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HomeMy WebLinkAbout223248 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 PO sox 660088 CHECK AMOUNT: $14,901.98 ?� INDIANAPOLIS IN 46266-0088 „o CHECK NUMBER: 223248 CHECK DATE: 8/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2055263 770 . 62 FOOD & BEVERAGES 1095 4239040 2066041 5, 187 . 98 FOOD & BEVERAGES 1095 4239040 2140300 1, 294 . 36 FOOD & BEVERAGES 1095 4239040 2249816 1, 634 . 85 FOOD & BEVERAGES 1095 4239040 2349296 3 , 049 . 25 FOOD & BEVERAGES 1095 4239040 2455174 641 . 67 FOOD & BEVERAGES 1096 4239039 2455174 23 . 20 GENERAL PROGRAM SUPPL 1095 4239040 2564217 2 , 300 . 05 FOOD & BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC. REP. ORDERED 90569922 2055263 07/19/13 90569575 1054 0062 07/19/13 US* FOS DELIVERY ROUTE:- 9553 1 ORDER NUMBER: 932627 BILL CARMEL CLAY PARKS&RECREAT SHIP CARMEL .CLAY P'ARKS&RECREAT REMIT US Foods, Inc . TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E TO: CARMEL IN CARMEL �`4... IN BOX 660088 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 ATT. MICHELLE COMPTON DEPT # 00 600 428 2118 ' SHIPPED FROM: 12301 CUMBERL-AND ,R D_ F I°SHER S IN SHIP DATE: 07/19/13 Page 01 of 02 FREIGHT TERMS: SPECIAL CUSTOMER WILL PICK UP PAYMENT TERMS: NET 30 LAYS INSTRUCTIONS: QTY. OTY. SALES PRODUCT C PRICING UNIT EXTENDED ORDERED SHIPPED UNIT NUMBER DESCRIPTION PACK SIZE LABEL D WEIGHT UNIT PRICE PRICE E DRY .°_ 1 1- CS-_ 7009988 " SAUCE, CHILI HOT DOG-W/ BEEF 6/108- OZ CHEF MATE CS 67.8200 -67.82 5 5 CS 9463688 -- CHIP, TORTLA CORM YLW_RND' 6/2- LB EL PrASADO CS 23,2300 - 116. 15 REFRIGERATED 3. 3 -CS 4BB4151 ICE CREAM MIX, SOFT-SRV VNL 4X2/2.5 GA PRAIRIE FM CS ' 32-.6500 97.95 _.._ _ -- -READY TO EAT -. Please Refer to Return Policy _ . FROZEN CS 1157387 ICE CREAK BAR, DREAM STICK VNL2/24/3 OZ BLUE BUNNY CS 16.6600 16.66 1 __ I 'CS- 2011278 -- PRET EL, °KING "SOFT BKD FZN 54/S OZ SUPR PRTZL` CS 34.4000 -34.40- I. : _ ,._ __I_ °. _ CS 2260099 .. ICE CREAM --SANDWICH' .`CKY 9 CRM 24/4.5 OZ-- BLUE BUNNY CS 22.9700, - 2`� 97 7.. 2__ CS._ 2639'235 ICE-CREAM CUP, CKIES '&- CRM 12/5 OZ ITTIBITZ CS 12.5300 25. 10 2 2 . CS 2639250 - ICE-"CREAM CUP, CKY DOUGH 12/5 OZ ITTIBITZ CS 12.5500 25. 10 2 __ 2 C5 2639268'--_ICE CREAM-CUP, BANA _SPLT 12/5 OZ -ITTIBITZ CS 12.5500 25. 10 2 _: .- 2 CS_ X649796`- ICE CREAM CUP, COTN CNDY 12/5 OZ ITTIBITZ CS - 12.5500 25:10 " 3 3 CS 3328606" BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23.4300 70.35 1: 1 CS 5218862 ICE CREAM SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 17.8400 17. 84 _ 3 ' _. _.___-CS "5328604 BUN-, 'HMB aR 41 SLCD TFF BKD F`ZN8/12/2.-1 OZ HILLTOP HR - _ CS 22:4000' - 67.20- _ 2 - 2 CS 5403548 ITALIAN ICE; LMN DEL CUP FZN 12/16 OZ -CHILL CS 23.2500 46. 50 1 CS. 5404835- --ICE-'CREAM SANDWICH, CHOC CHIP 24 EA '- GOOD HUMOR CS 21.6400 21. 64 1 1 CS 71751-28" ICE CREAM 'CONE,, 'VNL TFF - - 2/12/4.6 OZ BB CHAMP CS 23.7500 -23.75 I_ 1 ._.._:CS_° 8187999- ICE -CREAM -BAR," CHflC- TACO `A- VNL24/4 OZ KLONDIKE CS 28.3300 2G 33 2-.- 2 CS-, ORNG CHRY_.GRAPE SO/F12/6/1.65 OZ POPSICLE CS 19.-3300 .38.66 f The perishable agricultural commodities listed on this invoice we sold subject to the stabnoryWst authorized by section 5�)ofthe Visit www.usfoods.com for a fast and easy Way to Order. Perishable Agricultural Commodities Act,1930 Q U.S.C.499e(c)).The seller of these commodities retains commodities,all inventories of food or other products derived from these commodities,and any receivables or proceeds from the sale of ' these commodnesunm full payment Isreceived, CUSTOMERS SIGNATURE: Interest shall earue on ell unpaid balances exceeding established credit terns at a rate equal to the lesser of(a)1.16%per monlh or ,(b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable law. �yeTSaL "!.x'a'��IQCKP.dQ ACCOUN INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO, DATE O. rf NUMBERS LOC. REP. ORDERED. 9056 ° 22 2055E6 0 J19113 945X9575 1054 0062 07/19/13 t RDER NUMBER: 932627 US—. `_ ,l DELIV OOTE:—'� �3 1 �, 1. BILL CARMEL CLAY PARKS&RECREAt �- S,HIP CARMEL CLAY PARKS&RECR�AT' R IT' US Foods, rung, TO: 1411 E. 116TH ST TO: 1235 CENTRAL PARK DRIVE E O: BOX 660068 CARMEL IN i CARMEL IN 46032 a 46032 i INDIANAPOLIS IN 317 843 3873 46266-0088 ATT.. MICHELLE COMPTON DEPT # 00 j 804 428 .2118 �SHIPPEDFRO M: 12301 CUMBERLAND RD FISH I°N SHIP DATE. " 119113 I age 02 of 02 'FREIGHT TERMS: SPECIAL CUSTOMER WILL PAYMENTTERMS: NET 30 DAYS # INSTRUCTIONS:. QTY. QTY. SALES PRODUCT f C PRICING UNIT EXTENDED DESCRIPTION PACK SIZE-Fn, LABEL O WEIGHT - ORDERED SHIPPED. `� UNIT NUMBER D UNIT PRICE PRIG # ? E INVOICE .SUMMA Y TOTAL WLiT SNIF'PEt7s ;a 4.18.: 3 - PIECES�"LINRED' 34 ! IDES S1I; F'PEa: 34 " 6w _ PROptJCT TOTt�L, � 77Q t w, XA E AMOUN 06 ENSALES TAX Z 00 A BL T d y I FI�EASE T KDUN 8/ _ RE�tI7� RIB A ' T)EsY ,� 1 /13 A�f(3Ul�lT C-D - y �} r t Th e perishableagricultural commodities listed on this invoiceare sold subject to Ne statutory trust auNOrized by section bp)of they Visit WWW-Usfoods.com for a fast and easy Way to Order. 6 A Perishable Agricultural Commodores Act,1930(7 U.S.C.499e(c)).The ,=statutory Nese commoddes retains a trust claim over these f ',y j X �C commodities,all inventories of food or other products derived from these commodities,and any receivables or proceeds from the sale of 1 these corn ores until full payment is received. - r CUSTOMERS SIGNATURE: Interest shall acme on all unpaid balances exceeding established credit leans at a rate equal to the lesser of(a)1!h%per month or f , (b)the maximum rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable lew. `vCTraL ON1L�GLQ�MCQC ACCOUNT IN`w'O GEw. INVOICE "U s`CnMER UI''�'I••�IAS ORDER SALE'S SALES DATE .- t`:1Cl NO _ Dr`'i I _:: l iO. - 1��1L:1PIBD F� - I CDC . -F�FP - ORI:rEixEDv' `05',,�77'`7..22 .2t:166(7�1° .07/20/13 S<C}569�`.t 7 -- ,...- - 1054 0062 0:y/:1.1)1"1.a f?cr`t 'c e? 6 - 1 �'. L - _ ,._ . ORDER NUMBER: z `. _ _. :._.__..� ___ W_ ._................._. ................... W.._. _... CAI"MEL_ CLAY PARKSy,.*RE:..REAT C'ARMEL. CLAY PARKS-cRECR'E I ~l 11�� Foods, lric . To: 1411 E. :1. 1.6.6.1 ;_3_# _- 3 �. _ }: 3 5 C E'NTF' AL. P'i's dl�, WIVE E �,_. � r -BOX 660088 C.leirr3141i•:_L.. IN __ i AF7s`,iI:.L... I-N_ _ x!•6032 X160-.1t2 ip a 1114D 1 A AP OL I,13 I C ` ?:66 ^it 87 31 f i� _3 Z?j f 3 } 428 2118 _.._».._.._...._......._._»__-._......_...._.._._.._._...._..._............._._..._..`-" _---^'--""'t - ._..-.._.._........... .........---'-_._.. ......._........__......._.....__J ::tr: FpF'ra-,: 12301. C..U111BERI.-AN D' Fix) FISHERS IN Sh pD: 0*7I20J1'=r Page 42 of 02 r Zq J',IET '31D DAYS r ?F'ci `'1 �14Ii.1C 1 �-tc�[€` j.(�'GiJn �'cl[::It �:1.2:F 1_clL}(�� C �1F?J.`.�h (^'Y`�C:inL� Uni Ex i.L••`Y]+#t LI a CT-de€ ed Shipped U'ni't 1'4 unlbC-r U Unit Prir.e Price _.._..__..._. ._-._..._._.._....__...._._._.......__.___.._....V........... __..__.__...____._____._.�. .,___..__._._._..._ ___. .__._.. .._.._.. ....___._..__._.__._._..__.__...._._.__.._._.._... ..._...._._.._...__...._.._._._._.__. ..._...__.__._.__._... __ _ __._._...w___........_..__.._._........_..__...___.� .___._ 43 f � CS 540 3yjz.4:; ITAL..101 ICE, L-M14 DBL CUP 1'-Ztl 1._ 16 (:1:t.. CliIl_1_. CS .,. . 500 ,.,�'. 7� i 3 CS 540:4835 ICE C1�EArl SAigDUICH, CF•1CDC CI-IIP ?4 EA CE7CDD HUrIOR C16 2:t . 6400 b4. �'' C 71:1�;1 _,a l: , L r:C 4""ji I t�t�l iC:, Vh3L. r :_.: .i. :.: ). 0'"" BB C f4•�!°Ii= C' 23 r5i;'.. 47. 5�. = e✓ 2 CS 818799 + ICE CREAM F wiDi, Cl 10C TACCD & �<�h-IL24/2' J F;L(7i ILi f l E CS .'Li. �3347C� �ifa. cr3u F'FtOl:UC1 WL ISS RECAP TC`i'AL DRY PIECES ORDERED: 4: PIL'CE:8 ;ai-ii,I~°PED: �42 .1 EIIS 5-411 PEU: 18 7 57' - ! CCii'AL.. C;EI i',;ll=++!::. ;ii7'!.C7 PIECES ORDERED:i F'G`: i PIECES cI.,Iii'r'i::i1: r' I'1"L':r#<. cililf'�'CC?: 1 2:�?r8. `.1 T0TfsL F'Rt.1',.YEN 1-'7ECLS (:RDERED: 16 PIECES 'HIPPED: 167 .I�tEII5 SHIPPED: 17 33FD3. 71 .. TCiT(A_ Q(33 IFlI:E'r't CJ: '::025. 05 PIECES ORDERED: 216 PI1:=CES ':31-111"PED: 21 ITE"'11S SHIPPED: 3%6 Y.;i•W.r :;r 9- P:)r'r4 id. -n•3r k .4* 94)::4 A. -K-Al i':•Ai is K 3: PRODUCT TOTAI.- 1, 5187. 98 2 S I '-I4:-al.•th S And; rds Secl.:I. rn 191.0. 1.200 on Hazard • r+• I�`F'rd4-r:i'L �=DCCFS1:�r�'::ic€t ��rfe-t;� arrr r'•t: 4 CommuniLa•tion Y•es;liiires manufacturers and distributors- to provide Material Data si"l:? s or-i non-f°'ood P7'C°tCIuct--s defined to be i`taX%7r4jt„tttii•. 1-1 T-0-ducts 1 �4 SUch iii, cleaning pr'Ue;�l.lC'�s and pesticides -are incIiided in -he scope of'Dhe- ?{ E €4 Standard. 1-i _ampli.ance with `t.htr l.aw lISDS arc available 'tCr US Fcir.;dF,, Inc:. -h 1 t ct.istomers and can be obtained bV contacting the Procurerzen”. Manager in our TAXABLE A111?UNT 00 I iss%;r ic on 134, dvisi.ng Vo it ' ."ile?s represen`'3 - ive. 3k i-Elti SAL..LS TAX ! . 00 You ma/ Contact i;EvIll BURIT0114 at phone # t371. 585 6322, r t ` ?:Y 'U.`f3fb7 'h:rfii �c?: 9c:iE•Y3it4f¢i* 9k: i#Pik#f3#1E3t7F?'x34�ziEif3iir[Jf3t#df3#�FJ 7£n7f -'FfTiE.K3fKk#3t 'ff3£ }{3ciC #43tIk�tiE S This a;ixaun-t is an f st;imat e at t:in'se of ship-ping prior -to any ad jtist.men s made at delivery: 5167. 98 Purchase Description P.O.# r��3Q► P or F �. _ Budget . Dew r Purchaser - ApprovaL Date At_:COt. N T ..T NVO ICE I NYO I CE C,i_fS'1"CJi"ER PURC:I...IASE ORDER SALES SALES DATE NO. NO.- DATE T'E NO. ;•.Its}MBER LOC . REP . ORDERED 90569922 206604 07/20/13 90569575 _30074 _ 1054 0{:)62 07/19/13 - Route: 6271 t I . _ ... t"1F,'T.?ER NUMBER: 932587 '•i 1 1 _ _• _ _ __.. w Sz h i p R e m i t CARMS'L CLAY PARKS&RECRE>t`;")- t_ARMEL CLAY P, y,r,c6 R r -A _ ._ ---US -Foods, Inc . To: 1411 E. 116TH S-i'' -1235 CENTRAL FYARK DR-I UE--.E To- ---: - C AR MVia._ IN C A RM E L{�_��:. •�•N _ 46032 - -__ .__-_ _.___ ): 3' 17 --46266-008e ,tA.l_t_ ii 00 - -. _� f�Qej 4ES 241e ...h .,, :,. 12301 CUMBERLAND RD {'.I_81`t Ei"S S IN _7 rz QD.. Q7!'-2f 5;'''.1.3 Page 01 ,.. .... i� {;Y`r 7Y s : NET`•..l" .�0 DAYS r: t:;,` yt;/ S;:,1. :.<s Product De cr pton _ fack Size Label Weight Pricing Unit Extended 00ered Shipped Unit )ti4jmber _ D Unit Price Price DRY ; } 2 CS 0*791,.555 CONTAINER, FN 4 Z SQT WH T :y',/40 EA MONOGRAM CS 25Q000 $ 51. 40 � 2 CS 0791616 CUP, FN 32 Z UHT 25/O EA MONOGRAM CS 37. 2000 74. 40 I j .2y r f r .. MONOGRAM 17, 9900 35. 98 s ! �� C-� 4.tB1dt....:.7ta C:�IsF`, F'I"l �:6 Z WH-f V!F•_w EA ;� tH+.7C''iRAI`1 j-�� f_",`,'i 0814541 CUP, Fl"i 20 Z UHT 22/20 EA MONOGRAM CS 22, 9300 45. 06 � I 1 CS 2255396 CONE, ICE CRM CAKE FLAT BOTM 28/45 EA JOY COME CS 69. 6800 69. 68 s 6� 8 CS '1260235 SAUCE, CHS MACHO SHL.:F' STr BL.. ''r'107 OZ ORTEGA CS 54. 9500 43`x. 6G ' 10 1 CS 43.;°`197 KETCHUP, TMTB F'C'C' SS FOIL_ PXT `�t�0/9 OR MONARCH CS 14. 9600 14. 6 � 44V A CS 2597968 CHIP; CORN CIRIG TFF `S BAG 64/2 OZ F'RITOS CS 3025+00 123. 56 '° ? CS S601679 CHIP, PTA T(,L REG F'Lhl SS BAG 64/1. 5 OZ LAY'S CS 29. 6500 59. 't 0 ! 1 CS S60472 CHIP, NULTORM -HEDR SS BAG 64/1 . 5 OZ SUN CHIPS CS 430. 6900 307 89 , i 1 i='•',3 6w•?:�n.'13 RELISH, ,WT SS SHI._F STABL. :?00/9 OR i`ICatdARCH CS 14. 3500 1�. 3i r r, CS 680592 3 TRAY, F`AF'R BORD F'UCID 's LB CL_AY2/ Y50 EA MONOGRAM CS 31. 9500 63. 0 I C �. s .. ��4+u�' t SAUCE,, CH�1 z GIQ I?GG tai Ei_I 6/108 ti _ CHEF MATE CS 67, 8200 135. 64 C`, 2355927 vTHT 6 5XIO 4/250 Ear L::ASYNAP CS 504100 58. 41 CS 804855 STRAW, _!t•{B 7:7_. L'LR iJWRr t S7''024r300 EA ait.}NQt.,iAM s.+ CS 72. 7700 145. 54 a C S 90{.•9079 POPCORN, RAW KIT W/ OIL.. & SAL T36/8 36/S 07 FARM CS 2 3 00 26. 61 , r i�'ftl�CY F'A,til, ,. 6 . ., f 7 CS 9463688 CHIP, TORT'r A GORN `r'LW RND 6/2 LB EE FASADO C5 23. 2300 162. 61. 1 CS 9954171 LID, -CUP JrG'. Z `STRAW SLT'D 1"•L ST 10/50 EA I')CLRIOGRAM CS 22. 6300 22. 63 REFRIGERATED i' CS • 6#34151 ICE CREAM MIX,-SOFT SRV VNL 4Z2/2.5 GA- PRAIRIE FM CS 32. 6500 28.55, .:. READY TO EAT F.7:ewe Re Per to Return F'ctZ.,.cy f i FROZEN ' 139. 38 15 � 3 : ' 1 �L , F FT � �fi t i �L = . �t � C� 201 1 279 PRETZEL, F 505 CZ SUfi R PRT7L II4 CS 34. 4000 56. 0: C ? ` ! C24/4. 3 t SAID-W CH, CKY � CRM OZ BLUE BUNNY - CS `?2. 9100 45. 94 25 CS 2639231 ICE CREAK CUF', CKIES & CRM 12/5 OZ TTTIBI•TZ CS 12.5500 313. 75: 2 5 25 CS 2639250 ICE + REAM -C.'UF', GKY- Ds;UGH 1 215 O IT?'IBITZ CS 12, 5500 113. 75 l 25 25 CS 2639268 ICE CREAM -C UP1 - BANA S­ LT-- 12/5 OZ 1'TTIBI L Z _._ _CS 12. 5500 313. 75 25 " 2649796 ICE f Fik.A{� C U{=', CQTh! t:.l*IDY 12/5 C)7: :I:'T TII'T t C;3 3. '.5500 31.3. 75 3� 3 CS '30_414•`,.'3 CORN DOG, AM CN-F'ZN - - 48/4 Ct7: STATE FAIR CS 34. 6300 1013. 89 }_, -3328606 LryUhi, Flf;T Dt3C; bt' SL.CD TFF B{ C+ 8/12/1. 7 OZ HILLTOP i'IR CS- -,23. 4500 117. '2' .5 r�l I,ov Its C'S 3330099 HOT DOG, AD 6:'1 6" RLR GRT.L 10 LP PATUXENT CS 29, 2900 :292. 90 3 3 CS 5218862 ICE C RE'AN SA NDWICH, ' NL 24/6 OZ BLUE d:sUNNY CS 17. 8400 53. 52 6 6 CS 53'.;_860�_ 4 BUN, HMBGR �•4" `,aL CD-T1 F.J DKD FZN8/1 ,/2 a OZ 1'iI+�L3'OP HR CS 22. 4000 114. 40 Ialat 1i� CS .r.},."8 3054 BEEF PTY OR ND 3- _ PUB FLAME- 03/3 OZ C T..»I'iN :,LCT i.'aS 48, 6600 4S6. 60 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER GALES SALES DATE NO. NO. DATE NO NUMBER LOC . REP . ORDERED 90569922 2140300 07/23/13 90569575 30088 1054 0062 07/22/13 Route: 2251 / 3 ORDER NUMBER: 934607 8ill Ship Remit US Foods, Inc . ' To: To: To: BOX 660088 CARMEL IN CARMEL IN 46032 46032 217 843 Ne73 46266-0088 , INDIANAPOLIS IN Att: MICHELLE COMPTON DEPT # 00 800 428 2118 ShivFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 07/23/13 ' Page 02 of 02 Frt7rms. Spcial ENTER OFF OF 111TH STREET ! ! ! P tTrms: NET 30 DAYS Instm - My ut Sales Product uescrzpton Pack Si ze Label C wez_n� Pp i�g Unit Extended d g _ i Ordered Shipped Unit Number D _Unit Price Price INVOICE SUMMARY FUEL SURCHARGE 4. 00 TOTAL WGT SHIPPED: 783. 06 PIECES ORDERED: 67 PIECES SHIPPED: 66 ITEMS SHIPPEV 19 PRODUCT TOTAL 1290. 36 • Federal Ocqupation .Salety and Health Standards. Section 1910. 1200 on Hazard • Communication requires manufacturers and distributors to provide Material • Safety Data Sheets on non-food products defined to be hazardous. Products CHARGES 4. 00 • such as cleaning products and pesticides are included in the scope of the • Standard. In compliance with the law. MSDS are available to US Foods, Inc. • customers and can be obtained by contacting the Procurement Manager in our TAXABLE AMOUNT $ .00 • district oPfice or bu advising your sales representative. GEN SALES, TAX • You mav contact KEVIN BURTON at phone # (371) 585 -1 6822, This amount is an estimate at time of shipping prior to any adjustments made at delivery: $ 1294. 36 ' { rurcn000 JUL 24 2.013 Description rx�# / - — Budqet _.' Una Des ` PurchaserLjjinh . . '-' - "ww�_ ACCOUNT INVOICE INVOICE -CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO_ DATE NO. NUMBER LOC. REP . ORDERED 90569922 2140300 07/23/13190569575 . 30088 ` 7 ' 1054 0062 07/22/13 Route: 2251 y 3 ' ORDER NUMBER: 934607 8ill Ship Remit ' To: To� ' To� BOX 660088 46032 46032 - INDIANAPOLIS IN 317 843 3873 _ Att: MICHELLE COMPTON DEPT # 00 900 429 2118 ShipFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 37/23/13 Page 01 of 02 FrtTrms: SpciaI ENTER OFF OF 111TH STREET! ! ! P tTrms: NET 30 DAYS Instr. ity Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended Ordered Shipped Unit Number D Unit Price Price DRY 9 CS 0779991 WATER, SPRG PLST BTL NSTED 24/16. 9 OZ THIRSTER CS 5. 2500 47. 25 1 CS 5597851 CHIP, TORTLA NACHO CHS TROLE 64/1. 75 OZ DORITOS CS 30. 8900 30. 89 1 1 CS 9089079 POPCORN, RAW kIT U/ OIL A SALT36/8 OZ FANCY FARM CS 26. 6100 26. 61 1 1 CS 9463668 CHIP, TORTLA CORN YLW RND 6/2 LB- EL PASADO CS 23. 2300 23. 23 REFRIGERATED ILZ 3 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2. 5 CA PRAIRIE FM 32. 6500 97. 95 READY TO EAT - Please Refer to Return Polict ax I CS 7451354 ICE MILK MIX, SOFT SRV CHOC 4%2/2. 5 CA RAIRIE FM CS 33. 7600 33. 76 READY TO EAT - Please Refer to Return Policy FROZEN CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 OZ SUPR PRTZL CS 34. 4000 172- 00 j 0 CS 2260099 ICE CREAM SANDWICH, CKY & CRM 24/4. 5 OZ BLUE BUNNY 1C. CS 2639235 ICE CREAM CUP, CKIES & CRN 12/5 OZ ITTIBITZ CS 12. 5500 125. 50 10 CS 2639250 ICE CREAM CUP, CKY DOUGH 12/5 OZ ITTIBITZ CS 12. 5500 125. 50 5 CS 2639268 ICE CREAM CUP, BANA SPLT 12/3 OZ ITTIBITZ CS 12. 5500 62. 75 5 CS 2649796 ICE CREAM CUP, COTN CNDY 12/5 OZ ITTIBITZ CS 12. 5500 62� 75, 3 CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 34. 6300 103. 89 1 CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1 . 7 OZ HILLTOP HR CS 23. 4500 23. 45 3 CS 3330099 HOT DOG, AB 6: 1 6" RLR GRIL 10 LEq PATUXENT CS 29. 2900 87. 87 I CS 5328604 BUN, HMBGR 4" SLCD TFF BKD FZN8/12/2. 1 OZ HILLTOP HR - CS 22. 4000 22. 40 - 2 CS 5403548 ITALIAN ICE, LNN DBL CUP FZN. 12/16 OZ CHILL CS 23. 2500 46. 50 1 CS 7175128 ICE CREAN CONE, VNL TFF 2/12/4. 6 OZ BB CHAMP CS 23. 7500 23. 75 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: 12 PIECES SHIPPED: 12 ITEMS SHIPPED: 4 127.98 TOTAL REFRIGERATED PIECES ORDERED: 4 PIECES SHIPPED: A ITEMS SHIPPED: 2 131. 71 TOTAL FROZEN PIECES ORDERED: 51 PIECES SHIPPED: 50 ITEMS SHIPPED: 13 . 1030. 67 ' ACCOUNT INVOICE- INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. W;TE: NO. - NUMBER LOC . REP . ORDERED 90569922 2249S16' , 07/26/13 0569575 30103 1054 0062 07/25/13 Route: 5252 / 9 ORDER NUMBER: 93859O SiII Ship CARMEL CLAY PARKS&RECP.,EAT CARL EL CLAY PAR�S?tRECREAT � US Foods:, Inc . ' To: 1411 F. 116TH ST T6: 12:4 CENTRAL PARK DRIVE E _ To • CARMEL IN CARMEL_ _._ IN PDX bc�_ 46032 _ __`46032 I ND I ANA OL I S IN -3-17- 843 3873 Att: MICHELLE COMPTOC�I DEPT 1# 00 _ � 800 428 2113 S17ipFrm: 12101 CUMBERLAND RD - FTSHER S - IN Sh ' C7 /26/`1:3 Page 02 -of 02 ' Fr tTr�m ' SPA z,41 TEN'TE:ft—C1FP' OF 1.`31TK STREET! P vt rims: NET 30 DAYS ' - - - - In!W - - - - 4tv Ut u Sales Product Descr ip t on F 41 i zj I abet C W�kg►i_'L_ -Pric ing Unit Ex tctnii�d— OrderedThip�ied Uni• Humber _ _.- _. _ ____._ _... ___ ____ _ _ _ Unit Price_._ INVOICE--SUMMARY __ FUEL SURCHARGE- 4. 09- TOTAL WGT SHIPPED: 920. 52 PIECES ORDERED: 62 PIECES SHIPPED: 61 ITEMS SHIPPED: 20 3t•###k•#�i•tt####•1E�#3;#�•#:�••1f•ri••��(#ii•##%###dFit•��(•K:+E#i�3F#�•tE�3t•�#�••:d•#�•a@•iE•1F•M3F##aF:��•rf�•iE1i••a•�•>E•lr�fit•#3E:}F#3r#�#•#�•�•#:a• tt W. PRODUCT TOTAL $ 163015 * Federal Ocqupation Safe��.tJ and Health Standards. Section 1.910. 1b'00 on Hazard � * Communication requires manufacturers and distributors to provide Material* * Safety Data Sheets on non-food products defined to be hazardous. Products CHARGES 4. 00- such as cleaning products and pesticides are included in the scope of the * Standard. In compliance with the law. MSDS are alailable to US Foods, Inc. �- _.__ _ --_._ ._ * customers and can be- obtained by con. acManager g the Procurement Manager in our A TAXArtLE AMOUNT $ . Dp district office or by advising your sales representative. � GEN SALES TAX % —:00* You may contact KEVIN BURTON at phone # (371) 585" 6322. tt 3���••��=�••a���_��•�e���•���•x•a��•�•u•:tt•�•�?�•u•��••�•��•:��a�•x�a�•�?�a€�?��•�•tt�•���•�•��r:�:�•�.n:�..rr•x�••�•x••��•n r•�•��••x•�a��•tt•��•> ac�!•� ------_ This amount it an -ostimate at time of hipping prior to any adjustments made at delivery: 1634. 85T-- JUL 302013 - ACCOUNT INVOICE_ - INVOICE CUSTOMER --PURCHASE ORDEP SALES SALES DATE NO. -NO . . DATE r+fO. NUMBER LOt REP . ORDERED - -- 9415"6�9`rr�s? ..8 �44Ei16 .. 1054 0062 f.25/t _° - - - Rdu t e: 5262 / 9 _ -OF;DER NUMBER: 9:3B-. CARMEL CLAY PARKS°_..RECREOT - C,AT�!"EL CLAY PAR1t,S&REaCREAT - US" Food r-Inc . _ . Tc�: 1411 E. 1. 1.6TH .S'( _ _ Tt_,._.._123a CENTF AL PARK-nR-I VE--E_ To..- - - BOX 660OSS CARM:EL IN - C.ARMEL - I'll _ 4608 _._ -_ . _ _____._ 4 0°32__- - -___ ____---__. --.____ ____ ____ _INDIANAPOLIS IN _ - 317--- O4 y 587:3 --- - _46266-0085 - Att:: MICHELLE COMPTON DEPT # CO 800 428 2ii8 - ShipFrm: 12301 CUMBERLAND RD - , FISHERS IN '�h -A 07/26113 Page 01 f -d2 . FrtTrms: __ . - �,��i.. .r..�.t ENTER OFF CAF- -111 TH--STREETI 1 1 nvtTr;rr:s: I�dT`._i.. _30 DAYS In tr.._ ATV Qty Sales Product Descrip'ton Pack Size Labwl. C Weight Pricing Unit Extended. Ordered Shipped- Unit number _ ___ _ . () _.Weight Price Price DRY 9 CS 0779991 WATER, SPRG PLST BTL TWIST C AP24/1.6. 9 OZ THIRSTER CS 5. 2500 $ 47.25 1 CS 0791590 CONTAINER, FM 12 Z SQT UHT 20/25 EA MONOGRAM CS 20. 6300 :30-. 63--. 1 CS 0791616 CUP, FM 32 Z UHT 25/20 EA MONOGRAM- CS 37. 2000 --37. 2 1 A CS 0814236 CUP, FM 16 Z WH T 20/25 -EA MONOGRAM CS 17. 9900 17.19 1 C'S 0814541 CUP, FM 20 Z WHT 25/20 EA MONOGRAM CS 22. 9300 22.-9.3 6 CS 4260238 SAUCE:, CHS NACHO SHLF S'i ABL 4/107 OZ ORT€GA CS 54. 9500 329:-70- - 1 CS 5597851 CHIP, TOR T L..A NACHO CHS TRGLE 64/1. 75 OZ DORITOS CS 30. 8900 30_.89 -- �- CS 5597968 CHIP, CORN ORIG TFF SS BAB 64/2 OZ FRI:TOS CS 30. 8900 15045 CS 9089079 POPCORN, RAW KIT W/ OIL <& SALT36/8 OZ: FANCY FARM CS 26. 6100 53. ` 2 ' 3 CS 9463683 CHIP, T'ORTL.A CORN YLW RND 6/2 LB EL PASADO C5 23.2300 69LL 69 i REFRIGERATED 1 00 CS 4365219 CHEESE, AMER SLCD 135 SUPRCR 4/5 LB GLNVW FRMS B CS 53. 5500 53:5.5- 2 CS 4884151 ICE CREAM MIX, SOFT SRV VNL 4%2/2. 5 GA PRAIRIE FM CS 3`2.6500 65-301;. READY TO EAT -- Please Refer to Return Polic;t _ _ _- 2 CS 74513;.34 ICE MILK MIX, SOFT SRV CHOC 4%2/'2. 5 GA KRAIRIE FM CS 33. 7600 67.52 READY TO EAT -- Please Refer to Return Policy FROZEN _ 5 C7 CS 2011278 PRETZEL, KING SOFT BKD F"Z.N 50/5 OZ: SUPR PRTZI_. CS 34: 4000 172. 00 . 1 0 CS 2260099 ICE CREAM SANDWICH, CKY & IRM 24/4. 5 OZ BLUE BUNNY 1 cq#> CS 3330099 HOT T;tO'•G, AB -6. 1 6 RLR f RIL 10 LB -PATUXENT CS 29. 2900 29729-' 4 4 CS 5218862 ICE CREAM SANDWICH, VNL` 24/6 OZ BLUE BUNNY CS 17.8400 71.:36- 4 � CS 5403543 ITALIAN ICE., L.MN DBL CUP FZN 1.2/1:6 OZ _ _. CHILL CS 23. 2500 93:00 4 CS 5404835 ICE CREAM SANDWICH, CHOC CHIP 24 EA GOOD 'HUNOR CS 21. 6400 86. 56 4 GS 7175128 ICE CREAM CONE, _VNL TFF-- - 2/12/4:6 OZ--BB }.RAMP CS 23. 7500 95:-00,- 4 wo CS 8187999 ICE CREAM 'BAR; : HOC TACO ,`3-_VNf 24/{4 OZ- "KLONDIKE" CS 28. 3300 11102- �c PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED; 30 PIECES SHIPPED:- 30 ITEMS SHIP'P'ED: 10 783v95 - TOTAL REFRIGERATED PIECES ORDERED: a - PIECES SHIPPED: 5 ITEMS SHIPPED: 3 1:86:37 ., TOTAL FROZEN PIECES ORDERED: 27 PIECES SHIPPED: 26 ITEMS SNIF'F'ED: 7 660:53 ' ACCOUNT INVOICE 2N` ~'ICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO NO DATE NO NUMBER LOC . REP . ORDERED 90569922 2349296 07/30/I3 90569575 30107 . 105* 0062 07/29/13 Route: 2251 / 4 ' ORDER NUMBER: 941696 BilI Ship Remi 30 -- CARMEL CLAY PARKS&RECREAT , CARMEL CLAY PARKS&RECREAT 7jQS Foods, Inc . - To: -!o. _ To: 1101OX 660088 -- ' -- 46012 ' IN 843 1873 46266-OOBB Att: I MICHELLE COMPTON - f7hi/nFrm: 12301 CUMBERLAND RC( FISHERS IN /13 -- -- - ' F`age 02 of 02 Fi tTrms. i-1 — E�Tl�� OFF 1TFT-STREET ! F! P tTrms� NET 30 DAYS -� Ihs t�: - - -7 - . - d qt S F�odu Des - - P kSi - �-���l C --P�i i Unit Extended ty y ales ct �riyton ac ze W�1q!I� c nS Ordered Shipped Unit Number ' --'-'-- __`_-`` -'' - �� __-_ __ ''- D _ � __pricg Price - -- - - - - __ - - INVOICE SUMMARY 4** TOTAL WGT SHIPPED: 1110. 02 PIECES ORDERED: 113 PIECES SHIPPED: 113 ITEMS SHIPPED: 25 PRODUCT TOTAL 3049.25 -1. Occupation Safety and Health Standards. Section 1910. 1200 on Hazard- Federi Communication requires manufacturers and distributors to provide Material Safety Data Sheets an non-food products defined to be hazardous. Products such as cleaning products and pesticides-are included in the scope of the Standard. in Gmpf.iance with the law. MSDS are available to US Foods, Inc. customers and can be obtained by contapting the Procurement Manager in our 4 TAXABLE AMOUNT $ .00 district ofFice op by advisinq yoursales representative 4 OEM SALES TAX . 00 You may contact KE,IA BURTON at pho;e 0 (371) 581 - 6S22. This amount is an istimate at time of shipping prior to any adjgstfentt made' at delivery: 3049. 25 Ably JUL 3 - NT C�� INVOICE CUSTOMER -pO ASE ORDER-- SALES SALES [)ATE NO N DATE NO ER --- LOC . REP . ORDERED 922 234 Z 6-_:Q7/3D/i3 90569575_ .3(}T]}7 -' .- 105i 0062 07/29/13 -�'4-- - --- ' ORDER NUMBER: 941696 8ill ' ShIp - R� i --- inc - To : -���. - - To ' CARMEL I N - 46032 46032 INDIANAPOLIS IN 317 843 3e73 - Att: ShipF-rw 12301 CUMBERLAND RD FISHERS IN Shio& - 07730/13 -'� -�� Page 01 of 02 FrtTrms. Spclal ENTER OFF OF 111TH STREET ! ' ' � P tTrms NET 30 DAYS ' Instr�� - ' wty Qty Sales Product - -t- Descripton Pack Size Labe1 C We - pricing, Unit Extended Ordered Shipped Unit Number - ' ' D -- _ Ihiit `-� Price Price DRY 2 2 CS 1462803 SPOON, TEA MW WHT POLYP BULK 1000 EA PRIME: CS 14, 0700 20. 14 I i CS 5311600 CONE, ICE CRM CAKE 22S FLAT 36/20 EA JOY CONE -CS 39. 0900 390? 1 CS 5601679 CHIMPTATO REGPLN 66 BAG 64/1. 5 OZ LAY'S CS 29. 8500 29. 85 2 CS 6329213 RELISH, SUT SS SHLF STABL 200/9 GR MONARCH CS 14. 3500 20. 70 I CS 6805923 TRAY, PAPR BORD FOOD 5 LB CLAY2/250 EA MONOGRAM CS 31. 9500 31. 95 __CS 26. 6100 1 CS 9089079 POPCORN, RAW KIT W/ OIL A SALT36/8 OZ FANCY FARM 26. 61 1 10 10 CS 94636BB CHIP, TORTLA CORN YLW RND 6/2 LB EL PASADO 1 _77 : As 23. 2300 232. 30 1 1 CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM - CS 22. 63 REFRIGERATED i i CS 4834151 ICE CREAM MIX, SOFT SRV VNL 02/2. 5 GA PRAIRIE FM __ CS 32. 7700 32, 77 READY TO EAT " Please Refer to Return Polic 1 CS 7451354 ICE MILK- MIX, SOFT SRV CHOC 4%2/2. 5 GA IRAIRIE FM CS 33. 8900 33. 89 FROZEN 7 CS 2011278 PRETZEL, KING SOFT RKD FZN 50/5 Oz SUPP PRTZL CS 34. 4000 240. 80 2 CS 3041423 CORN DOG, AN CH FZN 48/4 OZ STATE FAIR CS 3549670000 70. 12 10 io CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 234. 50 11 13 CS 3330099 HOT DOG, AB 611 6" RLR GRIL 10 LB PATUXENT CS 29. 2900 180. 77 10 10 CS 5218862 ICE CREAM SANDWICH,' MNL 24/6 _OZ TLUE BUNNY CS 17. 8400 173; 40 1 1 CS 5383054 BEEF, PTY GRND- 3 Z PUB FLAME 53/3 9Z CTL1MN_ SLCT fS 48. 6600 48. 66 6 6 CS 5403548 ITALIAN ICE, LMN-DRL CUP FZN 12/0 OZ_ - EHILL CS 23.2500 131. 50 io 10 CS 5404835 ICE CROM SANDUTCH; CHOC CHIP 24 EA GOOD 'HUMOR CS 21. 6400 216. 40 io 10 CS 7175128 ICE CREAM CONE, - VNL TFF OZ _ BB CHAMP Z CS 23.7500 - 237.50 10 10 CS 8167q99 ICE CREAM BAR!-CHOt TACO & VNL-24/4 OZ - KLONDIKE CS 23. 3300 283. 30 PRODUCT CLASS RECAP 1 1UTAL DRY PIECES DRDERED: 20 PIECES SHIPPED: 28 -ITEMS SHIPPED: 11 830. 18 1 TOTAL REFRIGERATED PIECES ORDERED: 3 PIECES SHIPPED: 3 - ITEMS SHIPPED: 3 120. 21 TOTAL FROZEN PIECES ORDERED: 82 PIECES SHIPPED: 82 - ITEMS SHIPPED: 11 2098. 86 _ ` AC INVOICE IN R -pURCHASE ORDER SALES SALES DATE NO NO DATE ' NO. ^ NUMBER LOC- REP - ORDERED 9O569922 2455174 O8/O2/13 `9O569575 �3O126 - 1054 OO62 O8/O1/13 Route: 5282 / q - ORDER NUMBER: 945474 � Bill Ship Remit CARMEL CLAY _ ' . ' To: To: To':4603,2 INDIANAPOLIS IN BOX 66008B 46032 -46266 0088 ' -- Att: MICIIELLE COMPTON -- - f7hipf-rm` 12�Q1 CUMBERLAND RD FISHERS IN ---� �3 '--- - - - Page 01 of 01 � �` ^"^' �` Ft7-`ms� ' -- -- ENl�ER OFF OF 111TH oTREEl�� !!---- -'- P tTrms. NET 30 DAYS --' � I tr� —� -- - ------ ` - - �ty qty Sales� Product ' -Descripton- �� Pack Size -Label - C Weight -'-Pricing Unit Extended (3rdered Shipped Wvit­ - Nwmber - Unit- Price Price PRODUCT CLASS IREKCAP T OTA L D R Y !---'I E C E S ORDEiRED: 8 - PIECES SHIPPED: 8 TTENS SHIPPED: 5 264. 87 TOTAL FROZEN PIECES ORDERED: 46---- PIECES SHIPPED- 16 -ITENS SHIPPED: 396. 00 INVOICE SUMMARY FUEL SURCHARGE 4. 00 -TOTAL. WG'T SHIPPED: 169. 46 PIE-CES--ORDERED.: 2 4 PIECES SHIPPED: 24 1TENS SHIPPED: a PRODUCT- TOTAL $ 660.-87 Mcoo 443a -CHARGES 400 033 GEW-SALES 'TAX MCI ACCOUNT INVCIt'{V INVOICE CUSTOi•1ER PURCHASE ORDER SALES SALES DATE NO. NO. DA Fi_. NO. NUMBER LOC . REP . ORDERED . 90569922 256421 Oa/06/1.:3 9054 9 '?g.__ -?Q} -B;:i. 1054 0066 Oe/05_ 13 (toute: %c��1 ._.._. _ _5 — Bill •___.._.__....._._..__.._...___._..� __.__ _� _ _-•• folk. _..__ __.___. _:_ _. __..__._-_ R e rn i � i:,4f?MEL CLAY 1�1�aRi�,��°_,P.ECF4E T CARMEL CLAD`. �P. �-�f'( Via& E_CRE€`�T � .._ r US Foods; Inc . To: 1.411. E. 116TH ST' _T& 1235 CENTRAL-P " �L:NTRAL. 1'A('t! OFD iVE IM 7~c;: BOX 660OBB CARME:.L IN. CARMEL IN 46032 4603E' INDIANAPOLIS IN . 317 843 3873 46266—OOBB A.t t: .._MICHELLE_ . `C_O1"PTOltil DEPT # 00 900 420 2118 3, iaFrm 12301 CUMBERLAND 'RD FISHERS IN Sr ipD --08/06/11- Page 02 of 02 F'•r Arr7lV Sp 1.,?{ ENTER C13='F OF KITH STREET + ,'°'-tTrms: NET 30 DAYS 1 r:ow: d�t,f Q.t„ Safer. Product Descri tdn Pack Size Label L Weight Pricing Unit Extended Ordired Shipped Unit Number � - -� D _ 11r�z't Price Price INVOICE- SUNNARY _ x TOTAL WGT SHIPPED: 101. 6S PIECES ORDERED: 69 PIECES SHIPPED: 69 ITEMS SHIPPED: 20 4 PRODUCT TOTAL_ $ 2300. 05 _ TAXABLE AMOUNT $ . 00 GEE SALES TAX % . 00 This amount is an-estimate at time of shipping prior to any- adjustments made at delivery: $ 2300: O5 ._.._..._....._.__..__.._._.._..___._..___ c on ce_,E-istons - 30 � 3 F q2-�?q O!-10 -- _ AUG -- 7 2013 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES S DATE NO. NO DATE NO. NUMBER LOC . REp :- ORDERED 9O569922 256401 O8/06/13 10569575 30111 1054 0062 � O8/05/13 Route� ����1 / �3 ^ ORDER NUMBER: 948881 � ��' - R i ' Bill snip em t CARMEL CLAYJARKS&RECREAT US Foods; Inc . CARMEL CLAY Tm --To� ' Tp:- CARMEL -- _ CARMEL IN _ __aOX 660088 46032 -- ^_ - 317 S43 3871 - 46266-0088 Att: --. DEPT # 001 jS00 42S 2118 Shi . m' 12301 CUMBERLAND`RD -FISHERS IK[ 06/13 Page 01 of 02 f-rtFr� s: - �� -- �' --�i�`ER OFF O�r-111TH STREET ! ! ! - P tTrms� 30 DAYS ___ --- ' �ty Qty Sales P De Pack Size La6eI C Wjidht Prici?g Unit Extended Ordered Shipped Unit Humberr_-_-- ___-_�____-_ '� - - , ___--______'___ ._- . D __-_ -_�--.U»it .pf�c�. Prite DRY I CS 3256104 LID, CUP 12-24-2 B­BL_ PLST_ 1000 EA WINCUP CS 1.7, 7700 $ 17. 77 2 2 CS 4329397 KETCHUP, TMTO FCY SS FOIL PKT 500/9 GR MONARCH CS 15. 1600 30. 32 1 1 CS 5311600 CONE, ICE CRM- CAKE 22S FLAT 36/20 EA JOY CONE CS 39. 0900 39. 09 1 1 CS 5585476 CHIP, PTATO AD ORIG 'GLTN/FR 64/1 . 125 OZ BAVED LAYS CS 29. 8500 29. 85 I I CS 5597604 CHIP, CHS CNCHY' _PLN SS BAG 64/2 OZ CHEE-TOS CS 30: 8900 30. 89 2 2 CS 70099B8 SAUCE, CHILI HOT DOG W/ BEEF 6/108 OZ CHEF MATE CS 67. 8200 135. 64 2 2 CS 9089079 POPCORN, RAW YIT W/_OIL & SALT36/8 OZ FANCY FARM CS 26.6100 53. 22 6 6 CS 9463683 CHIP, TORTLA CORN YLW RHD 6/2 LB EL PASADO CS 23. 2300 139. 38 8 8 CS 4884151 ICE CREAM Mlj� SOFT SRV VNL- 4Z2l2. 5 _GA PRAIRIE FN CS 32. 7700 262. 16 READY TO EAT - Please Refer to Return Policv 6 6 CS 7451334 ICE MILK MIX, SOFT* SRV CHOC Qj/2. 5 GA PRAIRIE FM CS 33. 8900 203. 34 READY TO EAT - Please Refer to Return PalicV FROZEN I I CS 1792399 BEEF SUB, PTY PEATL VEG 3 36/4. 25 OZ CHEFS LINE - CS 46. 4600 46. 46 10 to CS 2011278 PRETZEL, KING SOFT DKD FZN 50/5 0Z SUPR PRTZL CS 34, 4000 344. 00 4 4 CS 3041423 COR�N DOG, 48/4 OZ 11STATE FAIR, CS 35. 0600 140. 24 2 2 CS 3328606 BUN, HOT DOG 6" SLCD TFF BKD 8/12/1. 7 OZ HILLTOP HR CS 23.-4500- 46790 5 5 CS 3330099 HOT DOG, AB 64-6- RLR ORIL 10 Q� PATUXENT CS 29. 2900 146. 45 5 5 CS 5218862 ICE CREAN SANDWICH, VNL 24/6 OZ BLUE BUNNY CS 17. 8400 89. 20 PRODUCT COAYS-RECAP TOTAL DRY PIECES�QFDEREV 26 PIECES SHIPPED: -26 'ITEMS SHIPPED: 11 976. 50 TOTAL REFRIGERATED PIECES ORDERED: 14 PIECES'"SHIPPED: 14 ITEMS SHIPPED: 2 . 465. 50 TOTAL FROZEN PIECOYOROERED: 29 - PIECESSRIPPED: 29 ITEMS SHIPPED: 7 858, 0115 ' - ' -_ ' - ' - - - ' 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 7/19/13 2055263 Concessions 30077 $ 770.62 7/20/13_ 2066041 Concessions 30074 $ 5,187.98 7123113 2140300 Concessions ____30088 $ 17294.36 7/26/13 2249816 Concessions 30103 $ 1,634.85 7/30/13 2349296 Concessions 30107 $ 3,049.25 8/2/13 2455174 White bags $ 23.20 8/2/13 2455174 Concessions 30126 $ 641.67 8/6/13 2564217 Concessions 30131 $ 2,300.05 Total $ 14,901.98 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$ $ 14,901.98 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members INVOICE NO. CCT#/TITL AMOUNT Dept# 1095-1 2055263 4239040 $ 770.62 1 hereby certify that the attached invoice(s), or 1095-1 2066041 4239040 $ 5,187.98 bill(s) is (are)true and correct and that the 1095-1 2140300 4239040 $ 1,294.36 materials or services itemized thereon for 1095-1 2249816 4239040 $ 1,634.85 which charge is made were ordered and 1095-1 2349296 4239040 $ 3,049.25 received except 1096-60 2455174 4239039 $ 23.20 1095-1 2455174 4239040 $ 641.67 1095-1 2564217 4239040 $ 2,300.05 8-Aug 2013 $ 14,901.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund