241700 02/03/15 'f. CITY OF CARMEL, INDIANA VENDOR: 353565
® ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: S"*'*"**20.00'
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 241700
9 �N CARMEL IN 46032 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22263 20.00 OTHER EXPENSES
CROWN TROPHY Invoice
Date Invoice #
807 West Carmel Drive 12/22/2014 22283
Carmel, Indiana 46032
Bill To
City of Carmel Utilites
1 Civic Square
Carmel, IN 46032
Duane Jarvis
P.O. No. Terms Due Date
Net 30 1/21/2015
Item Qty Description Rate Amount
Engraving La... 1 Re-do Engraving Large Plate 20.00 20.00T
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $20.00
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $20.00
Phone# Fax # E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
353565
CROWN TROPHY Purchase Order No.
807 WEST CARMEL DRIVE Terms
CARMEL, IN 46032 Due Date 1/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2015 22283 $20.00
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
Date Officer
VOUCHER # 146585 WARRANT # ALLOWED
353565 IN SUM OF $
CROWN TROPHY
807 WEST CARMEL DRIVE
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
22283 01-7200-01 $20.00
Voucher Total $20.00
Cost distribution ledger classification if
claim paid under vehicle highway fund