HomeMy WebLinkAbout228731 1/28/2014 ,q f CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1
ONE CIVIC SQUARE U S FOODSERVICE, INC CHECK AMOUNT: $871.97
CARMEL, INDIANA 46032 PO BOX 660088
INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 228731
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 1603555 871 . 97 FOOD & BEVERAGES
ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE
NO. NO DATE NO NDM8ER LOC REP . ORDERED
9O569922 1603155 01 /10/ 14 90569575 36522 1054 0062 Oi/08/14
Route: 52B2 / 8 ORDER NUMBER: 115328
Bill Ship CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc .
�emit
To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E TV-
BOX 660088
CARMEL CARMEL, 1 N
46032 46032 INDIANAPOLIS 1AN
317 843 1873 46266-0088
Attl MICHELLE COMPTON DEPT 0 00 800 428 2118
%JhipFrm.- RD FISHERS IN ."W: 01/ 10/ 14 page 02 of 02
Frt7rms' spczaI ENTER OFF OF 111TH STREET ! ! !
P NET 30 D/403, Instr:
Aty Qty Sales Product Descriptor, Pack Size Label C Weight Pricing Unit Extended
Ordered Ship6ad Unit Number D Unit Price Price
INVOICE SUNNARY
FUEL SURCHARGE 6. 25
TOTAL WOT SHIPPED: 350. 40 PIECES ORDERED: 26 PIECES SHIPPEDi 26 ZTEMS SHIPPED: 13
PRODUCT TOTAL 865. 72
Federal Occupation SaFety and Health Standards. Section 1910. 1200 on Hazard _'K
Communication requires manufacturers and distributors to provide Material
Safety Data Sheets an non-food products defined to be hazardo&7 Products CHARGES 6. 25
1 w such as cleaniRg products and pesticides are included in the scope of the
* Standard. in compliance with the law. QSDS are available t&US Foods, Inc. TAXABLE AMOUNT $ . 0('',
* customers and can* be obtainqd by contacting the Procurement Manager in our
* district office or by advising your sales representative. OEM SALES TAX X . 00
* You maV contact KEVIN BURTON at phone N (371) 585 - 6822
This amount is-an estimate at time of shipping prior to any adjustments made at delivery: 071. 97
'
'
_ ._` .�.' ,°n�r��bE
.`" u/� / E NO� NUMBER LOC . REP � ORDERED
"yO56992216O355 01/1{}/14 90569575 36522 1054 0062 O1/O8/14
Route: 8 ORDER NUMBER: 115328
Ship Remit
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
1/10/14 1603555 Concessions 36522 $ 871.97
Total $ 871.97
I 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
120_
Clerk-Treasurer
Voucher No. Warrant No.
353824 U S FoodService, Inc. Allowed 20
Box 660088
Indianapolis, IN 46266-0088
In Sum of$
$ 871.97
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1095-1 1603555 4239040 $ 871.97 1 hereby certify that the attached invoice(s), or
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
21-Jan 2014
Signature
$ 871.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund