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218652 03/25/2013
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: $2,343.93 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 218652 CHECK DATE: 3125/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1070461 1, 782 . 34 FOOD & BEVERAGES 1095 4239040 624522 561 . 59 FOOD & BEVERAGES ACCOUNT INVQICE PURCHASE RD SALES SALES DATE . / ^ NO NO DATE NO NUMBE� LOC . REP . ORDERED 9056992B 0624522 -03/01 / 13 90569575 1054 (}062 02/27/13 RS (' Route: 5272 / �� ORDER NUM8ER� 79I05� ship ' Remit � � -A'.A__ -_ .Y . . —`�~`^-~.�' .^ ~_."' L ^L,.` . "",`S""`EC"E~^` To: 1411 E, 116TH ST 1235 CENTRAL PPRK DRIVE E To: CARMEL CARMEL 60 6100S8 46O 2 - I� 1317 843 -0088 Att� � [�_._._' _._~______ /hipFrw 12301 CUMEERLAND RD IN Ship& 03y01 /13 Page O2 of O2 'jtrrms NET 30 DA9l; qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price UK* 10010E SUMMARY FUEL SURCHARGE TIDITAL tJGT '34-11PPED: 19312 PIECES ORDERED: 21 PIECES SHIPPED: 21 ITEMS, SHIPPA , J vs PRODUCT TOTAL 555. 34 OHARGES 6. 25 TAXABLE AMOUNT $ OEM SALES TAX This amount im an estimate at time of hipping prior to any adjustments made at deliver, s ' ' - ' QF E - - . -' - / -' - __- ' ' ' � � ' ACCOUNT ZNVOICE _ JWVOICE CUSTOM- PURCHASE ORDER _-- SALES SALES DATE NO Ni'). DATE WO NUMBER LOC. REP . ORDERED 90569922 0624b2p- ' 03/01113 90569575 1O5� 0062� � 02/2711-]S Route� 5272 / 1Q � DER NUMBER� 791O58 8ill - -- � Sh�P �emit - To: 116TH ST � �� PAR �o� ~- ' - -- -' -'- _ BOX 660088 CARMEL IN IN 46032 46032 INDIANAPOLIS, I}m 46266_DDB8 Att: � - DO / / E { O 428 2118 _______/ _...... | | /hipFtm' 1230I CUMBERLAND RD FISHERS IN ShfPl . 0�/O1/1� -- --'---r-a-g-e--- -o-r� 02 'ytTr/ns: NET 30 DAYS ' ' Instm Qty Pty Sales _product Dascripton' Pick Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number _ D Unit Price Price � DRY 1 Ivl CS 0814236 CUP, FM 16 Z WHT 20/25 EA MONOGRAM CS 17, 9900 $ 1 1v/ CS 1145610 SANITIZER, STMNE TABLETS 6/150 EA STERAMIMF CS 30� 30OO ^ ' ' ' 1 1"/ EA 1811215 PEPPER, JLp SLCD NACHO HOT 1 GA ELPA/DELPA B EA i1 � 1800 ~` ~` 1 1 CS 4260238 SAU[E, CH NACHO SHLF STABL 41107 GZ ORTEGA CS 54� 5500 ^^ ^~ 1 1�� CG 4329397 KETCHU�, TMTO FCY SS FOIL PKT 50019 OR ` MOHARC� CS 14� 96OO 54.35� 1 1~/ CS 53292�9 MUSTARD, fLW �S 5. 5 OR SHLF 500/5, 500 GR MONARCH CS l2� 73B0 �� '� � i CS 5505476 CHIP, PTATO BKD 'ORIG GLTW/FR 6411. 125 OZ BAKED LAYS CS 29�O50O ^^ ' ~ 1 1 CS 55976O4 CHIP, CHS CNCHY PLN SS BAS 64/2 OZ CHEE-TUS CS 30 O900 �' ~~ 1 I CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1. 5 OZ LAY'S � CS 3O�O900 ` ~^ 1 1 CS 56O5472 CHIP, NULTGR CHEDR SS BAG 64/1, 5 OZ SUN CHIPS CS 30. 8900 ~` ~' 1 1"� CS 6329213 RELISA, SWT $S,SHLF STABL 2OO/� GR MONARCH CS 14�0400 ~~ ~' 1 1�/ E# 6717219 CANDY, BAR SNC�R SS DMSTC 1. 8648/1.��6 OZ SNICKERS EA 33� J5O0 ^- ~- 1 1 EA 8036576 CANDY, M&M PNT f. 74 OZ 40 EA M & M E�� 33� 35OO ~� ~ 1 1 CS 8742934 KNIFE, NW WHT PL ST BULK PLST 1000 EA MONOGRAM CS 21. 9300 ~~ ~~ 1 Q CS 8907156 FORK, MW WHT POLYP BULK PLST 1000 EA MONOGRAM CS 15- 6000 1^ �" 2 2�� CS 9463688 CHIP, TORTLA CORM YLW KND 6/2 L8 EL PA8ADO C8 24,3600 � o* 1 1,e CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10150 EA MONOGRAM CS 22�63OO `2 ' ' FROZEN 3 30/ CS 2O11278 PRETZE�.-PRETZEL,_ SOFT BKD FZN 50/5 OZ SUPR pRTZL CS 33. 8300 *&PRODUCTCLASS RECAP ** TOTAL DRY PIEVES MERED: 16 PIECES SH[P?ED; 18 ITE ! SHIPPED: TOTAL FROZEN PIKES ORDERED: 3 PIECES SHIPPED: 3 ITEMS'- SHIPPED: � 1 ^~~ ~~ __- .... ..........__-__-'......_........ _'-_ ...........___'_-__ ___-____�'__- _-__'__---__________'_______���_�'-�______---- ,-___--'___--�___---______-� ` ' , ' ' - - - - ' ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DA' TE � NO- NO DATE N8. AN! j 111BEB ' LQC ' REP . ORDERED- 90569922 9O569922 1070461 ' 03/ 15/ 13 90569575 295� � - ' 1054 0062 03/^14f1a- - Route: 5272 / 8 ORDER NUMBER' 805184 8il � Ship Remi � � To: 1 US -foods, Inc . Too 1235 CENTRAL PARK DRIVE E To: BOX 660089 CARINEL IN — — 46032 46072 INDIANAPOLIS IN ' �t�� � ' ��~ — ' ~ ~~' � L___-______ DEPT � "" Soo 429 21. 18 ThipFTw 12301 CUMBERLAND RD FISHERS IN SAipD: 03/15113 Page O�� of 02 'rt7rms� . — ''' cial `ytTrms: NET 30 DAYS ' instr: ' ' Qty Qty Sales Pr6duct Descripto ` Pack Size Label � Weight Pricing Unit Extended rdbred Shipped Unit Number �� D Unit Price rice INVOICE SUMMARY **A FUEL SURCHARGE 6. 25 TOTAL WGT SHIPPED� 0604 PIECES ORDERED: 56 PIECES SHIPPED: 56 ITEMS SHIPPED: 24 PRODUCT TOTAL 1.776.09 6 q5 CHARGES TAXABLE AMOUNT t* . 00 GEN SALES TAX . 00 This amount is an estimate at time of shipping prior to .any adjustments made ____� . _ ` - . -- ` Af :"UNT S ` VC {{ E INVOICE CUSTOMER- —PURCHASE -ORDER SA _ES SALE 3 - DATE - NO. -- - -- - - --L -- NO, • - - DA..{°T'" fi.iO. - Nl,1!'°SLR LOC . Re-•-, ORDERED . � 90>609er:... 1070461 03/15/13 9056 , 5 5 <.:..9u7., i 1054 0062 03/1 4/13 - Route: 5272 a ORDER - NUMBER: 805164 �:c�ryai�?ME.L 4.ri.�t+Y( F)r^���#4.�S�:�r{�•°f,",_R�=��:.T � ::.s"3[�?E'EL CLAY }�' '-rRh{��.?��.;r?�€?�:t.;r?�:r= T 0 Cods ..{_o: 1411 E. ., y.Ttt :'' � .T.w 1 123 CENTRAL AL PAR{: DRIVE E -To: I - . - _ _ - � OOX 6600% i !'� 4 032 y { 'tr, .� � � ��d•>iii:ri`1 m)L'� -1 �-•'7 - � - - � �.�{�'•1�'..+1�.i-`5#'',{tyi��_7{C...f.d.`,°) - � j, .}r.%+ F:"ial_ ire° �+J1 C:lw#'9;ar.:l #_iii Tt ,!'..•. Page �. C.1;' _E.", TjtTrms: NET 30 DAYS Instr., wSf ,i Qty Sale Product [,tescrip'�•cgs-t- Pack Size Label C�' Weight Prticing Unit Fxten;ded DRY. t " 1 's. 0791616 CUP, FM-02 Z-WHT 25J"2: Et "Ctir ;R;N ;S 37 ;!;�r0 ; "� ! ? CS 0 1 - P c:r' 16 "ONOGR:ail CS 175900 17. 99 I CS 0914541 CUP, FM 20 Z UHT 25/20 -EA MONOGRAM CS 22. 9300 22. 93 ? CS . i695212 TRAY, I';APR kgtl#T:{.J-) i.l0i: LS POLY .:/:w50 EA q°i{_iiti;.?i:+r;AM 1.S- 44. 1200 4. 12 3. CS 3256104 LID, CUP 12-24 Z BBL PLST EA WINCUP CS � f.p.... )).. ice..., i ,:6 5 .ti.. -{"I I.`F''�S l:..., EA 24. ::FS»00 26. 88 1 ;. E:�? � �,�+;3-M�h t:f��'a.!'r`� �'FiYI {n?:L.{� .Cr#•r#:iiw� i:'.. c:>•.i:. a >✓,,,�. r. ,�.. f ) CS �GP`�,Ci238 �~�''!!tt".R= t:E-{:� hlA�;{••{� 3i-1;_F S 1 r.B)•__ 4 �: Z r.._,� � 109-10 . r r _, 3 ?� {.�. F;, }ii:�:.I.'i:2 i;`� .+;_ �.�;i tt�.+, � d 4647806 f;FETE F:�aE{',T, n•' {°{�`MML. {:?ALUM L IQ 0/3S OZ DF•�FYrM -C:°S 4'3.. Faa=r00 4 4106 "✓ d, CS 5585476 CHIP, PTATO NKir :ORIG C•i{,..TN FR '64/1. 125 <.i':`_ BAKED LAYS- CS 1,:;,� ?!i b`,°iCry? '��7.i7'.a- :. C;:, 5,). f604 C{.{:!F'', CHS CNC{3'Y' �`LN 96 ��t�B %A4/2 -OZ iCHEE'....'I OS CS ;30. #:900 6l.. 8 .. �a C S e:"' 7 s... a .. ,. - - - - - 1 ,.•. ,.y �' P CHIP, �.-�''T' NACHO •,;,';'1; 1;` 7'...�.. �).r,,� '� i'f S'i T'x, r t 30:8900 _} r. .,=��a :}�. `�.:1' Tij3".�!i.-r�s 4 .:#-#:3 'i'.. �. :i: _):.. ,.,i�{E;_. . .l�; �._r =,:;. .:�i ! 1 {.r;:) 5597968 r CHIP, CORN il{:�i G.TF F SS BAG 64/2 r ' { �s . 89 2 CS 5 f' 9 C TO 'E P B 64/1 .5 t tip 'd {:a� r r °�00 .. ,•f..�a� ._,_).{�.�tj x CHIP,:{:{'', �' 1 F�, t++:i:..J t L.� �;.".`� BAG Y LAY'S ' C :-' ;'� ,1� f j', s EA �)=�Jlf�777 ?.:i�?��t{{}-jY MIT {yt,A"{;) ,�i-,{DO y"}TO 1. ;' Z ;�6 F.•:A t�,C{T w3it'srv{ EA 25 f°d�.0 2�, 94 R i. f 6717219 t A IL- t , BAF4 it` K ',J C it. #_r 1. 8648/1 , 86 t• SN � E_•.S ( a. . ✓� : 2) EA 8036576 CANDY, {`1$r{"{ P N l' 1. 74 O 8 EA i''{ i=. 3'd F.:„ 33.0500' � 350 66. 70 :l. EA 8053126 CANDY, RE' ES {�HT" BUTR CUP �16 EA #�:F ESE'' E A 25.9200 00 5, e�: ' 2 C 7'f,Ji:�9079 x'QPC�tsRN, -.RAW KIT W1 OIL & AL_.{...,.a 8 OZ FANCY Y FF�RM i:;3 ;6. ;,1 00 50. 22 �0 2: G: r69T03 _ -_ -, tOhi _A :L :s {aW Rt.- r : � lr E _ ~" ,} ! O wv 203600 70 0 � d. -CS 9954371 _3C, CUP 32 0 ti{ ; W SL" D Fliy 10: 50 Ln 37`Oi i=w % a Y e . �3 !� 21151 1 4- FROZEN 6 CS :sii{-0c278 #�'F•iL.@#'ZEL,- e .{.NG SOFT B#�D FZN 50/ Z rtt`=''+ 1"Z C„S. .t': t3%l{J 1C3 6 . , is -�1t.,i.ir t° L.{'. �� Lri -r. :y`'�'r'e��l” FAIR a -4.-,•` '�,:(. <,:� {` �...— f3ad�.. /.y ter: 3330099 B . ... STATE ., .. ...,. .., 4 'd 57412.28 BUN, D i, µt..{�•a.i;' SL CD t�::,�J'12 l:A HILLTOP OP HR C 32. 0100' a X14 €€! PRODUGT CLASS RECAP .{-{�1' �Cx ::; -: ,iR�I_ _mC� TF°;•' _ � !.:;:;.,. t: . 1[ yO# 'L DRY PIECES ! I aEREW 28 PIECES SHIPPED: ea - ITEMS- SHIPPED: 20 864:77 TOTAL F tR07EN G'-CECrr,_ O 7ERED: 28 S SHIPPED: 28 1TENS- SHIPPED: 4 91 2 ....._....__...._._.._,_ «_....,..__..___...____......_._...._....,._.._.....,_...__.._._«....__._._...,.....__,,.._.,,..__.._.....__.._...........__...._....,.........._....,..,.__._._,.,.._ "................__.._...._"...._.._._..... _..._..._...._....._..,._.,.._............._,.,.«..._.........«..... ....«......._...................__......�ti......_......,,..._w«......«._°."._...«_....+...�..,.r...__..,.__........._ «..} 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 3/1/13 624522 Concessions 29485 $ 561.59 3/15113 1070461 Concessions 29533 $ 1,782.34 Total $ 2,343.93 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$ $ 2,343.93 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 624522 4239040 $ 561.59 1 hereby certify that the attached invoice(s), or 1095-1 1070461 4239040 $ 1,782.34 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 21-Mar 2013 Signature $ 2,343.93 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund