186822 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 359602 Page 1 of 1
ONE CIVIC SQUARE GOLD MEDAL PRODUCTS
CARMEL INDIANA 46032 3439 N SHADELAND AVE SUITE 2 CHECK AMOUNT: $56.90
INDIANAPOLIS IN 46226
CHECK NUMBER: 186822
CHECK DATE: 612312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 82550 56.90 FOOD BEVERAGES
ORIGINAL
GOLD MEDAL PRODUCTS NN®AAMAPOLOS MOVOSOOOI
INVOICE NUMBER 3439 N. SHADELAND AVE. SUITE 2 m INDIANAPOLIS, IN 46226
E -Mail gmi@gmpopcorn.com http: /www.gmpopcorn.com
DATE ENTERED TIME INVOICE
06 -07 -10 15.19
CAYE SHIPPED PLEASE REMIT TO: Phone 541 -9703
3439 N. SHADELAND AVE., SUITE 2 Efl CODE 3 7
INDIANAPOLIS, IN 46226
S E C
F
SOLD TO SHIPPED TO 1 19730
BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
RDER 4ADY
CARMEL IN 46033 TO SIP
CUSTOMER NUMBER CUST- ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
4603312120 06 -07 -10 DEBBIE LLOYD NET 30
DESCRIPTION uNrr PRICE
_1 0 _1 _5 ORT ION PACK CHEE CS 48 32.95 32.95
1 Q 1 5265 PORTION PACK NACHO CHIFS LL 48 BAGS ].8 95 18.95
PER CASE
FUEL SURCHARGE 5.00
THANKS FOR SELECTING GOLD MEDAL
INDIANA FOR YOUR ONE STOP
CONCESS SURPLY HOUSE MAKE
SURE TO CALL AND ASK WHAT'S NEW.
MAKING ITEMS FOR YOUR MENU.
AGATN; THANKSVFOR USING THE
NUMBER ONE CONCE SUPPLY
HOUSE IN IND ANA.
I l l l l l l l l l l l l l l i l l l l l l l! I I I I I I I I
MERCHANDISE RECEIVED
PLEASE PAY BY INVOICE
STATEMENT SENT ON REQUEST Thanks for this 56.90
chance t o S erve yo
ALL CLAIMS FOR DAMAGES IN TRANSIT MUST BE MADE BY CONSIGNEE
NO GOODS MAY BE RETURNED WITHOUT OUR WRITTEN PERMISSION
1Y MONTHLY SERVICE CHARGE (18 ADDED TO PAST DUE ACCOUNTS
INSURANCE ON PARCEL POST SHIPMENTS THROUGH COMMERCIAL CARRIER
VOUCHER NO. WARRANT NO.
ALLOWED 20
'Gold Medal Products- Indianapolis Div.
IN SUM OF
3439 N. Shadeland Ave. Suite 2
Indianapolis, IN 46226
$56.90
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT i Board Members
1207 82550 42- 390.40 $56.90 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
Friday, June 11, 2010
Director, Br shire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev, 194
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/07/10 82550 Food $56.
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