OFD - - WFO FW4-10-16-2018.docx
DOCX document 42 KB Posted
- Attached to
- FY19 Dty F/W W4 10-16-18
- Solicitation number
- 19-497DVA-QUINC-B-3402
- Issued by
- Illinois
About this file
This document is a Work Copy Order for Delivery (OFD) from the State of Illinois for the Illinois Veterans Home for Dietary Fall/Winter - Week 4. The order includes a variety of food and food service items such as biscuit gravy mix, vegetables, gravy mix, potato chips, croissants, egg patties, catfish fillets, hushpuppies, creamed chipped beef, blueberries, Polish sausage, diced potatoes, prunes, pancake wraps, pudding, rice krispie treats, chili beans, Fritos, diced ham, rotini noodles, shredded lettuce, Lactaid milk, and Splenda. The order is for delivery on 10-16-2018. The quantities for each item are specified, ranging from 1 case to 27 cases.
The order provides the item number, description, quantity, unit of measure, unit price, and total price for each item. The order is placed by S.F. Prenger and must be approved. This appears to be a recurring weekly order for the Illinois Veterans Home dietary needs during the Fall/Winter season.
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Text version
STATE OF ILLINOIS FY19 Dty F/W Wk4-10-16-18WORK COPY
ORDER FOR DELIVERY
VENDOR
SHIP/ BILL TO
IDVA-Q Account #
DIETARY
FALL/WINTER – WEEK 4
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 |
393-48
HOME STYLE OLD FASHIONED BISCUIT GRAVY MIX
6/1.5 BAGS/CASE
| 4 |
| CV |
385-96
KEYWEST VEGETABLES
24 POUNDS/CASE
| 5 |
| CV |
393-48
COUNTRY STYLE GRAVY MIX (WHITE/MILK)
6 BAGS/CASE
| 8 |
| CV |
393-10
POTATO CHIPS, SOUR CREAM & ONION
104/1 OUNCE BAGS/CASE
| 3 |
| CV |
385-12
SARA LEE, 2.3 OUNCE SLICED CROISSANTS
150 EACH/CASE
| 2 |
| CV |
385-30
1.50 OUNCE EGG PATTY OVER EZ EGG LARGE
160 EACH/CASE
| 2 |
| CV |
385-46
AMERICAN CATCH 4 OUNCE BREADED CATFISH FILLETS
10 POUNDS/CASE, 32 SERVINGS/CASE
| 12 |
| CV |
385-06
SOUTHERN STYLE BATTERED HUSHPUPPIES
12 POUNDS/CASE, 160/1.16 OUNCE/CASE
| 5 |
| CV |
385-47
STOUFFERS CREAMED CHIPPED BEEF
4/76 OUNCE CONTAINERS/CASE (50/6 OUNCE SERVINGS)
| 8 |
| CV |
385-48
BLUEBERRIES, IQF
30 POUNDS/CASE
| 3 |
| CV |
385-42
SMITHFIELD, 5:1 POLISH SMOKED SAUSAGE LINKS
10 POUNDS/CASE, 50 COUNT
| 7 |
| CV |
385-42
FARMLNAD POLISH SAUSAGE
10 POUNDS/CASE
| 3 |
| CV |
*DELIVER ON 10-16-2018
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 |
REQUESTED BYS.F. Prenger
P.O. OR AUTHORIZATION NO.
APPROVED
STATE OF ILLINOIS P-2WORK COPY
VENDOR
SHIP/ BILL TO
IDVA-Q Account #
FALL/WINTER – WEEK 4
ACCT.
| OBJECT CODE |
| IL. VETERANS HOME PHONE # |
| 217-222-8641 |
| ITEM NO. |
| DESCRIPTION OF ARTICLE |
| QUANITY |
| UNIT OF MEASURE |
| UNIT PRICE |
| TOTAL PRICE |
393-86
NO SKINS, 5/8 DICED POTATOES
20 POUNDS/CASE
| 14 |
| CV |
393-54
PITTED PRUNES
6/#10 CANS/CASE
| 2 |
| CV |
385-56
WHOLE GRAIN MAPLE FLAVORED PANCAKE WRAPS
56 COUNT/CASE
| 8 |
| CV |
393-46
PUDDING, VANILLA
6/#10 CANS/CASE
| 2 |
| CV |
393-43
0.78 OUNCE RICE KRISPIE TREATS
144 COUNT/CASE
| 3 |
| CV |
393-86
BROOKS HOT CHILI BEANS
6/#10 CANS/CASE
| 3 |
| CV |
393-10
FRITOS
104/1 OUNCE BAGS/CASE
| 3 |
| CV |
390-49
DICED HAM
10 POUNDS/CASE
| 3 |
| CV |
393-61
NOODLES, TRI-COLORED ROTINI
20 POUNDS/CASE
| 1 |
| CV |
390-68
SHREDDED LETTUCE
4/5 POUND BAGS/CASE
| 1 |
| CV |
380-75
LACTAID MILK
12/0.5 PINTS/CS
| 27 |
| CV |
393-81
SPLENDA SWEETNER GRANULAR
8/9.7 OUNCE BAGS/CASE
| 3 |
| CV |
*DELIVER ON 10-16-2018
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 |
REQUESTED BYS.F. Prenger
P.O. OR AUTHORIZATION NO.
APPROVED
STATE OF ILLINOIS P-3WORK COPY
VENDOR
SHIP/ BILL TO
IDVA-Q Account #
FALL/WINTER – WEEK 4
ACCT.
| OBJECT CODE |
| IL. VETERANS HOME PHONE # |
| 217-222-8641 |
| ITEM NO. |
| DESCRIPTION OF ARTICLE |
| QUANITY |
| UNIT OF MEASURE |
| UNIT PRICE |
| TOTAL PRICE |
393-59
JELLY, GRAPE
6/#10 CANS/CASE
| 2 |
| CV |
393-48
DRESSING, HIDDEN VALLEY LOW FAT RANCH
60/1.5 OUNCE PACKETS/CASE
| 1 |
| CV |
390-49
FARMLAND SLICED BOLOGNA
12 POUNDS/CASE
| 1 |
| CV |
*DELIVER ON 10-16-2018
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 |
REQUESTED BYS.F. Prenger
P.O. OR AUTHORIZATION NO.
APPROVED
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