222000 07/17/2013 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: $157.35
�? INDIANAPOLIS IN 46226
„o CHECK NUMBER: 222000
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 104469 157 . 35 FOOD & BEVERAGES
' 1 ORIGINA
• - D MEDA0 PRODUCTS IMOIAMAPOLIS DIVISION
INVOICE SHADELAND AVE. • SUITE 2 • INDIANAPOLIS, IN 46
10446 E- opcorn.com in Ianapo Is
_I
9--E D TIME INVOICE
13 15.23 Phone 541-9703
PLEASE REMIT TO: �g� A*A CODE 317
3439 N. SHADELAND AVE., SUITE g V�'sCEI �1 � 9
INDIANAPOLIS, IN 46226 JUL 0 1 2013
I SALES CODE
FAX
SO �; (317)541-9730
�?k�MEL PARRS & REC DEPT W t CLAY P
CARMEL CLAY PARRS ATTN: MICHELLE COMPTON
1411 E 116TH STREET 1235 CENTRAL PARR DRIVE
CARMEL IN 46032 CARMEL, IN 46032 ORDER READY
TO SHIP
CUSTOMER NUMBER CLIST.ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
4603212300 106-27-13 MC004310 OUR TRUCK NET 30
� ® ' SC IPTION
3 0 3 5263 RA NACHO SERVING TRAYS, CS LARGE T 49.95 149.85
6 R 8, 500 PER CASE
FUEL SURCHARGE 7.50
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
w!HANK YOU FOR CHOOSING GOLD
IIEDAL INDIANA, YOUR ONE STOP
NCESSION SUPPLY HOUSE. THANKS
0 YOU, WE HAVE BECOME THE
1ARGEST ONE STOP CONCESSION
SUPPLY HOUSE IN INDIANA! ! ! ! ! ! ! !
tERCHANDISE RECEIVED
I�-a C k'ao_- -- c I-c-C 6-10-
-i o4D
PLEASE PAY BY INVOICE
Thanks for this 157.35
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
1%%MONTHLY SERVICE CHARGE(18%)ADDED TO PAST DUE ACCOUNTS
INSURANCE ON PARCEL POST SHIPMENTS THROUGH COMMERCIAL CARRIER
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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
6/27/13 104469 Nacho trays for concessions $ 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
Voucher No. Warrant No.
359602 Gold Medal Allowed 20
3439 N. Shadeland Ave., Ste 2
Indianapolis, IN 46226
In Sum of$
$ 157.35
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-1 104469 4239040 $ 157.35 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
10-Jul 2013
Signature
$ 157.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund