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222189 07/17/2013
CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $22,682.90 CARMEL, INDIANA 46032 PO Box 660088 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 222189 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1029544 2, 306 . 89 FOOD & BEVERAGES 1095 4239040 1093306 3 , 047 . 12 FOOD & BEVERAGES 1095 4239040 1205861 4, 052 . 70 FOOD & BEVERAGES 1095 4239040 1278795 863 . 42 FOOD & BEVERAGES 1095 4239040 1313820 3 , 769 . 34 FOOD & BEVERAGES 1095 4239040 1424156 4 , 262 .43 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 INfVClTCE: ` I'f\I',,'?.IC;.E CUSTOMER PURCHASE ORDER SALES SALES DATE NO - NO. DATE No. -- NUMBrah LOC . REP . ORDERED 90569922-1205861 '- 06/21 /11 90569575 29958 1054 0062 06/20/13 R o u•t,e: 52'82 -% 1 1. __ - ORDER NUMBER: 904323 B i 17. _._.. :...__ . .._..:_ _ -S r —Rem!t _ ...... CARMEL CLAY PARKS&RECREAr- - - ---- CARMEL L CLAY 4'r�;4•�:S&RECREAT US Foods, Inc To: 1411 E. 116"fH ST. To: 1835 CENTRAL 4'r=RK DRIVE E Toz - BOX 660088 . CARMEL - . IN - - CARMEL _ IN 4603' 46032 _ _ INDIANAPOLIS _ I 4t4 317 843 3873 .46i 66-0088 A t-t: _.. DEPT ## 00 800 488 2118 Sh i,((vf rm: 1236 �:t. MBE:4^;l:_AND RD FISHERS T44 Sn pD _ 06/21/13 ' Page 02 of 02 Fr 0ty Ut:y Sales - Product Descrih.{on_.-- Pack Size Label C Weight Pricing Unit Extended. Ordered Shipped -Unit Num er D Unit Price Price V12 12 CS 3041423 CORN- DOG, AM CN F"1_'N 48/4 O'7- STATE-FAIR- - CS 34;6300 415. 56 o/ ? 2- CS 3330099 HOT DOG, AB' 6: 1 6" RLR GRIL 10 LB ._ PATUXENT CS 31. 5900 -63, 18 c�2 2 CS :5218862 ICE CREAN SANDWICH,- VNL 24/6 OT BLUE-BUNNY CS 17.8400 35. 68 ✓3 3 CS 5403548 ITALIAN ICE, L4'1N -DBL CUt F N 12/16 OZ CHILL CS 23. 2500 69. 75 f 5 5 CS 5741178 BUNn HMBGR 4R SLCD TFF BVD FZN10,l2 EA HILLTOP 4-44, CS : 28. 4000 142 00 �5 5 CS 574028 BUN,- HOT DOG 6" HINGE SI_::D TFF12/12 EA HILLTOP HR GS 32. 0100 160. 05 vvyl 1 CS- 7175128 ICE CREAN CONE, VNL TFF 2/12/4. 6 OZ BB- CHAMP -CS 23. 7500 23. 75 J 1 1 C'S - 8187999 ICE CREAM BAR, CHOP' TACO VNL24!4 Ol. KLOND7:K CS 28. 3300 28. 33 -1/3 3 CS - 9763061 POPSICLE, ORNG CHRY GRAPE SG/F12/6,x'1. 65 07 POPSICLE CS 19,3300 . - 57. 99 4 # PRODUCT CLASS RECAP TOTAL 7. . r �E1 : a ORDERED:- �3 PIECES � #IfFLD: : -TT_ 10 SHIPPED: -25 2322. 76 TO'T'AL REFRIGERATED PIECES ORDERED: 10 PIECES SHIPPED: 10 ITEMS-SHIPPED: 2 332. 05 TOTAL FROZEN PIECES- ORDEREDP 66 PIECES SHIPPED: 66 ITEMS SNIF'F'ED: 13 1397: 89 7r## INVOICE 'SUMMARY .. - - TOTAL. WGT SHIPPED: - 2092. 1.7 PIECES ORDERED: 1.69 PIECES SHIPPED: 169 lifiS-'SHIPAID: 40 PRODUCT TOTAL $ 4052.70 ` ANC-rlsSioNS _ _ t I'A;ADLL. AMOUNT 'tr . 00 ._. GEN--SAL:.ES TAX - l 00 1 This amount a:s an estit ate at time of shipping prior to any adjustments made at delivery: $ 4052. 70 r , ACCOUNT INVOICE VOIC'"E INVOICE: CUSTOMER PURCHASE ORDER SALES SALES DATE .� NO. NO. DATE NO. NUMBER LOC. REP . ORDERED 90569922 1205860 06/21111 1-7 2995,13 1054 006P ..-_,. _. R c u t:e: 5282 / Al. _. ORDER -NUMBER: 904323 B i l l ____........_. __..__,... _------ _ . _... S h-i"p _ . _.. ._.e ,�... ____� R e m is t C:A4?4 EL.. CLAY PARKS&REC°REAT _ _ _. CARMEL CLAY PARKU RECREr�T To: 141:1 E. 116T1'I ST -To: 1235 CENTRAL.. PARK Di':{:VE E 0088 6 BOX- b CARMEL.: IN t ARMEL :L IV 46032 __ - -- 46032 INDIANAPOLIS _ . IN- - - 31 7 843 3873 -46266-0088- - At t: DEPT It 00 800 -428 2118 i _ ^��;• CUMBERLAND r+... . .7 .r, "fi .. -_... _ '- ... . ...._ Page t�1 []' [�', ,::,rr ivFrm: 1c ..01 RD=_ F I:-�H '' � . IV1L: T +� L�� t_1 1. _, - r`'rrt NET 30 DAYS ? _, tr•'. 0t+v qt�V Sales Product Eies r•ip�ton .._. . JUN `2.4 2093ack i.ze Label C� Wgig t Pricing Unit Extended - Ordered Shipped Unit Number . _ -. _ _ C,._ _._ ._ Unit Price- Price t f DRY 1 C:S 0445098 TAPE., THRML CASH RGSTR WHT 50 RL. MONOGRAM CS 98. 1700 V NO 4 �8 S =::S 0779991 WATER", SPRG PLST- BTL LASTED 24116: 9 OZ SPRING/MON C5 5. 7700 46. 16- 1 ✓ 1. 1 CS 0791616 CUP, FM 32 Z WHT 25/20 EA MONOGRAM C5 37. 2000 37. 20 xf 1 1 CS if}(}0."r8 SUGAR lJl7, TtL.l:1 Ct L 1 GR SS }"'4CT'20t�011 GR EQUAL K C$ 33.3300 33:33 f�i 4 EA 2404,325 GLOVE, POLY LCD TXTD AMBDX 1.00 EA MONOGRAM B AA 14. 0600 16. 214 ✓6 6 EA 29393146 L.T.D, CUP SF LE 1-. 5-2 :1.: FLAT 100 EA MONOGRAM B . -EA 3. 0100 18. 06 3 EA 2961068 CUP, SFLE Ft YST TNSLT -PTN 200 EA MONOGRAM _I{ EA--- 6. 7200 20. 16 i ✓'' 2 CS 32156104 LID, CUP 12-24 Z .BBL PLST- - 1000 EA WINCI.IF' -CS "17.7700 35. 54 ✓3 3 EA 4053336 CANDY, BAR MILK CHOC 36/1 . 55Z HERSHEY EA 208800 80. 64 ✓ 6 6 CS 4260232 :SAUCE, CHa NACHO SHLF STADL.. 4/107 OZ ORTEGA CS 54. 9300 32470 6 6 C - 4329397 KETCHUPi T{'{TO F CY SS FOIL . PKT 500/9 GR -MONARCH _... CS 14: 9600 89. 76" t ✓2 rS 131.1600 CONE, -ICE C'fiM Aitf'` ' , , FLAT 36,'w:� EA JOY GONE: C5 39:0900 79. 18 t 16 6 CS 5329289 MUSTARDi YL.W -SiS S. 5--GR t-"HLF - 500/5. 500 GR MONARCH CS 12. 9800 77. 88 { V4 14f 4 CS 55916014 CHIP, CHS CNCHY- PLN SS BAG 64/2 OZ CHEE-TOS CS 30. 8900 123. 56- 2 C:S 55'1785'1 CHIP, TORTLtl hiA� IIO C14S TRGLE r4/1. 75 OZ DOIiI'LOS _. CS 30. 8900 61:. 78 4 CS 5597968 -CHIP, CORN OR'IG TFF SS BAG 614/2 OZ F°RITOS C5 30. 8900 123. 56 ✓' U 2 CS 5601679 CHIP, PTATO REU PLN SS BAG 64/1. ' OZ LAY'S C5 29. 8500 59.;70 ✓ ' 2 EA 6210777 f ANDY, KIT KA'f_ VNDG STD. 3 _5 7 t6. CA- KIT KAT'. LA 25. 9400 5108- . : ✓.? 2 CS- 029213 RELISH, SWT SS SHLF STAB - 200/9 GR MONARCH C S % 14. 3500 28:-70 1. C S 679`365 L..ID, -CUP 12-16- Z DOME SIP PLST10/100 !=A MONOGRAM CS 62. 6600 6:. 66 !_ f✓ h6' CS 7tT099'88 SAUCE, CHILI HOT DING U/ BEEF 6/108 02 C HEF- MATE CS 67. 8200 406: 92 1� f A 4.�?`91�"8 55 aT1�'t<W, JMI,_`r,_r 5 CLR Ut:,RPD STD 500 EA- MONOGRAM-- It EA 3. 0300 12:12 ✓01 i 10 CS 9089079 POPCORNS FiAW KIT -W/ -OIL A SAL 36/6 OZ FANCY FARM- - CS 26. 6100 266: 10 , A � 5 CS 9463688 CHIP, TORT{._A {,CORN-YLU RND �';2 LB- - EL -PASADO CS 23. 9000 1.19:.50. ✓2 2 CS 9954171 LID, CUP 32 :L'- STRAW Si:_1'D PLST .}.0/50 EA -MONOGRAM - CS 22. 6300 45. 26 REFRIGERA'TED 5 CS 4884151: ICE +..,REAM MIXv SOFT SRV VNL.. 4Z2/2. 5 GA- PRAIRIE. FM Cs- 32. 6100 163. 25-- - - READY TO EAT - Pl ease Refer -to Return n F'c,l:i"c+ f5 5 CM - 74 X1354 LCE MILK MIX, SOFT St;Y CHOr._4f.''/2. 5 GA �RAIRIE FM- . _ _ CS 33. 7600 168: 80 READY TO EAT - Pl lase Refer to Return PolicV 11 FROZEN f 8 8 CS 1239235 ICE" CREAM-Af'I CUP, CK IE'S "-'CR{'{ _. { s f5 O7 ---IT T'IBITZ _ . ___ CS 12. 5500 100:40. ✓ 8 8 CS 2639250 ICE -CREAM CUP, CKY DOUGH 12/5 OZ ITTIBITd. - CS 12. 5500 10040 ✓ 8 8 CS 2639268 ICE-CREAM CUP, -1E ANA .SPLIT 12/5- OZ ITTIBITZ __CS 12:5500 100. 40- 4 l / 8 8 CS 2649796 ICE C RE:AN C.UI r CO"TN CNDY 12/5 -OZ IT TIBI-TZ CS 42. 5500 100. 40 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED tfie 90569922 1278795 �aa'24/13 0569575 DAWN 1054 0062 06/24/13 FOOM DELIVERY ROUTE: 9973 ! 1 ORDER NUMBER: 906599 BILL CARMEL CLAY PARKS&RECFkEAT SHIP CARMEL CLAY PARKS?cR1ECREAT RE US Foods, Inc . TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E O: t30X 660088 CARMEL IN CARMEL IN 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-00881 ATT. MICHELLE COMPTON DEPT # 00 800 428 2118 SHIPPED FROM: 12301 CUMBERLAND RD . - FISHERS IN SHIPDATE: 06/24/13 age 01 of 01 FREIGHT TERMS: SPECIAL CUSTOMER WILL P U PAYMENT TERMS: NET 30 DAYS INSTRUCTIONS: QTY. QTY. SALES PRODUCT C DESCRIPTION PACK SIZE LABEL O WEIGHT PRICING UNIT EXTENDED . ORDERED SHIPPED UNIT NUMBER D UNIT PRICE PRICE E . . DRY , . 1 1 CS 2404325 GLOVE, POLY LG' TXTD AMBDX 10/100 .EA MONOGRAM B CS 40..6200 $ 40.452 3 3 CS 4260238 SAUCE, CHS MACHO SHLF STABL 4/107 OZ ORTEGA CS 54.9500 164.85 3 3 CS X463688 CHIP, TORTLA CORM YLW..RND 6/2 LB EL PASADO CS_ 23.9000 - -71.70 REFRIGERATED - . 5 S CS 4884151 ICE CREAM MIX, SOFT SRV VML 4X2/2.5 GA PRAIRIE FM CS 32.6500 163.25 READY TO EAT - Please Refer to Return Policy FROZEN_ _ 5 5 CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 34.4000 172.00 5 5 : CS 2639235 ICE CREAM CUP, CK"IES & CRM 12/5 OZ ITTIBITZ CS 12.5500 62.75 5 5 CS 2639250 ICE CREAM CUP, CKY DOUGH 12/5 OZ ITTIBITZ CS 12.5500 62. 75 5. 5- _CS - 2639268 ICE CREAM_.CUP, BAMA SPLT- 12/5 OZ ITTIBITZ CS 12.5500 ,62.75 51 5 CS- 2649796. ICE- CREAM CUP, .COTM CNDY 12/5 OZ ITTIBITZ CS 12.5500 62.75 # INVOICE SUMMARY TOTAL WGT SHIPPED: 498.45- -- . . _NIECES ORDERED: 37 PIECES SHIPPED: 37 PRODUCT TOTAL 863. 42 (XJI V( MIS . . _ - TAXABLE. AMOUNT 00 GEM SALES TAX . .0.0 PLEASE REMIT THIS AMOUMT" BY 07!24/13 AMOUNT $ 863. 42 The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section 5�)of the Visit www.usfoods.com for a fast and"easy way to order. Perishable Agricultural Commodities Act,1930(7 U.S.C.499e(c)).The seller of these commodities retains a trust claim over these x commodities,all inventories of food or other products derived from these commodities,and any receivables or proceeds from the sale of n these commodities unfit full payment isreceived. CUS'OMER$SIGNATURE' Interest shall accrue on all unpaid balances exceeding established credit terns at a rate equal to the lesser of(a)1!h%per month or 1 (b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable law. y/C }��ON/L OLld4sCP.QC - ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER, SALES SALES DATE NO. NO.I DATE NO. NUMBER LOC. REP. ORDERED use 9056/792 C 73 ��j5 06"24/13 9056"7575 DAWN' , 1054 006 L:6/P-4,613 ��//''��//����_ rV\/��.7 DELIVERYROUTE: 997.r � � ^. �- ORDER NUMBER: ��:6�J�� BILL CARME.L. CLAY PARKS&RECREA-) SHIP CARMEL. CLAY PAI KS&RECRE:AT REMIT Grill S, InC . TO: 1411 F. 1167E-4 ST TO: 1235 CENTRAL. PARK DF411VE E, TO: GAF M 'L 1144 ,t 0X 660088 C'ARM"L.. I N' 46032 �'�� 4603' r IT-ID IANAPOL.IS IN y 1 i3r 3 3i3�:4 . 62..66-0028 ATT. MICHELLE COMPTON DEPT # 00 -'P00 428 '211B SHIPPED FROM: 12301 CIJMBERLAN. RIP ._ - FISH 'RS ,�,{\i SHIP DATE: =' 6/`,�4/13 � ; Paige 01 of 0' FREIGHT TERMS: SPECIAL CUSTOMER W I L�•- P li!rr" PAYMENT TERMS: NET 30 DAYS � INSTRUCTIONS: 4 t . 4 C QTY. QTY. SALES PRODUCT �' O PRICING UNIT EXTENDED,, ORDERED SHIPPED '� UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE; PRICE E ;:_ our _ LID rxT AM»>ax L GG z� 10/100 EA MONOGRAM B t'.- CS 40-�2c�o �� 493.62 3 3 CS _ 4260238- SAUCE,_ CHS, hRFlCRQ SFiLF STABL . 4%1.0'7 OZ ORTEGA Chi 54.9500 164.85 3 �S °1463688 CHI'S', T TLA OOJN 111W RND 6/,2 LB EL -PASADO CS 23.9000 _71. 70 REFR�IGE.RATE�l y , �, C`FT kRV t�i+IL 4l' /1?.a GA ERAIRIE EM Ca 32.6450 3 16 . 25 _. _. READY 'O EAT w 5'lcas- Refer to Return Policif x . s. - FROZEN � 1 5_ _ GS O t ?f# F'SiE ZEI , I',XE<! S T Si.0 F ' i Q)' f� SU 'Ff � #'T e _ G«�i '' 34,4006 - 1"c 2 00 CS 2639'''3a ICE CREAM tit CRIES & CRM 12/3 OZ ITTI6ITZ f;5 12.550t3 62. 75 5 5 CS 2639250 CE CREAM C , CRY DOUGH _ 1 2/5 OZ ITTIBITZ r'S 1.2.55OQ� , 62. 75 5. . . . - Ca. 2639268. ICE -CREAM CL R, HANA Sf'LT 12/5 OZ 'ITTIBITZ CS 12.5500 62. 75 5 _ 5 CS 2649796, ICE: CR 1, � E`OTN CNDY- 1.2./5 8Z 'IT"i �13II°Z � CS 12.5500 62. 75 T! TA1, W7 S FE�3: , 45 'IECS ORDERED: 37I S SHIPPED: 37'. PRODUCT TOTAL 8.63. 42 j� TA i.i �tt";CfO _ O(? GEML, SALES TAX ...� 4 .Oft ,._ PLEASE—"REMIT THIS AMOUNT TiY. 07/1!VJ.3 rNOUNT 863. 42 ' f'. The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section 50)of the Visit www.usfoodsxom for a fast and easy way to order. Perishable Agricultural Commodities Act,1930(7 U.S.C.499e(c)).The seller of these commodifies retains a trust claim over base f. y,;.� X r' cbmmotll[ies,all inventones of food or other products derived from these commodities,and any receivables or proceeds from thesale of tk .,(s:,,Y9': f these commodities until full payment is received. ( fr CUS OMERS SIGNATURE: Interest shall accrue on ell unpaid balances exceeding established credit terms at a rate equal to the lesser of(a)Vh%per month or c - c n !f19t V ' (b)the maximum rate Nat the customer may lawfully contract to pay,and in all events calculated in accordance wrh applicable law. Fr. CUSTOMER COPY I t,.. WE ���OCdI DClaloCCdC ' ACCOUNT INVOI ' INVOICE ` COS PURCHASE ORDER - SALES SALES- NO, NO — DATE NO NUMBER ' LOC - REP. ' ORDERED ' 90569922 1313B20 O6/25/13 9C!569575 2/9978 . - � �� _..� 1054 9062 '�.06/24/13' _ � ' _ Rout,VQ51 / 3 - _ ORDER 'NVM8EW 90716E[ 8ill ........... Re«!it To: ' To� BOX 660088 - ' ' 46032 ____ _ _ - --- - �INDIANAPULIS IN 317 843 3573 46E66-000ST Att: MICHELLE' COMPTON DEPT # 00 ' pop 4pe 2118 S�/ipFror 12301' CUMBERLAND R[> � - l�I � IN f�hi�D: 06/25/13 - - Page O] of-03 Fr tTrms� - ' �'--- ' l ENTER OFF OF �[1 1TH STREET ! ! ! P tTrms: NET ]D DAYS - - Instr. dty oty Sales Product Desc�i| toh- Pack Size Label 'C Wei��t Pricing Unit Extended Ordered Shipped Un�l Number, - . ` ' `-^ -_-_��' - . � . , ' ' 'D _ `� -`_��~`� 'Unit Price Price 'INVOICE SUMMARY- -AN* TOTAL WBT SHIPPED: 1657. 98 PIECES-ORDERED: 133 PIECES SHIPPED: 132 AMS SHIPPED: 52 PRODUCT TOTAL $ 3769. 34 TAXAE'LE AMOUNT . 00 This amount is at estimate at time 0Y shipping prior "a aDy adjustments made-at delivery: $ 3769. 34 ' JUN 2 5 2013 . - - - - -- - Z�� . 7-- / /1/�[� / // /\ ///� / ( / /�� -r/-- �� [/�/L/ ` �- JZ ACCCI(alz4T IIti.IVOj;j INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE 1°+Or NO. llATf__' 1111C). N UJv1BER 1. OC . REP . ORDERED 90569900 1313SIO 06/25/13 S'::`s 769 i7 3 09478 , 1:054 0062 06V21/13 , Route: 2251 / _ __ ORDER t*ItJMBE:R: , 9C?i 168 ..... _..__ __.: ..._. ..: tifi ...... _-- -...._ ......... _ __.._.. R eA a.f CARMEL. PAR ;SWECRE6T _ � C A?ME CLAY .PA R K S&R ECR EAT - _ Uc _f ofd s, Inc . ! 1411 l 116TH S , � 1L 5 CENTRAL-PARK DRIVE F � - --T-,': 6600 89 C ArzM ::{_ ;r.{tit r.,AfME{_ {4 4603& 460":32/� I.NDIr �fAP7LIors` IN 317 843 ��Sti-73 _ 46266 (OBB At t: . MICHELLE COMP TON � DEPT #i 00 figO 42S 21118. � _... SShipFr w 12301 'CUMBERLAND RW FISHERS IN ,_ rrQD: X6/25/13 page 02• of ,t?3 Fr u Tr°rr_.: pc i...r l ENTER. CUFF OF 1 :i.1 Tl! STREET ! I-'v Tr=. NET TO DAYS Ir1 , {-r'°: 14v 9t:y Sale es Product Dcriptpj _. _ Pack S; ze Label - C ppi.h, C'ricing Unit Extended Ordered Shipped Unit Number - _ . L' Unit Price Price READY TO EAT .._ F''l.ease Re er to Return 1=ojic:ef . R07-E 11 1 I 1 C£ 1137387 CE t REAN BAR, DR AL1 5T'ICK VNL_2/24/3 07, BLUE BUNNY CS 19. 7600' 19. 76 1 1 CS 179239P BEEF SUES, PTY MEAT'I._ °1F.G =3 36/4. 25 OZ CHEFS LINE. CS 46. 4600 46. 46 A 6 CS 20127E31 PRE PRETZEL, KING SOFT BBD FZN 50/5 OZ SUPR PRTZL CS '34, 4000 206. 40 1 1. C'3 2260099,•TCF CREAM SANDWICH, CKY & CRC{ 24/ 4. 5 OZ BLUE BUNNY C'S 22. 9700 22. 97 ! 5 5 CS , 26,:{92 5 I E CREAM .f"_'UP, t"KIES 3 CRN V 12 OZ ITTIBIT7' CS 12.-5500 62: 75 t 5 5 CS 2639250 VICE_ CR Ali CUP, tKY 00(JG!-i v' 12/5 OZ ITTIBITL CS 12.5500 62. 75 1 5 5 CS 2639260 DICE CREAM CUP, BANA SPLT v . 12/5 OZ 7TT'IBITZ CS 125500 62.75 ! 5 5 i°_S 1649796 ICE CREAK CUP, CCITN CNDY sy 12/5 OZ I:TTIBITZ CS , 12, 3500 62. 75 6 6 CS 0414 '3 JC`CIRN DOG, t�f°( C"!s �Zt� <Li�•�5i i:dZ STATE EAIfi; CS 34. 6300 207. 78 f 8 8 CS a3300+ 9-J1-iOT DOG, B 6: 1 6H RLR URIL 10 LB PATUXEHT CS 31. 5904 252. 72 1. 1 C;, 5318062 InCE, CREAN SANDWICH, VhlL i/ 24r'6 OZ I{!_;.1F BUNNY _ _ CS 17. 8400 '17. 84 1 51 r'r CS 5303054 WEEP,, PTY RNO 3 r PUB FLAME E_ 5,:/3 O C:TLNN SL.CT CS 48. 6600 243. 30 1 1 CS 54035,48. ,v.I L F! ICE, L1 4i_3aEs! CtJF' +� i�! :i.2/16 C71 CHILL CS 23. 2500 23. 25 1 1 CS 54048;5 i/. CE f RE-AN SANDWICH, t..l li7i.�` e !- IP �'4 E A GOOD 4-ItJMOR CS 01 . 6400 21. 64 7 7 CS 57411 r°.8✓BUN Iii"!BGk 4" SLCD TFF_ BBD FZN10/12 EA HILLTOKHR CS _ 20. 4000 193. 80 2 CS 57��1"�SAUN, _ HOT DOG 6-010l SL.CD TFf 1 2/1. ? EA HILLTOP HR CS 32. 0100 64. 02 v a:. 7175120 r 23. 75 :L 1 C',:s .LCE C'RCA�"9 E.,!�Nc; VhtL TF r 2/12/4. 6 OZ BR CHAMP CS i�a. 7500 1 1 CS SI f9"r VICE. CREAM LIAR, C.HOC EA+ O & iJY ._ i. 4 0Z KL ONDIKE CS 2813300 23. 33 i 1 1 CS 9763060/1POPSI.CLE, CIRNo trHRY GRAPE SO/02/6/1. 65 OZ POPSICLE CS 19. 3300 19. 33 ._ X PRODUCT CLASS. 1 CAP } 170TAL DRY PIECES TjLShOG.L}:_ Sa PIECES SHIPPED:- 5 _I fFYS SHIPPED: 30 1704. 96 ! TOTAL. REFRIGERATED . PIECES ORDERED:_ 12 PIECES-SHIPPED: 12 ITEMS SHIPPED: 3 417. 03 TOTAL: FROZEN PI:EC51S TADERED; 1.63, 'PIECES 1HI:F''PE . 63 1��'!'�3. 5 17_E'F°ED IT , 1647:35 ...._.._..._...........___.._...__._._... _.._..__...__......_.._.,.._.._..__.......__....._.__.._.,.._ _. _.____._._.. _ .____...._,_.__...__.___._...._...__...__._._......_._... _.__..._. v. _..._..__.�__.__.._,_,. AC-C :3UNT INVOICE INVOICE ItiVO T Tlw" - wE- PURCHASE ORDER SALES SALES - DATE O. NQ - DATE- . NO.- NUMBER LOC . REP-. ORDERED 1 j Q0_ 06/25/11 X0569575 _2P97e_ 1C}54 9062 _1061/24"/03- _ ORDER NUMBER: 9`07168- . 1 , ARME.L + A� PARK&R'EC.�R A S - C�ARMEL -CrL;?'f'_F_ARC!,: IBEC BEAT {' r��lT- oCl::, 3 YlC ` _ 1 "- `�`- yo: 12=3,`: CENTRAL PARK DRIVE E Tw . Ei C3 n ,�:,c�C)Qf3£3 CCr°if h�lEL IN � t raf=;I''1E1.._ IN 46032 _ - 46s032 � INDIANAPOLIS- IN 317 843 1873 46266-OOBB r` t t: MICHELLE COlwlE' ON DEPT t1 00 app 428 211a _.__._....___ _...._.._._, .__......._...---..._._...___......__....._...____.___ "`.,_',vFrm 1210f TE.1C#!E'E€°LAND -RD- . - f ISHERS IN ,rhipD. 06/25/13 � Page 01 of X33 ti�:Cia1 ENT!-lit OFF O!' 111TF{ STREET? t ! 1.. .r ..y_, DAYS . _ t to Qtf Sales Product Pack.,Size 1...abel C Weodh Pricing Unit Extended Or�clbed Shipped Unit' ', Number - L5 Unit -Price ." Price . c.__._.._.____.__._._....._._.__._...._._._._._...__..__.._.___.. ...__.___._..._...__._.._...__.__ _w_._,:.....�._.... :_____.._..._......_...,..._..._._..___..__.__._..._......._......_._..__.__...____.____.._.._---------- ._._:._ . _.,.�.. DRY 1 1 CS 079161 `CUP; FM 12-Z WHT 25ir�'_0 EA MONOGRAM _..CS 37. 2000 x 37. 20 1 1 CS 0814 +3 ' CUP, PC`1 16 WHT �_ 20/25 CA MONOGRAM CS 17:9900 17. 99 1. 