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221747 07/02/2013
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: $9,735.01 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 221747 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1029544 2 , 306 . 89 FOOD & BEVERAGES 1095 4239040 1093306 3 , 047 . 12 FOOD & BEVERAGES 1096 4239039 669882 553 . 98 GENERAL PROGRAM SUPPL 1095 4239040 779479 893 . 50 FOOD & BEVERAGES 1095 4239040 892416 1, 122 . 54 FOOD & BEVERAGES 1095 4239040 930232 347 . 86 FOOD & BEVERAGES 1095 4239040 987696 1, 463 . 12 FOOD & BEVERAGES - - ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES S 'DA NO. NO. . DATE NO. NUMBER- — LQC.- REP_ ORDERED 90569922 O66988� 0 670 4>13 9O569575 29862 1054 0062 O5{30/13 Route: 2251 / ' 5 ORDER -NUMBER-: 881515 Bill <Ship Remi't - - Foods, Inc . To: T T BOX 66008B 46032 4 6 0:3 2 - INDIANAPOLIS IN- | � Att: MICHELLE COMPTON -DEPT # ' 00. - 800 428 21-18 ShipFrm: 12301 CUMBERLAND RD FISHERS - ��- ' IN ShipD�`� ` O6/O4/13 - ' Page 02 of 02 Frt Trip s. Spcia2 ENTER OFF' OF 111TH STREET ! ! ! - P tTrms. NET 30 DAYS - - '�- ` - Instr: -- - - �ty Qty Sales Product Descripton ,� Pack��Size� Label ' C� -Weight Pricing Unit Extended |Ordered Shipped Un�t Number ' — — �� -- ' - D Unit Price Price INVOICE SUMNARY- FUEL SURCHARGE 6. 25 'TOTAL UGT SHIPPED: 347. 38 PIECES ORDERED: 26 PIECES SHIPPED: 26 ITE11S SHIPPED: 14 PRODUCT TOTAL $ 547. 73 -CHARGES 6. 25 -TAXABLE AMOUNT. $ . 00 This amount is an estimate-at -time- of shipping prior to an y adjustments made at delivery: 553. 98 | | � | | | � � � � � � � � � � � � ' - ' - - ' - ' - ' - -- - -' - ' ACCOUNT INVOICE INVOICE - CUSTOMER PURCHASE ORDER SALES SALES DATE . L 1\10. - NO.:-- -- DATE - NO.- NUMBER - -- LOC .-..- REP . ORDERED - 90569922 0669892 -06/a>4/13 905695 7 5 29862 1054 0062 05/30/13 - - R o u t e: 2251 / t) ORDER -NUMBER: 881512 B i l l __ - -S h i p Remit- ----- _...... CARMEL CLAY PARKS&RECREAT _ - - -CARMEL- CLAY PARKS� RECRE AT US Foods, Inc, _.. To: 1411 E. 116TH ST To: 1235 CENTRAL PARR'; DRIVE E To: BOX 660088 CAF•'MEL_ IN CARMEL 1'a 46032 46032 INDIANAPOLIS I{J 317 :843 3873 46266-0068 Att: MICHELLE CCrMPTON - DEPT # '00 = - - 800 428 2118 SAY-F-m 12301 CUMBERLAND RD FISHERS - IN :!�fri�rl.,�: 06/04/1.3 - Page 01. of 02- Pittrr s: Spcial - ENTER OFF OF 111TH -STR.EET1 1 ! PytTrrms: MET 30 DAYS Tr 5 r: Qt,/ qt'/ Sales Product Descri.�ton - - Pack -S:i�.e Label --C --Wedgh•t -- Pr-icing- Unit Extended. Ordered Shipped Unit Number , D Unit Price Price DRY 1 1 CS 0061028 MARSHMALLOW, WHT STD 24110 OZ KRAFT CS 37, 7900 37. 79 t 6 6 CS 0779991 WATER, SPRG PLST BTL LASTED 24/16. 9 O7. SPRING/MlON CS 5. 7700 34. 62-1 1 1 - CS 1004852 CRACKER, GHN.SS :'00;'2. EA. NABISCO - CS. 24. 3300 24. 33 i 1 1 CS 1462803 SPOON, TEA MQ WHT POLYP BULM 1000 EA PRIME CS 14. 0700 14. 07 3 3 CS 3330388 FORK, -DNNR DONN 18/0 -S/S MW 3 DZ NDG/SUPER CS 7. 1400 21. 42 . 2 2 EA 4053336 CANDY, BAR MILK -CHOC 16/1. 552 HERSHEY EA 26. 8800 53. 76 ! 1 1 CS 6790174 PLATE, PAPR MDW 8. 5u HW 4/125 EA MONOGRAM. CS 50. 7100 50- 71 1 1 CS 8742934 KNIFE, MW UHT- PLYST BULK -PL.ST 1000-EA MONOGRAM C'S 21. 9300 21. 93 2 2 CS 9753971 CHIP, ASST SS--BAG TRAY- NIX - 2/30 EA FR'-ITO LAY - CS 26. 0200 52_04 REFRIGERATED 1 1 CS 3332236 SALAD MIX, ICBRG RMN 80/20 SEP4/5 LE; CROSS VALY B CS 21. 4900 21. 49 READY TO EAT -• Please Refer to Return Policy -- - --- 1 1 EA 436' 219 C, =SE, AMER -OLCD 1.35 SUPRCR 5 LB- ILNVW FRMS B7 EA 10. 4100 18. 41_ F'RO'I.EhI - -- _ - 1 (S2 1 CS -3013059 u , GLZD F";ZN '1.08/1. �' OZ RICH`S -CS 38. 3700 38-.-37- - 7 -3 CS 3330099 HOT DOG, AB 6: 1 6" -RLR GRIL 10 LB PATUXENT CS 31. 5900 94. 77 2 CS 5741228 BUN, HOT DOG--6" HINGE SLCD TFF12/12 EA HILLTOP HR CS . 32. 0100 64. 02. PRODUCT CLASS RECAP - TOTAL DRY PIECE:.S-ORDERED: 18 PIECES SHIPPED: 1S ITEMS SHIPPED.: 9 310. 67 TOTAL REFRIGERATED PIECES ORDERED' 2 PIECES SHIPPED: 2 -- ITEMS SHIPPED: 2 39. 90 TOTAL FROZEN! PIECES-ORDERED: _ PIECES, SHIPPED: 6 - -ITEMS SHIPPED:. 3 197. 16 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER- S DATE � NO. N~-- NO' ,NUM8ER --' '---� -REQ- . . DATE 7 . 90569922 D77--� D6/�j7/13 SO��69575.. ��9897 17054--'nG62' .06/06113 . - Route:'5282 9 � -` . ORDFiR -WUM FWAR9475 Bill -Ship Re T c R EA -' To: 1411 E 116T H S T To: Tan BOX 660088 CARMEL INDIANAPOLIS IN 317 843 3673 46266-0088 _ 46012 - Att�� COMPTON � � r -' DEPT # -00 . 000 428 2118 ShinFrm: 12301 CUMBERLAND RD FISHERS IN- ShjpD� 06/67/13 - . � Page 01 of 02 Frt7rms: - SpciaI. ENTER OFF OF 111TH STREET ! ! ! _ P �Trms� NET 30 DAYS ' Instr. ^- qty Qty Sales Product Descripton Pack Size Label C -Weight Pricing Unit Extended Ordered Shipped Un�t Number ' D - Unit Price Price 1 1 CS 3256104 AID, CUP 12-24 Z BBL PLST , 1000 EA WINCUP CS 17. 7700 17. 77 2 CS 9463688 hthlh TORTLA LORN YLW RND 6/2 LB EL PASADO CS 23. 9000 47. 10 1 CS 9954371 Z 6, CUP 32 Z. STRAW SLTD PLST .10150.EA MONOGRAM CS 22.6300, 22. 63 1 1 CS 40S4151 VICE CREAM MIX, SOFT SRV VAL 4%2/2.5 OA PRAIRIE FM CS , 32. 6500 92. 65 1 1 6 7451354 E MILK MIX, SOFT SRV CHOC 02120 GA PRAIRIE FM, CS 33. 7600 33. 76 READY TO EAT - Please Refer to Return Policy I CS .2649796 ''ICE CREAM CURL CDTH ENDY 12/5 OZ , ITTIBITZ CS 12.5500 12. 55 21 2 CS 8187999 �IWCWAM PAR,- CHOC TACO & V0240 OZ QONDIKE CS 28. 3300 56. 6W PRODUCT tbh RECAP TOT AL DRY PIECA-WERn: 10 PIECES SHIPPEY - 10 -2TEMS SHIPPED: 6 418. 70 TOTAL REFRIGERATED PIECES ,ORDERET 2 PIECES SHIPPED: 2 , _jTEVS SHIPPED: 2 66. 41. TOTAL FROZEN PIECES&RDERED: 15 PIECES. SHIPPEQ: 15 .—ITEMS SHIPPED! 8 404. 39 _ � . 71 . . - ' _- - ACCOUNT IN«OICE TNVOTcE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. MO . DA NO. NUMBER LOC . REP . ORDERED 9O569922 0779479 06/07/17 90569575 29897 1054 0062 06/06/13 Route : 5282 / 9 ORDER NUMBER: 889475 BillShip Remit CARMEL CLAY PARKS®REAT CARMEL CLAY PARKS&RECREAT IS Fools, Inc . To: 1411 E. 116TH ST To: 1235 ,CENTRAL PARK DRIVE E To� BOX 660088 CARMEL IN CARMEL IN 460!2 46012 INDIANAPOLIS IN 317 B43 3873 Attl MICHELLE COMPTON _J DEPT # 00 SOO 42S 211e ShioFTm: 12301 CUMBERLAND RD 71-SHIERS IN ShipD: 06/07/13 - Page 02 of 02 FrtTrms. Spcza2 ENTER OFF OF 111TH STREET ! ! ! P tTrms: NET 30 DAYS Instr. - Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price INVOICE -SUMMARY FUEL SURCHARGE 4. 00 TOT.AL WGT SHIPIPED: 303. 27 PIECES ORDERED: 21 PIECES SHIPPED: 27 IIENS SHIPPED: 16 PRODUCT TOTAL $ 889. 50 CHARGES 4. 00 TTAXABLE AMOUNT . 00 GEN SALES TAX . 00 This amount; is -an estimate at time shippiiig prior $a AnV adjustments made at' delivery 893. 50 ase Description Line Desc Budget Line Descr Purchaser Date -JUN 112013 1 Approval pate by, ' ' - - - - - ' ' ACCOUNT INVOICE ' INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. / NO DATE NO NUMBER LOC REP . ORDERED 90569922 O89216 O6/11 /13 90569575 29911 1054 O062 06/1O/13 / Route: 2251 / 4 ORDER NUMBER: 892541 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: MICHELLE COMPTON DEPT # 00 - E300 '428 2118 ShioFWm: 12301 CUMBERLAND RD FISHERS IN. ShipQ 06/11/13 page O1 of 01 FrtTrms: Spcza2 ENTER OFF OF 111TH STREET ! ! ! WP tTrms: NET 30 DAYS Instr: d+" Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price FROZEN 8 8 CS 2639235 ICE CREAM CUP, CKIES & CRM 12/5 OZ !TTIBITZ CS 12. 5501 10& 40 8 8 CS 2639250 ICE CREAN CUP, . CKY DOUGH 1215 OZ ITTIBITZ CS 12. 5500 100. 40 10 10 CS. 3330099 HOT DOG, AB 01 6" RLR GRIL 10 LB PATUXENT. CS 31. 5900 315. 90 PRODUCT CLASS RECAP TOTAL FROZEN PIECES ORDERED:' 52 PIECES SHIPPED: 42 —ITEMS SHIPPED: :7 - _1118. 54 INVOICE SUMMARY FUEL SURCHARGE 4. 00 TOTAL WGT SHIPPED: 357. 50 PIECES ORDERED: 52 PIECES SHIPPED: 52 - ITEMS SHIPPED� 7 PRODUCT TOWL $ 111a. 54 CHARGES 4. 00 -TAXABLE AMOUNT $ . 00 �0 GEN SALES TAX . 00 Purchase Description ITY is an estimate at time of shipping prior to anV adjustments made, at .deliverV- 11210. 54 Line Uescr nato�___�_ Approval oalo______ '- - - . L��� ACCOUNT CE INVOICE CUSTOMER PURCHASE ORDER SALES_--SALES-- DATE NO. NO. ATE NO. NUMBER LOG:- REP. 6RDERED US* 905699r-2 09302.32 12713 05695 /,Y054 0062 06/12/13 FOOM 9459 1 NUMBER: 894605 NUMBER BILL, CARMEL CLAY PARKS&RECREAT SHIP CARMEL &Wt-157-A-IRKS&RECREAT REMIT US Foods, Inc . TO: 1411 E. 116TH ST TO: �2- 5 C TRAL PARK DRIVE E TO: B X 6600ES38 CARMEL IN CARMEL IN OL IS 46032 46032 1 LDIANAPOLIS IN 317 843 3873 4 766-068G-- L a 800,,-428 211 ATT. MICHELLE COMPTON DEPT # 00 SHIPPED FROM: 12301 CUMBERLAND RD FISHERS IN SHIP DATE: 06/12/l.-3-----.- P- �e/e 01 of 01 FREIGHT TERMS: — ,SPECIAL CW-b1'ER WILL ' P/U PAYMENT TERMS: NET 30 DAYS INST—RUC—TIONS: QTY. QTY. SALES PRODUCT 0 C PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE. E DRY 4 4 ' CS -4260238- SAUCE, CHS NACHO SHLF STABL 4/107. 13Z ORTEGA CS 54'. 9500 219.60 1 1 CS 4329397 KETCHUP, TMTO FCY SS FOIL PKT 500/9 OR MONARCH CS 14.9600 14'96 2 2 CS 9463688 CHIP., TORTLA CORN YLIJ RN17 6/2 LB EL PASAIDO CS 23.9000 47.80 REFRIGERATED 2 2 CS ' 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA 'PRAIRIE FM CS 32.6500 65.30 - READY TO EAT 7 Please Refer to RetUrn Policy 'INVOICE SUMMARY TOTAL UOT SHIPPED: 221.92 PIECES ORDERED: 9 PIECES SHIPPED: 9 PRODUCT TOTAL $ 347.86 Cow CE S.S I()K3 5- TAXABLE AMOUNT $ .00 z�o4c) 717 GEN' SALES TAX x .00 JUN 1 7 2013 PLEASE REMIT 'THIS- -AMOUNT 'BY' 07/12/13 AMOUNT $ The erishable agricultural mmmoddies listed on this invoice are mid subject to the statutory bust authorized by section 5C)of the Visit www.usfoods.com for a fast and easy way to order. a a',inventories C� PedshableAgncultu mmodrhes Act,1930(7 US G 499e(c)).The seller of them mmmodiffies retains a trust claim over ftm X commodd entorles of food or other products derived from them commodities,and my receivables or proceeds from thesale of M' I,�-�.CUSTbMER9-9-1—GNATURIE: Mesa commodities until full payment is received, Interest shall accrue on all unpaid balances exceeding established credit terms at a rate equal to he lesser of(a)14�Per month or (b)the maximum rate Mal the customer my lawfully contract to pay,and in all events calculated in accordance,nh applicable Ia.. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. - !,40. NUMBER LOC . REF . ORDERED . 90569922 O98796 O6 /14/13 90569575 29930 _ ' 1054 0062 06/ 13/13 ' Route: 5282 / .8 ORDER NUMBER: 896469 8ill thip Remit To: 1411 E. 116TH ST To: 1235 CENTRALPARK DRIVE To� CARMEL IN CARMEL IN ---BOX 660088 317 843 3873 46266-0088 Att: MICHELLE COMPTON DEPT # 00 ' 800 428 2118 S#i Frm: 12301 CUM8ERLANDRD FISHERS IN.ShipD: 06/14/13 Page O1 of 02 FrtTrms: Spcial ENTER OFF OF` 111TH STREET ! ! ! P tTrms: NET 30 DAYS ' ' Ins � -tr dty � Qty Sales Product Descripton_ Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D _ Unit Price Price 2 CS . 0814541 CUP, FN 20 Z VHT 25/20 EA MONOGRAM CS 22. 9300 45. 86 I CS 5585476 CHIP, PTATO BKD ORIG GLTN/FR 64/1. 125 OZ BAKED LAYS CS .248500 29. 85 I CS 5597604 CHIP, CHS CNCHY PLN SS BAG 64/2 OZ CHEE-TOS CS 30. 8900 30. 89 CS 5597851 CHIP, TORTLA, NACHO CHS TRGLE 64/1. 75 OZ DORITOS CS . 30.8900 92.67 2 CS 5597968 CHIP, CORN ORIG TFF SS BAG .64/2 OZ FRITOS , CS 30. 8900 61. 78 1 - i CS 5601679 CHIP, PTATO REG PLN SS BAG 64/1. 5 OZ CS 29. 8500 29: 85 I CS 5605431 CHIP, MULTjGRR_GRDN SALSA SS 64/1. 5 OZ SUN CHIPS CS 30. 8900 30. 89 I CS 6329213 RELISH, SWT SS SHLF STABL 200/9 GR MONARCH CS 14. 3500 14. 35 . 2 EA 8053126 CANDY, RESES PNT BUTR CUP 36 EA REESE'S EA 25. 9200 51. 84 2 CS 8907222 , SP00% ,TEA NU WHT POLYP BULK 1000 EA MONOGRAM CS ' 1514700 30. 94 ? CS 9463688 CHIP, TORTLA CORN YLU RND 6/2 LB EL PASADO CS .- 23. 9000 47. 80 3 CS . 4884151 ICEOREAM MIX,- SOFT SRV VNL 4%2/2. 5 GA PRAIRIE FN CS 32. 6500 97�95 READY TO EAT - Please Refer to Return- Polict 211/ 2 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2. 5 GA 'RAIRIE FM CS 33. 7600 67752 READY TO EAT-7-Please Refer to Rpturn PolicV FROZEN /,21 2 CS 1157387 ICE ,CREAN BAR, - DREAM STICK VNL2/24/3 A BLUE BUNNY CS 19. 7600 39. 52 2 CS 2260099 ICE CREAN SANDWICH, CKY & CRM 24/4. 5 07 BLUE BUNNY CS 22. 9700 45. 94 5 CS 2639235 ICE CREAM CUP, , CKIES & CRM 12/5 OZ ITTIBITZ CS 12. 5500 62. 75 5 CS 2639250 ICE CREAN CUP4 CKY DOUGH 12/5 OZ ITTIBITZ CS 12. 5500 62. 75 V 5 CS -3041423 -CORN DOG, AM_CN FZN 48/4 OZ STATE FAIR CS 34.6300 173. 15 2 CS 5404835 ILE CREAM SANDWICH, CHOC CHIP 24 EA GOOD HUMOR CS 21. 6400 43. 28 9 2 CS 5741228 BUN, HOT-DOG-6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 32. 0100 64. 02 2 CS 7175128 ICE CREAM CONE, VNL TFF 2/12/4.6 OZ RD CHAMP. CS 23. 7500 -47. 50 \04 4 CS 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6/1. 65 OZ ,POPSICLE CS 19. 3300 77. 32 TOTAL DRY PACESADERED: Is PIECES SHIPPED: 18 ITEMS SHIPPffb_--_�7 - -1-f - - 466. 72 TOTAL'_[�EFRIGERATED -1 PIECES .0RDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: 2 165. 47 TOTAL FROZEN PIECES ORDERED: 42, PIECE5.1HIPPED: 42 ITEMS SHIPPED: 12 826. 93 ACCOUNT C0907 ORDER SALES SALES DATE NO R LOC . REP . ORDERED O5699 9 1O54 0062 06/13/13 ` ORDER NUMBER 896469 8ill Ship Remit To: 1411 E. 116TH ST To: CARMEL IN CARMEL IN BOX 660088 46032 317 843 3873 46266-0088 . 46032 INDIANAPOLIS IN Att: MICHELLE COMPTON DEPT # 00 900 428 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 06/1403 Page 02 of 02 FrtTrms. Social ENTER OFF OF 111TH STREET . . . � � P tTrms NET 3O DAYS ��str - Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number �_ D Unit Price Price INVOICE SUMMARY FUEL SURCHARGE 4. 00 TOTAL WGT SHIPPED: 630. 28 PIECES ORDERED: 65 PIECES SHIPPED: 65 ITEMS SHIPPED: 25 R PRODUCT TOTAL 1459- 12 J U INN f17 Z 0 13 CHARGES 4. 00 TAXABLE AMOUNT GEN SALES TAX . 00 This amount is an estimate at time of shipping prior to anV adjustments made at doliverV: 1463.112 ' Wnce,ssior')s ` — - - - - ' ' - ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. NUMBER LOC. REP. ORDERED use 9056992 - 1029544 06/15/13 90569575 1054 0062 06/15/13 FOOM DELIVERY ROUTE 9A54 898869 BILL CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT REMI US Foods, Inc . TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E BOX 660088 CARMEL IN CARMEL IN 2 EAT To. PAR '�E�'�j 46032 46032 INDIANAPOLIS IN 317 643 3873 46266-0068 ATT. I MTr.HFIIF rQMPTnN I DFPT # 00 1 800 428 2119 SHIPPED FROM: SHIP DATE: �P. 12301 CUMBERLAND RD, FISHERS IN /15/1-3 Pjt'�4 Page 01 of 01 'J /�R FREIGHT TERMS: AL CUSTOMER PI I UP PAYMENT TERMS: NFT -30 nAYc; INSTRUCTIONS: C QTY. QTY. SALES PRODUCT DESCRIPTION PACK SIZE LABEL 0 WEIGHT PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E DRY 3 3 CS - 9463688 CHIP, TORTLA CORN YLW RND 6/2 LB - EL PASADO CS 23,9000 71.70V REFRIGERATED 5 5 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2.5 GA PRAIRIE FM CS 32.6500 163.25v READY TO EAT - Please Refer to Return Polio/ 5 5 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2.5 GA r-RAIRIE FM CS 33.7600 168.80 v, READY TO EAT - Please Refer to Return Policy FROZEN 4 4 CS 1792399 BEEF SUB, PTY MEATL VEG 3 36/4.25 OZ CHEFS LINE CS 46.4600 185.841,/ 12 12 CS 2011278 -PRETZEL, KING SOFT B14D FZN 50/5 OZ SUPR PRTZL CS 34.4000 4i2.80,- - 10 CS 2639235 ICE CREAM CUP, CKIES &- CRM 12/5 OZ ITTIBITZ CS 12.5500 125.50 ' 10 10 - CS 2639250 ICE CREAM CUP, C14 Y DOUGH 1215 OZ ITTIBITZ CS 12.3500 125.50 10 10 CS -2639268 ICE CREAM CUP, BANA SPLT 12/5 OZ ITTIBITZ CS 12.3500 125.50 10 10 CS 2649796 ICE CREAM CUP, COTN CNDY 12/5 OZ ITTIBITZ CS 12.5500 125.50 10 -10 CS 3330099 HOT DOG, AB- 6. 1 6"-RLR GRIL- 10 LB PATUXENT CS 31.5900 315.90✓ 1--10. 10 CS, -113383054 BEEF, - PTY- (3RNb 3 Z PUB FLAME 53/3 OZ CTLMN SLCT CS 48.6600 486 .60v INVOICE SUMMARY TOTAL WGT- SHIPPED: 1049.24 PIECES ORDERED: 89 PIECES SHIPPED: 89 PRODUCT TOTAL $ 2306-89 C'0�JCE-_SS1(DNS aqq [Ya RE C F T N,7 F D I Oq 5- 1 - 4-z-g04 JUN 17 2013 TAXABLE AMOUNT . 00 GEN SALES TAX .00 ..B PLEASE REMIT THIS AMOUNT BY 07/15/13 AMOUNT 1(:2306.89 N -A The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authonued by section 50)of the Visit www.uSfoods.Com for a fast and easy way to order. ,a commodities Pen'shalb �nc'jom"mm 1,,u.move0r=,aj. x commodities, ourwi.ries of food it and any or pre �h Of these commodmas until full payment is received CUSTOMERS-SIGNATURE: Interest I accrue wall unpaid balances exceeding established credit terms at a rate equal to'he' erj(a)I-h%per month or (b)the maximum rate that the customer my liewhilly contract to pay,and in all events calculated maccordance v6th applicable law. ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. DATE NO NUMBER LOC . REP . ORDERED 90569922 1093306 06/18/13 90569575 29938 1054 0062 06/17/13 Route: 2251 / 3 ORDER NUMBER: 9OOO82 8ill Ship Remit . To: 1411 E. 116TH ST Jo: 1235 CENTRAL PARK DRIVE E Tol - 1 BOX 6600A 4-6012 46012 NDIAN POLIS IN _[ I A 317 843 3873 46266-0088 DEPT 4 00 800 428 2118 ShioFrvt 12301 CUMBERLAND RD FISHERS IN ShipD: 06/19/13 Page 01 of 02 FYt7-rms. Spczal P tTrms: NET 30 DAYS Instr. Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 11 11 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA J CS 54. 9500 $ 604. 45 REFRIGERATED 5 5 CS 48841SI ICE CREAN MIX, SOFT SRV VNL 4%2/2. 5 GA PRAIRIE FN CS 32. 6500 163. 25 READY TO EAT Please Refer to Return PAN. 5 5 CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2. 5 GA IRAIRIE FM CS '33. 7600 168. 80 READY TO EAT Please Refer to Return PolicV FROZEN 4 4 CS 1792399 BEEF SUB, PTY MEATL VEG 3 -36/4. 25 OZ CHEFS LINE CS 46. 4600 185. 84 12 12 CS 2011278 PRETZEL, KING SOFT BKD F7H 50/5 OZ SUPR PRTZL CS 34. 4000 412. 80 10 to 06 2639235 ICE CREAM CUP,-CKIES I Ch 12/5 OZ ITTIBITZ CS 12. 5500 125. 50 10 10 CS 26392SO ICE CREAN CUP, CKY DOUGH 12/5 OZ ITTIBITZ CS 12. 5500 125. 50 io to CS 2639268 ICE CREAM CUP, BANA SPLT 12/3 OZ ITTIBITZ CS 12. 5500 125. 50 10 10 CS 2649796 ICE CREAN CUP, COTH CNDY 12/5 OZ 1TTIBITZ CS 12. 5500 125.50 10 10 Q 5383054 BEEF, PTY GRhD 32 PUB FWE� 53/3 0! CTLON SLCT . C1 46, 6600 486* 6'' 2 2 CS 5741228 BUN, HOT DOG 6" HINGE SLCD TFF12/12 EA HILLTOP HR CS 32. 0100 64. 02 Nx PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDEREV 15 PIECES SHIPPED: is ITEMS SHIPPED: 3 6W11 TOTAL REFRIGERATED PIECES ORDERED� to PIECES SHIPPED: io ITEMS SHIPPED: 2 332. 05 TOTAL FROZEN PIECES ORDERED: 80 PIECES SHIPPED: 00 !TENS SHIPPED: 10 2023. 96 - ' - ' -' - ACCOUNT INVOICE INVOICE CUSTOMA PURCHASE 8RDE ! SALES SALES DATE NO. NO- DATE NO. 1\1 UM8ER LOC . REP ORDERED 90569922 1093306 06/18/13 90569575 29938 1054 0062 06/17/13 Route: 2251 / :3 ' ORDER NUMBER: 906082 8ill Ship Remit CARMEL CLAY PARKS&RECi�EA:F* j CARMEL CLAY PARKS&RECREAT US Foods/ Inc . To: To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 46032 46032 —INDIANAPOLIS IAN 317 843 3B73 46266—OOBB Att: DEPT # 00 800 428 2118 ShipFtm: 12301 CUMBERLAND RD FISHERS I* Ship& 06/18/13 Page 02 of 62 Frt7rms: Spc42 P tTrms: NET 30 DAYS Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price INVOICE SUMMARY TOTAL WGT SHIPPED: 1385. 86 PIECES ORDERED: 105 PIECES SHIPPED: 105 ITEMS SHIPPED: 15 PRODUCT TOTAL 3047. 12 T6XABLE AMOUNT . 00 GEN SALES TAX . 00 This amount is an estimate at time of shipping priov to any adjustments made at delivqry: $ 3047. 12 ` — ' � .. ' ' - - . - -'_ -- ' ' � - 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 6/4/13 669882 Family campout food 29862 $ 553.98 6/7/13 779479 Concessions 29726/29897 $ 893.50 6/11/13 892416 Concessions 29911 $ 1,122.54 6/12/13 930232 Concessions 29924 $ 347.86 6/14/13 987696 Concessions 29930 $ 1,463.12 6/15/13 1029544 Concessions 29937 $ 2,306.89 6/18/13 1093306 Concessions 29938 $ 3,047.12 Total $ 9,735.01 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$ $ 9,735.01 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center Board Members PO#or INVOICE NO. CCT#/TITL AMOUNT Dept# 1096-60 669882 4239039 $ 553.98 1 hereby certify that the attached invoice(s), or 1095-1 779479 4239040 $ 893:50 bill(s) is(are)true and correct and that the 1095-1 892416 4239040 $ 1,122.54 materials or services itemized thereon for 1095-1 930232 4239040 $ 347.86 which charge is made were ordered and 1095-1 987696 4239040 $ 1,463.12 received except 1095-1 1029544 4239040 $ 2,306.89 1095-1 1093306 4239040 $ 3,047.12 20-Jun 2013 $ 9,735.01 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund