224896 10/08/2013 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
CHECK NUMBER: 224896
CHECK DATE: 1018/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4239040 106647 157 . 35 FOOD & BEVERAGES
' ORIGINAL
.• •:
OLD MEDA0 PRODUCTS — IN NAPOLIS DIVISION
INVOICE NUMBER _ _ ND AV . • SUITE 2 • INDIANAPOLIS, IN 46
•- l_06Ei iQ m o corn.com
ATE ENTERED TIME I N V OI C E
09-19-1.3 1:50 Phone 103
'I PLEASE REMIT TO: AR4EA DE n
DE 3
D ED 3439 N. SHADELAND AVE., SUITE 2
INDIANAPOLIS, IN 46226
JVFAX E
SOLD TO SHIPPED TO 730
CARMEL PARKS .& REC DEPT CARMEL CLAY PARKS
CARMEL' CLAY PARKS ATTN: MICHELLE COMPTON
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE CARMEL IN 46032 CARMEL, IN 46032
CUSTOMER NUMBER CUST.ORDER DATE CUSTOMER PURCHASE ORDER SHIP VIA TERMS OF SALE
0 5 N 30
DESCRIPTION
3 0 3 5263 .A NACHO SERVING TRAYS, CS LARGE T 49.95 . 149.85
PER CAS .
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'HANK YOU FOR CHOOSING GOLD
HEDAL—INDIANA. YOUR-ONE STOP
ONCESSION SUPPLY HOUSE. THANKS
"O YOKE HAS RF,GOME THF.
LARGEST ONE STOP CONCESSION
SUPPLY H(A)SE IN I aaatii � �
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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'h%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.
Terms
359602 Gold Medal
3439 N. Shadeland Ave., Ste 2
Indianapolis, IN 46226
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s)or bill(s))
$ 157.35
9119113 106647 Concessions
I
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 Board Members
INVOICE NO. CCT#/TITL AMOUNT
Dept#
1095-1 106647 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
3-Oct 2013
Signature
$ 157.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund