN"WE M S ALES LOC. REP. ORDERED
NO. TE N01. NUMBER
905699;P? 2 j924775 0/22/12 90569575 Special Order 1054 0062 05/18/12
�ARMEL CLAY PARKS&RECREAT fARMEL CLAY PARKS&RECRE US Foods, Inc.
To: 1411 E. 116TH 91' 1235 CENTRAL PARK DRIVE E ra: 5PY 64QQ89: IT 7 y
CARMEL IN CARMF1 IN
46032 46032 INDIANAPOLIS IN
317 243 3e73 46266-00C98
At":
ShipFrw 12301 CUMBERLAND RD FISHERS IN ShipD: 05/22 Page 01 of 01
ShipFrm:
FrtTrms: Spcial ENTER OFF OF A1TH STREET!!!
FrtTrms�
PytTrms. NET 3{) DAYS Instr
PytTrms:
�ty Qty Sales Pro�uct Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
I I CS 3024700 SYRUP, FONTH CHRY ICE CAP PLET4/1 GA LYONS NAG CS 41.2000 41.20
1 CS 8312571 SYRUP, FONTN RSP BLU ICE CAP 4/1 GA LYONS NAG CS 41.2000 41.20
I CS 9139098 SYRUP, FONTN LINE ICE CAP PLST4/1 GA LYONS NAG CS 41.2000 41.20
REFRIGERATED
i I CS 6164081 SYRUP, FONTN ORPPE ICE CAP RTU4/1 GA LYONS NAG CS 41.2000 41.20
TOTAL DRY PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: 3 123.60
TOTAL REFRIGERATED PIECES ORDERED: I PIECES SHIPPED: 1 ITEMS SHIPPED: 1 41,20
INVOICE SUMMARY
TOTAL WGT SHIPPED: 168.80 PIECES ORDERED: 4 PIECES SHIPPED: 4 !TENS SHIPPED: 4
PRODUCT TOTAL 164.80
Purchase
Descdphon
aL# TAXABLE AMOUNT .00
GEN SALES TAX x
Budget
Approval Date
an estimate at time of shipping prior to anV adjustments made at deliveryi 1 164.80
g
r
ACCOU NV
NO, No NUMBER LOC. REP. ORDERED
90569922- 4`14c24 5/22/12 cO569575 1054 0062 05/21/12
To: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E
BOX 660088
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN1
317 843 3873 46266-0088
Att: MICHELLE COMPTON DEPT 00 800 428 2118
ShzpFrm: 12301 CUMBERLAND MD FISHERS IN Shzp& 05/22/1 Page 02 of 02
ShipFrm:
FrtTrms: spcja2 ENTER OFF STREET!!!
FrtTrms:
PytTrms: NET ]O DAYS Instr:
PytTrms:
�ty Qt Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
INVO CE SUMMARY
TOTAL WGT SHIPPED: 1407-43 PINES ORDERED: 100 PIECES SHIPPED: too ITEMS SHIPPED: 21.
PRODUCT TOTAL 2552.52
TAXABLE AMOUNT .00
GEN SALES TAX .00
This amount is an estimate at time of shipping prior to any adjustments made at delivert(.$ 2-552.52
Purchase
Budaet
Line be
Purchaser ome_____~
Approval Date___
1
6' e
1
Lo
ACCOUNT I NIVO ICE INVOICE CUSTOMER PURCHASE ORDER SA SALES E
NO. 1\10. DATE NO: NUMBER LOC. REP. ORDERED
9D569922 O924� B 05/22/12 90569575 1054 0062 05/21/12
Route: 2251 4 ORDER NUMBER: 532343
Bi lI Ship Remit p
To: 1411 E. 116TH ST To: 1215 CENTRAL PARK DRIVE E To:
46032 46032 INDIANAPOLIS IN
317 841 3373 46266-oose
AtO MICHELLE COMPTON DEPT 00 800 428 2119
5hipFrw 12301 CUMBERLAND RD FISHERS IN 5hipl7: 05/22/12 Page 01 of 02
ShipFrm:
Frt7rms: Spcia2 ENTER OFF OF 111TH STREET/
FrtTr s�
Pyt&ms. NET ]O DAYS Instr:
PytTrms:
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit Price Price
DRY
1 CS 5311600 CONE, ICE CRM CAQ 226 FLAT 36/20 EA JOY CONE CS 39.0900 3909
1 CS 7328024 DRINK MIX, FRT PMCH 2 GAL YLD 12/24 OZ THIRSTER CS 2?.0900 29.09
REFRIGERATED
10 7 CS 4084151 ICE CREAM MYX, SOFT SRV VNL 4X2/2.5 GA PRAIRIE FM CS 32.1100 224.77
READY TO EAT -'Please Refer to Return Polict
*SUB** 3 CS 4322665 ICE CREAM NIX, SOFT SRV VNL 5%2/2.5 GA 'RAIRIE FM CS 33.5300 100.59
READY TO EAT Please Refer to Return Polic
6 6 CS 6403952 BEEF, PTY GRHD 80/20 4:1 RND 56/4 OZ FTLMN SLCT CS 43.4300 260.58
10 10 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2.5 GA PRAIRIE F11 CS 32.1100 321.10
READY TO EAT Please Refer to Return PolicV
FROZEN
4 4 CS 1157387 ICE CREAM BAR, DREAM STICK VNL2/24/3 OZ BLUE BUNNY CS 20.8800 83.52
3 CS 1792399 BEEF SUB, PTY MEATL YEG 3 36/?25 OZ CHEFS LINi CS 45.9000 137.70
4 4 CS 2260099 ICE CREAM SANDWICH, CKY CRN 24/4,5 OZ BLUE BUNN'� CS 22.2700 89.08
12 12 CS 2639250 ICE CREAM CUP, CKY DOUGH 12/2.9 OZ ITTIBITZ CS 12.5500 150.60
6 6 CS 469451? ICE CREAN CUP, IT BANA SPLT 24/5 OZ ITTIBITZ CS 25.3200 15102
4 4 CS 5218862 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 17.1400 68.56
4 4 CS 5403548 ITALIAN ICE, LMN DBL CUP FZN 12/16 OZ CHILL CS 23.2500 93.00
4 4 CS 7175128 ICE CREAN CONE, VNL TFF 2/12/4.6 OZ BB CHAMP CS 22.9000 91.60
6 6 CS 9763061 POPSICLE, ORNB CHRY GRAPE SG/F12/6/1.65 OZ POPSICLE CS 19.3300 115.98
PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 4 220.72
TOTAL REFRIGERATED PIECES ORDERED: 26 PIECES SHIPPED: 26 1TEMS SHIPPED: 4 907.04
1 1 OTAL FROZEN PIECES ORDERED: 67 PIECES SHIPPED: 67 ITEMS SHIPPED: 13 1424.76
ACCOUNT IN E INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO' NO. NUMBER LOC, REP. ORDERED
9056992 90569575 1054 0062 05/24/12
Route:5291 1 ORDER NUMBER: 36475
Bill Sh�P Remit
To: TP: 1235 CENTRAL PARK DRIVE E 0:
BOX 6600e8
CARMEL IN CARMEL IN
A-6032 460:32 INDIANAPOLIS
317 843 3873 46266-0088
Att: MICHELLE COMPTON DEPT 00 800 428 2118
ShjpFrm: 12301 CUMBERLAND RD FISHERS IN ShipD, 05/25/12 Page 02 of 02
ShipFrm:
FrtTrms� Spcial ENTER OFF OF 1 ET!!!
FrtTrms:
PytTrms. NET 30 DAYS Instr.
PytTrms:
Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended
Ordered Shipped Unit Number D Unit price Price
-9* PRODUCT CLASS RECAP
TOTAL DRY PIECES ORDERED: 24 PIECES SHIPPED: 24 ITEMS SHIPPED: 6 851.47
TOTAL REFRIGERATED PIECES ORDERED:
w- PIECES SHIPPED: 16 ITEMS SHIPPED: 10 434.15
TOTAL FROZEN PIECES ORDERED: 36 PIECES SHIPPED: -36 ITEMS SHIPPED: 8 1225.26
INVOICE SUMMARY
TOTAL WG' SHIPPED: 1391.69 PIECES ORDERED: so PIECES SHIPPED: 76 ITEMS SHIPPED: 24
PRODUCT TOTAL 2510.88
TAXABLE AMOUNT .00
GEN SALES 'TAX 7. .00
This aMDUTI iS an e,q-t.imate at time of shipping prior to any adjustm ents made a t del ivery: C,11 J188
Purchase
Description
Line Descr -1
Purchaser Date_
Approval /»7
Date_
i
i i
S z-
1
e
i
t
�mdr7
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER�v�/' SALES SALES DATE
NO. A110. DATE NO. NUMBER LOC. REP. ORDERED
90569922 1065802 05/25/12 90569575 ,n 1054 0062 05/24/12
Route:5291 1 ORDER NUMBER: 536475
8ilI Ship Remit
CARMEL CLAY PARKS&RECREAT C rMEL CLAY PARKS&RECREA7 F"Cls Foods,"' Inc.
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To:
BOX 660088
CARMEL IN CARMEL IAN
4603P- 46032 INDIANAPOLIS IN
317 843 3873 4626b-0088
Att: MICHELLE COMPTON EPT 00 800 428 211a
ShipFrw 12301 CUMBERLAND RD FISHERS IN 6Wip& 05/25/12 Page 01 of 02
ShipFrm:
FrtTrms: spcia2 ENTER OFF OF 111TH STREET!!!
FrtTrms:
PytTrmv NET 30 DAYS Instr:
pytTrms:
Qty Aty Sales Product Descripton Pack Size Label C Weight Pricino Unit Extended
Ordered Shipped Unit Number 0 �Unit Price Price
DRY
1. 1. CS 1499680- DRNK +CUP 8-32 Z 300 EA PACTIV CS 47.6100 47.61
T WS NACHO SHLF STABL 4/107 OZ ORTEGA CS 50.1600 601.92
I I Q 432139701 TMTO FCY SS FOIL PKT 500/9 GR MONARCH CS 14.9600 14.96
12 12 CS 4260238
1 1 CS 8301913 FRUIT MIX, BIT IN WE TFF BWL 36/4 OZ DOLE CS 22.0900 22.09
REFRIGERATED
READY TO EAT Please Refer toReturn Polic
I I CS 3000452 "SALAD, TUNA ALDCR TFF REF 2/5 LB VIERCE B CS 39.9400 39.94
READY TO EAT Please Refer to Retuln Polic
I I CS 4900843 41ILK, 2% REDUC FAT PLST REF 12/1 PT FRAIRIE FM CS 10.5500 10.55
1 1 CS 4000084 tl= CHOC IX LOU FAT PLST REF12/1 PT PRAIRIE FM CS; 10.5500 10.555
4 4 CS 4884151- CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PRAIRIE FM CS 32.1100 128.44
READY TO EAT Please Refer to Return Polic
I I CS 5006556 vhANANA, ORN FRESH REF 10 LB KACKER CS 7.7800 7.78
�jjS S340047 -BYRUP, FONTN ORNO ICE CAP RTU 4/1 GA LYONS MAG CS 41.2000 41.20
SUBBED UITH PRODUCT 3324100
4 4 CS 7451354 *ICE MILK MIX, SOFT SRV CHOC 4%2/2.5 GA PRAIRIE FM CS 32.1100 128.44
READY TO EAT Please Refer to Return PolicV
10 10 CS 2011278''PIETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 31.6000 316.00
S 5 CS 3041423 &URN DOG, AM CN FZ14 48/4 OZ STATE FAIR CS 33.4100 167.05
CS 3330099 -MBT DOG, AB 6:1 6" RLR GRIL 10 LB PATUXENT CS 29.9700 11908
S 5403540 ITALIAN ICE, LMN DBL CUP FZN 12/16 OZ CHILL
L-D 5507706 PIZZA, CHS 7" DEEP DISH FZN W/36/10.22 OZ BOSCO'S CS 63.9700 191.91
2 2 CS 5741228 vQW- DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 29.9700 59.94
*SUB** 4 CS 3324100 -REF, PTY GRND 80/20 4:1 RND 40/4 OZ HOLTEN CS 43.4300 173.72
SUB FOR PRODUCT 6483952
4 4 CS 8187999 ICE CREAM BAR CHOC TACO VNL24/4 OZ KLONDIKE CS 25.5300 02.20
ACCOUNT INVOICE INVOICE, CUSTOMER PURCHASE ORDER SALES SALES DATE
US* NO. NO_ DATE NO. NUMBER LOC. REP. ORDERED
90569922 10 _4612 05/25/12 `056957:5 �J �y 1054 0062 05/24/12
FOOM ELIVERY RO 9 I 1 /VL 7 r UMBER: 536529
BILL CARMEL CLAY PARKS &RECREAT SHIP CARMEL CLAY PARKS &RECREAT REMIT S Foods, Inc.
TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:
BOX 660086
CARMEL IN CARMEL IN
46032 46032 INDIANAPOLIS IN
317 843 3873 :'46266 -0086
ATT. MICHELLE COMPTON DEPT 00 800 428 2118
IPPE DFROM 123Q.1 CUMBERLAND RD FI- SHER.S T IN._,SHIPDATE: 05/25/12 Page 01 of 01
FREIGHT TERMS: SPECIAL customer will plc
PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS:
QTY. Q C TY. SALES PRODUCT O PRICING UNIT EXTENDED
ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE
E
2 2 CS 2255396 CONE, ICE -CRM. CAKE FLAT BOTM 28/45- EA JOY- CONE. CS 69.6800 S_ 139._36,
INVOICE SUMMARY
TOTAL WGT- SHIPPED:- 8•_18.___:___ PIECES ORDERED:- 2 PIECES SHIPPED: 2
PRODUCT __TOTAL_ 139-36
TAXABLE AMOUNT .00.
GEN _SALES .T.AX
._PLEASE REMIT- THIS. AMOUNT BY 06/-24/1.2_ .AMOUNT 139.36.___
Purchase
P.O. 09/5 'P_I
G.L /LOCH
L II I� Descr
Purchaser D
Approval Date
The perishable agricultural commodities listed on this Invoice are sold subject to the statutory trust authorized by section 5p) of the Visit www.dsfoods.com for a fast and easy way to order.
Perishable Agricultural Commodities Act, 1939 p U.S.C. 499e(c)). The seller of these commodities retains a trust claim over these X
commodities, all inventories of food or other products derived from Oesa commodities, and any receivables or proceeds from the sale of
these commodities until full payment is received. CUSTOMERS SIGNATURE:
Interest shell aware on all unpaid balances VIA% exceeding established credit terms at a rate equal to the lesser of (a) per month or
(b) the maximum rate that the customer may lawfully contract to pay, and in all events calculated in accordance with applicable law.
o
i
f
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
3/14/12 2980787 Credit 19.36)
5/8/12 493323 Concessions 30912 780.60
5/15/12 734875 Concessions 112.97
5/18/12 855540 Concessions 30917 5,621.87
5/22/12 924775 Concessions 30916 164.80
5/22/12 924778 Concessions 30916 2,552.52
5/25/12 1065802 Concessions 30915 2,510.88
5/25/12 1084612 Concessions 30915 139.36
Total 11,863.64
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Box 660088
Indianapolis, IN 46266 -0088
In Sum of
11,863.64
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT WTITLE AMOUNT Board Members
Dept
1095 -1 2980787 4239040 (19.36) 1 hereby certify that the attached invoice(s), or
1095 -1 493323 4239040 780.60 bill(s) is (are) true and correct and that the
1095 -1 734875 4239040 112.97 materials or services itemized thereon for
1095 -1 855540 4239040 5,621.87 which charge is made were ordered and
1095 -1 924775 4239040 164.80 received except
1095 -1 924778 4239040 2,552.52
1095 -1 1065802 4239040 2,510.88
1095 -1 1084612 4239040 139.36
14 -Jun 2012
/MC�Wm
Signature
11,863.64 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund