209166 05/22/2012 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: $62.50
INDIANAPOLIS IN 46226 CHECK NUMBER: 209166
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 95875 62.50 FOOD BEVERAGES
ORIGINAL
SOLD MIEDA0 PRODUCTS 1191®IArJAP®LIS ®IVISICrJ
INVOICE NUMBER 3439 N. SHADELAND AVE. SUITE 2 INDIANAPOLIS, IN 46226
5875 E -Mail gmiQgmpopcorn.com www.gmpopcorn.com /indianapolis
DATE ENTERED TIME INV OI CE
5 -07 -12 10 :26 Phone 541 -9703
PLEASE REMIT TO: AR EA CODE 317
ATE BILLED 3439 N. SHADELAND AVE., SUITE 2
INDIANAPOLIS, IN 46226
L41-9
SOLD TO SHIPPED TO BROOKSHIRE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL IN 46033
TO SHIP
CUSTOMER NUMBER C ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
4603312120 05 -07 -12 DEBBIE OUR TRUCK NET 30
I NE 1 0 1 265 S PORTION PACK NACHO CHIPS 48 BAG 22.50 22.50
PER CAF EXPIRATION DATE
1 0 1 5277 S EL NACHO GRANDE PORTION PACK 32.50 32.50
CHEESE 48-3.5 OZ PER CASE
EXPI RAT I r TE
FUEL SURCHARGE 7.50
11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
HANK YOU FOR CHOOSING GOLD
M EDAL INDIANA, YOUR ONE STOP
ONCESSION SUPPLY HOUSE. MAKE
URE TO CHECK OUT OUR WEBSITE AT
WW.GMPOPCORN.COM AND CHECK OUT
HE SPECIAL DEALS UNDER GOLD
EDAL INDIANAPOLIS. THANKS TO
Y OU, WE HAVE BECOME THE LARGEST
ONE STOP CONCESSION SUPPLY IN
NDIANA!!IIII!!!!!!!!!!!)II!II!
F YOU DO NOT SEE WHAT YOU WANT
N THE NEW 2011 CATALOG, CALL
00- 874 -1090 AND ASK WHAT'S NEW
N THE CONCESSION INDUSTRY.
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ERCHANDISE RECE
PLEASE PAY BY INVOICE
Thanks for this 62.50
STATEMENT SENT ON REQUEST
chance to serve you
ALL CLAIMS FOR DAMAGES IN TRANSIT MUST BE MADE BY CONSIGNEE f
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
$62.50
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1207 I 95875 I 42- 390.40 I $62.50 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
Wednesday, May 16, 2012
Director, Brookshir 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. 1995)
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))
05/07/12 95875 Food $62.50
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