210373 07/05/2012 "a 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: 210373
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 96934 62.50 FOOD BEVERAGES
•I ORIGINAL
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830 LC MEEMAO PRO13UCTS IIJOIAIJAP®LIS ®IVISIOrJ
INVOICE NUMBER 3439 N. SHADELAND AVE. SUITE 2 o INDIANAPOLIS, IN 46226
96934 E -Mail gmi @gmpopcorn.com www.gmpopcorn.com /indianapolis (m
DATE ENTERED TIME I
06 1 :35 Phone 541 -9703
PLEASE REMIT TO: A rA CODE 317
ATE BILL 3439 N. SHADELAND AVE., SUITE 2 1
X INDIANAPOLIS, IN 46226
SALA COD
X
SOLD RO S HIPPED T 7 a 73
OKSHI RE GOLF CLUB
12120 BROOKSHIRE PKWY
CARMEL IN 46033 4A
ORDER R Y
TO SHI
CUSTOMER NUMBER COST. ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
4603312120 06 -18 -12 DEBBIE OUR TRUCK NET 30
1 0 1 5265 CSIPORTION PACK-NACHO CHIPS 48 BAG 22.50 22.50
PER C EXPIRATION DATE
1 0 1 5277 S EL NACHO GRANDE PORTION PACK 32.50 32.50
CHEESE 48 -3.5 OZ PER CASE
EXP I2AT I ON DATE
q 3
FUEL SURCHARGE 7.50
HANK YOU FOR CHOOSING GOLD
M EDAL INDIANA, YOUR ONE STOP
ONCESSION SUPPLY HOUSE. MAKE
S URE TO CHECK OUT OUR WEBSITE AT
WWW .GMPOPCORN.COM AND CHECK OUT
HE SPECIAL DEALS UNDER GOLD
M EDAL INDIANAPOLIS. THANKS TO
OU, WE HAVE BECOME THE LARGEST
O NE STOP CONCESSION SUPPLY IN
NDIANA)
TE ARE NOW OPEN ON SATURDAYS
:00 AM TO NOON UNTIL AUGUST
5TH. WHEN YOU RUN OUT OF
S UPPLIES ON FRIDAY NIGHT, COME
O VER AND RESTOCK!!!!!
A 12
EkGHANUI SE ^RE•CEI'VE
PLEASE PAY BY INVOICE T
Thanks for this 62.50
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
1h% MONTHLY SERVICE CHARGE (18 ADDED TO PAST DUE ACCOUNTS
INSURANCE ON PARCEL POST SHIPMENTS THROUGH COMMERCIAL CARRIER
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))
06/20/12 96934 chip and cheese $62.50
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
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. ACCT #/TITLE AMOUNT Board Members
1207 I 96934 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
Thursday, June 21, 2012
Director, Brookshir olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund