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Home My WebLink About227519 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ONE CIVIC SQUARE U S FOODSERVICE, INC CARMEL, INDIANA 46032 CHECK AMOUNT: $366.20 PO BOX 660088 'a '+• INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 227519 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 600254 162 . 22 FOOD & BEVERAGES 1095 4239040 92838 203 . 98 FOOD & BEVERAGES 7 DEC 0 6 2013 a t;. VENDOR SHIP INVOICE Page 1 of 1 ACCOUNT NUMBER INVOICE NUMBER INVOICE DATE CUSTOMER NUMBER PURCHASE ORDER# SALES LOCATION SALES REP DATE ORDERED 90569922 92638 11/19/2013 90569575 36396 1054 62 11/16/2013 fFREIGHT TERMS ORDER NUMBER PAYMENT TERMS ROUTE NUMBER SPECIAL INSTRUCTIONS I-- I_ 60343 NET 30 DAYS 100 ENTER OFF OF 1111-1-1 STREETM USF-1`0#401416 BILL TO SHIP TO REMIT TO CARMEL CLAY PARKS8RECREAT CARMEL CLAY PARKS&RECREAT JS Foods,Inc. 1411 E.1161 H ST 1235 CENTRAL PARK DRIVE E BOX 660088 CARMEL,IN 46032 CARMEL,IN 46032 INDIANAPOLIS,IN 46266-0086 AIiN:MICHELLE COMPI"ON Dept.:0 (800)428-2118 (000)000-0000 (317)843-3873 SHIPPED FROM: DRIVER NAME: ROUTE NUMBER: 100 SHIPPED DATE: 1 111 8/201 3 DRIVER ID: STOP NUMBER: 1 INVOICE LINE DETAILS O QUANTI Y { SALES PRODUCT DESCRIPTION LABEL PACK SIZE CODE I WEIGHT P UINITG PRNCE EXTENDED PRICE DRY CS 4345633 DETL-RGEN1 BAR GLS MNL IAH-DL=1 NAl"L CIF 12 EA CS 52039800 5203.98 Shipment Tracking:413982479844562,FEDEX PRODUCT CLASS RECAP PRODUCT CLASS TOTAL ORDERED TOTAL SHIPPED TOTAL SHIPPED TOTAL SI WEIGHT TOTAL EXTyP ICE f DELIVERY SUMMARY TOTALS 1 1 1 18.20 $203.98 t INVOICE SUMMARY Product Total $203.98 Sales Iax Rate. 0.00 $0.00 PLEASE REMIT THIS AMOUNT BY 12119/2013 $203.98 CUSTOMER ACCEPTANCE Interest shall accrue on all unpaid balances exceeding established credit terms al a rate equal to the lessor of(a)1-112%per month or(b)the rnaximurn rate that the customer may lawfully contract to pay,and in all events calculated in accordance with applicable law. Promotional allowances,cash discounts,prompt pay discounts,growth programs and all other incentives are retained by U.S.Foodservice®and do not reduce Product Price.Product Price Is defined as the supplier,packer,or any vendor delivered cost or Lo.b unit price plus standard freight less off-invoice discounts or off-invoice allowances(i e.,manufacturer generated discounts or allowances on particular items for set periods of time and which are specifically reflected on the invoice). We appreciate your business.Please visit our websile www.usfood.com for a fast and easy way to order. Or contact custorner service at (800)253-0277 Page 1 of 1 ac� h1�S 3 c039l� � ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER ] SALES SALES DATE NO. NO. / DATE NO. NUMBER LOC . REP. ORDERED 90569922 0600254 12/06/13 90569575 XX-12 ' 1054 0062 12/05/13 � Route: 5282 / 8 ORDER NUMBER: 77517 Bill. Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 & 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 ' 46032 46032 INDIANAPOLIS IN 317 941 3073 46266-0088 Att: MICHELLE COMPTON DEPT # 00 800 428 2118 QjpFrm: 12301 CUMBERLAND RD FISHERS IN Ship& 12/06/13 Page 01 of 01 rrt7rms. SPcia2 ENTER OFF OF 111TH STREET ! ! ! r tTrms� NET 30 DAYS Instr' �ty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended ]rdered Shipped Unit Number D Unit Price Price DRY 1. 1 CS 4260238 SAUCE, CHS NACHO SHLF STABL 4/107 OZ ORTEGA CS S5. 4200 0. 42 I I CS S597968 CHIP, CORN ORIG TFF SS BAG 64/2 07 FRITOS CS 31. 7500 31. 75 FROZEN PRODUCT CLASS RECAP ** TOTAL DRY PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 B7. 17 TOTAL FROZEN PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 1 68. 80 INVOICE SUMMARY FUEL SURCHARGE 6. 2S TOTAL WGT SHIPPED: 64. SO PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 3 PRODUCT TOTAL $ IS5. 97 -VFT-) CHARGES 6. 2S GEN SALES TAX % . 00 This amount is an estimate at time of shipping prior to any adjustments made at delivery: 162. 22 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 11/19/13 92838 Disinfecting tablets 36396 $ 203.98 12/6/13 600254 Concessions $ 162.22 Total $ 366.20 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$ $ 366.20 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT 1095-1 92838 4239040 203.98 1 hereby certify that the attached invoice(s), or 1095-1 600254 4239040 $ 162.22 bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 12-Dec 2013 $ 366.20 Accounts Payable Coordinator Cost distribution ledger classificatjon if Title claim paid motor vehicle highway fund