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213211 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $1,541.40 CARMEL, INDIANA 46032 PO BOX 660088 «o� INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 213211 CHECK DATE: 9125/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1204307 370 .28 FOOD & BEVERAGES 1096 4239039 1424895 658 . 15 GENERAL PROGRAM SUPPL 1095 4239040 999788 512 . 97 FOOD & BEVERAGES ACCOUNT INVOICE IN CE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NQ- DATE NO, NUMBER LOC. REP . ORDERED 90569922 0999788 O8/31/12 ?0569575 1054 0062 08/30/12 Route: 5291 / 5 ORDER NUMBER: 622494 8i1l Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To� To: 1235 CENTRAL PARK DRIVE E To: BOX 660oee 46012 46032 INDIANAPOLIS IN 317 843 3873 46266-0098 Att: MICHELLE COMPTON DEPT 4 00 800 428 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN Shipl7: 08/31/12 Page 02 of 02 ShipFrm: FrtTrms. spcial ENTER OFF OF 111TH STREET! ! ! FrtTrms- PytTrms: NET ]O DAYS Instr: PytTrms: �ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price INVOICE SUMMARY FUEL SURCHARGE 5. 23 TOTAL WGT SHIPPED: 138.55 PIECES ORDERED: 16 PIECES SHIPPED: i6 ITEMS SHIPPED: 14 PRODUCT TOTAL $ 507. 72 CHARGES 5. 2 5 TAXABLE AMOUNT $ . 00 GEN SALES TAX % . 00 This amount is an estimate at time of shipping prior to anV adjustments made at delivery: $ 512. 97 Purchase ' Purchaser Description Po F Bud e | .� ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO DATE NO. NUMBER LOC . REP . ORDERED ` 9O569922 D999�88 O8/31/12 9O569575 �� �� �J �� 1054 0062 08/30/12 ' | Route: 5291 / 5 y�\ �~ ORDER NUMBER: 622494 Bill Ship Remit CARMEL CLAY PARKS&RECREA-1'' CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 E. 116TH ST To: 035 CENTRAL PARK DRIVE E To: BOX 660088 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 5hipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 08/31/12 Page 01 of 02 ShipFrm: FrtTrms. Spcia2 ENTER OFF OF 111TH STREET! ! ! FrtTrms: PftTrms: NET 30 DAYS Instr. P9tTrms� Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY I CS 2404325 GLOVE, POLY LG TXTD AMBDX 10/100 EA MONOGRAM B CS 42. 1000 42. 10 1 CS 4260238 SAUCE, CHS NACHO SHLF STADL 4/107 07 ORTEGA CS 57.0700 57. 07 1 CS 4329397 "ETCHUP, T"TO FCY SS FOIL 1"T 500/9 GR MONARCH CS 14,9600 14. 96 I CS 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/1.75 OZ DORITOS CS 30. 8900 30.89 I EA 6210777 CANDY, KIT KAT VNDG STD, 1. 5 Z 36 EA KIT KAT EA 25.9400 25, 94 I CS 9089079 POPCORN, RAU KIT W1 OIL & SALT36/8 OZ FANCY FARM CS 24. 2100 24. 21 REFRIGERATED J. CS 0654269 HUMMUS; RSTD RED PPR NONDARY 12/4.56 OZ SABRA CS 23. 7500 23. 75 READY TO EAT - Please Refer to Return Polic I CS 6483952 BEEF, PTY GRND 60/20 4: 1 RND 56/4 OZ GLMN SLCT CS 42.8800 42. 86 FROZEN 2 2 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 31. 6700 63.34 1 1 CS 20i4652 MUFFIN, BLBRY 1W 24/4 OZ SARA LEE CS 21.7000 21. 70 2 2 CS 3330099 HOT DOG, AB 6: 1 6'' RLR GRIL 10 LB PATUXENT CS 244500 58.90 1 1 CS 2107999 ICE CREAM BAR, CHOC TACO A VNL24/4 OZ KLONDIKE CS 255500 25. 55 PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: -7 230. 05 TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 66.63 TOTAL FROZEN PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 5 211. 04 ACCOUNT 11AVOICE TNVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO� NO , DATE N10. 1\11UMSER LUC , REP , ORDERED 90569922 1424895 09/14/12 90569575 1054 0062 09/11/12 B i 11, ......... Rhin Route: 3291 9 ORDER NUMBER: 632870 ---------- 'TJ CARMEL CLAY PARKS&RECREAT CA-R,'''WEL CLAY PARKS&RECREAT To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: KSOX 660OS8 IN CARMEL- N 1 1 146032-, INDIANAPOLIS 1317 S43 3S73 46266-00S8 Att: MICHELLE COMPTON IDEPT '# '01,':) 800 428 2118 .......... I........ fnipFrw: 12301 CUMBERLAND RD FiskERS 1N Ship& 09/ 14/1E Page 01, of 01, 7rtTrms.- spCial ENTER OFF OF 111TH STREET ! ! ! 2ytTrms: MET 30 DAY;-"; Ins tr.- Qtv Qty Sales Product Pack Size Label C Weight Pricing it"it Extended rdered Shipped Unit Number Unit Price Price .................. ......... .........--.11-1.1-............ ............. ............ .......... DRY 25 25 CS 0779991 WATER, SPRG PET PLST BTL 24/16. 9 OZ SPRING/MoN CS 5. 7700 144. 25 4 4 CS 1432996 DRINK MIX, LMNOE 20 Z YLD PUDR4/30 EA CRYSTAL LT CS 31. 5000 126. 00 2 2 CS 6672323 CRACKER, CHS 4 CT 192/. 93 OZ AUST1,111.1 CS 30. 4400 60.08 2 2 CS 6672349 CRACNER, CHS PNT BUTR 4 CT 192/. 93 OZ AUSTIN CS 30. 4400 60, 80 REFRIGERATED 2 2 CS 0878173 ORANGE, CA CHO FRESH REF 138 EA CROSS VALY CS 27.8600 t& 72 6 6 CS 2111918 BANANA, QRN TIP PTITE 150 CT 40 LB PACXER CS 27, 2200 163. 32 1 1 CS 9331380 APPLE, RED DLC 130 CT XFCY 138 EA CROSS VALY CS 40. 8500 40, 05 w* PRODUCT CLASS RECAP ** F TOTAL DRY PIECES ORDERED: 33 PIECES SHIPPE[Vi 33 1TENS SHIPPEQ 4 392. 01. TOTAL REFRIGERATED PIECES ORDERED: 9 PIECES SHIPPED: 9 ITEMS SHIPPED: 3 259� 89 11AY010E SUMMARY FUEL SURCHARGE 6. 25 7 TOTAL UST SHIPPED: 1093. 22 PIECES ORDERED: AxchdQ PIECES SHIP""C ' j , 1—MIS S-HIPPED: 0F.s,,cripflon-fQUJ'- -CU Cc Rrmak 10400500 ..—P0 C5- .0.# IS':� V) PRODUCT TOTAL G.L.0 1 Dq0-LCC)- Bud t USES CHARGES 6. 25 Purchaser Date— TAXABLE AMOUNT $ Approval Date------ GEN SALES TAX This amou'n""". 15 F.1S'(;1fl1qVe time of shipping prior to any adjustments made at deliverV: 658 .......... -—---- ............... ........... ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO- NO� DATE NO. NUM8ER� LOC . REP ORDERED 90569922 1204307 09/07/12 90569575 1054 0062 09/06/12 Route: 5291 / 5 . ORDER NUMBER: 628992 8ill Ship Remit CARMEL CLAY PARKS&RECRET CARMEL CLAY PARKS&RECREAT 6S Foods, Inc . To: T0 To: BOX 66002B 1511 943 W73 46266-0088 Att: r # 00 800 429 2118 { WpFrm: 12301 CUMBERLAND RD FISHERS IN ShQ/7: 09/07/12 ' Page OF of 02 'rt spcial `vt7rms: NET 30 DAYS 0ty qty Sales Product Qescripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price *** INVOICE SUMMARY *** FUEL SURCHARGE. ' TOTAL WGT SHIPPED: 191. 05 PIECES ORDERED: 15 PIECES SHIPPED: 15 ITEMS SHIPPED: 13 , PRODUCT TOTAL $ CHARGES 5 TAXABLE AMOUNT 0 GEN GALES TAX % O This amount is an estimate at time of shipping prior to any adjustments made at delivery: $ 71, TIM SEP 19 2012 ~�w ~� n ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE �11O., NUMBER LOC. REP ORDERED 90569922 1254307 09/07/ 12 9056?575 � �� --~ ` 1054 0062 09/06/12 Route 5��91 / 5 ^T `^ � /v` Bill Ship - Remit ~'`~�'` ''— '~—' --- � ' - ---- — -- ' ~~~ ~' Inc .To: 1411 E. 116TH ST To: r*Mv . DRIVE H To: TOX 660088 CARMEL ^- CARMEL "" . 46032 46032 1 JINDIANAPOLIS IN 317 843 3873 46266-0088 Att: ThipFkw 12301 CUMBERLAND RD FISHERS IN f0ip& 09/07/12 Page 01 of 02 vt�rms � { � spcial , � 'yt7rms: NET 30 DAYS Iwtr: � Aty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D . Unit Price Price CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS 57. 0700 $ 114. 11.4 CS 5605472 CHIP, MULTGRN CHEDR SS BAO 64/1 . 5 OZ SUN CHIPS CS 30.8900 C', CS 9089079 POPCORN, RAW VIT U/ OIL A SALT36/8 OZ FANCY FARM CS 24. 2100 <11 i CS ?341223 CREAMER, HALF A HALF UHT DARY 360/, 375 OZ GLAVU FRNS CS 17.2500 1?. 25 REFRIGERATED READY TO EAT - Please Refer to Return Poiiq/ 1. EA 2000453 SALAD, CHIX CRNY REF 5 LB PIERCE B EA 26. 9900 26. 99 READY TO EAT - Please Refer to Return Polic READY TO EAT - Please Refer to Return Palic I CS 4800843 MILK, 2% REDUC FAT PLST REF 12/1 PT KRATRIE FN CS 10. 6700 i0m0l' I CS 4800884 MILK, CHOC 1% LOW FAT PLST REF12/1 PT PRAIRIE FM CS 10. 6600 10.66, 1 CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB CROSS VALY R CS 17- 1100 17. 11. READY TO EAT - Please Refer to Return Polict/ Vi i CS 7197775 YOGURT, ASST STRWBNA & RSPBRY 12/6 02 VOPLAIT CS 10. 3400 10. 3i FROZEN 1 CS 3041423 CORN 0004 AM CN FZN 48/4 OZ STATE FAIF',,' CS 33. 4100 33. 41 i CS 4058707 MUFFIN, BANA NUT 1W FZN 24/4 OZ SPUNKMEYER CS 24.3300 24. 3-3 *m PRODUCT CLASS RECAP TOTAL DRY' PIECES ORDERED:" 6 PIECES SHIPPED: 6 ITEMS SHIPPED: 4 210. 70 TOTAL REFRIGERATED PIECES ORDERED: 7 PIECES SHIPPED: 7 ITEMS SHIPPED: 7 126 18 TOTAL FROZEN, PIECES ORDERED: 2 PIECES SHIPPE& 2 ITEMS SHIPPED: 2 57: 74 � 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 8/31/12 999788 Concessions 31224 $ 512.97 9/14/12- 1424895_ Tour de Carmel food & beverage 31185 $ 658.15 9/7/12 1204307 Concessions Total $ 1,541.40 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$ $ 1,541.40 1 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 999788 4239040 $ 512.97 1 hereby certify that the attached invoice(s), or 1096-60 1424895 4239039 $ 658.15 bill(s) is (are)true and correct and that the 1095-1 1204307 4239040 $ 370.28 materials or services itemized thereon for which charge is made were ordered and received except 20-Sep 2012 Signature $ 1,541.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund