The URL can be used to link to this page

Home My WebLink About216911 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 }1. ONE CIVIC SQUARE U S FOODSERVICE,INC CARMEL, INDIANA 46032 PO BOX 660088 CHECK AMOUNT: $2,195.27 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 216911 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1164263 428 .49 FOOD & BEVERAGES 1095 4239040 1524643 989 . 73 FOOD & BEVERAGES 1095 4239040 1829556 777 . 05 FOOD & BEVERAGES 1091 4359000 2748023 30 .37 SPECIAL PROJECTS 1091 4359000 2958963 -30 . 37 SPECIAL PROJECTS ACCOUNT INVOICE _-4N "C CUSTOMER PURCHASE ORDER SALES SALES DATE " 'C NO. —DATE NO. NUMBER LOC. REP. ORDERED use 905699" .. 2748023 101i 12 170569575 1054 0062 10/25/12 y T 3 7/z`73 FOOM ELIVERY ORDER NUMBER: 678446 TE):1198��_ BILL CARM'EL CLAY PAFVSR,,REC19EA-r --SHIP CARMEL CLAY PARKS&RECREAT REMIT o r,d is, I n c . TO: E. 11.61-H ST TO: 1235 CENTRAL. PARK DRIVE E TO: BOX 660096 IN C A R I I CARME IN 0. DATE 0/ _5/ ELIVER y _7 C EA-17 --SHIP A _L -460'32 46032 YNDIANAPOLIS IN 317 843 3873 46R66-0086 800 ATT. M 1,11 H E L L E COMP'TON DEPT 'Tit 00 - 428 21. 1-18) FISHERS IN SHIP DATE: 1.Q _SHIPPED FROM: i.P'30 1, 1 2 9 1 IM Page 01 of 01 C FREIGHT TERMS: SPECIAL PAGE WILL P1 C PAYMENTTERMS: NET 30 DAYS INSTRUCTIONS: C QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E 30.37 I_ CS 632-9-1.9-7- BEAN, BKD_-141 BRN.-SUGAR CND OLD6/#1-0-..C[4 _ \_MON-.-D CS 30.8700 $ ti INVOICE SUMMARY- TOTAL tlBT SHIPPEDi 43. 87 1 PIECES SHIPPED: I PRODUCT TOTAL 30,37 Purchase De=;cripflon # P F- TAXABLE AMOUNT $ � 00 P.O. _# L.# 3 GE11-4 SALES -TAX u t L�in%es'4 Purchaser_�_ �.Date --- —PLEASE REMIT THIS MOUNT BY 11/24112 AMOUNT 30.37 Approval—Date The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section Sit)of the Visit www.usfoods.com for a fast and easy way to order. Perishable Agncunural Commodities Act,1930(7 U.S C.4996(c)).The seller of the.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 11 them commodities until full=m a rem'ad. 1 1 -CUSTOMERS SIGNATURE: Interest shall accrue on all L balances exceeding established credit terms at a Tate equal to the lesser of(a)I-1h% month or 11" th)the maximum rate thal the customer may lawfully contract to pay,and in all events calculated in accordance with apphule Ia.. CUSTOMER COPY .' - r CREDIT MEMO FOCUS' Page 1 of 1 ACCOUNT NUMBER CREDIT MEMO NUMBER I MB UER ORDER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP 90569922 2958963 2654982 677108 1054 62 CUSTOMER NUMBER CREDIT MEMO DATE INVO ORDER DATE SPECIAL INSTRUCTIONS 90569575 2012/10/24 10/23/2012 10/24/2012 BILL TO SHIP TO =IN46266-008 CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT 1411 E. 116TH ST 1235 CENTRAL PARK DRIVE E CARMEL, IN 46032 CARMEL,IN 46632 6-008 ATTN: MICHELLE COMPTON Dept.: 0 (000)000-0000 (317)843-3873 (C IMPOR CE 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 DRY -1 CS 6329197 BEAN,BKD W/BRN SUGAR CND OLD MON-D 6/#10 CN CS $30.37 ($30.37) INVOICE SUMMARY Product Total $30.37 CR Sales Tax Rate: 0.00 $0.00 AMOUNT $30.37 CR — 1(�DEC 20 2912 Page 1 of 1 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE . CO, NO, DATE NO. t°I Y.-3 E.R LOC . REP . ORDERED 90569922 116q263 W/11 /12 ?0569575 1054 0062 12/10/12 Route: 2251 f 4 ORDER NUMBER: 72!790 ------------.11-1........ ....... .................. ._»._.._.......__-.........._.__..,..._. f i t CARMEL CLAY PARKS&RECREA-1 ICARMEL CLAY PARKS&RECREAT- US Foods, Inc - To: 1411 E. 1. 16TH ST To: 1235 CENTRAL PARK DRIVE - f To::: CARMEL IN CARMEL I N BOX 660088 WOW 146032 INDIANAPOLIS IN 841 2873 46266-0088 Att: MICHELLE COMP TON CEPT 0 00 SOO 42S 2118 L . - ................... ........-] - ....................... ............ .............................. WpFrm: 12301 CUMBERLAND RD FISHERS IN ShIpW 12/ 11/12 Page 02 F 02 rtTrms,- sp r f al ENTER OFF OF 111TH STREET ! ! ! TtTrms. NET 30 DAYS instr: Qty Q.1y Sales Product Descripton Pack Size Labe C Ueight Pricing Unit Extended rdeved Sh i pped Unit Numbw Unit Price Price ............ .............. ............ ............... ........ *A* INVOICE SUMMARY FUEL SURCHARGE TOTAL WGT 17)HIPPEDj 166, 52 PIECES ORDERED; 15 PIECES SHIPPED: is ITEMS SHIPPED: io PRODUCT TOTAL $ 422. 24 CHARGES 6. 2S TAXABLE AMOUNT GEN SALES TAX This amount is an estimate at time of shipping prior Q anV adjustments made at delivery: 428. 0 ........... ------- ...... ................ ........ Purnhase 1410!12� Dascripticya'C�lL P r P.O.# '2- G.L.# B ud t caG �1%e Line s Purchaser----Date Approval Data , ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. N8, DATE NQ, NUMBER LOC , REP . ORDERED 9(}569922 1164263 12/11/12 90569575 /v �� /7 1054 0062 12/10/12 x�( � ��' ~/ Route: 2251 / 4 /,``^ ORDER NUMBER� 72179O ��' BiIl Ship �emit � -� To: 1411 E, i16TH ST To: 11235 CENTRAL PARK DRIVE E To: 46032 46012 !NDIANAPOLIS N 317 843 3S73 46266-OOBB Att: MICHELLE COMPTON j WEPT # 00 800 428 2118 ____ _ �hi�F-rm� 123O1 CUMBERLAND RD FIGHERS IN Shjpl7� 12/11/ 12 � Page {)1 of 02 -rtTrm ' s� SpciaJ ENTER OFF OF 111TH STREET ! } ! `yt7rms: 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 1 CS 1287747 SNACK BAR, CRL ASST IW SS 3/16/1. 3 0Z 1 1 S -- --. --' ' - 28. 51 1 CS 4647806 DETERGENT, DISH NNL DAWN LIQ 8/38 OZ DAWN 1 1 -- �-� --- '^ ~~ 1 C NVW CS S —� -' ' ' -- �- 1 1 ''- — -� --' - ^` ^~ 1 READY TO EAT - Please Refer to Return Polict. 1 1 CS 2340875 CHEESE, CRM FLN 88 PLST CUP 1000 OZ &LNVW FRMS CS 23. 3200 23.32 READY TO EAT - Please Refer to Return PolicV 1 Y 5 S 33 CS� -- -- ' ---� � - 2 2 w* PRODUCT CLASS RECAP w*4 TOTAL DRY PIECES ORDERED: 5 PIECES SHIPPED: TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: ITEMS SHIPPED: - - -' -- T0TAL FROZEN PIECES ORDERED: 7 PIECES SHIPPED: ITEMS SHIPPED: - ~' `^ / ACCOUNT INVOICF INVOICE CUSTOMER PURCHASE ORDER SAL SALES DATE NO NO , DATE NO. NUM8ER LOC . REP ORDERED 90569922 1524643 12/21/12 9056?575 ` 1054� 0062� 12128112 Route: 5291 / 10 ` ORDER NUMBER: 731385 8ill f Ship Remit I US Foods, Inc , To: To: 1235 CENTRAL PARK DRIVE E To: 317 843 3073 46266-0088 ^" Att: DEPT # C'10 eOO 428 2118 ThipFrm� 123D1 CUMBERLAND �D FISHERS IN Shj D 12/2l/i2 ---�----- � . p � Page D2 of 02 -rtTrms � � Sp CiaJ 'ytTr*rs: NET 30 DAYS Instr: Qty Pty Sales Product Descriptou Pack Size Label C Weight Pricing Unit Extended 'rdered Shipped Unit Number D Unit Price Price !NVOICE SUMMARY FUEL SURCHARGE 6. 25 . TOTAL WGT SHIPPED: 464. 11 PIECES ORDERED: 33 PIECES SHIPPED: 33 ITENS SHIPPED: it, PRODUCT TOTAL S 983. 18 i—HARGES 6.25 TAXABLE AMOUNT 00 GEN SALES TAX 00 This amount is an estimate at time of shipping prior to any adjustments made at- delivery: 909. 73 . � Purchase Dannriptnn PcxF P{�# ` aL# Bud t ' Date___ ' ACCOUNT INVOICI INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE N[] NO, DATE NO. NUMBER LOC . REP .�7 ^� ~ D 9O569922 1524643 12/21/12 90569575' k- ,,, G -7 1054 0062 12/20/12 2 Route: 5291 / 1O 0RDER NUMBER: 731385 Bill Sh �p ' Remi� A US Foods, Inc . To: E To: BOX 660088 46032 46032 INDIANAPOLIS IN 317 043 3873 46266-008e ^ Att: D EPT 0 0 0 � ___-_-__�_ 1 7h ipFrm.' 12301 CUMBERLAND RD FISHERS 1N SAipI7. 12/21112 Page 01 of 82 -WtTrms, cja! `ytTrms: NET ]Q DAYS Instm qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number 0 Unit Price Price __'.........._ ..... .......... _____-______-__-____-____-____--_--_-_-_-_--_--'___--___-- DRY 4 4/ CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ O RTEGA CS 54. 5500 $ 218. 20 1 CS 8429292 JUICE, APPL 100% VITHN C ADDED24/10 OZ THIRST/MON CS � 21� 48O0 21 CS 9089079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 26�000O 70, 00 � -~ 3 3 "' CS 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADQ CS 24� 3600 73 REFRIGERATED 1 1-,/ CS 0654269 HUMMUS, RSTD RED PPR NONDARY 12/4. 56 02 SABRA CS 23. 7500 23. 75 / READY TO EAEAT y- Please Refer to Return PoIic 1 1" EA 3000452 SALAD, TUNA ALBCR TFF REF 5 LB PIERCE B EA 26, 9600 26 / READY TO EAT - Please Refer to Return Policy - 1 1v' CS 4800843 MILK, 2Z REDUC FAT PLST REF 12/1 P| PRAIRIE FM CS 11 . 4500 11. 45 1 t°/ CS 4800804 MILK, CHOC 1% LOW FAT PLST REF12/1 PT PRAIRIE FM CS 11. 3600 11. 6-6 1 1 "/ CS 5332242 LETTUCE, ICBRG SHRD 1/4" CLND 4/5 LB CROSS VALY B CS 18�250O 18 / READY TO EAT - Please Refer to Return Polic" . ' - 1 1v~ CG 7197775 YOGURT, ASST STRWBNA & RSPBRY 12/6 OZ IDPLAIT CS 10. 1400 10. FROZEN 5 5V CS 2011278 PRETZEL, KING SOFT BVD FZW 50/5 OZ SUPR PRTZL CS 32,5500 162 1 1v/ CG 2014652 MUFFIN, BLSRY IW 24/4 OZ SARA LEE CS 22�0O00 ' 22� '~ 3 3 CS �O41423 CORN DOG. AM CN FZN 48/4 OZ STATE FAIR CS 33� 91OO � ��O1� ~` 5 5'' CS 3330099 HOT DOG, AB 6: 1 6° RLR GRIL 10 LB PATUXENT CG 29 4500 147� ' ~ 1 1u} CS 5741228 BUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 31�33O0 �1� ^~ 1 1v/ CS 8187999 ICE CREAM BAR, CHOC TACO & VNL2414 OZ KLO-DIKE CG 25� 550O 25' �� ** PRODUCT CLASS RECAP ** TOTAL DR,'f PIECES ORDERED: 11 PIECES SHIPPED: 11 WENS SHIPPED' 4 390 TOTAL REFRIGERATED PIECES ORDERED: 6 PIECES SHIPPED� 6 1TEMS SHIPPED� 6 102, 11 TOTAL FROZEIN PIECES ORDERED: 16 PIECES SHIPPED� 16 �ITEMS SHIPPED: 6 490 ...�� .....�� ......- _ � r � ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE NO . NUMBER LOC . REP . ORDERED 90569922 1829556 01/04/13 90569575 1054 0062 01/03/13 Route: 5291 / 8 ORDER NUMBER: 740691 Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 F. i16TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660OBS 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att : MICHELLE COMPTON DEPT # 00 800 428 2118 ShjpFWm: 12301 CUMBERLAND RD FISHERS IN Ship& 01/04/13 Page 02 of 02 ShipFrm: FrtTrms. Spcial ENTER OFF OF 111TH STREET! ! ! FrtTrms: Pyt7rms: NET 30 DAYS Instr: PytTrms: oty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price INVOICE SUMMARY FUEL SURCHARGE 6. 25 TOTAL WGT SHIPPED: 302, 93 PIECES ORDERED: 22 PIECES SHIPPED: 22 ITEMS SHIPPED: 11 PRODUCT TOTAL $ 770. 80 Federal Ocypation 'Safety and Health Standards. Section 1910. 1200 of Hazard Commupication requires manufacturers apd distributors to provide Material Safety Data Sheets an non-Pood products defined to be hazardous. Products CHARGES 6. 25 such as cleaning products and pesticides are included in the scope of the Stapdard. In compliance with the law. MSDS are available to US Foods, Inc. a customers and can be obtainyd by contacting the Procurement Manager in our TAXABLE AMOUNT $ . 00 * district office or bt advising your sales representative. GEN SALES TAX . 00 a You may contact KEVI BURTON at phone # (371) 585 - 6822. This amount is an estimate at time of shipping prior to anV adjustments made at deliverV: $ 777.05 Purchase ` i � Description PD.# PwrF / [lL# . Budge ~~ Date_ Approvai Date_ / ` AC c OUNT INVOICE INVOICE CUSTOMER PURCHASE OR SALES SALES DATE LOC . REP - ORDERED 90569922 1829� 56 O1-'' 71� 9O5��75 NUMBER / \ | 1054 0062 n1/0-�/13 ~ ' ~ ' /�/ \ Routa: 529i / B ORDER NUMBER: 740691 Bill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT i US Foods, Inc . To: 1411 E . 116TH ST To: 1215 CENTRAL PARK DRIVE E To: BOX 660088 CARMEL IN CARMEL IN 46032 46032 1NDIANAPOLIS IN 317 843 3873 46266-0088 CHELLE COMPTON DEPT 00 900 428 2118 Att: ShipFrm� 123O1 �UM8ERLAND RD FISHERS IN Ship17: 01/04/13 Page 01 of 02 ShipFrm� FrtTrms�' spcial ENTER OFF OF 111TH STREET ! ! ! FrtTrms: f/ytTrms: NET 30 DAYS Instm PytTrms� Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number P . Unit Price Price DRY I& CS 1695212 TRAY, PAPR BORD FOOD 5 LB POLY2/250 EA MONOGRAM CS 44. 1200 44. 12 CS 2404325 GLOVE, POLY LO TXTD AMBDX 10/100 EA MONOGRAM B CS 38. 8000 77. 60 IV'' CS 3256104 LID, CUP 12-24 Z BBL PLST 1000 EA WINCUP CS 16.9200 16. 92 1 1"' CS 5597851 CHIP, TORTLA NACHO CHS TRGLE 64/175 OZ DORITOS CS 30.8900 30,89 EA 25. 9400 25. 94 I IV EA 6210777 CANDY, KIT VAT VNDG STD 1. 5 Z 36 EA KIT VAT 2 2 V CS 9089079 POPCORN, RAW KIT W1 OIL & SALT36/8 OZ FANCY FARM CS 26,0000 52.00 2 2v/ Q 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO CS 24.3600 48. 72 1. In' CS 9954371 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 Iv' CS 4800884 MILK, CHOC 1% LOU FAT PLST REF12/1 PT FRAIRIE FM CS 11. 3600 11. 36 FROZEN 2 2v CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 32.5500 65. 10 1 Iv/ A 818799? ICE CREAM BAR, CHOC TACO VNL24/4 OZ KLONDIKE CS 25,5500 25. 55 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 17 PIECES SHIPPED: 17 ITEMS SHIPPED: 9 645. 04 TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED: 2 :ITEMS SHIPPED: 2 35. 11 TOTAL FROZEN PIECES ORDERED: 3 PIECES SHIPPED: 3 JTENS SHIPPED: 2 90, 65 / ' 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 10/25/12 2748023 Fall Frolic food 29105 $ 30.37 10/24/12 2958963 Credit _ _ $ (30.37) 12/11/12 1164263 Concessions 29253 $ - 428.49 12/21/12 1524643 Concessions 29318 $ 989.73 1/4/13 1829556 Concessions 29335 $ 777.05 Total $ 2,195.27 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 4 In Sum of$ $ 2,195.27 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members Dept# 1091 2748023 4359000 30.37 ! hereby certify that the attached invoice(s), or 1091 2958963 4359000 $ (30.37) bill(s) is (are)true and correct and that the 1095-1 1164263 4239040 $ 428.49 materials or services itemized thereon for 1095-1 1524643 4239040 $ 989.73 which charge is made were ordered and 1095-1 1829556 4239040 $ 777.05 received except 24-Jan 2013 Signature $ 2,195.27 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund