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210572 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $18,346.96 CARMEL, INDIANA 46032 PO BOX 660088 INDIANAPOLIS IN 46266 -0088 CHECK NUMBER: 210572 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1140664 4,601.27 FOOD BEVERAGES 1095 4239040 1248117 2,850.92 FOOD BEVERAGES 1095 4239040 1281767 232.50 FOOD BEVERAGES 1095 4239040 1467524 3,649.12 FOOD BEVERAGES 1095 4239040 1543422 3,203.05 FOOD BEVERAGES 1095 4239040 1673398 3,810.10 FOOD BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO� NO. DATE NO, NUMBER LOC. REP, ORDERED 90569922 1140664- 90569575 1054 0062 05/27/12 Route:2251 1 ORDER NUMBER: 538062 8ill Ship Remit US Foods, Inc. To: To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 46032 46032 INDIANAPOLIS IAN 317 943 3873 46266-0088 Att: MICHELLE COMPTON DEPT 00 800 428 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN 05/29/12 Page O] of 03 ShipFrm: FrtTrms: social ENTER OFF OF 111TH STREET!!! FrtTrms: P0:'7rms: 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 INVOICE SUMMARY TOTAL WGT SHIPPED: 2035.61 PIECES ORDERED: 187 PIECES SHIPPED: 177 1TEMS SHIPPED: 45 PRODUCT TOTAL 4601.27 TAXABLE AMOUNT .00 GEN SALES TAX .00 This amount is ar estimate at time of shipping prior-to any adjustments made at delivery: 4601.27 Purchase -_--_n GI�# Budoet Purchaser Date Apprmal Date_ ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO� NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1140664 05/29/12 90569575 1054 0062 05/27/12 Route:2251 1 ORDER NUMBER: 538062 BiIl Bhip Remit To: 1411 E. 116TH ST Tv To: BOX 660088 CARMEL IN CARMEL. IN 46032 46032 INDIANAPOLIS 11\1 317 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT 4 00 800 428 2119 ShipFrm: 12301 CUMBERLAND RD FISHERS IN ShipD: O5/29/12 Page 01 of 03 BhipFrm: m FrtTrms. SociaI ENTER OFF OF 111TH STREET!!( FrtTrms� frytTpms: NET 30 DAYS Tnstr. PytTrms: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Humber D Unit Price Price DRY 2 2 CS 0791616 CUP, FN 32 Z WHT 25/20 EA MONOGRAM CS 33.4300 70.86 3 3 CS 0814236 CUP, FM 16 Z QHT 20/25 EA MONOGRAM CS 17.5100 52.53 2 2 CS 081041 CUP, FM 20 Z UHT 25/20 EA MONOGRAM CS 210300 43.66 1 1 CS 1206424 PASTRY, POP TART STUBY FRTD 2 72/2 EA KELLOGG'S CS 42.6800 42.68 1 1 CS 3256104 LID, CUP 12-24 Z BBL PLST 1000 EA WINCUP CS 16.9200 16.92 1 1 EA 4057336 CANDY, BAR MILK CHOC 36/1.55Z HERSHEY EA 26.8800 26.88 1 1 CS 5311600 CONE, ICE CRM CARE 226 FLAT 36/20 EA JOY CONE CS 39.0900 39.09 2 CS 5397968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 28.8400 57.68 I CS 5605472 CHIP, MULTGRN CHEDR SS BAG 64/1.5 OZ SUN CHIPS CS 29.8500 29.85 CS 6329213 RELISH, SWT SS SHLF STABL 200/9 OR MONARCH CS 14.0400 14.04 2 7 CS 681SO19 TRAY, PAPR FOOD 5 LB CLAY 2/250 EA MONOGRAM CS 44.1200 88.24 1 1 CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF 6/108 OZ CHEF NATE CS 66,1100 66.11 I I CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAV' CS 21.5500 21.55 REFRIGERATED READY TO EAT Please Refer to Return Polic ko READY TO EAT Please Refer to Return Polic 1 1 CS 2000453 SALAD, CHIX CRMY REF 2/5 LE FIERCE P CS 39.9800 39.98 READY TO EAT Please Refer to Return Polic READY TO EAT Please Refer to Return Polict I I CS 3000452 SALAD, TUNA ALDCR TFF REF 2/5 LB PIERCE B CS 39.9400 39.94 READY TO EAT Please Refer to Return Polic 1 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT PRAIRIE Fri CS 10,5500 10.55 1 4___jS 4800804 MILK, CHOC IX LOW FAT PLST REF12/1 PT PRAIRIE Fri CS 10,5500 10.55 8 CO 4884151 ICE CREAM 17110 SOFT SRV VNL Q2/2"5 6A PRAIRIE F11 CS 32.1100 256.88 READY To EAT Please Refer to Return Polic 2 2 CS 5006556 BANANA, GRN FRESH REF 10 LB &ACKER CS 7.7800 15.56 2' CS 5332242 LETTUCE, ICBRO SHRD 1/4" CLND 4/5 LE CROSS VALY B CS 1.7.1.100 34.22 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ADER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1140664 05/29/12 90569575 1054 0062 05/27/12 Route:2251 1 ORDER NUMBER: 538062 Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc. To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS 11\1 317 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT 00 200 428 2118 SbipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 05/29/12 Page 02 of 03 ShipFrm: FrtTrms.- Spcial ENTER OFF OF 111TH STREET!!! N FrtTrms: PytTrms: NET 30 DAYS Ins tr. Pyt'rrms: Qty qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price READY TO EAT Please Refer to Return Polict I i CS 6329676 PEPPERONI, SLCD 14-16 CT NO 2/5 LD AOSELI CS 31.5500 31.55 8 B CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2.5 GA PRAIRIE F11 CS 32.1100 256.88 READY TO EAT Please Refer to,Return PolicV 77 FROZEN 1j 3 CS 0105700 BEEF, PTY GRND 80/20 4:1 RND 80/4 OZ CTLMN SLCT CS 60.6600 181.98 3 3 CS 107387 ICE CREAN PAR, DREAM STICK VHL2/24/3 OZ BLUE BUNNY CS 20.8800 62.64 10 10 CS 2011278 PRETZELo KING SOFT BKD FZN 50/5 Oz SUPR PRTZL CS 31.6700 316.70 1 1 CS 2014652 MUFFIN, BLBRY IW 24/4 OZ SARA LEE CS 21.7000 21.70 3 3 CS 2260099 ICE CREAM SANDWICH, CKY CRM 24/4.5 OZ BLUE BUNNY CS 22.2700 66.81 20 20 CS 2639235 ICE CREAN CUP, CKIES CRM 12/2.9 OZ ITTIBITZ CS 12.5500 251.00 20 20 CS 2639250 ICE CREAM CUP, CKY DOUGH 12/2.9 OZ ITTIBITZ CS 12.3500 251100 20 20 CS 2649796 ICE CREAM CUP, COTH CNDY 12/2.9 OZ ITTIBITZ CS 12.5500 251.00 1 3335825 SAUSAGE, ITLN MILD CRBL PORK 2/5 LB ROSELI CS 26,1200 26.12 to 0 CS 4690392 ICE CREAM CUP, ITTIBITZ COTN 24/5 OZ, ITTIBITZ 10 io CS 4694319 ICE CREAN CUP, IT BANA SPLT 24/S OZ ITTIPITZ CS 25.3200 253.20 4 4 CS 5509708 PIZZA, CHS 7" DEEP DISH FZH W/36/10.22 OZ BOSCO'S CS 63,9700 255:88 6 6 CS 5741228 BUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 30.3500 182.10 4 4 CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4.6 OZ BY CHAMP CS 23.5800 94.32 4 4 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6`/1.65 OZ POPSICLE CS 19.3300 77.32 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 37 PIECES SHIPPED: 37 ITEMS SHIPPED: 18 1506.42 TOTAL REFRIGERATED PIECES ORDERED: 31 PIECES SHIPPED: 31 ITEMS SHIPPED: 13 803.08 TOTAL FROZEN PIECES ORDERED: 119 PIECES SHIPPED: 109 ITEMS SHIPPED: 14 2291.77 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NV NUMBER LOC, REP. ORDERED 90569922 1248117 06/01/12 90569575 1054 0062 05/31/12 Route:5291 9 ORDER,NUM8ER: 542391 Bill Ship Remit US Foods, Inc. To: Td: 1235 CENTRAL PARK DRIVE E To- CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att: 1"11CHELLE COMPTON DEPT 00 800 428 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 06/01/12 Page 02 of 02 ShipFrm: FrtTrms Spcial ENTER OFF OF 111TH STREET!!! FrtTrms: PytTrms: NET 30 DAYS 'Inst' PytTrms! r� Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price 10 VT 0' CS 3330099 HOT DOG, AD 6:1 6" RLR GRIL 10 LB PATUXENT 29.9700 299.70 7 V7, CS 4694519 ICE CREAM CUP, IT DANA SPLT 24/5 OZ ITTIBITZ CS 25.3200 177.24 3 CS 5509708 PIZZA, CHS 7" DEEP DISH FZN W/36/10.22 OZ BOSCO"S CS 63.9700 191.91 3 CS 5741228 BUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 30.3500 91.05 2 CS 7175128 ICE CREAN CONE, VNL TFF 2/12/4.6 OZ BB CHAMP CS 22.9000 45.80 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 17 PIECES SHIPPED: 17 ITEMS SHIPPED: 11 61457 TOTAL REFRIGERATED PIECES ORDERED: 10 PIECES SHIPPED: 18 ITEMS SHIPPED: 10 575.89 TOTAL FROZEN PIECES ORDERED: 83 PIECES SHIPPET 77 ITEMS SHIPPED: 10 1656.46 INVOICE SUMNARY TOTAL WGT SHIPPED: 943.61 PIECES ORDERED: 410 PIECES SHIPPED: 112 ITEMS SHIPPED: 31 PRODUCT TOTAL 2850.92 Purchase Bud t JUN TAXABLE AMOLJ14T .00 Purchaser Dateq_____ Approval Date This amount is an estimate at time of shipping prior to anVAdjustments, made deliverV: 2850.92 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1248117 06/01/12 90569575 ��^v �*/����r 1054 0062 05/31/12 y L w_.,� Route:5291 9 ORDER NUMBER: 542391 Bill Ship Remit To: 1411 E. 116TH ST To: 1215 CENTRAL PARK DRIVE E Tv B OX 66008e 1\1 CARMEL IN 46032 INDIANAPOLIS IN 317 943 3873 46266-0088 Att: MICHELLE COMPTON DEPT 00 800 420 2118 60ipFri 12301 CUMBERLAND RD FISHERS IN Ship& 06/01/12 Page 01 of 02 ShipFrm: Frt7rms. Spcial ENTER OFF OF 111TH STREET!!' FrtTrms: PytTrms. 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 I CS 1206424 PASTRY, POP TART STUBY FRTD 2 72/2 EA KELLOGG'S CS 42.6800 42.68 I CS 1287747 SNACK BAR, CRL ASST IW SS 3/16/1.3 OZ KELLOGG'S CS 28.2900 28.29 1 CS 2404325 GLOVE, POLY LO TXTD ANBDX 10/100 EA MONOGRAM B CS 39.7100 39.71 2 CS 4329397 KETCHUP, TMTO FCY SS FOIL PKT 500/9 OR MONARCH CS 14.9600 _2932 2 CS 5597604 CHIP, CHS CNCHY FLN'SS BAG 64/2 OZ CHEE-TOS CS 29.8500 59.70 .is 3 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 28.8400 06.52 2 CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.5%OZ LAY'S CS 28.5500 57.10 1. CS 5605472 CHIP, MULTORN CHEDR SS BAG 64/1.5 OZ SUN CHIPS CS 29.8500 29.85 2 CS 7009988 SAUCE, CHILI HOT DOG W/ BEEF 6/108 OZ CHEF MATE CS 65.4500 130.90 1 CS 9328311 WRAP, FOIL 12XI0.75 INFLD POP 12/200 EA MONOGRAM B CS 85.0600 85.06 REFRIGERATED *SUB** A CS 7503766 BEEF, PTY GRND_CHUK 7023 ANGS56/4 OZ CTLMN SLCT CS 46.5000 372.00 SUB FOR PRODUCT 0105700 CS 065426? HUMMUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 23.5500 23.55 READY TO EAT Please Refer to Return Polict CS 0654301 HUMNUS, GRLC RSTD NONDARY REF 12/4.56 OZ 1ABRA CS 23.5500 23.55 READY TO EAT Please Refer to Return Polic CS 2000453 SALAD, CHIX CRMY REF 2/5 LB VIERCE B CS 39.9800 39.98 READY TO EAT Please Refer to Return Polict I CS 4365219 CHEESE, AMER SLCD 135 SUPRCR 4/5 LB 6LNVW FRMS B CS 50.500'0 50.50 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT PRAIRIE FM CS 10.5500 10.55 1 CS 4000884 MILK, CHOC 1% LOU FAT PLST REF12/1 PT PRAIRIE FM CS 10.5300 10.55 1 CS 5006556 BANANA, ORN FRESH REF 10 LB PACKER CS 7.7800 7.78 1 CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB CROSS VALY B CS 17.1100 17.11 READY TO EAT Please Refer to Return Polic 2 N? CS 7197775 YOGURT, ASST STRWBNA RSPBRY 12/6 OZ TOPLAIT CS 10.1600 20.32 SUBBED WITH PRODUCT 7503766 14 CS 2639235 ICE CREAM CUP, CKIES CRN 12/2.9 OZ ITTIBITZ CS 12.5500 175.70 14 14 CS 2639250 ICE CREAN CUP, CKY DOUGH 12/2.9 OZ ITTIBITZ CS 12.5500 175.70 14 1 CS 2649796 ICE CREAN CUP, COTN CNDY 12/2.9 OZ ITTIBITZ CS 12.5500 175.70 4 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 33.4100 133.64 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE IS O NO. O. NO. NUMBER LOC. REP. ORDERED 94569922 128176'" 06/02/12 90569575 q/ 3D3 5— 1054 0062 06/01/12 FOOM 9224 1 'I,t Z46122)66-0088 DER NUMBER: 542634 BILL CARMEL CLAY FARKS$�RECREAT SHIP CARMEL CLAY PARKSRECREAT R IT In TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E O: 88 CARMEL IN CARMEL IN 46032 46032 OLIS IN 317 843 3873 ATT• MICHELLE COMPTON DEPT 00 2118 SHIPPED FROM: 1 -2301. CUMBERLAND RD FISHERS IN SHIPDATE: 06/02/12' -...Pag 01 of 01 FREIGHT TERMS: SPECIAL CUSTOMER PICK _tW1,, PAYMENTTERMS: NE T 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE FROZEN .10 -10 CS- -5403548. ITALIAN ICE, LMN' DBL. CUP FZM 12/16 OZ CHILL CS 23.-2500 232 50 PRODUCT_CLASS RECAP TOTAL FROZEN PIECES ORDERED: 10 PIECES SHIPPED:__ 10 ITEMS SHIPPED: 1 232.50 Imvoic .SUMMARY TOTAL WGT SHIPPED: 90.80 PIECES .ORDERED: 10 PIECES SHIPPED: 40 ITEMS SHIPPED: 1 PRODUCT TOTAL. 232. TAXABLE .APiRUhIT .00 GEN SALES TAX X .00__ Purchase PLEASE REM IT_ TH18 AMOUNT PY .07/02/12 AMOUNT 23?:�0. Description C0 Y) 08S�rmS _P.O. 309 (03 P or G.L. L� 3 .'sIL br E D Bus! et C,( t_J &Veraj gg Line, Uescr JUN 192.02 Purchaser Date Approval Ca ?e BY: The perishable agricultural commodNes listed on this Invoice are said subject to the stabutory bust authorized by section 5t) of the Visit www.usfoods.com for a fast and easy way to order. Perishable Agricultural Commodities Act, 1930 (7 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 them commodities, and any receivables or proceeds from thesale of mesecommoditiesuntlltullpaymemisreceived. CUSTOMERS•SIGNATURE' Interest shell accrue on ell unpaid balances exceeding established credit terms aPa rate equal a the lesser of (a) whh hh applicable p per month ar 1 We ?��f LCCfR C �CIQGOLCd.0 (b) the maximum rol the customer may lawfully contract to pay, aM in all events wlalaletl in aaordance law. ACCOUNT INVOICE INVOICE'. CUSTOMER PURCHASE'ORDER SALES SALES DATE NO. NO_,` DATE NO. NUMBER t LOC. 'REP. ORDERED u 905699 1467524 6 08 ODS /12 0569575 1054 0062 06/07/12; FO VERY -ROUTE-- 9174 1 1 ORDER NUMBER: 548752'; BILL SHIP l REMIT AT CARMEL CLAY PARKS&RECRE CARMEL CLAY PARKS&RECREA I n 1411 E.116TH ST 1235 CENTRAL PARK DRIWE E T US Foods, a TO:' TO: O: r� BOX 660088 CARMEL IN CARMEL IN 1 46032 46032 INDIANAPOLIS IN j ATT. 317 843 3873 46266 -0088 t tcHFI_I_.. C� PT 7N DEPT x..00 800 426 2118 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 06/08/12 Page 03 0� .033 FREIGHT TERMS: SPECIAL ENTER OFF OF A 11 STRE _T_ -k. PAYMENT TERMS: rO1 YS INSTRUCTIONS: 4 OTY. OTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E' r INVOICE SUMMARY TOTAL UGT SHIPPED: 1464.79 PIECES ORDERED: -143 PIECES SHIPPED: 143 ITEMS 'aSHIPPED': 45 PRODUCT 3647.12 TAXABLE AMOUNT ..-00- r GEN. -SA LES TAX 7 PLEASE REMIT THIS AMOUNT BY 07/-08/12 AMOUNT 3649 Purchase D SI esript on �nC�� w CYI� IV ED E P.O. l DL -9/ 'ED r 4239 "O4o Line aescr —Budget n Purchaser Date BY: Approval Date.:_ r ,,.The perishable aAAdpultural commodities listed on this Invoice are sold subject to the statutory trust autiadzed by section 5p) of the Visit www.Ustoods.com for a fast and easy way to order. Perishable Agric ural coininodities Act, 1930 f7 U.S.C. 499e(c)). The seller of these commodities retains a trust claim over base commodities, all invemfodes of food or other products derived from these commodities, and any receivables or proceeds form thesale of 'X these commodities until full payment is received 'r vI CUSTOMERS SIGNATURE: Interest shall accrue on ell unpaid balencee exceeding established credit terms at a rate equal to the lesser of (a) Vh% per month or ••i, (b) the maximum rate that the customer may lawfully contract to pay, end in all events calalated in accordance with applicable law. +y� �g JQ};�j3eecaje OLCdGaCfQC ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES "'SALES' DATE ar NO. NO. DATE N0. NUMBER ti LOG. REP. ORDERED Us 90569922 14E;7:524,'' 9 1054 0062 06/07/12 c,nw DELIVER ROUTE: 91.74 1 y ORDER NUMBER 5487,52 BILL.. CARMEL CLAY MARKS &RECREAT`• SHIP,:. CARMEL CLAY PARKS&RECRF.AT REMIT US Foods, Inc. 1. TO: 1411: E 116TH S TO 1235 CENTRAL PARK DRIVE E TO: _f Av BOX 660088 i f" CARMEL -LN: CARMEL IN 46032 46032 INDIANAPOLIS. IN 317 843 3873 ..,,4�6266 -=0088 ATT' MICHELLE COMPTON DEPT #,_00 8tT0, 428 2118 SHIPPED FROM: 1235).1. GUM23ERLAND RD F- I,SHERS.• ._..N SHIP DATE: 06/57$/12 Page 01 of 03' FREIGHT TERMS: SPECIAL ENTER OFF OF 111TH STREET PAYMENT TERMS:, NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT p PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT PRICE PRICE .DRY I CS 0738856 BAG, C -OUT 4 LB PAPR WHT 4/500 EA- MONOGRAM` B CS- 66. 5500, 66...55 _1- CS- 0791616 CUP,,- FM -32- Z -WHT, 25/20 -EA. MONOGRAM CS_ 35.4305?__ 35_.43____ `0814236- 1 1- CS CUP, FM- 9:6 Z 20t25 EA --MONOGRAM _CS _17..51053. _17_-_5.1; 1'.. CS 0814541 CUP, FM 20-Z .WH.T 25/20 £A MONOGRAM. CS_ 21. -8300_ 21 :83 1 I. £A 1183599 CANDY, MGM PLN x;69 OZ 48 EA- M &..M B EA 51.2900 5:1_.29. CS 2404325 GLOVE,- POLY 16 JXTD AMBDX- -10 1100. EA MONOGRAM B_ CS_ 39.7100. 39.71 1 CS 4329397 KETCHUP`, TMTCI FCY SS FOIL. PKT 500/9 GR -MONARCH---_- CS 14.9640. 1. 1 -CS _5280391- ONION, CHPD -PKT §S 200/9 GR. HEINZ C 18.3500 1 1 EA 5521914 PEPPER-, -•JLP SLCD PLST SHLF 1 GA EL- PASADO B EA- 11 -.7700 11_..77_-._ 1 GS 5585476 CHIP, PTATO -BKD ORIG. GLTN /FR 64/.1. 125 _.OZ.- -BAKED LAYS ,CS 2 8_84.00___ H 28'_8-4. 1 1 CS 559.7851 ..CHIC?, TORTLA -NACHO CHS 1RGLE--- 64/- 1.75.OZ 'DORITOS CS- 28. -8400- '28.:84 1 CS 5601927 CHIP,- PTATO KT L- J1.P SS BAG 64/1.375 OZ .MIS5 VICKI. CS 30..1500.-._. 30.15 1 I— CS 5605431 CHIP, MULTGRN GRDN -SALSA SS- -64/1-5 OZ. SUN CHIPS- CS 29.8500 ,29.85_. 1 I_ 5605522- CHIP, MULTGRN. -ORIG -SS BAG 64/1. -5 OZ SUN CHIPS CS 29.8500 29.85 1- -_EA 6210777 CANDY, .KIT KAT- .VNDG STD 1.5 Z. 36 £A_ -:KIT KAT -EA 25.9400 1= 1 -.CS_ .7009988 SAUCE, •CHILI- ,HOT DOG -U BEES. 6/.108- -OZ CHEF :MATE CS 65..450.0_ 6.5.:45_ 1 1 CS 8301413 FRUIT MIX, N BIT JC£ TF'F BWL 3.614 OZ_ rDRL.E s ACS 2...0900 2..09 2_ 2 CS 9089079- POPCORI+t,- -RAW. KIT. -.W OIL SALT36 /-S _.OZ.___... FANCY _FARM.__ -GS. 23_._5.30 -0____ 47:. 1- 1 CS 9328311 WRAP, FOIL 12X1.0..75 INFLD POP 12/200 EA MONOGRAM- _B_ K :,t CS. 85._0600__'_: 85,_06 5_ CS 9463688 CHIP, TORTLA .CORN YLW RND. __EL_ PASADO C5 19,.. 0200 _9R, REFRIGERATED 1 1- CS 0654269 HUMMUS, RSTD- RED .HONDA 1n/4. LIBRA CS 23.5500 23.55 READY _TO .EAT Plea *e-- Ref4h�"'te� i i C5 y 0654301 HUMMUS, GREG -ISTt NIMflARY F�,qPiA CS__._- 1 23 REARM. TO EAT Flease-- Refer�u c 1_ 5 yy 00 5 2 t CS .2.000453 $GLAD, CNIX CRMY,.REF 2/5- LB_. t�I£RC£ B_.. CS 398 fl9 READY TO -EAT Please .Refer- 1•a Return. POljc 6 __.CS: 3000452 SALAD, TUNA ALBCR- TFF- REF- 2 /5-LF- _..I£RCE..__. B CS. 39._9!#•00-_: ...REAfl -Y. -TO EAT Rlea-se-- free- r__. -o Return. yy Polio 2 EA 43652-19 -CHE ESE,. AMER.. SLCD- 135 SUPRCR -'5- LB to_ 7.. :FRMS_ B EA 10400:.: 34 -1 --1 CS 4800843, MILK,:--2% ..REDUC FAT_PLST- REF. ._..12 /1 PT PRAIRIE _F�l._ ___.C$_: ,1_._ -CS- 4800884 MILK,..CHOC -.1% -LOW- FAT'_ PLST- REF12 /1- i�T.- ___PRAIRIE _FR'--- ._CS____ .1.0_:,5500:_.__ 4 _,CS 4884151_ ICE CREAM MIX, SOFT SRV VNL.-- 4Z2 /2_3 -GA- ,PRAIRIE F!'I CS. 32_1.100_..._ 128 _44 READY TO-EAT --Please'-Refer 'to Return Policyy _1_ _....CS 5006556 BANANA,. GRN.- FRESH --REF _._.10__LB -PACKER. CS_ 7_..7800 7.._78 _4' ____CS-.- 53322424 LET: UCE,,._.ICBRG SHRfl 1 /4--- -CLND• 4 /5 -LB•_ CROSS.. -VALY -:CS_. 1 7._1100.__ The perishable agricultural commodities listed on this Invoice are Sold subject to the statutory trust authorized by section 5(c) of the Visit www.usfoods.com for a fast and easy way to order. 'y Perishable Agricultural COmmodiSes ACt`d939 p IS .C. 499e(cp..The seller of these commodities retains a trust claim over these X commodities ,altinventoriesoffood orother products derived from these commodities, and any receivables or proceeds from the sale of them bommudgesuntil full payment isreceived. CUSTOMERS SIGNATURE: Interest shell accrue on altunpaid balances exceeding established credit terms at a rate equal to the lesser of (a) 1!/:% per month or (b) tha that'Me'customer may lawfully contract to pay, and in all events calculated in accordance with applicable law. �6 fEatg �DLK �[ldCKCQQ ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED i us e 90569922 146752A. 06/08/12 90569575 -1 1054 0062 06/07/12 DE_LjVERR0UTE:' 7, ORDER NUMBER: 5 4 8 7 5 2.,; Y 917!4.. 1 x' F BILL CARMEL- CLAY PARKSwRECREAT SHIP CARMEL CLAY PARKS&RECREAT REMIT US Foods, Inc. TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO:° BOX 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN" 317 843 3873 46266 -0088 ATT. HIC'HELLE COMPTON DEPT 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD- FISHERS. I N SHIP DATE: 06/ 12 Page 02 d f f3 FREIGHT TERMS, SPECIAL ENTER OFF OF i1ITH STREET! t i PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: i QTY. QTY. SALES PRODUCT C O PRICING UNIT EXTENDED. ORDERED SHIPPED UNIT NUMBER DESCRIPTION l�. PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE .READY TO EAT Please, R6 +er.- to Return- _Pol -ics 4 CS' 7451354- -ICE MILK MIX,_ SOFT SRV CHOC. 4X2/2.5 .GA RAIRIE FM r x CS 32.1100 128.44 READY- TO- EAT Please Refer- to- Retur,n__Polict/ FROZEN f 6_ 6 __CS, .010.5700 BEEF,_ PTY GRND .50,/20 4.: 1_ RND_ .80/4 OZ CTLMN_ SLCT CS- 66.6604. 363: 6 5 5 CS 2011278 PRETZEL, KING -SOFT BKD FZN. 50/5 OZ SUPR PRTZL :,CS 31._6700 158.35. 16 CS. 2639235.._ ICE CREAM -CUP, CK.IES. CRM__ 12/2._9- OZ._ ITT.IBI.TZ _CS. 12.5500 200.80 -12 12 -CS 2639250 =ICE CREAM CUP, CKY DOUGH. _.12/2.9 OZ ITTI.BITZ_ __CS- 12.5500 150.6.0 12._ .12 CS 2649796- ICE .CREAM CUP,- _CO.TN CNDY.. _12/2._9..0Z ITTIBITZ -W CS__ 12..5500 1.50.60 3 3. CS 3041423 -CORN ,DOG, AM CN .FZN 48/_4 OZ_ STATE FAIR C5 33.."4100 100. 23� 14_. 10 CS .3330099 __HOT. DOG,_ _AB 6.:4 _..6'-',. RLR_ GRIL_. 10 _LB -PATUXENT------- CS _29,9700 299.70_ 10 CS 4694519. ICE CREAM CLIP, IT BANA SPLT 24/5 OZ_ ITTIBITZ_ CS 25.3200 253.20 6 6 CS_ 5218862 ICE .CREAM SANDWICH, VNL. __24/6. OZ BLUE BUNNY CS 142.84 6- -6 CS _5403548 .ITALIAN ICE,_LMN DBL.CUP FZN_ 12/16 OZ CHILL_- -CS 23.2500 139.50_ 3 CS 55097 -08 PIZZA, -CHS_ 7 -DEEP DISH_ FZN. W /_36/10.22 _OZ BOSCO`_S CS 19.1.91 CS- 5741228 BUN, HOT DOG 6" HINGE SLCD. TFF.12 /12 EA HILLTOP HR CS 30'. 3560 91.0`x''' 1 1 CS 7175128 ICE CREAM CONE, .V_NL -TFF 2/12/4..6 OZ BB CHAMP? C 22.9000 22.90 6 .6 ___.,.CS- 8187999 ICE CREAM -.BAR, CHOC, TACO VNL24 /4 OZ_. KLONDIKE CS. 25.5500 1,53.30_ �t# PRODUCT CLASS RECAP _k TOTAL -.DRY PIECES ORDERED.. 29fY "Oft r l__HIPP?E 25. ITEMS SHIPPED: 20 76fr..23 TOTAL REFRIGERATED PIECES ORDERED: 19. �l S.. SHIPPE 19 ITEFIS SHIPPED: 11 503.95 TOTAL FROZEN PIECES ORDERED:- 95' FMCS, SHIP}E 99__ ITEMS SNIPPED: 14. 2378._9 -4 ra r The perishable agricultural commodities listed on this invoice are tcl Subject to the statutory trust authorized by section 5p) of ish the. 'Visit wwWUSfoods:com for a fast and easy, way to order. Perishable Agricultural Commodities Act (7 U.S.C. 49ge(c)), �1a seller of these cemmotlides retains a trust claim over ttese X commodities, all itvertories of footl or other protlucls denied from these commodities, and any recehrables or proceeds from diesels of these commodides .miltullpayment is received. x.':. CUSTOMERS SIGNATURE Interest shall accrue on all unpaid balances exceeding .established audit terms at a rate equal to the lesser of (a) 1!h per month or'x (b) the maximum rate that the customer may lawfully contW to payFand In all events calalated in accordance with applicable law ACCOUNT INVOICE: INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE 1 NS DATE I' NO. NUMBER LOC REP. ORDERED 9056992a 1543122 1054 0062 06/11/12 Route: 251 s ORDER NUMBER: 551105 CARREL CLAY PfarR Sr &RECREAT CARMEL CLAY' PARKS &RECREAT US Fb bds, Inc. To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E: To: BOX 660088 CARMEL I1\1 CARMEL. IN 47032 46032 INDIANAPOLIS IN 317 843 3873 462 66- 00138 Att: MICHELLE CCaMP"f ON DEPT 00 800 21113 Sr`iYClFrm: 12301 CUMBERLAND RD FISHERS IN Sr`t.zp& 06/12/12 Page 03 oP 02 Sh:i,pFrrn: °r• t Tr spc .r.'a l ENTER O FT= OF 111TH STREET 1•• rtTrms: P vt T'rms: NET 30 DAYS .ins tr: C': t!"*: ms: �tor cd Sales Product Desc:r•ipton Pack Size Label. C`, Weight pricing Unit Extended Ordered Shipped Unit plumber D Unit; Price Price INVOICE SUMMARY TO'T'AL_ WGT SHIPP'ED: 1046.0:1 PIECES ORDERED: 125 PIECES SHIPPED: 125 ITEMS SHIPPED: 47 PRODUCT TOTAL 3305.25 1 TAXABLE AMOUNT 00 GEN SALES, TAX l This amount is an estimate at time of shipping prior to anV adjustments rude at delivery: 3305.25 102,L© 3 203�� Purchase cnnne 5a UL Description l P.O.# Por BY VI G.L.# y2 D N 19 2012 Budget Descr Purchaser gate Approval Gate ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 1543422 06/12/12 90569575 ��y� 1054 0062 06/11/12 Route:2251 3 ORDER NUMBER: 551105 Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc. To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660089 46012 46032 INDIANAPOLIS IN! 317 843 3873 46266-008e Att: MICHELLE COMPTON DEPT 00 800 428 S118 ShipFrw 12301 CUMBERLAND RD FISHERS IN Ship& 06/12/12 Page 02 of 03 ShipFrm: FrtTrms. Spcial ENTER OFF OF 111TH STREET!!! FrtTrms: /zytTrms: 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 2 0 CS 7197773 YOGURT, ASST STRWBNA A RSPBRY 12/6 OZ YOPLAIT *SUB** 2 CS 119?2?8 YOGURT, ASST LIGHT RBST FREE 12/6 OZ YOPLAIT CS 9.4900 18.98 FROZEN I I CS 1792319 BEEF SUB, PTY MEATL VEG 3 36/4.25 OZ CHEFS LINE CS 45.9000 45.70 6 6 CS 2011278 PRETZEL, KING SOFT BKD FZN So/5 OZ SUPR PRTZL CS 31.6700 190.02 1 1 CS 2014652 MUFFIN, BLBRY IW 24/4 OZ SARA LEE CS 21,7000 21.70 to 10 CS 2639235 ICE CREAN CUP, CKIES CRM 12/2.9 OZ ITTIBITZ CS 12.5500 125.50 to 10 CS '2639250 ICE CREAN CUP, CKY DOUGH 12/2.9 OZ ITTIBITZ CS 12.5500 125.50 10 10 CS 2639268 ICE CREAN CUP, BANA SPLT 12/2.9 CZ ITTIBITZ CS 11.4200 114,20 to 10 CS 2649796 ICE CREAN CUP, COTN CNDY 12/2.9 OZ ITTIBITZ CS 12.5500 125.50 1 1 CS 3335825 SAUSAGE, ITLN MILD CRBL PORK 2/5 LB ROSELI CS 26.1200 26.12 1 CS 4058707 MUFFIN, BANA NUT 1W FZN 24/4 OZ SPUNKMEYER CS 24.3300 24.33 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 46 PIECES SHIPPED: 46 ITEMS 25 1833�43 TOTAL REFRIGERATED PIECES ORDERED: 14 PIECES SHIPPED: 14 ITEMS SHIPPED: B 215.69 TOTAL FROZEN PIECES ORDERED: 65 PIECES SHIPPED: 65 ITENS SHIPPED: 14 1256.13 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO DATE NO, NUMBER LOC REP ORDERED 9O56�922 1543�22 O6/12/12 9O569575 1O5� OO6' 06/11/12 u�CL' Route:2251 3 ORDER NUMBER: 551105 Bill Ship Remit CARMEL CLAY PARKSIRECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc. To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660083 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att MICHELLE COMPTON DEPT 00 800 428 2118 �hipFrm. 123O1 CUMBERLAND RD FISHERS IN Shi�D. O6/12/12 Page O1 of O3 ShipFrm: FrtTrms. Spcial ENTER OFF OF 111TH STREET!!! FrtTrms: PytTrms. NET ]O DAYS Instr. PytTrms: Qty Qty �ales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 2 CS 0791558 CONTAINER, FM 4 Z SQT WHT 25/40 EA NOMOGRAM CS 29.2800 58.56 I CS 2404325 GLOVE, POLY LO TXTD AMBDX 10/100 EA MONOGRAM D CS 39.7100 39.71 1 CS 3708773 SPOON, TEA MW WHT POLYP BULK 1000 EA MONOGRAM CS 14-9200 14.92 1 1 CS 3955953 LID, CUP SFLE 1.5-2.5 Z FLAT 20/125 EA MONOGRAM B CS 48.1000 48.10 i I EA 4053336 CANDY, BAR MILK CHOC 36/1-55Z HERSHEY EA 26.8800 26.88 2 2 CS 4329397 KETCHUP, TMTO FCY SS FOIL PKT 500/9 OR MONARCH CS 14.9600 29.92 1 1 CS 5280391 ONION, CHPD PKT SS 200/9 GR HEINZ CS 18.4900 18.49 A 3 CS 5311600 CONE, ICE CRM CAKE 226 FLAT 36/20 EA JOY COME CS 39.0900 117.27 2 2 CS 5329289 MUSTARD, YLU SS 5.5 GR SHLF 300/5.500 GR MONARCH CS 12.7300 25.46 1 1 CS 5597604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 29.8500 29.85 tS 5597851 CHIP! TORTLA MACHO CHS TROLE 64/1.75 OZ DORITOS CS 28.8400 5748 2 2 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 28.8400 57.68 2 2 CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1.5 OZ LAY/S CS 28.5500 57.10 1 1 CS 5601943 CHIP, PTATO RTL BBQ SS BAG 64/1.375 OZ MISS VICKI CS 30.1500 30.15 1 1 CS 6329213 RELISH, SUT SS SHLF STABL 200/9 OR MONARCH CS 14.0400 14.04 1 1 CS 700998B SAUCE, CHILI HOT DOG W1 BEEF 6/108 OZ CHEF MATE CS 65.4500 65.45 6 6 CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 19.0200 114.12 i I CS 9934371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21.5500 21.55 REFRIGERATED READY TO EAT Please Refer to Return Polic READY TO EAT Please Refer to Return Polic 4SO0843 MILK, 2Z REDUC FAT PLST REF 12/1 PT PRAIRIE FM CS 10.5500 21.10 2 2 CS 4800884 MILK, CHOC 1% LOW FAT PLST REF12/1 PT PRAIRIE FM CS 10.5500 21.10 1 1 CS 3006556 BANANA, GRN FRESH REF 10 LB PACKER CS 7.7800 7.78 READY To EAT Please Refer to Return Policv ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES S O NO� DATE NO. NUM8ER LOC. R� ORDERED N 16733% 9O569922 16�16733% O6/15/06/15/12 9O569575 1054 0 062 06�4�12 Route:5291 8 ORDER NUMBER: 554790 8ill Ship Remit To: To: To: 46032 46032 1NDIANAPOKIS IN 317 843 3873 Attl SOO 42S 2118 ;hjpFrm: 12301 CUMBERLAND RD FISHERS IN 5hipD: 06/15/12 Page 02 of 02 tT ms' r r Spcia2 ENTER OFF OF 111TH STREET!!} /ytTrms: NET 30 DAYS Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdeped Shipped Unit Number D Unit Price Price FROZEN 10 10 CS 2011270 JPRETZEL, KING SOFT BVD FZN 50/5 OZ SUPR PRTZL CS 31,6700 316.70'. 15 Is CS 2639250 "16E CREAM CUP, CKY DOUGF) 12/2.9 0Z ITTIBITZ CS 12.5500 188. 25 15 15 CS 2649796 AE CREAM CUP, COTH CNDY 12/2.9 OZ ITTIBTTZ CS 12.5500 18805 4 4 CS 5218862 SCE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 17i400 68.56 3 IS CS 7170120 ACE CREAM CONE, VNL TFF 2/12/4.6 OZ ED CHAMP CS 22,9000 114.50 L 6 CS 018799? ACE CREAM BAR, CHOC TACO VNL24/4 OZ &ONDIkE CS 25.5500 153.10 TOTAL DRY PIECES ORDERED: 32 PIECES SHIPPED: 32 ITEMS SH IPPED: 20 1246.45 TOTAL REFRIGERATED PIECES ORDERED: 22 %ECES SHIPPED: 22 ITEMS SHIPPED: 8 664,3S TOTAL FROZEN PIECES ORDERED: 82 PIECES SHIPPED: 82 ITEMS SHIPPED: 0. 1899,80 INVOICE SUMMARY TOTAL WOT SHIPPED: 17?4.!S PIECES ORDERED: 136 PIECES SHIPPED: 136 ITEMS SHIPPED: 39 Purchase Description _an 115011,03 PRODUCT TOTAL 3810.10 P 0 00 LE AMOUNT .00 P�rchaser�__ GEN SALES TAX 00 Approval Date his amount is an estimate at time of-shipping prionto anv adjustmeDts made at deliverV: S 3810,10 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NQ DATE NO, 14UM8ER LOC. REP. ORDERED 90569922 1673398 06/15/12 90569575 o 1054 0062 06/14/12 �L/O/ Route:5291 8 ORDER NUMBER: 554790 Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc. To: 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att; MICHELLE COMPTO DEPT 00 800 428 2118 ThipFrw 12301 CUMBERLAND RD FISHERS IN 6#ip& 06/15/12 Page Of of 02 rt7rms. Spcyal ENTER OFF OF 111TH STREET!!{ T&Yms: NET 30 DAYS lnstr.' Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price 2 2 CS 0791616 JOUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 35.4300 70.86 1 1 CS 0814236 J/("UP, FM 16 Z WHT 20/25 EA MONOGRAM CS 17.5100 175i I I CS 0814541 -CUP, FN 20 Z WHT 25/20 EA MONOGRAM CS 21.8300 2 2 CS 5597968 VCHIP, CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 28.2400 57.68 I i CS 5605431 VCHN MOLTORN GRDN SALSA SS 64/1.5 OZ SUN CHIPS CS 2i.8500 I i CS 0461451 NW WHT BULK PLST 1000 EA PRIME CS IS.5000 15.50 1 1. CS 9328311 VWRAP, FOIL 12XI0.75 INFLD POP 12/200 EA MONOGRAM B CS 85.0600 85.06 CS 9463600 CHIP, TORTLA CORN YLU RND 6/2 LB EL PASADO CS Q.0200 133.14 1 1 CS 9954371 AID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21.5500 21.55, JREFRIGERATED /READY TO EAT Please Refer to Return Polict� EADY TO EAT Please Refer to Return Polick READY TO EAT Please Refer to Return Polic 1 1. CS 23 VCHEESE CRM PLN SS PLST CUP 100/1 OZ 6V_ FRMS CS 21.9900 21 ?9' (READY TO EAT Please Refer to Return Polick, 8 8 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PRAIRIE FM CS 32.1100 256.38 READY TO EAT Please Refer to Return Poll, I I CS 50065S6 'BANANA, ORN FRESH REF 10 LB rAn 0 K CS 7.7800 7.78 a CS 7451354j10E MILV MIX, SOFT SRV CHOC 4%2/2.5 CA PRAIRIE FM CS 32,1100 256.88 I I CS 9331380 APPLE, RED DLC 138 CT XFCY 138 EA CS 34.2400 34.24 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 5/29/12 1140664 Concessions 30926 4,601.27 6/1/12 1248117 Concessions 30963 2,850.92 6/2/12 1281767 Concessions 30963 232.50 6/8/12 1467524 Concessions 30964 3,649.12 6/12/12 1543422 Concessions 30968 3,203.05 6/15/12 1673398 Concessions 30972 3,810.10 Total 18,346.96 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 18,346.96 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1095 -1 1140664 4239040 4,601.27 1 hereby certify that the attached invoice(s), or 1095 -1 1248117 4239040 2,850.92 bill(s) is (are) true and correct and that the 1095 -1 1281767 4239040 232.50 materials or services itemized thereon for 1095 -1 1467524 4239040 3,649.12 which charge is made were ordered and 1095 -1 1543422 4239040 3,203.05 received except 1095 -1 1673398 4239040 3,810.10.. 28 -Jun 2012 Lm ma Signature 18,346.96 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund