245834 06/03/15 �5�q
CITY OF CARMEL, INDIANA VENDOR: 359602
ONE CIVIC SQUARE GOLD MEDAL PRODUCTS CHECK AMOUNT: $*******157.35*
;. =Q CARMEL, INDIANA 46032 3439 N SHADELAND AVE SUITE 2 CHECK NUMBER: 245834
9'�l�_._.:• INDIANAPOLIS IN 46226 CHECK DATE: 06/03/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 118233 157.35 FOOD & BEVERAGES
/ ORIGIPJA
INVOIC
C L® MEDAL - INDI APOLIS
I ri 1.i? 3439 N.Shadeland Avenue I Suite 2 1 Indianapolis,IN 462 -5789
oldmedalind'!anapolis.com I gmi@gmpopcorn.com I facebook.co gmpindianapolis
NTERED TIMES
S.e
0! —1 1 ---1 ?=a 1 ! : j �-; --- INVOICE: Phone:541.9703
11 e I payment to: ,' Ar Code:317
Dpz�HICLEDt1 ''•� ,l [ 3439 .Shadeland Avenue Suite2 Indianapolis,IN 46226-5789
ALES CODE
FAX
SOLD TO SHIPPED TO 3 7)541-9730
CARMEL PARKS & REC DEPT �-ARMEL CLAY 'ARK:
CARMEL CLAY PARKS ATTN: MICHELLE COMPTON
1411- E 1.16TH STREET 1235 CENTRAL PARK DRIVE
t�ARMT IN 43U31 CARMEL, IN }6C�v2 ORDOSHER DY
TO SHIP
CUSTOMER NUMBER / CUST ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
4603"212,900 05-11.-15 X-2094 OUR TRUCK NET CO
. ® DESCRIPTION
3 0 3 5263 CS NACHO SERVING TRAYS, CS 49 . 95 '149. 135
r fl � _LILY f3 Y 3. ;-)Qc? PER
t.,_y SE
EJEL SURCHARGE 7 . 50
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TFC K Y OET ?i(1 �;} n(�iEN["-. ��C)I
MEDAF, INDI'A1',1A, YOUR ONE STOP
r,CiI C r�SSI0N �UPLY HOUSE. THANKS
To Y.JU, WE HAVE BECOME THE
LARGEST ONE STOP CONCESSION
SC(PP L,Y HOUSE IN INDIANA! ! ! ' ! ! ! !
M ,R.C.IANDISE,
RECEIVED —
TOTAL DUE
'I
PLEASE PAY BY INVOICE
Thanks for this 1.57 .`��'
STATEMENT SENT ON REQUEST
chance to serve you
ALL CLAIMS FOR DAMAGES IN TRANSIT MUST BE MADE BY CONSIGNEE
NO GOODS MAY BE RETURNED WITHOUT OUR WRITTEN PERMISSION PAY THIS AMOUNT
V%%MONTHLY SERVICE CHARGE(18%)ADDED TO PAST DUE ACCOUNTS
INSURANCE ON PARCEL POST SHIPMENTS THROUGH COMMERCIAL CARRIER
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.
359602 Gold Medal Terms.
3439 N. Shadeland Ave., Ste 2
Indianapolis, IN 46226-5789
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/15/15 118233 Nacho trays xx2094 $ 157.35
Total $ 157.35
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
, 20_
Clerk-Treasurer
i
Voucher No. Warrant No.
359602 Gold Medal Allowed 20
3439 N. Shadeland Ave., Ste 2
Indianapolis, IN 46226-5789
In Sum of$
$ 157.35
I
ON ACCOUNT OF APPROPRIATION FOR
I
109-Monon Center
f
PO#or INVOICE NO. CCT#RITC AMOUNT Board Members
Dept#
1095-1 118233 4239040 $ 157.35 1 hereby certify that the attached invoice(s), or
I
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
I
r
May 28, 2015
i
i Signature
$ 157.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund