217644 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 359602 Page 1 of 1
` ONE CIVIC SQUARE GOLD MEDAL PRODUCTS
CHECK AMOUNT: $86.71
CARMEL, INDIANA 46032 3439 N SHADELAND AVE SUITE 2
`o INDIANAPOLIS IN 46226 CHECK NUMBER: 217644
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4238000 101596 86 . 71 SMALL TOOLS & MINOR E
ORIGINAL
.• •.
LD MEDAL® P POLIS DIVISION
INVOICE NUMBER 3439 N E 2 • INDIANAPOLIS, IN 4622
1015 E-Mail gmiQgmpopcorn.com www.gmpo
D TIME INVOICE
02-14-13 5: 48 Phone 541-9703
PLEASE REMIT TO: _ AREA CODE 917
°A 3439 N. SHADELAND AVE., SUITE 2 � 1
INDIANAPOLIS, IN 46226 FEB 1 2013
I SALES CODE
FAX
SOLD TO SHIPPED TO Bbl; _ (317)541-9730
CARMEL PARKS & REC DEPT CARMEL CLAY PARKS- — -�
CARMEL CLAY PARKS ATTN: DAWN KOEPPER
1411 E 116TH STREET 1411 E 116TH STREET ORDER READY
CARMEL IN 46032 CARMEL, IN 46032 TO SHIP
CUSTOMER NUMBER CLIST.ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
11 �,j2000 02-12-13—13 7 TIPS NFz_aL)
4 0 4 47538NMS EA HANDLE BAR BRACKET SILAE 195 75:80
UPS CHARGES 6.96
UPS NANnT TNr, .3_q5—
_ IIII ( II � II , I � IIIII ) I ., IIIIIIIIII
HANK YOU FOR CHOOSING GOLD
CONCESSION SUPPLY HOUSE. MAKE
TQ P.HECK 011T OUR `'ITF AT
_GMPOPCORN_COM AND CHECK OUT
r
MEDAL INDIANAPOLIS. THANKS TO
—8,LL IL 1 - '1011- WE HAVE BECOME THE LARGEST
Description )NE STOP CONCESSION SUPPLY IN
I I I I I I I I I t 1 1 1 1 1 1 1 f I I I l I 1
G.L.# _
Budget PRICING! NEW PRICING FOR 50 LB
Purchaser Date 13AGS!
Approval Date
MERCHANDISE RECEIVED
PLEASE PAY BY INVOICE
Thanks for this 86.71
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
1 A9/6 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
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/14/13 101596 Snow cone awning brackets $ 86.71
Total $ 86.71
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
Voucher No. Warrant No.
359602 Gold Medal Allowed 20
3439 N. Shadeland Ave., Ste 2
Indianapolis, IN 46226
In Sum of$
$ 86.71
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 101596 4238000 $ 86.71 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
21-Feb 2013
Signature
$ 86.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund