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212795 09/12/2012 a 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: $2,995.66 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 212795 CHECK DATE: 9112/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 420637 925 .71 FOOD & BEVERAGES 1095 4239040 544507 952 . 04 FOOD & BEVERAGES 1095 4239040 768847 1, 117 . 91 FOOD & BEVERAGES ACCOUNT INV 0 ICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO. NUM8ER LOC . REP ORDERED 9O569922 O42Q637 �� 08/14/12 90569575 1054'' 0062� 08/13/12 Route: 2251 / 6 ORDER 59 6O5 ` NUM8ER�� Bill Ship Remit " To: E 116TH ST To: � To: US Foods, inc . BOX 660088 CARMEL, IN CARMEL 104 46032 46032 , INDIA"APOLIS 311 843 3873 46266-0088 Att: MICHELLE COMPTON | _ __ _- L -- 800 4 28 21 18 123O1 CUM8ERLAND RD FISHERS IN Sh� D (}B/14/12 —` � ---- p �' Page D2 of O2 r - tTrm ' s� spcial ENTER OFF OF 111TH STREET! ! ! `ytFrms: NET 30 DAYS Instr: qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Wered Shipped Unit Number D Unit Price Price _-___-- —_- N FUEL SURCHARGE 5. 25 TOTAL WGT SHIPPED: 313. 05 PIECES ORDERED: 31 PIECES SHIPPED: 30 ITEMS SHIPPED: 15, PRODUCT TOTAL $ 920, 46 CHARGES 5. 25 TAXABLE AMOUNT .00 � En SALES TAX . 00 This amount is an estimate at time of - rumnoao ^ DncdpUan �� pu Doe__� Approval owa______ A�COUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES BALES DATE NO, NO DATE NO- NUMBER LOC REp ORDERED 90569922 0420637 08/14/ 12 90569575 ^J � �~/ 1O54 DO6� O8/ m12 ....... Ship A__ Re in i t TC :AT US Foods, Inc . To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: 46012 46032 INDIANAPOLIS Att: MICHELLE COMPTON a00 42e 2118 FIS. iN shiPD: 08/14/12 Page Of of 02 Aj spciaj ENTER OFF OF QITH STREET ! ! ! It TYms: NET 30 DAYS instm Sales Product Des P t;cc) Pack Size Label C Weight Pricing Unit Extended rQUred ShyiptpVed Unit Number -0 D Unit Price Price DRY 1. CS 0791616 CUP, FN 12 Z WHT 25/20 EA MON0GR4,,N CS 35. 4300 :335, 43 2 CS 0214236 CUP, FM 16 Z WHT 20/25 EA MONOGRAII CS 17. 6100 35. 22 i CS 0814341 CUPi FN 20 Z WHT 2S/20 EA MONOGRAN C F, 21. 8300 21.813 0 CS 1695212 TRAY, PAPR BORD FOOD 5 LB POLY2/250 EA MONOGRAM u F� i CS 1052331 TRAY, PAPR FOOD 5 LB POLY 2/250 EA KANT LEEK CS 26, 1900 26- 19 1. CS 2404325 GLOVE, POLY LG TXTD AMDDX 10/100 EA MONOGRAM B CS 42, 1000 42. 10 1 CS 3256104 LID, CUP 12-24 Z BBL PLST 1000 EA WINCUP CS 16. 9200 16. 92 1 CS 4508560 SMACK BAR, CRL TRIX IW 88 76/1. 4 OZ GEHL MILLS CS 34. 2400 34. 24 i CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21 . 5500 2155 REFRIGERATED CS 065426? HUNNUS, RSTD RED PPR NONDARY 12/4.S6 OZ SANRA CS 2J7500 23. 75 READY TO EAT - Please Refer to Return Polic I CS 0654301 HUtZini.—�LC RSTD NONDARY REF 12/4.56 OZ 1ABRA CS 23. 7500 23. 75 T�EADY TO EAT - Please Refer to Return Policy v4 4 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZI CS &. 600 426.68 4 4. CS S403548 ITALIAN ICE, LMN 'DBL CUP FZN 12/16 OZ CHILL CS .23.2500 9a.oy) V2 2 CS 5509708 PIZZA, CHS 7" DEEP DISH FZN U/36/10. 22 OZ BOSCO'S CS 61.7800 123. 36 i 0 CS ??63061 POPSICLE, ORNG CHRY GRAPE SG/02/0"j. 65 OZ POPSICLE mm PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 13 PIECES SHIPPED: 13 ITEMS SHIPPED: 12 .469.18 TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: 3 ITEMS SHIPPED: _3 57. 84 TOTAL FROZEN PIECES ORDERED: 15 PIECES SHIPPED: 14 ITEMS SHIPPED: 4. 393. 411 ' ` / A C (.-j,,,i r 4T I.iwo ICE INVOICE CUSTOM •R rURCHASE ORDER SALES SAL.El.; DATI*.". NO. NO, DATE NO, L OC. REP . ORDERED V0569922 0544507 Oe/17/12 90569575 330 iO54 0062 OS/16112 Bill ------— Routei5291 / ORDER NUMBER: 609451 R P rn i CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS'&RECREAT I ' To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: -US Foo rT BOX 660089 CARMEL 1 N CARMEL I ON 46032 46032 INDIANAPOLIS IN ...x11 .'_841 3873 46266-0080 Att: MICHELLE COMPTON DEP # 00 800 429 2118 ............. Y P,F"T o 1.2301 CUMBERLAND RD FISHERS IN shipD: 08/17/12 Page 02__o . 02 t FrMH.- 513P ci,a I ENTER OFF OF 111TH STREET! ! ! OytT>ms: NET 30 DAYS fnstp - Qtv Qtv Sales Product Descripton Pack Size Label C Weight Pricinq Unit Extended irdered Shipped Unit Number D Unit- Price prick',' SUB FOR PRODUCT 6483952 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6/1. 65 OZ POPSICLE PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 19 PIECES SHIPPED: Q ITEMS SHIPPED: 1 3. 40 TOTAL REFRIGERATED PIECES ORDERED: 6 PIECES SHIPPED: 5 ITEMS SHIPPED: 5 102. 26 TOTAL FROZEN PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 7 2 41 . 13 INVOICE SUNNARY FUEL SURCHARGE 5. 25 TOTAL QGT SHIPPED: 354. 90 PIECES ORDERED: 32 PIECES SHIPPED: 31 ITEMS SHIPPED: 27 Purchase Description PRODUCT TOTAL $ 946. 79 P.O.#_qZP0C> P 9�fV CHARGES 5. 25 G.L.#__ Budoet Line besc TAXABLE AMOUNT $t Purchaser Doe GEN SALES TAX % . 00 Approval_ Date This amount is an estimate at time of shipping prior to aRy adjustments made at delivery: $ 95 2. 0.4 ' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO, NUM8ER LOC. REP , ORDERED 90569922 0544507 08/ 17/12 90569575 yl 1054 0062 08/16/12 xouxe: 5291 / 9 ~' ORDER NUMBER:� 6D9��609451.8ill Sh �P Remit To: To: 1235 CENTRAL - - -- — � To: US Foods, Inc . C*mnEL. M CARMEL I N BOX 660098 *6012 46032 INDIANAPOLIS 317 843 3873 IN AtW MICHEL LE COMPTO N DEPT # OO 200 429 2118 ?AipFrm. 12301 CUMBERLAND RD FISHERS IN Ship& 08/17/12 � --Page 01 of 02 -rtTrm w 0- -al ENTER OFF OF 111TH STREET! ! ! lytF=5: NET 30 DAYS RTC M~^' ~^r ""^e" r,uuuc^ uesc,zpton Extended `` "=` e" ""^pp=" ""^^ Number u Unit Price Price � ------............... DRY 1 1 CS 0814236 CUP, FM 16 Z WHT � 20/25 EA MONOGRAM CS l 1 CS 0814541 CUP, FM 20 Z WHT ~ ,. 25/20 EA MONOGRAM CS -� � --'' - ^' ~^ 1 1 CS 2404325 GLOVE, POLY LG TXTD AMBDX 10/100 EA MONOGRAM B CS -- ~~`` �^ °^ 1 1. CS 3256104 LID, CUP 12-24 Z BBL PLST '' 1000 EA WINCUP CS �- ---~ '^ ^~ 4 4 C 4260238 SAUCE, CHS NACHO SHLF STAPL ^~ /107 OZ ORTEGA CS ^~ '^`` ^� '� -' 1 1 CS 4329397 KETCHUP' TMTO FCY SS FOIL P OO/9 OR MONARCH CS ~' `` ��~ ^" 1 1 CS 5311600 CONE, ICE CRh CAVE 22S FLAT,'-36)20 EA JOY CONE CS - ' '~`` �` '" 38, 3600 38. 36 1 1 CS 5329289 MUSTARD, YLW SS 5. 5 OR SHLF~- 500/5-500 GR MONARCH CS 1 1 CS 5402540 SPONGE, W/ SCRBR NYLON CELLU '-20 EA MONOGRAM CS ^^ ` ~`` ^� ' 1 1 EA 6210777 CANDY, KIT KAT VNDG STD 1�5 Z' 36 EA KIT KAT EA - ' -' ~` ^' ~' 1 i CS 6260665 COOKIE, FUDGE STRPE MINT SS-~- 6O/2 OZ KEEBLER CS �~ ' '`` �" '` 1 1 CS 8355927 NAPKIN, DISPR IHPLD WHT 6.5X1024/250 E0~` EASYNAP C8 -- � ' -- ^~ ~' 1 I. CS 8907222 SPOON, TEA MW WHT POLYP BULK ~-1000 EA MONOGRAM CS ~' '~`` ~^ '~ 2 2 TORTLA CORN YLW RND .^- 6/2 LB EL PASADO CS -- �� -` ^~ '' 1 --�--� CS 995437I-- LD��lCUP 32 Z STRAW SLTD PLST 10/50 EA-- MONOGRAM CS REFRIGERATED 1 1 CS 0654269 HHMMUS, RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 23. 7500 23. 75' READY TO EAT = Please Refer to Return Polic � 1 1 CS 0654301 HUMMUS, GRLC RSTD NONDARY REF 12/4. 56 OZ~~ �ABRA CS 23. 7500 23. 75 READY TO EAT - Please Refer to Return Policv � 1 1 EA 2000453 SALAD, CHIX CRMY REF ,,---- 5 LB PIERCE B EA 26. 9900 26 99 READY TO EAT - Please Refer to Return olicy ' � 1 1 CS 48OO884 MILK, CHOC 1% LOW FAT PLST REF12/1 PT''~ PRAIRIE FM CS 10.6600 10. 66 1 1 1 CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB '' CROSS VALY B CS 17� 11O0 17� 11 READY TO EAT - Please Refer to Return Policy � � � CS 6483952 BEEF, PTY GRND 80/20 4: 1 RND 56/4 OZ CTLMN SLCT SUBBED WITH PRODUCT 3324100 ' FROZEN 1 1 CS 2011278 PRETZEL, KING SOFT BKD FZN ^~ 50/5 OZ SUPR PRTZL CS 31 , 6700 31 .67 1 1 CS 2014652 MUFFIN, 8LBRy IW -� 24/4 OZ SARA LEE CS 21. 7000 21. 70 ' 1 1 CS 3041423 CORN DOG, AM CN FZN ~�' 48/4 OZ STATE FAIR CS 33� 4100 33' 41 � ' ` ' z z [5 5509708 ~7PIZZA, CH " DEEP DISH FZN U/36/10- 22 OZ BDSC81s CS 61 7800 61. 78 1 1 CS 5741228 'TUN, HOT DOG HINGE SLCD TFF12/12 EA HILLTOP HR CS 31� 24O0 1 CS 6005003 YSAGEL, PLN 2 ƒ, SLCD TFF HEAT &72 EA LENDERS CS 24� 48O& "° �- S 1 CS 3324100 -8EEF, PTY GRND 80/20 4: 1 RND 40/4 OZ HOLTEN CS 36� 85O0 �- `° L ",klk)0-f E j C.'I CIE c,Ui S"j#-C)M E".F"ol mo (-5 D A,i I .(°';a ORE'ERIID 2; 'i 2 IINII 5 4054 0 C)6 12 9 C.) I R JCI" 6?-fy' 5 0 8 0 FR D E R 'NK-14'fl: E,R 6 16 5 'RI Rfmn i t RE AT 1. 1 CA-AY PARKE,, C*L-A',,,;' PARM (j 14 11 E 1. 16 1!, Z" `5 C.FNITF"��A-f- PAR V. EM C ARIIIEL N CAY,*11EII.- 3 .4 6 0-3 2 1 NYE)1414PAAF101-1 r� '-I 17 Ell I'V3 3 -Y Att--: OC". -423 21 IS .......... I-F-301 CUIMSERL.AND R 1:S,I- E-7 IR 6 0 i,*,-,'�•/2-'T 12 iai t-�Fr,,v IIIET 3�10 TOA',�S V S i C., 44-'F—ighl� FLY.i.C in g -f i. j er.-ef ".34 1 i P 13 e d L i t. M�Jfflh er ij -ini t. C.e. ................ .............. ....... ...... .......... ........ ........."CE S,�JNMAR'Y FUEL. 3,� F,i ""EM" S!- "JOTAL WGI, S HM`Pf,."'D Gj:`� E-RCED: ifs 7� Y, T ILI 4 p P- g P y d ............ ...... ...... ....... ................. ....... Purchase Description P.O.# c2 0-5- or F G.L.# 16--/'- //2 Budget Line Descr Purchaser�Date_ Approval Date TOTAL DRY PIECES RED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: V. 34 TOl�AL REFRIGERATED PIECES -- D� 9 PIECES -'IPPEI)� 9 l SHIPPED� 7 207. 82' "' TOTAL FROZEN PIECES --ERED� 17 PIECES SHIPPED: 16 1TEMS SHIPPED: � _____- -------- ....... _____ ___ ____........ _................. ' J�CCOU�T INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DAT� NO %�. DATE NO. NUMBER LOC. REP ORDERED 90569922 076B847 08/24/12 90569575 �9 �J,� / 1054 0062 08/2��/12 &4 f' �� / '�-� Route: 5291 / 9 .�vL ^~ ' ' �RDER NUMBER: 16275 �ill ----------' — Ship - �-------'---�'' Remit � -- PARKS&REURM ARMEL CLAY PARKS&RECREAT US Foods, Inc , CARf / w 141z E . 116 | n ST To: 1235 CENTRAL PARK DRIVE To: X CARMEL IN IN _ S IN Att: 1 # OO { 300 428 2119 { �--------------_---_-'__-___. ...........__ ..... _.............________� ThipFrm: 12301 CUMBERLAND RD IN shipl7: 08124/12 Page 81 of OF � rtTr/ns 3pci�l `ytTrms. NET 30 DAYS AUG 2 7 201Z WSW. Qty qty Sales Product DuMpton Pack Size Label C Weiqht Pricin Unit Extended ^rd ered Shipped Unit Number D Unit" Price Price DRY ` 1 1 CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM CS � 1 CS 0814236 CUP, FM 16 Z UHT 20/25 EA NOMOGRAM CS - -- - - ~~ '` 1 1 CS 1287747 SNACK BAR, CRL ASST IW SS 3/16/1 . 3 OZ NELL0G�'S' CS -' -^`` ^' ~^ 1 1 CS 1695212 TRAY, PAPR BORD FOOD 5 LB POLY2/250 EA MOWOGR&M CS -- ~' `- ~ �' 1 1 CS 2404323 GLOVE, POLY Q TXTD AMBDX 10/100 EA MONOGRAM B CS ' ' ^`` `` ^� 1 1 CS 55Y7604 Chi IF, CHS CNCHY PLM SS BAG 64/2 OZ CHEE-706' . CS � -' -- ^ ~ 1 1 CS 5597851 CHIP, TORTLA MACHO CHS TRGLE 64/1, 75 87 DBRITOS ` CS -- `' `` ~` ~' 1 1 CS 5597968 CHIP, CORN ORIG TFF SS BAG 64/2 OZ FRlTO� CS 30. 8900 ~~ ~' 1 -`1 EA 0053126 CANDY, QESES PHI BUTR CUP 36 EA REE9E 'S �` EA `�'`^ ~~ `' 1 1 CS 8301913 FKUAT MlX, BIT IN JCE TFF 8UL 36/4 OZ D8LE CS -- � -' ' ^~ ' ^ 2 2 CS 9463688 CHIP. TORTLA CORN fLW RND 6/2 LB EL PASADO CS 22, 0900 �^ ~^ REFRIGERATED ` 1 1 CS 2000453 SALAD, CHIX CRMY REF 2/5 LB PIERCE 8 CS READY TO EAT - Please Refer to Return Pmlic - -- ' was 1 1 CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT IRAIKIK FM C8 1 1 C ZLK, CHQC 1% LOW FAT PLST REF12/1 PT PRAIRIC FN CS -- `' ~- ^~ ~^ 2 8Q4151 ICE CREAN MIX^ SOFT SRY VNL 4%2/2. 5 GA PRAIWIL VM CS READY T8 EAT - Please Refer to Return Polic� -- --' ' ~ ' -- 1 1 CS 5006556 BANANA, GRN FRESH REF i0 LB PACKE� CS 7 780O 7 7O 1 1 C3 7197775 YOGURT, ASST STRWDNA & RSPBRY 12/6 OZ YOPLAIT CS 10. 3400 1034 2 2 CS 7451354 ICE MILV MIX, SOFT SRV CHOC 4%2/2. 5 GA PRAIRIE FM CS 32. 1100 64� 22 READY TO EAT - Please Refer to Return Policy � � FROZEN 6 6 CS 2011278 PRETZEL, KING SOFT BAD FZN 50/5 OZ SUPR }�RTZL CS 31. 6700 190. 02 2 2 CS 3041423 CORN DOG, AM CH FZW 48/4 OZ STATE FAIR CG 33� 4100 66, 02 6 6 CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LB PATUXENT CS 27� 4500 176. 70 2 2 CS 5509708 PIZZA, CHG 7" DEEP DISH FZ# W/36/10. 22 OZ B0SC5'� CS 61� 7800 123' 56 1 O CS 9763061 POPSICLE, URNO CHRY GRAPE SG/F12/6/1. 65 OZ POPSICLE ** PRODUCT CLASS RECAP m* 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 8/14/12 420637 Concessions 31201 $ 925.71 8117112 544507 Concessions 31200 $ 952.04 8/24/12 768847 Concessions 31205 $ 1,117.91 Total $ 2,995.66 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$ $ 2,995.66 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 420637 4239040 $ 925.71 1 hereby certify that the attached invoice(s), or 1095 71 544507 4239040 $ 952.04 bill(s) is (are)true and correct and that the 1095-1 768847 4239040 $ 1,117.91 materials or services itemized thereon for which charge is made were ordered and received except 6-Sep 2012 Signature $ 2,995.66 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund