242927 03/11/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 353565
ONE CIVIC SQUARE CROWN TROPHY CHECKAMOUNT: $*******723.50*
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 242927
CARMEL IN 46032 CHECK DATE: 03/11115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 32794 22755 723.50 AWARDS
CROWN TROPH Invoice
Date Invoice#
807 West Carmel Drive 3/3/2015 22755
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
P.O.No. Terms Due Date
Net 30 4/2/2015
Item Qty Description Rate Amount
PENWD 6 Engraved Blue Pen in Box 17.50 105.00T
164 2 4x5 Acrylic Billboard w/Black Stand- 10 Yr 33.00 66.00T
125-2 1 6in Blue Rockwell Acrylic Award- 15 Yr 35.00 35.00T
155-2 5 5.5x9.25in Arch Acrylic on black base-20 Yr 33.00 165.00T
2332 4 6x8in Blue Colorific Crystal Award -25 Yr 55.00 220.00T
2362-3 1 8.75in Magnitude Crystal- 35 Yr 75.00 75.00T
Engraving C... 2 Engraving Charge- Shield on box 15.00 30.00T
2409W 1 6x8 Walnut Plaque with Engraved Plate -Top Gun 20.00 20.00T
ENG-Sub 1 Engraving Small Plate-Kinyon 7.50 7.50T
Sales Tax(0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $723.50
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $723.50
Phone# Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
co INDIANA RETAIL TAX EXEMPT PAGE
ito Carmel
CERTIFICATE NO.003120155 002 0� Y PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT X794
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
f FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
31332015t-
CFown TFophy Camnel Police Dovafttent
VENDOR SHIP 3 Civic Squa v
art West Cal--r-wai Ddtjc, TO Caffn@l, IN 460202
Cameral, IN 46032 ( 17)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-450.02
1 Each awards $723.50 $723.50
Sub Total: $723.50
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Send Invoice To:
Calfnel Police Department
Attn: Peat Young
3 Civic Squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $72'3.50
` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THQTTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRI (0 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY y /
SHIPPING LABELS. /I {a�i�� �t ��ii�6
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I///M
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 32794 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
• - Signature ---- -.-----
Title .
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Crown Trophy ALLOWED 20
IN SUM OF$
807 West Carmel Drive
Carmel, IN 46032
$723.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrlTLE AMOUNT Board Members
.(---32794 22755 43-450.02 $723.50 I 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
Thursday, March 05, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
03/05/15 22755 banquet awards $723.50
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