241263 01/22/15 CMN .
��-V MR! - CITY OF CARMEL, INDIANA VENDOR: 353565
d ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: S"'M*'""*9.50*
r° CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 241263
9M��>ne�o CARMEL IN 46032 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 22409 9.50 OTHER CONT SERVICES
Nky
CROWN TROPHY Invoice
Date Invoice#
807 West Carmel Drive 1/16/2015 22409
Carmel, Indiana 46032
Bill To
Carmel Redevelopment Commission
30 W. Main Street, Suite 220
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 2/15/2015
Item Qty Description Rate Amount
Engraving La... 1 2.5 x 9.75 Desk plates - replace 9.50 9.50T
Bob Dalzell
Sales Tax (0.0%) $0.00
Thank You For Selecting Gown Trophy For Your Total $9.50
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $9.50
Phone# Fax # E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
(roa , Tro ' Purchase Order No.
307 V far me I Terms
(ar me I / T/tl 4� Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
I- 615 2Z�} 155i nPr c 50
Total Sp
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
raven Tro pl,�r IN SUM OF $
goy �✓ Carmel I�r. -
C�rme�, T Y 46 2
$ so
ON ACCOUNT OF APPROPRIATION FOR
190 1 A350 00
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
214 08 9,50 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
1-2-0- 2015
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund