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212400 08/28/2012
CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $9,111.67 1 S� CARMEL, INDIANA 46032 PO sox 660088 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 212400 CHECK DATE: 8128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 121268 3 , 489 . 21 FOOD & BEVERAGES 1095 4239040 216835 936 . 16 FOOD & BEVERAGES 1095 4239040 273684 480 . 85 FOOD & BEVERAGES 1095 4239040 338124 4, 177 . 31 FOOD & BEVERAGES 1095 4239040 338127 28 . 14 FOOD & BEVERAGES ACCOUNT INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NQ NO DATE NO, NUMBER LOC . REP ORDERED 9(}569922 0121268 08/03/12 90569575 1054 0062 08/02/12 Route: 5252 / 6 ORDER NUMBER: 596092 8ill 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 6600BO CARMEL 1N CARMEL 04 46032 46032 INDIANAPOLIS IN 117 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT # 00 800 428 211-,,*3 7hjpFrw 12301 CUMBERLAND RD FISHERS IN Ship& 08/83/12 Page 03 of 03 rytTrms. Spcjal ENTER OFF OF 111TH STREET! ! { 'Q&ms: NET 30 DAYS Instr. Pty Aty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Wdered Shipped Unit Number D Unit Price Price INVOICE SUMMARY TOTAL WGT SHIPPED: 1369. 49 PIECES ORDERED: 134 PIECES SHIPPED: 131 ITEMS SHIPPED: Q*� PRODUCT TOTAL 3489, 21. TAXABLE AMOUNT $ GEN SALES TAX This amount it an estimate at time of_ ___-_. Purchase Descripton PorF' Bud t 7AUG � Due Approval Date______ _ - _ ' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. N8. DATE NO NUMBER LOC . RE P . ORDE IRED 90569922 0121269 08/03/12 90569575 1054 0062 08/02/12 Route: 5252 / 6 ORDER NUMBER: 596092 8ill ship Remit To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: 46012 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 ��ipFrm 1 CUM�ER�AND RD FISHERS IN E0i O8/O�/12 Page-O-2--n—f O3 i23O -rtTrm s. Spcial ENTER OFF OF 111TH STREET ! ! } 'ytTrms: NET 30 DAYS Instm Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended 'rdered Shipped Unit Number D Unit Price Price __- _-................___-__- -____ __ FROZEN Uc 2260099 ICE CREAN SANDWICH, CKY & CRM 24/4. 5 OZ BLUE BUNNY 10 10 XS 2639235 ICE CREAM CUP, CKIES a CRM 12/2. 9 OZ ITTIBITZ CS 12.5500 125.50 10 10 JQ 2639250 ICE CREAM CUP, CKY DOUGH 12/2, 9 OZ ITTIBITZ CS 12. 5500 125. 50 1.0 10 2639260 ICE CREAM CUP, BANA SPLT 12/2,9 OZ ITTISITZ CS 12. 5500 125.50 10 2649796 ICE CREAN CUP, COTM CNDY 12/2. 9 OZ 17TIPITZ CS 12. 5500 125. 50 3)41423 CORN DOG, AN CN f ZN 48/4 OZ STATE FAIR CS 33. 4100 100. 23 4. 4 3330099 HOT DOB, AB 6: 1 6" RLR BRIL 10 LB PATUXENT CS 29, 9700 119. 88 2 2 0 VIRGIN& ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 17. 1400 34. 28 3 550?70B PIZZA, CHS 7" DEEP DISH FZN W/0/10. 22 OZ BOSCO'S CS 61. 7800 185. 34 2 2 5741228 DUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS: 31. 2400 62. 0.3 SUP FOR PRODUCT 6483952 /S 717SI20 ICE CREAM COME, VNL TFF 2/12/06 OZ PB CHANP CS 224000 22. 90 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/`6/"1. 65 OZ POPSICLE *a PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDERED: 35 PIECES SHIPPED: 34 ITEMS SHIPPED: 20 1267. 09 TOTAL REFRIGERATED PIECES ORDERED: 17 PIECES SHIPPED: 11 ITEMS SHIPPED: 7 288. 27 TOTAL FROZEN PIECES ORDERED: 82 PIECES SHIPPED: 66 ITEMS SHIPPED: 03i.85 ` ' ' ' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SAL��� SALES DATE NO y�O DATE NO. NUM8ER LOC . REP . ORDERED 9O569��22 012068 08/03/ 12 90569575 /� �� /� �� y~-- 1.054 0062 08/02/12 Route: 5252 / 6 �`^ �� -- ORDER NUMBER: 596092 Ship Remit � To: To: �� nRIvF� F To: N BOX 660028 46032 46032 INDIANAPOLIS IN 317 843 387'.*,3 46266-0088 Att: MICHELLE COMPTONi DEPT # 00 800 42B 2118 ;hjpFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 08/03/12 Page 01 of 03 -rtTrms. cial 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 U Unit Price Price DRY 1 AS 0791616 CUP, FN 32 7 WHT 25/20 EA MONOGRAM CS 35. 4300 $ 35. 43 0814541 CUP, FM 20 Z WHT 25/20 EA NOMOGRAM CS 21. 2300 21. 83 160212 TRAY, PAPR PORD FOOD 5 LB POLY2/20 EA MONOGRAM 1052331 TRAY, PAPR FOOD 5 LB POLY 2/250 EA KANT LEE14 CS 25. 9700 25. 97 cQ 3700773 SPOON, TEA MW WHT POLYP BULK 1000 EA MONOGRAM 7 426023e SAUCE, CHS MACHO SHLF STABL 41107 OZ ORTEGA CS 50. 7200 355. 0.4 2 1 29a97 KETCHUP, TMTO FCY SS FOIL PKT 500/9 OR MONARCH CS 14, 9600 2492 I Q-6 5311600 CONE, 10E CRH CAKE 228 FLAT 36/20 EA JOY CONE CS 38. 3600 38. 36 2 9907,968 CHIP, CORN ORIG TFF 68 BAG 64/2 OZ FRITOS CS 30.8900 61. 78 i 5601679 CHIP, PTATO REG PLN SS BAG 64/1 . 5 OZ LAYQ3 CS 30. B900 30. 89 1 5601943 CHIP, PTATO KTL BBQ 88 BAG 64/1. 375 OZ MISS VICKI: CS 31.2000 31 . 20 1 1 560S431 CHIP, MULTORN GRDM SALSA SS 6411 . 5 OZ SUN CMIPS CS 30. 8900 10. 89 1 5605522 CHIP, MULTORM ORIG SS BAG 64/1.5 OZ SUN CHIPS CS 30 000 30 SP 1 1: 0301913 FRUIT MIX, BIT IN JCE TFF BUL 36/4 OZ DOLE CS 22.0900 22,09 1 1 908?079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 23. 8300 23. 83 I Cc 9328311 WRAP, FOIL 12XI0. 75 INFLD POP 12/200 EA MONOGRAM B CS 85.0600 05.06 6 6 "S 9463688 CHIP; TORTLA CORN YL.W RMID 6/2 LB EL PASADO CS 19. 7300 118. 38 IGERATED 1 16 2000453 SAN= CHIX CRMY REF 2/5 LB PIERCE CS 39. 9800 39. 98 READY TO EAT - Please Refer to Return Policy 1 1 WA 3000432 SALAD, TUNA ALBCR TFF REF 5 LB PIERCE B EA 209600 2636 READY TO EAT - Please Refer to Return Policv 1 1 4800884 MILK, CHOC 1Z LOW FAT PLST REF12/1 PT PRAIRIE FM CS 10. 5500 10. 55 4 4SO4151 ICE CREAN MIX, SOFT SRV VML 4Z2/2, 5 GA PRAIRIE F11 CS 32. 1100 128. 44 READY TO EAT - Please Refer to Return Polict i 1 5006556 BANANA, GRN FRESH REF AO LP AACKER CS 7. 7800 7. 78 SUBBED WITH PRODUCT 3324100 1 CS 7197775 YOGURT, ABET STRUBNA & RSPBRY 12/6 OZ YOPLAIT CS 10, 3400 10.341 2 T 7451354 ICE MILE 1110 SOFT SRV CHOC 4%2/2. 5 GA PRAIRIE on CS 32, 1100 64. 22 READY TO EAT Plewe Refer to Return Policy ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO. DATE NO. NUMBER LOC . REP . ORDERED 90569922 0216835 O3/07/12 90569575 1054 0062 08/06/12 Route: 2251 / 4 ORDER NUMBER: 599070 Remit 8ill Ship CARMFL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 E. 116TH ST To: To: BOX 660088 CARMEL IN CARMEL IN 46032 j 46032 INDIANAPOLIS 11\1 317 843 3273 46266-0088 Att: 7hipFrw 12301 CUMBERLAND RD FISHERS IN ShipD: 08/07/12 Page 02 of 02 7rtTrms: spcial ENTER OFF OF 111TH STREET ! ! ! lytTrms: 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 !NVGICE SUMMARY FUEL SURCHARGE: 5. 25 TOTAL WGT SHIPPED: 493. 60 PIECES ORDERED: 42 PIECES SHIPPED: 40 ITEMS SHIPPED: Q PRODUCT TOTAL $ 930, 91 AUG 13 2012 CHAR.03ES 5.25 TAXABLE AMOUNT $ . 00 GEN SALES TAX 00 This amount is an estimate at time of shipping prior to any adjustments made at delivery: 936. 16 Purchase Description P.O . Budoet Purchaser— Date_ � Approval ~w"_____- ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO, NO . DATE NO, NUMBER LOC . REP ORDERED 90569922 O216835 08/07/12 90569575 �� �» �� 1054 O— � 08/06/12 . .� ^= T(� Raute: 2251 / 4 �� - �^ ' T ORDER NUMBER: 599070 8ill Ship Remit To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att: ��ipFrm� 12301 CUMBERLAND RD FISHERS IN ShjpD O8/O�/12 � p-�------' 02 � age uz o� -rtTrms � � � spcia2 ENTER OFF OF 111TH STREET ! } } 7ytTr/ns: NET 30 DAYS Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricino Unit Extended |rdered Shipped Unit Number D Unit Price Price DRY 1 1. CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS 35. 4300 $ 35. 43 I. CS 0814236 CUP, FM 16 Z WHI' 20/25 EA MONOGRAM CS 17. 6100 17. 61 *SUB** I CS 1052331 TRAY, PAPR FOOD 5 LB POLY 2/250 EA KANT LEEK CS 23. 7300 23. 73 1, CS 2404325 GLOVE, POLY LG TXTD ANBDX 10/100 EA MONOGRAM El CS 42. 1000 42. 10 0 CS 3708773 SPOON, TEA NW UHT POLYP BULK 1000 EA MONOGRAM I CS 4129397 KETCHUP, TNTO FCY SS FOIL PVT 500/9 OR MONARCH CS 14, 9600 2 2; CS 9089079 POPCOR& RAU KIT W/ OIL A SALT36/8 OZ FANCY FARM CS 24.2100 48. 42 4 4 CS 9463688 CHIP, TORTLA CORN YLU RND 6/2 LB EL PASADO CS 151, 7300 78. 92 i 1. CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 2i.5500 21 .55 REFRIGERATED I CS 2000453 SALAD, CHIX CRHY REF 2/5 LB PIERCE 14 CS 39. 9300 39. 98 READY TO EAT - Please Refer to Return Polic I EA 3000452 SALAD, TUNA ALDCR TFF REF 5 LB FIERCE B EA 26. 9600 26. 96 READY TO EAT - Please Refer to Return Policy 4 4 CS 4884151 ICE CREAN NIX, SOFT SRV VNL 02/2. 5 GA PRAIRIE FN CS 32. 1100 128. 44 READY TO EAT - Please Refer to Return PolicV FROZEN 10 it Q---La- 2639250 ICE CREAN CUP, CKY DOUGH 12/2. 9 07 ITTIBITZ CS 12, 550A 329 50 4 10, C9-70096 ICE CREAM CUP, COTM CNDY 12/2. 9 OZ ITTIBITZ CS 124tt,Q?---- 50. 20 2 2 CS 3041423 CORN DOG, AN CN FZN 48/4 OZ STATE FAIR CS 33, 4100 68. 22 1 i Q 5509708 PIZZA, CHS 7" DEEP DISH FZN W/36/10. 22 OZ BOSCO'S CS 61. 7800 61 .78 1 0 CS 9763061 POPSICLE, BRNG CHRY GRAPE SG/F12/6/1- 65 07 POPSICLE PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDERED: 14 PIECES SHIPPED: 13 ITEMS SHIPPED: 9 304. 55 TOTAL REFRIGERATE't.) PIECES ORDERED: 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 3 195. 03' TOTAL FROZEN PIECES ORDERED: 22 PIECES SHIPPED: 21 ITEMS SHIPPED: 5 430, 98 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE use NO. /NO.-_ DATE NO. NUMBER LOC. REP. ORDERED 90569922 0273684 08/08/12 90569575 /> /�� 1054 0062 08/08/12 Jv F0 VERYROUTE: 9913 / 1 l (J/ ORDER NUMBER: 601322 BILL CARMEL CLAY PARKS&RECREAT 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. MICHELLE COMPTON DEPT 00 800 428 2118 SHIPPEDFRoM: 12301 CUMBERLAND ..RD FISHERS.-_. IN SHIPDATE: 08/08/1.2 Page 01 of 01 FREIGHT TERMS: SPECIAL CUSTOMER PICK UP PAYMENTTERMS: 'NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED `� UNIT NUMBER DESCRIPTION PACK SIZE LABEL E WEIGHT UNIT PRICE PRICE REFRIGERATED. 3 3 CS 6483952 BEEF, PTY GRND 80/2014: 1 RND 56/4 OZ CTLMN SLCT CS 42.8800 128.64 FROZEN 3 3 CS 2011278 - PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR. PRTZL CS 31.6700 95. 01 4 4 CS 3041423 CORN DOG, AM CN FZN 46/4 OZ STATE FAIR CS 33.4100 -, - 133..64 ?_ 2. CS 5509.708 PIZZA,- CHS 7" DEEP DISH FZN W/36/10.22 OZ . BOSCO'S CS_ 61.7-800 _ 123.56 INVOICE SUMMARY ## _ _TOTAL WGT SHIPPED: - 184.75 PIECES ORDERED: :_12 PIECES SHIPPED: 12 PRODUCT TOTAL 'b 480. 85 AUG 16 2012 BY TAXABLE AMOUNT_ . 00 GEFd. SAt.ES TAX Fwchase � I PLEASE REMIT THIS AMOUNT BY 09/07/12 a AMOUNT 4 480. 85 ]ascription P.O.# P r DF —. udZet t Ina �R Ill _ - - - - Cescr aser a.e The perishable agricultural commodities listed on this Invoice are sold subject to the statutory trust authorized by section 5p)of the Visit www.usfoods.com for a fast and easy way to order. 4� Perishable Agricultural Commodities Act,1930(7 U.S.C.499e(c)).The seller of these commodities retains a trust claim war these / , commodities,all Inventones of food or oNer products derived from these commodities,and any receivables or proceeds from the sale of these commodities unUlfull payment is receNed. ` / CUSTOMERS�SIGNATURE: Interest shell accrue on all unpaid balances exceeding contract t p credit terms at a rate equal a the lesser n(e)1!&%per month or !�/e�QrL 'YOLf2�[tdC�LCQd (b)r s maximum rate that the customer may lawfully (Slabli to pay;and In all wants calculated h eaorda f(wHh applleable law. n ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO WO, DATE NO. NUM8ER LOC. REP ORDERED 90569922 033S124 D8/10/12 90569575 1054 0062 08/09/ 12 Route: 5291 / 8 ORDER NUMBER 602251.Ship Remit � CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 E. 116TH ST To: 11235 CENTRAL PARK DRIVE E Tod I BOX 6600% 46032 460321 INDIANAPOLIS i;N 317 843 3873, 46266-0088 At t: IDEPT * 00 900 428 2119 WpFrm: 12301 CUMBERLAND RD FISHERS IN ShIpW 08110112 Page 03 of 03 -rt Tom 5.- cyaJ `yt7rms: NET 30 DAYS Instr. Qty Qty Sales Product Descripton Park Size Label C Wight Pricing Unit Extended rdered Shipped Unit Number D Unit Price pice INVOICE SUMMARY TOTAL WOT SHIPPED: 2080. 31 PIECES ORDERED: 159 PIECES SHIPPED: 158 ITEMS SHIPPED: 4-6 PRODUCT TOTAL $ 4177.31. AUG 2 2 2012 TAXABLE AMOUNT $ . 00 OEM SALES TAX . 00 This amount is an estimate at time of shipping prior to any adjustments made at deliverV: 4177. 31 Purchase Description - Purchaser Bud t ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP ORDERED 90569922 033B124 08/10/12 90569575 /} �� � �_ 1054 OO6� 08/09/12 �� ( ~��~(�/ »Y Route� 5291 / 8 ��� `� / ORDER NUMBER: 02251 Bill S�ip Remit � CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: To: 11235 CENTRAL PARK DRIVE E To: 10.1", 8513 387_� 46266-0002 Att: WEPT 0 00 BOO 42S 2118 ThipFrm 123O1 CUMBERLAND RD �I�HERS [!�'IN Shj� OE}/1D/i�� ---� � — Page 01 of 03 -rkTrms � � spcia2 `ytTrxss: NET 30 DAYS Xnstm Qty Pty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price 1 i ZA 4053336 CANDY, BAR MILK CHOC 36/1. 55Z HERSHEY EA 26, 91800 26. FIB 10 WN JS 4260238 SAUCE, CHS MACHO SHLF STABL 4/107 OZ ORTEGA CS 37. 0700 570. 70 2 "If 4329397 KETCHUP, 0=0 PCY SS FOIL PKT 500/9 GR MONARCH CS 14. 9600 2902 1 4S73747 SMACK MIX, CHOC CRML SS SMPLY 6011. 2 OZ CHEX CS 28, 3000 20.50 1 5311600 COME, 10E CRM CAKE 22S FLAT 36120 EA jOY COME CS 30. 3600 38. 36 1 1 ER 55B5476 CHIP, PTATO BKD DRIG GLTM/FR 64/1 , 125 OZ BAKED LAYS CS 29. 8500 290S 1 S597604 CHIP, CHS CNCHY PLW SS BAG 64/2 OZ CHEE-706 CS 30, 000 5597851 CHIP, TURTLA MACHO CHS TROLE 64/1 . 75 QZ DORITOS CS io. e9oo T& &9 S605472 CH10 MULTGRM CHEOR SS BAG 6411. 5 OR SUN PHIP�3 CS 30. 0900 30. 89 .1 D"329213 RELISH: SUT SS SHLF STABL 200/9 GR MONARCH CS 140400 1.4. 014 1009900 SAUCE, CHILI HOT 000 W/ BEEF 61100 OZ CHEF NATE CS 62. 1200 124.24' 1; fS G429292 JUICE, APPL 100Z VITNN C ADDED24/10 GZ THIRSTER CS 20. 7800 20- 78 REFRIGERATED READY TO EAT - Please Refer to Return Polic READY TO EAT - P-lease Refer to Return Policy 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT PRAIRIE F)l CS 10. 6700 10, 67 I 4000SO4 MILK, 00C 1Z LOW- FAT PLST REF12/1 PT PRAIRIE FM CS 10.6600 10.66 2 6 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2. 5 GA PRAIRIE FM CS 32, 1100 -READY TO EAT - Please Refer to Retupn Polic I 1 5006556 BANANA, ORN FRESH REF 10 LB SACKER CS 7. 7800 7, 79 READY TO EAT - Please Refer to Return Polick SUBBED WITH PRODUCT 3324100 / ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES D`` ^ , O 8 N , DATE P110.O� NUMBER LOC. REP ORDERED ~E~~D 90569922 0338124 08/10/12 90569575 1054 OO6� 0812 Route: 5291 / 8 ORDER NUMBER: 602251 BiIl Ship Remit � To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 6600B8 46012 46032 INDIANAPOLIS IN Att: 317 843 3873 46266-0088 DE PT # 00 800 42B 2118 ;hipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 08110/12 Page 02 of 03 -rtTrms: scial `yt7rms: NET 30 DAYS Instr. qty Aty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended /rdered Shipped Unit Number D Unit Price Price ._--__.____�'__ _-____-__- 1 1 ~/CS 719 1 7 &S 7013S4 ICE MILK MIX, SOFT SRV CHOC Q212. 5 GA PRAIRIE F11 CS 32. 1100 224. 77 READY TO EAT — Please Refer to Retupn PolicV FROZEN ' 011273 PRETZEL, KING SOFT BKD FIN 50/5 UZ SUPR PRTZL 06 0.6700 316. 70 10 11 Co 2 1 1 1-,c; 260099 ICE CREAN SANDWICH, CkY A CRN 24/4.5 OZ BLUE BUNNY CS 22, 2700 22- 27 5' 263926S ICE CREAM CUP, PANA SPLT 12/2. 9 OZ ITTIBIT2 CS 12. 5500 62. 75 10 10 wS 2649796 ICE CREAN CUP, GOTH CNDY 12/2.9 OZ ITTIBITZ CS 12. 5500 125.50 2 i QQ 3041423 CORN DOG, AN CH FZN 48/4 OZ STATE FAIR CS 33. 4100 66, 82 10 0 0330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT 08 29, 4300 294. 50 6 6 :2 5403548 ITALIAN ICE, LMN DBL CUP FZN 12/16 OZ CHIL)T- CS 23. 2500 1-9 2 35oy7V@--7T1TA7--CHS 7" DEEP DISH FZN W/36/10.22 OZ BOSCUIS CS 7800 2J56 6 6 5741228 SUN, HOT DOG 6n HINGE SLCD TFF12/12 EA HILLTOP HIR CS 31.2400 197. 44 5 3124100 PEEF, PTY- GPND 80/20 4: 1 RND 40/4 OZ HOLTE14 Cy 39. 1700 195. 85 SUB FOR PRODUCT 6463952 --'-0 CS 9763061 POPSICLE, ORNG- CHRY GRAPE SG/F12/6/1 , 65 OZ POPSICLE PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 40 PIECES SHIPPED: 40 ITEMS SHIPPED: 21 1402. 68 TOTAL REFRIGERATED PIECES ORDERED: 28 PIECES SHIPPED: 23 ITEMS SHIPPED: 10 640. 25 TOTAL FROZEN PIECES ORDERED: 91 PIECO SHIPPED: 95 ITEMS SHIPPED: 15 2128. 38 ` ACCOUNT IMV' ICE INVOICE CUSTOMER PURC K ASE ORDER SALES SALES DATE NO. NO � � DATE lNO, NUMBER � ^ LOC . REP . ORDERED 90569922 ��338� 27 � �8/ 1O/ �2 9�569��75 ' � ^ 1054 0062 08/09112 � /L� /, �� /� ' Route: 5291 / 8 / , �\— ~� �~uc_ / ORDER NUMBER: 603061 Uill Ship Remit. / US Foods, Inc . To 1411 E. 116TH ST TP. To BON 660088 ' / . CARMEL IN ' 46032 ' _ AtQ 100 42S 2119 __ —_- ' FhjpFrw: 12301 CUMBERLAND RD FISHERS - IN Shfp& 08/10/12 Page 01 of 01 -- ' -rtTrms: ' spciax ENTER OFF OF 111TH STREET ! ! ! ` 'ytTrms: NET 30 DAYS - qt/ Qty Sales Product Descriptop Pack SWe Label C Weight Pricing Unit Extended wdered Shipped Unit Nuaber D Unit Price Price DRY 2 2 CS 1462803 SPOON, TEA MW WNT BULK PLST 1000 EA PRIME CS 14. 0700 $ 2S. 14 PRODUCT CLASS RECAP ** I TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 WEMS SHIPPED: 1 28. 14 TOTAL WGT SHIPPED: 10.56 PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: PUrchase IRIE14 PRODUCT TOTAL 2S. 14 Description Fall GEN SALES TAX .00 This amount is an estimate at time of shipping prior to anV adjustments made at delivery: $ 28. 1-4 ~ 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. Terms 353824 U S FoodService, Inc. Box 660088 Indianapolis, IN 46266-0088 Invoice Invoice Description Amount or note attached invoice(s)or bill(s)) 11 # Date Number ( 31139 $ 3,489.21 8/3/12 121268 Concessions 31144 $ 936.16 8/7/12 216835 Concessions 31175 $ 480.85 8/8/12 273684 Concessions 31195 $ 4,177.31 8/10/12 338124 Concessions 31195 $ 28.14 8/10/12 338127 Concessions Total $ 9,111.67 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$ $ 9,111.67 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 121268 4239040 $ 3,489.21 1 hereby certify that the attached invoice(s), or 1095-1 216835 4239040 $ 936.16 bill(s) is(are)true and correct and that the 1095-1 273684 4239040 $ 480.85 materials or services itemized thereon for 1095-1 338124 4239040 $ 4,177.31 which charge is made were ordered and 1095-1 338127 4239040 $ 28.14 received except 23-Aug 2012 Signature $ 9,111.67 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund