OFD - FW2-2 WEEKLY FOOD ORDER 11-27-18~1.docx
DOCX document 44 KB Posted
- Attached to
- FY19 Dty F/W W2 11-27-18
- Solicitation number
- 19-497DVA-QUINC-B-4227
- Issued by
- Illinois
About this file
This document is a weekly food order form for the Illinois Veterans Home, which is requesting various food items to be delivered on November 27, 2018. The order covers items such as chicken, vegetables, sour cream, cupcakes, potato chips, taco shells, frozen berries and peaches, rice krispie treats, biscuit gravy mix, chicken breasts, sausages, scalloped potatoes, bacon, rotini noodles, pork loin fritters, diced potatoes, and pudding. The quantities range from cases to individual units, and the total price for the order is not provided.
The order is for the Dietary Fall/Winter - Week 2 period, and the Illinois Veterans Home's account number is IDVA-Q. The order is to be awarded per line item. No additional details are provided regarding the contract, such as award dates, term, or renewal options.
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| File | Type | Posted |
|---|---|---|
| Standard Terms and Conditions~36.pdf |
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Text version
STATE OF ILLINOIS WORK COPY
ORDER FOR DELIVERY
VENDOR
SHIP/ BILL TO
WEEKLY FOOD ORDER TO BE DELIVERED: 11-27-18
ALL ITEMS WILL BE AWARDED PER LINE ITEM
IDVA-Q Account #
DIETARY
FALL/WINTER – WEEK 2
Ordered Delivered
ACCT.
| OBJECT CODE |
| IL. VETERANS HOME PHONE # |
| 217-222-8641 |
| ITEM NO. |
| DESCRIPTION OF ARTICLE |
| QUANITY |
| UNIT OF MEASURE |
| UNIT PRICE |
| TOTAL PRICE |
385-44
4 OUNCE CHICKEN KIEV
36 EACH/CASE
| 10 |
| CV |
385-96
KEY WEST VEGETABLES
24 POUNDS/CASE
| 5 |
| CV |
380-30
SOUR CREAM, 1 OUNCE INDIVIDUAL PACKETS
100 EACH/CASE
| 5 |
| CV |
385-12
RICH’S UNICED WHITE CUP CAKES, 1.25 OZ
144 EACH /CASE
| 1 |
| CV |
RICH’S UNICED CHOCOLATE CUP CAKES, 1.25 OZ
144 EACH / CASE
| 2 |
| CV |
393-10
POTATO CHIPS, INDIVIDUAL
104 EACH/CASE
| 3 |
| CV |
375-60
6 INCH SOFT SHELL TACO SHELLS
24 / 12 EACH/CASE
| 2 |
| CV |
385-48
BLUEBERRIES, FROZEN (IQF)
30 POUNDS/CASE
CV
LB
2.3 OUNCE CROISSANTS, SLICED WITH MARGARINE
150 EACH/CASE
| 3 |
| CV |
SICILIAN VEGETABLES
24 POUNDS / CASE
CV
LB
385-48
PEACHES, SLICED, FROZEN (IQF)
2/5 POUND BAG/CASE
| 7 |
| CV |
*DELIVER ON 11-27-18
DELIVERY: COMPLETE |_| INCOMPLETE |_|
INVOICE NO.
DATE MERCHANDISE/OFD COMPLETED
DATE-CHECKED AGAINST INVENTORY
THE MERCHANDISE OR SERVICE BILLED ABOVE HAS BEEN RECEIVED AND COMPLIES WITH OUR SPECIFICATIONS OR REQUEST.
| STOREKEEPER |
| OTHER THAN STOREKEEPER |
Leah Thomas
REQUESTED BY
P.O. OR AUTHORIZATION NO.
APPROVED
STATE OF ILLINOIS WORK COPY
VENDOR
SHIP/ BILL TO
WEEKLY FOOD ORDER TO BE DELIVERED: 11-27-18
ALL ITEMS WILL BE AWARDED PER LINE ITEM
IDVA-Q Account #
DIETARY
FALL/WINTER – WEEK 2
ACCT.
| OBJECT CODE |
| IL. VETERANS HOME PHONE # |
| 217-222-8641 |
| ITEM NO. |
| DESCRIPTION OF ARTICLE |
| QUANITY |
| UNIT OF MEASURE |
| UNIT PRICE |
| TOTAL PRICE |
393-46
1.3 OUNCE DOUBLE CHOCOLATE RICE KRISPIE TREATS
4/20 EACH/CASE
| 4 |
| CV |
393-48
HOME STYLE OLD FASHIONED BISCUIT GRAVY MIX
6/1.5 BAGS/CS
| 2 |
| CV |
385-44
BREAKBRUSH ITALIAN CHICKEN BREAST
46 / 3.5OZ / CS
| 11 |
| CV |
385-42
POLOSKA KELBASEN
12 POUND/CASE
| 8 |
| CV |
FARMLAND POLISH SAUSAGE
10 POUNDS/CASE
| 3 |
| CV |
CLASSIC CASSEROLE SCALLOPED POTATOES
6/2.5 POUND BOXES/CASE
| 4 |
| CV |
BACON, ROUND
192 SLICES/CASE
| 4 |
| CV |
393-61
TRI COLORED ROTINI NOODLES
20 POUNDS/CASE
| 1 |
| CV |
385-44
3.2 OUNCE BRODIE MEAT PRODUCTS PORK LOIN FRITTERS
180 EACH / CASE
| 2 |
| CV |
NO SKIN, 5/8 INCH DICED POTATOES
20 POUNDS/CASE
| 9 |
| CV |
393-46
PUDDING, LEMON
6/#10 CANS/CASE
| 4 |
| CV |
*DELIVER ON 11-27-18
DELIVERY: COMPLETE |_| INCOMPLETE |_|
INVOICE NO.
DATE MERCHANDISE/OFD COMPLETED
DATE-CHECKED AGAINST INVENTORY
THE MERCHANDISE OR SERVICE BILLED ABOVE HAS BEEN RECEIVED AND COMPLIES WITH OUR SPECIFICATIONS OR REQUEST.
| STOREKEEPER |
| OTHER THAN STOREKEEPERLeah Thomas |
REQUESTED BY
P.O. OR AUTHORIZATION NO.
APPROVED
STATE OF ILLINOIS WORK COPY
VENDOR
SHIP/ BILL TO
WEEKLY FOOD ORDER TO BE DELIVERED: 11-27-18
ALL ITEMS WILL BE AWARDED PER LINE ITEM
IDVA-Q Account #
DIETARY
FALL/WINTER – WEEK 2
ACCT.
| OBJECT CODE |
| IL. VETERANS HOME PHONE # |
| 217-222-8641 |
| ITEM NO. |
| DESCRIPTION OF ARTICLE |
| QUANITY |
| UNIT OF MEASURE |
| UNIT PRICE |
| TOTAL PRICE |
385-47
STOUFFERS CHICKEN & DUMPLINGS
4 PANS, 48 SERVINGS/CASE
| 10 |
| CV |
380-75
LACTAID MILK
12 / HALF PINT/CASE
| 32 |
| CV |
390-68
SHREDDED LETTUCE
4/ 5 POUND BAGS/CASE
| 2 |
| CV |
*DELIVER ON 11-27-18
DELIVERY: COMPLETE |_| INCOMPLETE |_|
INVOICE NO.
DATE MERCHANDISE/OFD COMPLETED
DATE-CHECKED AGAINST INVENTORY
THE MERCHANDISE OR SERVICE BILLED ABOVE HAS BEEN RECEIVED AND COMPLIES WITH OUR SPECIFICATIONS OR REQUEST.
| STOREKEEPER |
| OTHER THAN STOREKEEPERLeah Thomas |
REQUESTED BY
P.O. OR AUTHORIZATION NO.
APPROVED
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