1 CS t,�Jl.04, f.UP, FN 20 I UHT `� 2020 EA MONOGRAM CS. 22. 9300 22. 93 1 1 ' EA 118 59 CANDY, M&M F't,N 1:69 GZ � 48 EA m & M B _ EA". 50. 0000 SCE.{ltd 1_ _ 1 Q 146�?803 �;F'L�ON: TEA MW WHT POLYP DULK11C]00 EA PRIME _-_ CS 14. 0700 14. 07 1 �S CS 2404 325 GLOVE, POLY LG TXTD AMEW ,f 10/100 EA MONOGRAM B CS 40. 6200 203. 10 " I !. CS 32S6104 LID; CUP 12124 Z BBL PLS'3 00660 EA, W!NCUF CS 17. 7700 17. 77 j i 0 Ek 40 '176 y":rr'iNDmss`: 1{t T M s i_F .HO f 36/055Z HERSHEY ! Ea 8 CL 4260238 SAUCE! - CHS NACHO SHL:r S"["ABL ✓47107 OZ i.i'r•:2's.GA CS 34, 9500 439. 60 �3 CS 4329397 KETCH TMTO _ICY SS FOIL P T X900 '9 GR MONARCH _ .- CS 1.4. 9600 29. 92 2 CS 5311600 �.i�t!�i1::.. iC;F +.:°RN CAVE .22S °_.!_AT ih6,�.`b EA JOY !NONE CS 39. 0900 78. 18 .: 5 `' . t LS 5.5 OR 'SH#_! • "00/5. 500> OR MONARCi! __ __ CAS 12. 9800 64. 90 - ..� v Ca 53�.5+ .89 MUSTARD, YL t i 1 CS 5585476 �:l••IIF . PTATO >:�#�D-ORIG GL'i'1� /0 4"`4/1 .:1.:;3 OZ T:ti'tKED LAYS CS -29.8500 29. 85 - C 5197604" CHIP, CHS CNCHY PLhl SS BAG YV 64r'2 OZ GHEE--TOS CS 30. 8900 30. 89 L 1 - CS 5597831 E..HIP, '1°ORTL:A NACHO CHL.('�3 '1R'L.EN(64 '?:. 75 OZ DGRITOS - CS 30. 8900 30i89 1" 1 CS 5597968- CHIP," CORN BRIG Tl•^f� SS BAG 0/64/2 OZ F RITOS _,_ _ cs 30. 8900 30. 89 1 1 CS 5601671 CHIP, PTA T O F:i•_G f'i.N SS BAG .4' 6411:3 OZ L:A Y IS CS 29.8500 29. 85 t 1 1 CS_ 56054 31 CHIP, MUL ft:RM G{r DN SALSA SS !§ /1 5 OZ SUN CHIPS - CS 30. 8100 30. 89 :1. 1 CS y6054 CHIP, NUL.TGRN i�HEDR SS BAG +// rs`1 5 OZ a(.N CHIPS' CS 30. 8900 30'. 89 1 1 CS 5605522 CHIP, MUL 1 GR ORIG SS BAG A. 5 OZ SUN CHIPS CS 30. X3900 30.89 :L 1 EA 6210777 CANDY', KIT KAT VNDG STD 1. 5 7.. 36 CA KIT KAT Eta 25. 9400 25. 94 �' �' 6329213 1�1~L T SH, JUT �> _i iL1 '4I I�; {?0.i 9 Gl MONARCH CS 14. 3500 28. 70 } :i 1 r;.A 6 7 1 71 9 {'l'�idu r, -I;i��, i��.:.10Ei "5.., i.�3L�F C 1 . &�4�?.�:�. 8�a ..s,: .,hil,�kEl��S EA - 1,3.3:00 33:-35 1. 1 EA -0036376 CANDY4 MZM PNT 1. 74 07. � f&8 EA !„! & r,{ -EA 33. 3500 33. 35 ( 1 1 EA- S0 t 312 t CAhl!".1•Y, RESE:S PWT. :BUTR CUP x;, EA R EBE r s EA 25. 9200 25192 i 1 1 CS 874293 K`NIf E; ,MW WHT PLYST.BULK PLSTW/.1.`ON) EA MONOGRAM C5 21.. 9.300 21. 93 1. 1 C'7 8907116 FORK! (`lW H - E�Oi..'r'F' BULK fLST`�-,`.03 WOW __ Plt'NOGhAI°l _ CS 1`. 6700' 15:6x7 ! 1 1 EA f3914f3:-i'�z,7FAi,J LL,; MB 1. 75- CLR UWRPD IST�606 Ct�_ �dtld+lOGRAM B _ -EA 3. 0300 3. 03 4 4 CS 9089079 l� OPi:,u!-:W - RAW KIT w./ t17:L & SAL.16670 OZ- FANCY FARM __ _ CS 26. 6100 106. 44 7 7 CS 946,368('. 1.,1-#IP, TOPTt.A CORN _YL U �:l*!!> j6/2 !_B k:L. PAST'DO CS ?3-.9000 1.6!" 30 i 1 i CS " .'x'954371 LID, CUP-12 S RAW- SLTD P00,10/50 P:A ..-_-1'1C3NOGRAM . . _. ._.. - CS' .. 2 . 6300 22. 63 -REFRIGERATED'- ' R LGERATE D _ - { 1 1 -CS 4365219- CHEESE,SET, AME R S! CIS 135 U RCR 4/5 -L.B -f --BLNVW-F RMS L� CS 04.5500 54. 55 8 C CS 488415:1: .ICE C`RE:N Q K; `,OFT SRV VNL 4X2/2. 5. GA-V PRAIRIE- ('{,{ - ZS 32. 6500 261. 20 READY TO EAT •° f':1:ea se Reefer to Return Pcrh- _ i ;3 3 CS 7451354 ICE MILE MI X, SOFT 'SRV CHOC 4%2/2. 5 GA :PRAIRIE FM - CS 33. 7600 101. 28 ACCOUNT YV01c—F NVOTCE ," ST!_J1• ER PURCHASE ORDER SALES SALE=S DATE N10, DATE kilo. - f\1UMBqR LOC . REP . ORDERED 9056992`:? 1424156 /28/13 .1 -'"69575 2999 - 1054 0062 06427/13 R oute: 5282 -/ 9 - - ORDL--- �_ 13ER: . 91.0961 E1 i 1 __.._....__ _._.___._.._._ __ __. E;1•'y p _..__..�_.__..._..�.. _..__... _. _____-. fit`�4 11 . - ..._._..._._._ __ __ __.__. _ -• _ �. _ CARME_L CLAY PARKS&RE=C RE_:A 1" - CARMEL CLAY PARK°•3°. RErCREAT _ ._ K __ioods, ..Iic To: 1411 E. 116TH S7' 10:. 1235 CENTRAL PAR& DRIVE - E l n:. CARMEL IN CAR1`e1E1__ IN A-6032 X1.60":3c? _ y - 14DJ�,NAPOL I a �t Att: DEPT # 00 � _. 00.428 21_18 hipFrm:... 12301 CUMBERLAND RLAS' D RD FINErR�.°' IN Shipp:__ AMS 1."3 Paye 03 of 03 tly qty . Sales Product_ Descript.on _ Label C �^��'i':1l!'�.. Pricing Unit. Extended �';�c;i� Sa.;r�_ Ordered Shipped Unit Number - - 1? Unit Price Price ................... ......._......... .._..___ .__.__.._ ._.._._ _. __.___.._._.__.._.__.._._.._..._-•• _...___ _._... ...... � :�•�� 'NVC?1C1^. Ui111ARY •rkr•x• _ TOTAL WGT SHIPPED: 1795. 92 PIECES OhClF:REV 150 PIECES S'rllrPED: 150 ITEMS c;i-lIPPE:DI 47 - PRODUCT TOTAL. � . 4262.. 483 1 T AXABLE AMOUNT $ -00 GEN-SALES TAX 7 . 00 ti This amount as an 61ti.ma•E:e at ti e of 'sKipping .prior to any adjustments made at helivcry: 742 62..4 FCD L_ -. _ ACCOUNT* S:Nvbic'E INVOICE CUSTOMS- i'l.!I~tCl•-ASE ORDER SALES SALES L}ATO NO.. NO DA'1* : _ No. _ I�.IIJi4'!�'.]v:Ii LO . REIN . ORDERED r7C� 2 14241 Diu _ C..}+.`a,'':2k"/13 C7C5:��s957_`� . 2�7``�'�:7 _ 1:C}5?4. C.�06? 06/87413 13 R a u t e: 528F.1-1 / {r- CrtR is ER NUt`Bto M911 91 I3i .11. _...__. .._. _-_ _._...._.._.._ _._...._._.___..__._.._............ .. tr.i.p.. ___. __._ R e-(Ts:i t_ __.. r_.__._ _ r _._ _ _ CARMEL. CLAY #ARKS3° RECREAT # _ _ _ . �"�1f�Sy A CLAY PARI�.SWCl�VAT' ,,,T US-- .T c °d ij. _ nc To: 1.411 E. 116TH ST ' . Tt� .12 35 CENTRAL f-7#�;E;K DRIVE E Tw BA 6600% CF,1= MEL IN CARiy71»°L 1 N_. 4Ea073 _ - 46032 A, t: DEPT T 2 00 _ 800 42 6 21 1.F3 Sh.z pFrm: 12301 CUMBERLAND. RD. T=ISF-IERS I -• ttW :060803 z Pa be l.if..' of C: � vtTr•lzri_: NET 30 DAYS X n :, ' r 0tv Q•I:.s/ Sales. Product, Des ripe:��n- F'::ck r iKe SKY C weight Pricing (lr,:t Extended Ordered S Piped Unit Number.— C. - �Uhl.t ' Price Price , ,..,_ ..___.___.. _._...___...__ _....__._...._.__-_---_..__..._...___...- __._.__. __._.__..._.._._____.._.__.._..__..____._ __..._._._._.,..._..M....._......-._._..._.__...._.._.._.._...,_....__. �3 CS 2011270 PRETZE::L ,._.KING _' OF!_BKO FZN 50/5 Oz SU) R _1:'R'FZI _. �S 34. 4000 - ;75. 20 2 CS ' 226009%9% ICE CI=;EAN '�Fti�3DUIi:H, t;KY_& C;!"1`N 24/4. '..5" OZ ISLE k'?JMNY CS, 22. 970P 4504 14 CS 2639235 ICE CREAM_ -CiJC''-, _CKIES e- CI~M 12/5 07 ITTIC.IT7. CS 1.2.5500 175. 70 14 CS -,2639250 ICE CREAM-C;UP, -_CKY DOUGH 12/;5 OZ ITTIBITZ CS 12.550 175: 70 lr 14 CS 2049796 ICE CF1EAM CUF`._COTN CNDY 12/5 OZ I i I B T7 IS 12. 5500 175. 70 1 .�. �; ;304 I{4C'3 O5N IJOv, AI'I C;N F`"it{ f /4 OZ. EiTtTC Ft7R CS 34. bat}0 _ '173715 15 �. . f3 CS 3330099 HOT DOG, AEA 6: 1_4" . RLR GRIL 10 LB PATUXENT Cis 31.. 5900 252. 72 1 CS 5218062 ICE CREAM SANDWICH, YNL `_4/6 O?' BLUE: BUNNY C.s. 17. 8400 17. 84 5 CS 5383054 BEEF, PTY GRND A T PUB FLAME 53/3 OZ i'.'E I.I'N SLYT Cs 48. 6600 243. 30 1. CS_ . ITALIAN .ICE: LMN-DBL_ CUP FZ.N 12/16 OZ WILL, Cl 23. 2500 23. 25 1 CS 5404035 ICE CREAK SANI)4ICH, CHOC: CHIP 24 ESA GOOD HUMOR CS 21 . 6400 21. 64 5 CS 5741178 _-BUN, HMBGh.' 4" SLCD TIE B01010/12 EA HILLTOP HR _- CS 2041000 W. 00 2 CS 5741228 E'tlrN, HO'T' 000 6n HINGE:. SL..CC. TF1=12/1 s. EA HILLTOP HR Cs 32. 0100 64. 02 C-C 7175128 ICE CREAN CONED YNL TFF 2/12/4. 6 OZ BB CHAMP CS -23. 7500 47. 50 s 3' CS 8187!`7+�9,r9 ICG CREAN Z:ti-R, (;HOC TACO r L'NL :'4/4 OZ KLONI?IKE': CS 28. 3300 84. 99 C:.S 97�LF_�061 POPSICLE", ORNG CHf Y .rRAPE SG/02/6/1 65 OZ POPSICLE _ _ CS :19. 3300 1903. 1 _ - 4* PRODUCT L L_ASw_ PiMAP �st TOTAL DRY PIECE'S OR ERECT; 48 PIECES SHIPPED . 48' ITEMS `sHIT'`PEP: 27 1705. 27 TOTAL REFRIGERATED PIECES_.ORDER N 15 PIECES CES SHI PED: 15 ITEMS OII;`I"'ED: 3 519. 42 TOTAL FROZEN PIECES C S ORDERED 87 PIECES SHIPPED: 87 1 ITE_N SHIPPED: 17 1 1957. 7.4 ' ACCOUNT ImVO ' E INVOICF CUSTOMER PVRCifASE ORDER _ SALES �S DATE- NO.. NO- DATE NO. NUM8ER LOC . REp � ORDERED 9O5-- 922 1424' 6 06/28/13 90569575. 29997 / - 1054 OO62 06/27/13 - -- Routw 5282. / 9 - ORDER NUMBER! 910161 ,- 8ill ' p Remit . - CARMEL LLAY,PARKS&RECREAT. US hands, Inc . T o: 1411 E. , 116TH S*T To / . - � 46032 ^ 46032 INDIANAPOLIS N. 317 843 3873 46266-0098' A DEPT fl: 00 800 -428 2118 ShipFrm: 12301 CUMBERLAND .RD FISHERS ' IN Shipuk 06/28/13 _ . . . Page 01 of 03 F�`t7rms: - '. Spcja2 p tTrms: NET 30 DAYS . Instr. ; l C On iqb t Pricing unit Extended D Unit Price Price Ordered Shipped Unit Number JUL 5- CS 2404325 -GLOVE, POLY LG ,TXTD AMBDX 10/100 EA MONOGRAM P. CS 40. 6200 203. 10, I EA 4053336 CANDY, BAR NILK' CHOC 36/1. 55Z HERSHEY EA 26. 8800 26-88 5 CS 4260238 SAUCE, fl--IS NACHD SHLF STABL 4/107 OZ ORTEGA ,� CS 54. 9500 274. 75 3 - CS 4329397 KETCHUP, TNTO. FCY SS FOIL PKT 500/9 OR MONARCH CS 14. 9600 44. 88 1 CS , 5311600 CONE, ICE CRM CAKE 22S. FLAT 36/20 EA Joy COW CS 39. 0900 �0. 09 1 CS 5585476 - CHIP, PTATO BKa ORIG_ GLTN/FR 64/1. 125 OZ BAKED LAYS CS 29.8500 29. 85 I CS . 5597604 CHIP, CHS CNCHY PLN SS BAG 6412 OZ CHEE-TOS CS 30. 8900 30 89 . 1 CS 5597968. CHIP� CORN ORIG TFF SS BAG 64/2 OZ FRITOS CS 30. 8900 30. 89 1. _ -CS-_5601674 CHIP, -PTATOIREG. FLN SS_ BAG _ .64/1-5 OZ LAY'S _CS 29. 8500 29. 85 I CS 5605472 CHIP; &ULTGRN CHEDR. SS BAG 64/1. 5 OZ SUN CHIPS CS 30. 8900 30. 89, I CS S605522 CHIR, MULTGRN ORIG SS RAG -64/1-5 OZ SUN CHIPS vs 30. 8900 3Q,89 2 EA 671721T_CANDY,;BAR�SNCKR .SS DNSTC 1. 8648/1. 86 OZ . SNICKERS EA 33. 3500 66. 70 1 CS 6805923 JRAY, -PAPR BORD FOOD 5 :LB CLAYY/250 EA MONOGRAM CS, 31, 9500 31. 95 I CS 7009988 SAUCE, CHILI HOT DOG W/.BEEF .61108 07 CHEF MATE C5 67. 8200 67. 82 2 EA 8053126- CANDY, RESES PHT BUTR CUP- 36 EA REESEIS EA 25. 9200 51-84 2 CS 9089079 POPCORN, RAW KIT U/ OIL & SALT36/8 OZ FANCY FARM CS .206100 5J. 22 2 CS - 9328311 WRAP, -FOIL 12XI0. 7a TAND POP 1-2/200- EA MONOGRAM- _ _ B CS 143. 9200 287.54. I _CS_ 9954371 LID, CUP 32 Z .STRAU. SLTD PLST 10/50 EA MONOGRAM CS 22. 6300 22. 63 REFRIGERATED- I ICS 066219 CHEESE, AMER_SLCD 125AUPRCk AM L9_ KNOW lRNS I CS -54 0500 54:85 CS 4884151 ICE CREAN MIXK TOFT, SRV VNL 4%2/2, 5 GA CS 32. 6500 228. 55- PRAIRIEAN READY TO EAT _� Please Refer to Return Policy FROZEN I CS 1157387 ICE, CREAM BAR, ]DREAM STICK.VNL2/24?3 ,OZ _ ALUE, RUNNY CS 19. 7600 19. 76 ' / 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 6/21/13 1205861 Concessions 29958 $ 4,052.70 6/24/13 1278795 Concessions 29976 $ 863.42 6/25/13 1313820 Concessions 29978 $ 3,769.34 6/28/13 1424156 Concessions 29997 $ 4,262.43 Total 1 $ 12,947.89 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and 1 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$ $ 12,947.89 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center Po#or Board Members INVOICE NO. CCT#/TITL :4:,0 NT Dept# 1095-1 1205861 4239040 $ 2.70 1 hereby certify that the attached invoice(s), or 1095-1 1278795 4239040 $ 863.42 bill(s) is (are)true and correct and that the 1095-1 1313820 4239040 $ 3,769.34 materials or services itemized thereon for 1095-1 1424156 4239040 $ 4,262.43 which charge is made were ordered and received except 10-Jul 2013 1/ldlLA/I $ 12,947.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund