241948 02/10/15 CITY OF CARMEL, INDIANA VENDOR: 353565
ONE CIVIC SQUARE CROWN TROPHY CHECKAMOUNT: $********37.00*
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 241948
CARMEL IN 46032 CHECK DATE: 02/10/15
('91
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 22474 37.00 GENERAL PROGRAM SUPPL
Invoice
CROWN TROPHY JAN 2 9 2015
Date Invoice #
807 West Carmel Drive 1/29/2015 22474
Carmel, Indiana 46032
Bill To
Carmel Clay Parks and Rec
1235 Central Park Dr. E.
Carmel, IN 46032
Dawn Koepper
P.O. No. Terms Due Date
XX-1552 Net 30 2/28/2015
Item Qty Description Rate Amount
HR905S 6 Insert Medal with Custom Disc and Navy Neck 5.25 31.50T
Ribbon
Shipping& ... 1 Shipping & Handling Charge 5.50 5.50
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy h For Your Total $37.00
Awards & Recognition Needs, payments/Credits $0.00
Balance Due $37.00
Phone# Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
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.
353565 Crown Trophy Terms
807 West Carmel Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/29/15 22474 MCC Spring Open medals xc1552 $ 37.00
Total $ 37.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
I .
Voucher No. Warrant No.
353565 Crown Trophy Allowed 20
807 West Carmel Drive
Carmel, IN 46032
In.Sum of$ .
$ 37.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1096-50 22474 4239039 $ . - 37.00 1 hereby certify that the attached invoice(s), or
bills) is(are)true and correct and that the
j. materials or services itemized thereon for
which charge is made were ordered and
received except
1`
February 5, 2015
_ Signature
$ 37.00 Accounts Payable,.Coordinato,r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
1
- I