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HomeMy WebLinkAbout222606 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $13,105.91 ,? CARMEL, INDIANA 46032 PO Box 660088 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 222606 CHECK DATE: 7130/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 1597910 2 , 214 . 03 FOOD & BEVERAGES 1095 4239040 1717021 1, 259 . 93 FOOD & BEVERAGES 1095 4239040 1829410 2 , 546 . 40 FOOD & BEVERAGES 1095 4239040 1894833 2 , 214 . 38 FOOD & BEVERAGES 1095 4239040 1926765 4 , 892 . 59 FOOD & BEVERAGES 1095 4239040 669882 -21 . 42 FOOD & BEVERAGES ACCOUNT W-. .:...E .:. ,01C— CUSIUMERZ-PUILM&WORDER ;:'sALl .e SALES ? NO, N01. DATE r . NO. _ 1U'BER - LOO. sEIT JRD EF E} 04: 1 : 9Csr! J hICK_tC _NL _1_ _7 )__ 1.aW.__Qt762..___ t.(`iRttl-:L CLAY i ARKSB#"EC BEAT. �C i«,RM L CLAY. PARKS SI+.CCR0 - o: 1411 E. 116TH ST Tai 11231 C ENT AL—PARK__t RIVE M 1,�:.- - _ - � 1_ EE _ a,A M E.L. a:ld C:AR sE L 46032 x;,6032_ Y,'+` i E t t".1 1 C" ttt 1 C1 E _ _ — .._.._.__.._._._..._ N )T A -l old 0-I _ f.._.��._.. ............. ,..__._. .�...�_ _.� _.... ._._._ - t -REASON. --REASON SELL? QTY 'CODE t.pESL RI f 1 01,41_._ t t �� ,, ,it a t C'1":E , f31 1:11. r} li°t{1 P � i 1"I t mac:-_ 1t 'I:r', . Lr rc r' i " _ :f. Moo 4. - '1. 42 !lrTAL. E .L.rCE PI_°KEJ.i ;lt': I TOTAL CUBE: • 11 _ — _ X14 LOWr�E�IC�"S_ (?i) —CHARGES . 00 TAX, 21. 42 T di Pf u tiC _ACKU:p __ .. . JUN 1 X913 - A+ t..0Q 1T II`.1Vt7SCE_- _—INVOICE" y CUB•'1"CMER PURCHASE ORDER SALES SALES DATE ' _ •, . DATE 7 - NO. NUMBER LOC . REP! ORDERED 9556900 ����71 � _. J 4! ~. /3 t 10509575 _.- 10014 .. _ 1054_ -0042 07/03113 _ Rqu'tre: 5838 !` °.a ORDER f+VIBER: 916650 BfI e R 1�`.S�.��s.Y..._C R EAT ... -_ _. i�•ARM 1 CLAY �'?A�'i�dS RECe t$'�.x ._� _ � )US F.G•f�.iid-s,. Inc .-- -- To: � 1411 E. 116TH ST' „'0 1`c'.35 CENTRAL PARK DRIVE E To.- . _ LC x 660 hBB CA=MEL AN CARPIIEL ; , X6038 IND1ANAFtL IS, 31 843 3873 Its _,266--{088 W't:.j M:ff'1"•tIEL_LL' ("'l?MF'TO!'4 . DEt'!`I° 0 00 428 2118 h tlFrar 1 301 .t.1hf�3.�',R r'°:ND RD t� SH �_�` I1�i '�f .��`t�: _ 07/0a/13 ._,_ Page C.�c.-_' iii= 08 FT'P= Ir rrd :::F7�:° : .I Ei�11 .C; C]1 8 1a.1 1..1..1-1_ STRI:E 1 1 !ristry P'tV Sale Product; b srrili•ku6 , ac:t Size Label r Tt:1ei ht I`ricin�� Unit Extended Ordered Sha1?nets MY - Number r _ D i.Jnic Price 'r-ic _ _ 1_ _.__._._.__..__._._...__._._.._._..__..._..._.... ......----—._....___..._.._ _._._._._.._.__.•..__._...__ _._._._.._.._ .__..___..._.____.__._..._.__._._...•_.....__.._•._._._._...._..__.___._..___.._ :*1 PRODUCT CIAS`; REC,rw};, TOTAL DRY PIECE$ ORDERED: 22 PIECES SHIPPED: 22 ITEMS- SHIPPED: 11 534. 62 TOTAL REFRIGERKED PIECES ORDERED io PIECES HIPPEY _10 ITEMS SHIPPED: 2 330: 94 j TOTAL FRE ZFN :,. P`IE ES ORP RED: _14 PIECES SHIPPED j' ' 64 .ZTE�i"� WHIF'F'ED`. .15 1348.147. a aid INVOICE SUMMARY TOTAL s GT -I PE D: 1178. 53 PIECES ORDERED: 96' ; : :CE S- SFw=P=W _96 ITEMS .ail-iIE'PED.._ 28 •tE�•5;r..i f.tF;V•t.:x 3i;E#t•tl,.•r a`F d'i•#•k iK�:•:�•lt•H)�..Ji?S•Yf i��:•9F?i?4•iF�••x•?�:�:�(Tf••N•?z':t 3:rE iE a�.?f•iE 7E�E:ri??ac)E•�•;tk u r4)E•W}F Jk.}{..}�.:�..fi?t•?()f,r•N::k•�:�:��•:k;�}t•3f�E??•;E _ PRODUCT TOTAL 2214. 03 Federal Op?3gi=?'v'•ion a e't:1j aid Health h S anaard.s Set_'tilk 1910. 1200 of HAzar d Communication requireh manufacturer'`s and rlistribu•rors to 17rOt•'7.de Ma't;eraa3. ' I * S<.}•(-r.•?ty Data S heets on non products defined ined to be hazardous. Products N. # such as cleaning product:.s a+id } pesticldes are ir ludein rhe stope of the * Standard. In compliance « ft he .1.a'ni. NSDS rlrC: available t:7 US Foods, -Inc. *- customers and can be dbtri;d by Qont<acti.rg 'tQe Frnrur Lena Mah'ager in burr TAXABLE AMOUNT $ . 00 * district office or bu advising your sales represor ta ti f GEN. SALES TAK r A0 N You may Co tAcr KEY AURTJt - _ at pho#e 0 (371)' 585 = 6822. �. i 7k#?E�+;# �:•lE�•#p'•�:'�###�##)E:Xc�•�[�!•#ik ti)E•SE�•JE SF it�u i!•)E i'k)x 3{•#i!,•ts.3E?$3G 3EtC•YE)E#3E 3i')E§:#�i�'){•3E 9E x•`t•#•lE�:34•}E.•lE�Y(•1c�$ tE•k 7E 8f•)E?E#�3E lE�[i[ " _ _ T13 c,urit: is an—estimate at aims of =hi ping "pri•or to alit adjustments rude, a.t deliver( : 2214. 03; �U L 5 201-3 ACCOUNT' Ih•1 DICE' INVOICE C`US*T(-)is ER PURCHASE ORDER -. SALTS SALES DATE 114('.). NO. is�:�,�-�- 1\111 1.€l.ii°'iBER L'OC'. REP ORDERED 9051619922 92 15979 it7_. 07/04/13 13 ._9S.-35 i- 9 •ucti4 1,054 0062 3 CSR DER NUMBER: 916650 FI} isZoe 528C} �' 7?:i. 1. l _ S h P R e rn i.I; ' CT RMEEL CJ_A% 1•ARV,,S_&RECRE-A€ CARIIEL CLA y PARKS RE AT US Foods}._ Inc. To: 141. 1 T. 1 .1.5.5=1°1 ST 2'.3 Z CENT•R AL PARK DRIV.E E= To' �t�y r,r`aFf!§1k:L I11 - t �'1f.iv1LL_ l;d " I3C]X 6-60VC.?E3_._._ _ )� 51 % at1 i{ .7 46266--0088. -At�t: �Y_i1`C 4 F4EL! �- ��+t.�1'P t O1�1 D F P i~ 1# 00 8'00 A-20 2118...._ ._ __. _ ..._._.-..__ _..._•_.._____... _._.__.. _.....•._.._.._.___.__.. - _.._..._._..._. .._._.___.__._..____.�_...._.__ ._.. L_._.....__.._�_ _....... �''a r �,{ �, 2- siil''BEf' E I'�fiY:y .f FIS3HER IN ,' h'i pD. 07/05/13 Pace 01 of 0 ,.._. i.-`r t i•n:;i. _ rat. c ,+I . ENTER OFF OF i .t 1TH STREET ! tt/ QtV :].esi Product De s r.;'•-pta17 . _ [ � :i� 'six Label C Weight Pricing Unit Extended Order t.t1 G4:i i - ;JrEa•1 a 1�4cEmb - - D_. 'Unit Prit:e Fr'ice _........__.__. - __.....__ .._......._. ._...... ._... ... __..._..__ __ _ ___......_. _ __ _ _ .._:__ .._..._._ _......_......_.__......_..._.. �}f Y Lee 6 C;J�, 0?':9991- WATELR, SPRG PLST BT; r1'3T'ED tt '16 9 07 SF1 tNG/1`'0N CS 5. 7700 `r 46. 3.+.1 it 1 EA .`E.IS35-9 CANDY; 1�t&M P N. x.._69' OZ 41.1 EA 11 e 1'1 • B EA 50. 0000 50. Q�� 1 € 1 C_r t�i� �f�h#1?f. L:E�F MIL. i'1•dCt 2 , + •,r RSI-4 .Y EA 26. 8800 �6. 8 r 1, s a Fi CA G 4,260236 GI"i1JCE, L11 NACHO 1ILf 5tt"ENS. 411 7 OZ C.tn�l"EG CS' 54. 9500 .109. 90 '11 c;�:0 C.CIhIfII ?C " 1_h:':°I C.r1l E �2S I LAT 3� ,20 EA Joy UElhIfE _G� ._ 3� =A� ' 1. C;� 39. 0900 1 E s 214} F C,AI�I>}Y, 141T k 't ti1�IGf ilia 1. 5 t6 EA _ 1;11 +;SET' _ _ - EA 25. 9400 25 94 1. E.A ..f 71 '21.x f AIg11'"I , Bf)R SNC k,. LS 1,'1,:3T'C 1.86 ?C 1. . 86 Oz SNICKERS EA 33. 3SOU 33. 35 . ' _T ;3 4sS �a�3�'>`,� a TRAY, PAP R, T�t31�4C� �'#SC�'D ,., LB CI_.t�r ! '�L� EA MONOGRAM .. _ _ __ _ GS_ 31. 9500 95. 85 I. t o 90;3651"e"6 CANbY' , N&M 1 t•I"1 J. 74 O 4o E A i i 1'1 EA 3-3.3500 33. 35 ' ✓ 1 E A 8053126 CANDY, RESEs 4"ITT BU 1 R CUP 36 EA REECE;'.S EA 25. 9200 9200 255. 92 . 95 1 ,B'S'' °+ •TE-'+ T-T C�- s t^ i "tEI' 2 E r; r.' 7-r q dt _r i T� 4 � E ✓ ._ �,,.., ;.Ta i:S t,•f.5!.iu E 1"I.c i• , TE..11•.�I_.6i t..�f;ri it_In1 3"•.�,�.� t.i%r 'Yi�riDV __ .,.. ..._ .. _ �7 .4. QFQQ ;..',. 1E:'r �� REFRIG RA 1.D 1 L 6 CS , 4884:1.51 ICE (,REAM,.(,REAM, IX, SOFT SRV VNL .4l2/2.5 GA _ P -AIRIf:' FM CS_. 32. 6500 195. 90 E DY (O EAT' PIea e I�:+:Afer ',0 1' E'tUT'n Fc.)1.I.+:'Ei E' ��`1';AIRIE F'�i C'S - 33. 7600 135. 0.4 �1/ 4. #..•a ?4 :1354_ .IC.i~ 1"IIL�; 1`11:.`n, 1rGtF'T 9f4V.•t'�1-iG 4/,.�'/T•'?. 5 GA • READY 'i-i_1 EAtT — Please RePc_-- - ICI a I:e-t•LErT, Polic.V - 1 l.t;sr38-7 LCE c.RE_AM E,AR, DREAM STICK VPIi.,.2/2": s C1Z BLUE B191'NY CS 19. 7600 19. 76 C/ 3 CS 0. 1 r 8 PRETZEL,i ZE.L., IVING SOFT BKD 1-.1.".1'•1 150/5 ("yap.. SUER F'i� ,R L (.:S 34. 4000 103. 20 - 1 I:t;, 22604:9 GhCa-t"€ .JA1117WIIsH;, CKY & CF+:1"# 4 4 5 PZ _. BLTJr.. BUNNY C5 ._ 22. 9700 22. 97 ` ✓su 12/ OZ 13TIBITZ CS 12. 55 00 125. 50 10 CS 034 2 + ICE FE`i _r', kT C & Ci1 X539 s } 1� � rE " CUP, _} QC1l_?10 1.0 C; 12/5 Oz 11'T iBITZ CC 12. 5500 125. 50 it7 CS ?n39268_ 1 t E CREAM i 1^x!`1 t lif', DANA Sr.LT '1 1 yf 5 U? I f?IBITZ c 12. 5500 5500 125: 50 ! y w 0 w 25 , il 10 €_; 649796. ICE_C'RE:AM _T�U1' CCIT-N t.,NI-v 2 5 0 _. IT T `IBITZ CC . 1"�,,s5,.4� l SO 1 C .. *3A4 t ?3 .CORN DO!G, X11'1 C FZ N 8/4 0Z STATE' FAIR tl,5 .34, 6300 34. . j # C:a :3328_ Qfi 1 i1.hlr 11( T L�17G_%8+' .�!_CQ-.1`I=1=- Rl:Y 8/12/_I -7 7. HILLTOF AR- C9 21. 5000 6�4, 50 1 C;S `.7'4;tfSHca�_' 1C_L ''(;E:¢a�`1 CA1+4L'}6J[CFI., Vtll_ �'4> 5 U."t. i{1_UE BUNNY Ca 1!. 8400 U. 10 Cq °a3L5.�415 - I'EE_ ,, F'7 G€ (511 ?_ PtJI:_a°1._f-ME' X3,'3 Crf C�4_41 1_gal <<I'� C S . 48. 6600 - 486, 60: 5403S48 ITALIAN IGI:, 1.114+1 BL CUP F ZN J.2/16 02' t 1_1_ CS 23. 2500 .';_':3. >5 E GN. r 1 CS 5404$35 ICE CREAM SANDWICH', C;FIi:}C CHIP 24 EA GOOD HUMOR CS 2 1. 6400 21. 64 CS 7,175 1 El It CkEAN COME, VNL Ti:'F /1 '. �4. 6 k).1.. LAB CHAMP- CS 23, 7500 23. '75 ij 1 0187999 ICE_ C`R ,C'1 BE 1 ,- Clt l fA tT °..NL 4/4 Cat K ONDIKE _- _ CS 28_3a 0 ­. `'8 ,33. Dl �al 2`_ cuTCvk = PLJ CHAE I ORDER- BALES BALES ID TE ACCOUNT INVOICE' : ORDERE D LhO. i"10. v .MB k C i 3� 02� — iJ54 ot762 v%. c-`o f 13 ,—i_05�?`22 1'�1 r �)7J�9/13 905 >�� ' ` - - 9_2�5=5 6 ORDER NUMBER:Rt's 225 ! Ii 1 t z ? R e m i t; GA ° L CLAY PARKS&RECREAT #'ARl l L_ µ L,AY_ PARKS°,RI t..E' r'=,T a US Food„ Inc To:. _ _1A.1 .1. E. I I aTH sT Ta;- 121.35 �;ENTR-AL. ('AF~K DRIVE - - --r30X ¢ 600e8 CARMEL. IN CARMEL IN _. _ , 7 ._ __ .46032, -- 4' ,2 _ . ._ - 1,ND I A NAR AL I S- 317 843 38 73 -46266 °0088 Att: MICHELLE " SM+ iON DE, ' T .* 00 T h! 900 428 8118. h i pF'rIrr; 12301 CUMBERLAND RLAND ,RD _ . FISHERS __ _. I =3h i pD: _07/09/13 - _ ; Page 02 of 02 -r YrrT' .i(ii '.�7 ENTER-.[]l"F OF 11.TH STREET! s s t;J 9tv Sal,es F'roduct _ _ Descton Pa k S - .e Label G'- Weight _Prici.ng Unft Extended Ordered Shipped Unit;- Nursrber _ �z [}" - Unit - . w_Ee;ice _ Price._ xa _INVOICE', SUMMA .,Y FUEL rt4 iCHAI1lL 4. 00 I TOTAL.WGT S 1,11'PED: , 767. 77 D''IECF_S ORDERED-: n�"A 'j'IECES HIPPED: 621 ITEN'S- SHIPPED. 15 #f�!•�f##•)f?f•i�r<}f�E•tf•it Yf#9f•k(••k 34 1f#E#••?f•tf dE.r•}E;4�i••k•�:at•fi(�{#:tf 3G��t h•�f-•u Y•N•)f##E?$�.'•�1(•if 3f•tt�7f•?�•IE# '�,`�k h•if 7E•lr•)(:i fit•�E•}E 3c i'=#- 1E#3E#•1E iE 3E H••H•dE PRODUCT TOTAL $ 1255. 93 Diot and Health SnPards erti i:ALarc# Feder'a]. Occc.ipa d �� e , • C.6mmunication requires distributors �E manu�=.��r..�Durers and �� rdvx:d6 • Safe-tt/ Da'tts Sheets on non--food products defined to be­ha; rdou�. #I r 0dLicts CHARGES 4. 00 f ii such a , cleaning .predicts and pesticides are inc_-1_uded in -lie -scope of the • Standard. in compliance with the law. h1 D5 are ava11a� :t;o US F'o as, Iris. x • customers T � P g t�' `,t 1lGrixr �r i.n our 8E TAXABLE 'ANOUNT � 00 and can be oh'tai.ned lar ccntaC'ti.n. the Frri� ur , " • diStriCt Office or b,.' advising k tour sales rtpr,e_, eTh_'.tatiu. �' � - �E -GEN- SALES TAX' aO • Yeu rna+7 contact: & 'lsIi"! 11FTOhi at phone ## (.3711 �r8??. • � _ u lE*###}F#it �R X. f•h ! This amount is an estimate at tames of shipping prior ro anV adjustments made at delivery: 1259. 93 TED JUL 0--201-3- �P r.F _ Budget G ;..ire Mescr - r urchaser Approva Date- ._ _, Date l ACC,0CP,iT IINV'OII;E INVOICE-"E- CUS- ClhIER .' PURCi-IASE ORDER SALES. SALES 'DATE MCI. 1\10 DATE 1\15. NUMBER LOC. REP' ORDERED 9056!922 1.7-1.70,21 01/09/13' �Y'05695l'I�z: :.3002 1054 0.062.. 07/'08/13 13 NUMBER' 920,556 B i 1. I ___ ._ _ __ __.._._.____._ _ __ S h z p __.._.. _.._ _ ____ . R q(•r i t -- C,ARM L _S LAti _-F'ART^S?.RED REr~-L' _ CARM L CLAY -PAF,i�4�<4'L:`REA.-i_ US Food-s, _ I,nc . To: .14-1 -1. E . 1. 16TH ST l°cl_: 123'-_ CENTRAL, PARK _I.)RI4rE E ,. IICIh 660088 CARMEL. IN ( AR!`9EL - IN 46, 3 4r�13� _ _ _ - INDIANAPOLIS _ IN 317 01/4 a 3673 4t bS- C}088 r, t: M i l C i-iEl_L_EhiF' fLlV :- . _ D1_.F' #i ifa SC?{) 4c'�F3 2118!Wtr pFr .12301 CUMBERLAND- RD F"I OH ER,S _ Iii 071/09/13 � Page D_1 -of 7" r!_7�r'raas.:. 't-r...a.] - ENTER OFF' OF STREET`! ! ! Q'ty Sales F'rodur t [7escriF,tun_ _ _ _ Fick Size _ Label C Weigh-1 Pricing Unit Extended _ _ '-TZred "hipped Una. L1umh�r _ : _ : Tr : - - Un i�: prase- f r i't6 } 8 S C 0779991 WATER, SFFt4-_PLST BTL NSIE 24/16. 9 Cl.�_ SP Il-,IG/I'!ON CS 5. 7700- $ Ddb. 16 ( 5 5 CS 1462803 SPOON, TEA Hu- QHT -POLYP E+t.LK' 3,,000 Erk PRIME CS 14. 0740_ 7i�. 35 i 3 3 CS 42�s��` 38 SAUCE., CHS NANO- NHL i �rABL 4/1.07 O OrRTEGA CS 54. 9500 164. 85 DG 555'79raJ' CNCT=, CORN tJk..T.u. TFE SS-BAG :. �s4 h 07 ..` FRITOS CS , 34. 8'00. 61. 78 ` 1 1. CS 5601679 CHI1 PTATO REG PL N SS LAG 64/1. ::3 OZ LAY''S CS 29. 8500 X 9. 85 3. 3. CS 9463688 CHI', .TORTL A CORN YLW RND 6,12 LB EL PASADO CS 24. 0900 72:27 I 1 1. CS 5'9543;'1 LID, CUP 32 Z. STRAW SL.TD PLST 10/` 0 EA li�?NOG AN CS 22. 6300 22. 63 REFRIGERATE D 1 ^- _3 3 CS . 488415:1. ICE CREAM MIX, _SOFT..SRV -VNL 4%2/2.5 CA PRAIRIE FM, CS 32.-6500 97. 95. READY TC1_ EAT Please Refer to 1"etuirn folic, fFEa]:_'Lid _ ( 10 10 CS 20_1121743 PRETZEL , _VING 'SUFT_L�1{D F ZN 50/5 11Z SUPR PRTZL_ CS 34. 4000 :,44. 00 } 6 6 CS ?639235 ICE L,(�EA11 CUP, C;i�_IE:5 & i:Rfl 121'; G7: ITTIBITZ CS 1.2. 5500 '75. 30 6 6 CS 2639250 ICE CREAM CUP, UY. DOUGH 12)5 OZ ITTIBITZ CS 12. 550-0 75.-30 6 6 CS 2163.9268 ICE CREAM CL11P, DANA SPL'T' 1.^/rr OZ ITTIBITZ CS 12. 550 75. 30 6 6 f'�S 26�t4979�i__ ICE GPEA1-I CUP, _^OTN CNI)Y _1_1-2/5 OZ . ITTIBITZ CS-, 12-. 5500 75-.:30 . 1 1 CS :.54013348 ITALIAN ICE, i.._i`1hi DBL i.,t.lP F N 121/16 CZ CHILL CS `'3. 2500 23. 25 2 1 - 'S 5404835 ICE CREAM SAhii:WICC1:1, CHOC CHIT' ^4-EA - GOOD HUMOfy C:S 2. .. 6400 21 . 64 f 1RO DUCT CLASS R CA ` * _ - TOTAL DRY PIECES O DFRE i:_ _23 _ PIECES. SHIPPED: 23_ ITEMS SHIPPED_- 7 TOTAL REF.f ICi!:".RATr D_. PIECES ORDE1 ED: :i F'IFC ; ' NIP'P'ED: 3 ITEMS SHIPPED: 1 97: 95 TOTAL FROZEN. _ PIECES ORDERED 3r : -PI LL Es-.SFI.CPPED 36 _w': .ITEMS, SHIPPED: 7 . - 69{}. 09 ACCOUNT INVOICE INVOICE CUS"{'C MEi R PURCHASE ORDE€2 SALES SALES- DATE NO. NO. ' DATE- NO. NUMBER LOC. REP . . ORDERED 90569922 18329410 07/12/13 905695`5 3D0,040 _ f054 0062 07/11/13 R a u e: 5282 / 10 ORDER NUMBER: 924991 L3 i .l l _.._..._. __ _. _ h 1� __.y R e m i t --- - Cr RIyiEL CLA4 _PAF?f�tS&REC.REAT� ~ __ C tR{tlEr CLAM' PARi�.S`' REC REA i r "L1S .Fatrdss Inc . To: 1411E. 116-1-H ST To: 1.235 CENTRAL PARIV,E DRIVE E IN To: - 6600E38 BOX. b�008 _ CARMEL. II'�I CARMEL_ 46032 46sC)aE? - INDIANAPOLIS l7L I S I N C� 317 84_1 387° • 6'25 6--0088 Att: D1CP { 4 00 B0C} 4.28 2118 yh i pf rm: 12301' CUMBERLAND BERL_AND RD FISHERS' IN Sh i pp: C?7l`12/1_� _ Paq e 02- of 02 FrtT'ri7s. _ ,' pC.LRi PvtTrms: NET _30 DAYS Y. Ins rr: dtv GYy Sales Product D�escri.p't.crr, Pack Si.z*?• Label C Weight Pricing Uri it Extended Ordered Shipped Unit Number D ._ _ Unil Price Price i r PRODUCT t CLASS RECAP TOTAL DRY PIECES ORDERED- . '9 PIECES SHIPPED: 29 ITEMS--SHIPPED: 14 1163 84 TOTAL REFRIGERATED F'II±CES ORDERED: 5 PIECES SNIF'F'ED: 5 ITEMS SHIPPED: 3 187. 37 TOTAL_ FROZEN PIECES ORDERED: 45 PIECES SHIPPED: 45 ITEMS SHIPPED: 13 1195 -19 INVOICE :SUMMARY *** _. -_ - -. TOTAL WGT SHIPP'E'D: 979. 96 PIECES ORDERED: 79 PIECES SHIPPED: 79 - ITEMS_SHIPPED: 30 �:tt••x•��x•u�•��•tt�xtt•�a��••xx•x•�•tts�•��•u•tt••x'�•���•tt••u••xx•�••tt��•�ia��tt#��n••�a�•��tx•x"�:ttar•>E•tt•r�•tt••tt•n•#putt••r:tt'•��•�:•k•��i��•�a�•>fa�•zE���• - _ _ . a� PRODUCT TOTAL 2546. 40 _ Federal Occupa�tion Sa�f-e�tfy and Health Standards. Section 1910. 1200 on Hazard � Communication requires manufacturers and distributor's to provide Material_, tt Safety Data Sheets on non-food products defined to be hazardous: Products # such as cleaning products and pesticides are _included in the scope of :the Standard. In compliance with the law. MSDS are available -to US Foo'ds, Inc. � . customers and can. he obtained by contacting •the Procurement Manager in our � TAXABLE AMOUNT � . 00 district office or by advising your, sales representative. i� GEN SALES TAX- ? . 00 You May contact KEVI. 1" BURTON ' a t; .phonerc #.-(371) 585 - '6822-. � ••�3!�:•#•#u x�x#3F•�•�k•FF#�i�•rF?��•�•Y���t�#�f��#•�#�t��•�'�•�?F�?F####�#•?t3k#�ac�:�4���•tt�•tti��E:�#�•#3�?�•��•u�#•�u#�•��•�•#�#•x This amount is .an =ti'ma-te 'a-t -tide of shipping prior, to. ariy; adjustments made-a:t_ delivery: � 2546. 40 ACCOUNT INl1i7TCE. 7:NVU.ICL'- CUSTOMER PL.�RC!-4AS1.� ORDER SALES 2rALES X.IATE NO. NO. DATE NIC.I. NUMBER LOC . REP . ORDERED 90569922 1 c32 914.10 07/12/13_90569575, 3OQ 4t0 0062 07/11/13 R 6 u t e 5882 ! 1. - ORDER NUMBER _ 924991 Bill �w_ _ �_ .. _.... ___ _ S h i i? _ ._ _ -_ .._._ _ _..._ R e m i�. CAryRMEL CLAY' PARKS&RE;CRE,AT' _ CARMEL ,CLAY PARltiS&RECREAT US Foods_, Inc_. To: 141 1 E. 11631-1 .5T PARK _ _ .._ _ T'o-:. :1c=�3�� CENT�dAI�. F1F�1' I�. LaRIVE_ � _ , ci _ . BGX _6cSfl{ C38 CARMEL.. I.1)1- _ C_ARMEL IN A-6032 - _ _ T_ND I ANARUL T i N= cG ' ti 1 7 84 38 r_ 686- 6---'0088 At t: DEF'i # 00 _ Q00­429 21f9' ShipFr~,r.: 12301 CUMBERLAND. RD'_ E_T:SHERS IN Sh_ipD: 07/12/13 -- Pa.ge 01 of 02 Fr°tTrin-3: spx_'Ijl PvtTrms: NET 30 DAYS 16 5 tr: Sates_ Product -- Ue°cri ion Pack Size Label. C: Wea he Pricin Unit Extended Ordered Shipped Unit t1umber .. ._ . D Uni•t, Price Price .: [CRY 1 1 CS - 0791616 ,/ CUP, FM 32. Z_ - WilliT .._5 210 EA MONOGRAM CS 37. 2000 G 37.20 1 1 CS 0814236 ✓-CUP, FM 16 Z WHT . 20/25 E:A MONOGRAM: CS 17. 9900 17.99 1 1 CS 0814541 J CLIP, FM '20 Z WHT 25/20 EA MONOGRAM CS 22. 9300 22. 93 1 1 CS 356104 L11), CUP. 12-24_' BBL PL ST 1400 EA- WINCUP CS 17.7700 17:-77 4 4 IIII - 7 4260238 ✓SAUCE, CH5 NACHO.SHLF STABL 411.07 OZ ORTEGA C9 54. 9500 219. 80 2 a4 CS 5311.600,/CODE, _ ICE CRM. CAKE .2 2S. FLAT 36/20 EA JOY CONE CS 39. 0900 78. 18 3 3 Ifi CS 5597851 ✓CHIP', TORTLA NACHO CHS TRGLE. 64/1. 75 `? DORITUS CS 30. 8900 9s. 67 3 3 �11 �:.S 5597968v/CHIP, 'CORN ORIG_ TFF SS BAG,` 64/2 OZ FRITOS CS 30. 8900 92. 67 1 1 CS 6799050-/ CUP, PAPR 11DW 16 Z NOT 20/50 EA MONOGRAM CS i32. 5200 132. 52 1 1, CS 6799084✓CLIP', . PAPR NDW -12--Z HOT 0/50 Erb MONOGRAM CS 105.5500 :105.55 5 3-jr CS 6805923 V TRAY, PAPR BORD- FOLIO 5 LB CLAY 2/250 EA MONOGRAM CS 31. 9500 159'. 75 4 4X111 CS 7009985✓SAUCE, _CHIL.I. HOT .DOG U/. BEEF . 6/148` GZ CHEF _MATE _ CS 67. 8:'00 6?.f32 CS 91463688✓ CHIF:', TORTLA CORN YLW RND 6/2 LB El- PASADO CS 24. 4940 96. 36 1 1 CS. 99543711 LID, CUP 32 Z STRAW-SLTD PLST 10/54 E:A, . MONOGRAM _CS 22.6300 22. 63 REFRIGERATED 1 1 CS 4365219 /CHEESE, AMER SLCD 135 SUPRCR 4/5 LB GLNVW FIRMS B CS 54. 5500 54.55 2 2 C 48£341w1 ✓_ICE _:CRE:AM MIX,--' VNL 147.2/:'. 5 SA PRAIFiE.'FM CS 32. 6500 65: 30- READY TO EAT ­_Please Please Refer to Return Polio 2 2 CS ?451354 VICE MILK MIX, SOFT SRV _CHOC 472/2. 5 GA NAIRIE FI"1 _ CS 33. 7600 67. 52 READY TO EAT F'.lease-fieFer to Return Policy ` FROZEN 5 5 S ?011._78✓PRETZEL, KING 8Of T-'BKU FZN 50/5 07- SUP R PR T"l_L CS 34. 4000 172. 00 2 2 1 CS 2639235,/1(.' _ CREAM CUP', ClK!ES CRM 12/5 OZ ITTIBI:TZ CS 12. 5540 2`_ 10 2 tl CS 26,39250 f ICE_CREAN CUP, CKY DOUGH _ 12/5. OZ ITTIBITZ _ _ CS 12. 5500 25. 10 2 2 II CS ?639268,/ ICE._CREAM C.UP,_, BANA SPLT 1.2/5 OZ ITTIBITZ _ - CS 1.2. 550-0 - 25. 10._. 2 2 tl CS ''6.49796 '✓ICE- GRE.Ah! CUP', COIN Ci�IDr 1"75._02 _ITTIIiITZ CS 12. 5500 -25. 10 , 5, :1041423 ,/C O.RN DOG# AM Ch1 FZN 48/4 OZ ST6TE FAIR CS 34. 6300 1'73: 15 3 3 +lI .CS 5'218862`✓ICE_CREAM SANDWICH, VNL 24%6 OZ BLUE ItL1h1h1Y CS 17. 8400 53. 52 4 4 1 11 C S 532861)4,, BUN, HMB(GR 4" ,SLCD TFF BKD FZNB/12/:?. 1 OZ HILLTOP HR CS 28. 4000 11.3. 60 4 4 IM CS 5383054,/rgEEF, �'TTGRN5 3 Z. PUB FLAME 5313 OZ CTLMN_ SL.CT _ - CS 48. 6600. 194.64- ' t 4 4 Ilfl CS 5'403548 V I TAI,JAN ICE, LMN DBL CUP FZN 12/16 OZ CHILL. CS 23. 2500 93. 00 4 4 I14) C:S. C4�?�4835. ✓ICE CREA'1_SANQQICH, CI~O CN:iE' 24 EA GOCID HUMOR CS 21:640,0 86 .5 _ 4 4 Jill CS 7175128 ✓ICE CREAM. CONE, VNL. TIFF 2/1 /4. 6 OZ BB CHAMP CS 23. 7500 95. 00 4 4 lul CS 8187999-VICE.,-CREAM BAR CHOC TACO A VNL_24/4 OZ ,KLOND_TKE CS 28.3300 1-13. 32 % 4 ACCOUNT INVOICE NV OICE ,CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. ATE t,` NO. NUMBER LOC. REP, ORDERED i 90569 r 2 189483. 07/ t 7.3 5'L�'"�6957 10 '0062 07/15/13 use R FOOM ERYRO ` 3'34 . d �;° . ORDER NUMBER: 92 7007 . BILL CARMEL., CLAY PARKS&REC gAT CARMEL_ CLAV 'PARK.S&RECREAT EMI US Friads, Inc ..' I 141 1 F. 1 1, s7'E i ST 1235 f EN T��;i�� . F?,�Fi'K DR DVS. J� REMIT TO: �` M. . TO: .4�)y TO: Lit""3"Xti0C3 , CARMEL III# CARMEL:. ICE �'"+} 46032 46032 INDIANAPOLIS Ito .:.. 317 X43 3 73 4c��?>�a6 (3Cl2E a ATT. MICHEI_L.E.,«COMPTON DEPT # {�fa�°" X00 42L3 21�8 �, � ;k FREIGHT SHIPPED ' Y J SPECI ATE: 07/15/13 I?a# P Gtr :•C� EI F CIL�" 1 ,SO L C'UM� 3ERL.AND RIB FISHERS 1d Customer will`-',pick up ' PAYMENT TERMS: NE f4 36 DAYS INSTRUCTIONS:, F r QTY. QTY. SALES PRODUCT O PRICING UNIT EXTENDED DESCRIPTION PACK SIZE LABEL WEIGHT ORDERED SHIPPED UNIT NUMBER J9"i". E UNIT PRICE PRICE : x INVOICE SUHIIARY', + .. ;.TOTAL. WOT SHIPPED: ?59.:x: I';PACES' 0RDERED 90 PIECES SHIPPED: 90 3 P :L7L)E1CT TOTAL. L21'4.°38 ' 4 1..- .•,-...c . .. :_::.- -v '...:�: ..- 'F^.1 M. �A }.,�+�` + '!k z`.^:!' �� i5� � �.:.y :.t;'C'1!\S'"{KGA i.LltV1`iT� r_-xL .�_,-::-}.,_ ;,...,.K._.y.,._.M...cg ., 4"..-�,., -. .:.,....�•. ,.c,>. _y..— ry,.a. a' - „-«,; 8Gr'Z' f* ^,[fr>:» _ fa..''f -r -s.•..�.., t p� r u .. _ , ,t w PLEASE MIT HI A !1 f�' 08I1:4/13 AH011 $ 2 _ 214.18 .. I {J•.v` �.. C Al rq ) y 31 .,x • F Y�V k~ The perishable agricultural commodities listed on this invoice are sold subject to the statutory trust authorized by section Sg)of the Visit www.usfoods.com for a fast and easy-way to order:' """!'"' "+,,w;�`•' Perishable Agricultural commodities Act,1930 Q U.S.C.499e(c)).The seller of these commodities retains a trust claim over these X A ` i "' „• `� commodities,all inventories of food or other products derived from these commodities,and any receivables or proceeds from the sale of these commotlities until full payment is received. Interest shall accrue on all unpaid balances exceeding established credit times at a rate'equal to the lesser of(a)Ph%per month or /'� O e -f `tiy CUSTOMERS SnIG-�N,-ATURE: (6)the maximum rate deaf the customer may lawfully contract to pay,an tl in all events calculated in accordance with applicable law. J CUSTQM E R COPY' n wy 11arL�7�lCCG�E�OW�.�G(4lfLQC.Q - ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP., ORDERED 1 r 9{76' 9rS � gal+� 07/10,5/13 9.'05. 9575 1054.,,.,006: 07/4 r513 MOM ,: DELIVERY ROUTE: 4334 1 ORDER NUMBER: 927007 BILL CARMEL CLAY OMKS&RECREAT SHIP CARMEL CLAY 'PARKS&RE GREAT REMIT Ufa Fo c),s, Inc . TO: 1411 E. . 1 16TH, ST TO: 12 35 CFNTR;AL. PARK DRIVE: E:'. TO: BOX 660089 CARMEL I N CARMEL IN 46032., , 46032 -. � INDIANAPOLIS I N 317 C43 ;g�7 4L 666--009E ATT. Mic'ELLk COMPTON DEPT # o Xl, 8()0 42Q 211& SHIPPED FROM: 12301 AM,S.�MbERL.A�ND R]D,,.; FISHERS SHIP DATE: 07/1x/13 S Pr�t�E O� 1� � 02 .FREIGHT TERMS: SPECIAL customer W] 1 1 (J 1! K i�}� PAYMENT TERMS: NET, 20 DAY a:-INSTRUCTIONS: u .., QTY. QTY. SALES PRODUCT i p PRICING UNIT EXTENDED DESCRIPTION., PACK SIZE LABEL WEIGHT ORDERED SHIPPED `� UNIT NUMBER !I-'= E UNIT PRICE PRICE, � ? DRY 2 2 CS 146A03 SR''a0N, TEA MW WHT POLYP'BULK "00 LA PRIME CS 14.0700-- 28. 14 C5 24(?4325 C�LC)VE, POLY LG TXTD AMBaX 1C i'14?0 EA MONaGRAM B ! CS' 40.6200 40, 62 CS 4'260238- 'SAUCE, CHS MACHO SHLF STABL-•.; 4;/,10� OZ ORTEGA,H, r° � <<CS 54. 9500 ,x.64.85 4 '4 CS 4329397 KETCHUP, TMYO`'FCYySS FOIL PKT -tn.'-/9 GR MONAR CS 14,. 9600 59.,84 y 2.. C5 5329289 MUSTARD,. 1 L.W :SS 5. 5 OR SHL�=" _500/5-. 500 OR MONARCH CS 12.9800 25.:96 2 ' EA 8714855 STRAW, JMB =7. 7511 C:LR UWRF C STDIS 0 EA MONOGRAM�,; B EA 3. 0300 6.06 . C`5 ° 9a;l9479 POPCORN., RAW KIT W/ OIL, & •S!I ' _ O FANCY FAROS CS 26. 610_' 26 ;1 ` r ry; :... �. S 6 698 CHEF',',. TORTLA, CORN_ `rLW RNC) � ALB EL f,��AL3a S 2�. ,.�Q�.; 46:, .6 x •o t9 �d . , .'.1 ..•_.., _',:,,fi .4 it r. of 'T`rpr.?!X g. t rr - i: t J:' m1 i �. 4... t ,E. 7d �C]ZE1�.. .. y .,..fj �.. p9 " ry. .. _ ^.:,q 7..�3 ' ' 172.00 SUPR PRTZL : CS 34.5 5 CS: . 201127 PRE T EL , ING SOFT BfG.FZN aZ 4tQfl 14 10 ` - CS 2639235 ICE CREAM CUP, CKIES & "CRM ��5 OZ' ITTIBITZ CS 12.5500 125•:50 10 10 CS ?6;39250 ICE CREAM .CUP) CKY.,�.DQUGki ` 12J5 OZ ITTIBITZ CS 1`2°,5500 125.50 10 10 CS 2649796 ICE CREAM CUP, -COTN;CNDY 12/5 CZ ITTIBITZ CS 12 5500 125.'SO- f S CS 3441423 ClRN DOG, AM CN F Zhi 4 �4. 0 STATE `AIR' CS 34.6300 -173•. 15 3 3 CS 3328606 UN," wT DOG 6" SLCD TFF DKD 3 1 /1. 7 OZ HILLTOP HR CS 23.4500 70.35 to 1.0 CS 3;3;30099 ..HOT DOG, AB' 6: 1 6,t RLR GRIL ,ZB PATUXENT , CS 29.2900- 292.90, 4 4- - -_ CS' 5328604 BUN, HMBGR'4'" SLCD TF'F BKID FZH8712/2. 1 OZ. HILi.."dOP HR- CS 22.4000 p;; 89:60 10 10 CS 383054 BEEF, - PTY ORND 3 Z PUB FLAME- ",13 OZ- , CTLMN SLCT CS 48.6604 486. 60 3 3 C5 40;35x48 ITALIAN ICE, LMN DBL. CUP`'FZH 12/16 azn CHILL CS- 2:3.2504 69:;75 3 3 CS 8197999 ICE' CREAM BAR, CHOC TACO � C1hlL"!�} a,4 OZ : �Kt:ai<IDII�E C5 28. 3300 84:99 at , i #d . ,. ... _- •, - - FYi' ,. ,.7. � _ cam+ Theperishable agncutwral 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 Ad,1930(7 U.S.C.499e(c)).The seller of these commodities retains a trust claim over mass - X _ commodities,all inventories of food or other products denved from these commodities,and any receivables or proceeds from the sale of these commodities until full payment is received. f CUSTOMERS SIGNATURE: Interest shall aarue on all unpaid balances exceeding established credit terms et a rate equal to the lesser of(a)1 4x%per month or - (b)the maximum rate Nat the customer may lawfully wntract to pay,and in ell events calculated n accordance wth applicable law. _�' _ �.'CUSTOMER COPY �{/gff��ALI/L'S'uctacead :IN (JlC _ ACi'CJUiuT` � ,�� F IN'v'Ol't,C: Gt.JS-!"Clh'iM fatJWHA5>~ ORDER SALES SALES -_ 'DATE NO. _ N0 y D .,,.._t::. NO.. NU11FES�R LCiC . REP CPI�DERE:•.D r r:.�1..' ) l k't / 1.6%�1_:? 9 _- .. t 77 07415/13 . 3.��.....F:.... .1 r."t..?7ti.W _ 7 ! G � "" Q_,�•�(���r��! I•'�l.�.��'�L'.�' �::.'� ... . . 1;.�.�7�•.- �iif"}+-'?S�"... - Foute: `r?F,?yl , :W_ ORDER I;?S.iMBEN: iii?r` 9 CARfMEL« CLtaY_,F'AFi.6_{_��cC�EL:3�'�'�`•�7 _ _,,_ .__ _ CAF*v1"1EL SLAY (:'A1�1��3�rF�ck�+;REA �. L!� T r�,krzis, Inc . 'To; 1.411. E. _ ,.l'16TH C3I G: 1235 CENTRAL RAL.. i'A I=, DR l:YE r ° To : BOX 660088 CAR IE:L IN CARMEL 7:E� w r 46032 46032 D INDIANAPOLIS IS CC�f 317 e43 1073 46266­0088 Att: MICF«9L.t.._LE {'OMPTON _ __. DEPT # 03 .. �. qQQ _4F8_ 211_8 _ .... _ . ..._ _......_...... ?h i;:r?_'rm: 1 2301. . C!�MBERL_AND RD - P I ;I(RS, IN 1.,M1 j _07W/13 - P146 03 of O PjtFrms: NET 30 ,DAYS IT i ry �titl Sales Product Desr rip�tgv Pack Size Label., . C Weight Pricing Unit Extended t7rde:�red Shipped Ut:i.t.. Nf.trnit.er ' . •.. Urii Price Cs:if e TOTl'AL.. l.)BT SHIPPED: 1552. 96 PIECES ORDER[D: 184 VILC:ES SHIPPED: 184 ITEMS SHippopc 56 3s�3F r�.•iF if 3h 7t��•�.-.E-x�F#••'tF:�.i¢t.�3f•ii 3F k•;F�f•�•7;iR•!@ 3F#;4's�•:�3F ii•7t••iE k'F�t:6 r.:d}{3F)E j,�fik aF id•i�•)t?c iF�.:7(.:�.•akvF?'r 3k•M•�•a4!#:+F 3F•M•3i##,•aF��•r�••a4 3r 3F-iF�r�$..�?F PRODUCT -TOTAL S 4892. 59 * Federal Dcf_upation SafgtV and Health ,cdndards. 8-gc ti..�n 1910. 1.2C.0 an Hazard *' Communication requires manuf<acturers and distributors to provide Ma•t;erial. ._ .. * Safety Data Sheets an non-Food products L"iefined 'i #} be hazardous. Products u such as cleaning prfarluct•s And pest. ca.des__We included in the scope of the * Standard. In comp i.ance with the law. NSDS are available to US' Foods, Inc. � * customers and can be obt:,a:lned by contacting .'the f'ro_f;f.aremdn•t: M nager•' in our AMOUNT, `1f . 00 * district C7f!•1t=e or bu a0vis1ng ;tiour, sayer_ epre •enter i :je, jE t71.:M SALES TAX 00 -. ere You may contact KEVIA NURTOM at -Rhone 4 t1 1) 535 - 6022. aF �F• _ �••>=••?z��F7��•aa:•x•��•�:aF�F�:•x�F#•a�:u#�F�n•�F�•:�aF.•u�:�F•��r•�.:�••��.d���F�����±����sF#:�tzF��aF•����:x•tF���F•t�;�F•��#��•��at�••x:�•tt���•� . This amount is in istimat.V d? time of shipping prior to any adjustments made at delivery: v 4892. 59 P�.irchase =�BY:00 L 5 F Description P.� # p-or F c.l. Line,Uescr" _ _- Purchaser Date ate- L- ----------------- � Approval - ACCOUNT#V`•, OI A INVOICE CUSTOMER, PURCHASE C!C^:'DER SALES SALES - 1\10. NC3_._ :D'ti'T'E 1\40. i�#U11BE'�R LOC. REP , ORDERED 90156°9922 192645 07/1.6/11 90569575- h'#C00435 5 1004 0062 07/1503 Route 8251 J 5 ^_. ORDER NUMI31E.E. 9r_?'1919 f. ARh•`EL CL.A{ ;-''AR#F:'`t&{-?Tr:`�.RETT- _ _ -_ CARMEL CL..AY #-r-,R#<S&RECR.EA:-C � kjS,_F'oad, Inc . Tea: 1411 E. 111TH ST T_a: 1235 '."F.NTR,A#_.. ,PARS DRIVE E To: _ L Cl.X 660)088 46032 4603 __ _ I1'11?IA NAPBL..Iy IN 317 843 3873 46266-0088 AtJ MICHELLE COMPTON DEPT k#: 00 000, 429 428 8118 hWt'°m: 12".301 CUMBERLAND RD . AFISHERS :f:#.E _ h ;'pV` 07/16,,E13 � Page 0 of 03 rr tT m 1 :y_ l ENTER OfiF , 0 1 1 H STREE # # ' _ �tv Sales Product _ Lesr7# J�i Pack Label C Wpi_ft Prkcinq Unit Extended 1rdJ er,d :hr3ied J;it Number _ U Unit" Pride Price ......... _ ___.._ .._______...._._ .....__.._..�_......._..__. _.___ _._.._._ _...__._... _____.._.. _... ...... ._ 1 1 CS 4? 5'219 CHEESE,SEn, AME R F3#_CD 1 {AAUPRCR 4/5 ,LB B GL#4°4EW_F RN. 14 CS 53. 5360 53. 53 8 8 CS 41384150 ICE CREAM MI ,. SOFT RV, VNL 4Z2/2.'S GA PRAIRIE F:{'. _. CS. . 32, 6500 261421 READY TO EAT - Plaa5e Refer to Return Polic-, 8 8 f.;S 745135A ICE MILK #'1I, SOET SRV CHOC 412/2. 5 GA IRAIRIE FM, C'S 33. 7600 215. 08 READY TO EAT °- Please f•=ef,r "o {'=Eaeur'r .#al :.t-a/ FROZEN . 2 2_ CS 11573097 ICE CREAM BAR, DREAM STICK VAL "'/24I,a OZ BLUE BUNNY _CS:. 16. 6600 3102 1 -1 CS 1792199 BEEF.`?UB, C`T'S -"iEATL ',.tE5, 3 36/4. 25-OZ CHEFS LINE 46. 4600 46. 46 10 10 CS 2011278 PRETZEL, _KING SOFT_ BBD 1•ZN 50/5 02 SUPR PRTZL .CS 34.4000 344. 00 2 CS 2260099 ICE CREAM SANDWICH, t,KY A CF'M 24/4, 5 OZ BLUE BUNNY CS 2. 9700 45. 94 10 - 10 CS 2639235/ ICE CREAM C.,UF', C•KIES I CRN 12/5 OZ ITTIC�:[1'."_ CS 120500 1.25. 50 i�} 1if. �,:1 :..Pt3?.',7,1 L' I�,,:.L_�.Tt,{:..f;#. .0 Li{"`J _S.+Ki 1.14.JUi;llZ _. 12/5 Oi. 1tT,f.B.?.? _ CS 12. 5500 125. 50 } 2 :? CS 2639268. !CE_ C"`FEAN _CUP, BANA SPL°iT 12/5 OZ ITTIBITZ . CS 12. 5500 25. 10 10 10 CS 2649796 ICE CREAM CUP, CO'Thi CNDY _.. 12/5 07: I T I1.ITZ CS 12. 5500 125. 50 1.0 10, CS 3041423 CORN.DOG, AM Cis! E'..ZN ._ . 8/4 OZ STATE FAIR CS __ 14. 6+300 346. ;30 4 4 C` 3a28 06 C;;�,f#'�#, HOT DOG 61-SL D TFF' s#{CD. 8/12/1. 7 HILLTOP HR S 23. 4500 -� 8 . 1f 1.0 C'S 33.:x0099 HOT DOG, AB 6: 1, 6? RLR SF,IL 10 LTA PATUXENT C5 29-25100 292-90 # 2 2 CS 7218862 ICE CREAM SANDWICHI t?N1_. '4,16 OZ BLUE BUNNY. CS 1 /. 8400 35. 613 5 5 CO, 5328604 BUN, HME1GR 4" _SLCD T# {= F'KD FZ#`�#S/12/2. 1• OZ HILLTOP, HR CS `2, 4000 11400 10 1 0 ti:S 5383054 IjLE;E-, PTY Gt;hl1?_3_.;" -F!lls FLAI"31:: 53. _ CTLMN SLCT JS 48. 6600 486. 60 2 2 CS 5403548 ITALIAN ICE, LMN DBL CUP_.FZN 12/16 OZ CHILL C5•:. 23.X500 46. 50 2 2 CS 5404835 ICE CREAM SA#�#DWICH,.. CHOC { HIP 24 EA GOOD HUMOR C5_ °21. 6400 43. 28 J�y i 2 2 CS 7175,128 ICE CREAM :.C21�#E., .MNL_TFF _ ',?/12/4. 6 OZ BB CHAMP C5 3.. 7500 50 2 2 CCU 8187999 ICES' CREA11 CtAR,.CHOC TACO t'@-##..24:4 OZ { �D_4:NDIKE _ CS 20.-3,300 56. 66 •� I 2 ' CS 9763061 POPSICLE, CTEANG. CHRY GRAPE SG/F:12/6/1. 65 02 POPSICLE CS &. 3300 38.66 -_, .MF'F:OCjtlCt'_..:CL.ASKRECAP Q TO'T'AL DRY PIECES ORDERED: _69 PIECES SHIPPED;. _ 64 ITEMS SHIPPED: 34 1836.ai3 ¢ TOTAL REFRIGERATED PIECES ORi)E'RED; 17 PIE r 1 5.5111 PPEU: 1 t' I T NT SHIPPED: 3 584. 81 TOTAL FROZEN PIECES ORDERED n 98 1"IECE _SHIPPE ) R ITE{'35 SHIPPED: 151 2471.'_a0_ '. ACCOUNT INVOICE INVOICE E C'•08TCli+ER PURCHASE ORDER SALES SALES DATE Nu. NC.?-_ ATE NO NUMBER 1_C�C . REP . ORD t ED �'C)5�:9922 1=��'�16 . . 07/.16/13 5'�_��,"�`.'r�7ai 1"1{`=�0435�.�_ � 1054_ 0062 07 1 '111 �> Rout �: �:E 1 _/_ . O ^re ar_:. . CARCyEL._ �L ��:'.�'r�R1�,a°_.:l F.CRIWAT' - C:A1=iiT=1 CL ��Y Fx�,i�' �����(. F��f l__... __ � i��: F 7c�ds, Inc - Tr.?: 1411. E. 116TH ST �1235 , :WI:.NTRAL.._ PARK DRIVE 2 To: _ 991, 660088 66008i8 . C:A,Rh'EL_ IN C ARC EL_ 711_ t 46032 . _ _ _ �'.: � 7 �_ ' . INDIANAPOLIS .. ?N 317 B43 Att: MICHELLE C OMPTC3N DEPT #, 00 2118 ____._...___.__.__.__......... ___ ' 7F-T',m: 1'r�`101 TAR NERL+"-,{�:CI� F D, Fs_$3 t4EP _ T!i ' h =rjD. _ 07/1�l"1.a Pole Qi of `0 r�-r t�Tr°m s,- _ _ _ . _ r. ._ l >^.t„ ! .�r_ C:]T T' .Ca i° 1.,_rt.7'1-1 1..Y. O:,:.e; pty a%ley - 1'i rt{iuct Des i ptg;_ : q 4 .__' C w ' " F unit Extended -price;hippr Unit: Nrt ; r Price ic.e DRY 15 15 CS 0779991 WATER, SF`RO PLST I:TL NSTED 24116. 9 OZ !!-IRS"i'ER CCs` 5. 2500 $ 78. 75 1. 1 CS 0'791616 CUP, FM 32 Z �.1HT 25/20 EA NONUGRAN - _ CS 37 `00 37. 20 1 1 C'S °81.4 �.36 CUP, FM 1.6 WHT :2 /25 EA MONrC?C'.AN CS 17.9900 17. 99 ! 1: 1 CS 0''814541. CUP, FM 20 Z WeHT 5/20. Eft _ �iCJ1�IC1C;;RAM -CS 22. 9300 22. 93 1. 1 C:.:r'`^t 11L',35 9 CANDY, M M F'LM 1. 6�' 02 40 EA M & M B _ EA 50. 0000 50100 1 1 CS 1462803 SF'GDM, . TEA MW WHT POLYP BULK 10: 0 EA PRIME _C S 14. 0700 14. 07 2 CS 2404325 GLOVE, POLY L G TXTG AC°iBOX 1.0/100 EA-, t(O��1€�l��RAl"! 1t CS .;0. 6200 8024 1 1 CS 32S6104 LI17, _CUP i 24 -Z 1�8L .F`L aT 1000-EA W1NC UP CS 17: 7700 17:77 ( i 1 1:_A 4033336 CANDY, JAR£;AR MIL CHOC_ 36/1 . 55Z HE4�C!• EY E A 26. �`£3C.�_U .�.�'6 88 10 FLU CS 4260238 SAUCE, GI-S NAC>•1C.1 SHL S �TABL 4/107 O OR,TE�GA _ ___ C5 54. 9501 549. 50 ` 3 3 CS 4329397 KETCHUP, TNTO f CY SS r"OIL.. r'is�' ` .._/ OR �?1..r4'lii;`CH CS 14. 9600 44. 63 1 i CS 5311.600 CONE, I C Qk&8 AIDE: j2S FLAT f61QO Eta JOY CONE CS 39. 0900 39. 09 3 3 CS 5329289 MUSTARD, Y! 11 t`r'y 5. 5 GR SHLF 500/5, 500 GR MONARCH Cc 12. 9800 ` 8. 94 1 1 CS 55854!'6 CHIEF, PTf T,C% Ijkl? _ R1G GLTHAR 6411,. 125 OZ BAKED LAYS _ w C! 29. 8500 29. 85 ' I 1. C?, 55?7604 CHIP, CHS CHCHY PLN SS BAG 64/2 OZ C:HEE-TO S CS 30. 8900 30. 89 ' 1 I CS, '?547851. CHIP, TORTl A i AC�HC1 CwQ 'TI°aCl...i 64/1. 75 5 OZ DORITCTS _ CS 30.8900 30. 89 1 1 CS 5097968 CHIP, CORN C.IRIG TC1=' SS BAG 64/2 OZ FRI TQS C19 ;;0. £3900 30, 89 1 1 CS 560167? CHIP, E'TATO F'CC5 FLEW S$ BOB 64/1:5 OZ L.Atf 'S _: - CS _ 29, 8500 291% i CS 560 5431 CHIP, MUL GRN C7f;DN SALSA SS 64/1 tit. SUN CHIPS Cs 30. 890'.)' 30. 89 1 1 CS 5605472 CHIP, hULTGRN.1 #-1Er?R SS BA1 64/1. S OZ 111:31'•1 CHIPS - C5 30. 8900 30. 89 1 1 , C:5 5605522 CHIP, NUl_TGRN ORIG SS Br'rsC; _ 64./1. 5 C:iZ SUN CHIPS CS 30. 0900 30. 89 i 1 . I EA 6210711 CAMAY, KIT ,O('� '�'NGG STD 1 `� Z 16 EA KIT W'r,AT EA 2TV400, 25. 94 I 1 1 Q 6 3m 921.�? RELISH, S UT i S SHLF° :,1 ABL 200/9 OR MONARCH CS 14. 3500 14. 05 :! 1 EA 6717,19� CAi,1D B!-�AR SNC KR SS DN STC 1. , 0648/1 S6 OZ.., SNICKERS -EA 3:3, 3`.100 33. 35 ry _S SAUCE, CHILI HOT DOG W/ BEEF ;'�;'108 OZ CHEF" NATE - C5 8`200 135. 6-4 L�W 7009988, _ 1 1 , __EA 030:365'7 6 _ l;r�NDY, i N PNT;1. 744 OZ �'_C3 EA _ M A 11 EA .33.'3500 33. 35 1 1 F�'!A 8053126 CANDY,, i_vE S S F�NT C�U F CUP 36 EA SEEMS- _ EA 25. 9200 25. 92 C - 1 I Cary 8355927 NAPR N, DDS R jNFLD UHT 6 SX1024/ ?50 C:.A EASYNA-! C'S 58. 4100 50 41 1 1 Q ►461.4`,1. FORK, MW WHT POLYP BULK FLST L'00 EA PRIME CS 1.3.. 9400 11. 94. 7 0 CS 8742934 J441FE,- MW tJ{-T F1,..`i aT F UL.k PWST 1.000E "3C11'CCIC.��'i�`irl___. - *SUB** I CS 890?;'1.80 KNIFE, NO WHT POLYP' BULK YL.ST 1000 EA F I'•1GiIC!CiRAh - s 5 15. 1.400 1.,. 14 1 1 1A V914955- , STRAY .)_B 7._75-_CLR UWf�PD aTl�500 Fw'A - NOMOGRAM- - _B ___ -. EA 3. 0300 3. 0,. ? CS 908907= F`Gi'CC1RM RAW KIT W/ OIL. w SALT36/0� (1Z _F AI[»Y-EA1�'t4'I - CS 26, 6100 53, 22 6 6. S 9.4:6361;8_ CaRIP!- TC _FiT# t _C-CQF;N_ Y1�W FEND car/2 �l T� E.L.. PAai'DO �S 2 3:b 30(3" 1,39:38 1 1. C`'= `?9534, ,1 _ W.Ti.7:- C Qr 32 Z_ YTRAW SLT.: PL ST 10/50 EA Ni+IC MO _ Cs 2216300 - 2243 REIl FsIGERATr_.1} 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 Credit for pickup $ (21.42) 7/4/13 1597910 Concessions 30014 $ 2,214.03 719/13 1717021 Concessions 30023 $ 1,259.93 7/12/13 __ 1829410 Concessions 30040 $ 2,546.40 7/15113 1894833 Concessions 30044 $ 2,214.38 7/16/13 1926765 Concessions 30045 $ 4,892.59 Total $ 13,105.91 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 z zr No. Warrant No. 353824 U S Food Service, Inc. Allowed 20 Box 660088 Indianapolis, IN 46266-0088 In Sum of$ $ 13,105.91 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 669882 4239040 $ (21.42) I hereby certify that the attached invoice(s), or 1095-1 1597910 4239040 $ 2,214.03 bill(s) is (are)true and correct and that the 1095-1 1717021 4239040 $ 1,259.93 materials or services itemized thereon for 1095-1 1829410 4239040 $ 2,546.40 which charge is made were ordered and 1095-1 1894833 4239040 $ 2,214.38 received except 1095-1 1926765 4239040 $ 4,892.59 25-Jul 2013 $ 13,105.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund