248265 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 049300
`` �\ CHECK AMOUNT: $********12.00*
.I;i ,•: ONE CIVIC SQUARE CARMEL TROPHIES PLUS LLC
s ?�; CARMEL, INDIANA 46032 411 S RANGELINE ROAD CHECK NUMBER: 248265
+M��TON�°, CARMEL IN 46032 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 57960 12.00 OFFICE SUPPLIES
(e�vCarmel Trophies Plus,LLC Invoice
411 S. Range Line Road
°a 8` ��s Carmel, IN 46032 Date Invoice#
7/28/2015 57960
Bill To
Carmel Fire Department ;
2 Civic Square
Carmel,IN 46032
P.O. No. Terms Project
Gary Due Upon Receipt
Description Qty Rate Amount
Name Plate 1 12.00 12.00
Sara VanDyke
Administrative Assistant
Subtotal $12.00
Sales Tax (7.0%) $0.00
Phone# E-mail
(317) 8443770 carmeltrophies@aoLcom Total $12.00
Payments/Credits $0.00
Web Site
WWW.carmelavmrds.com Balance Due $12.00
l
VOUCHER NO. WARRANT NO. I
�Carmel Trophies Plus ALLOWED 20
IN SUM OF$
i
411 South Rangeline Road
Carmel, IN 46032
i
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 57960 42-302.00 $12.00 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
Aur, 1 a 2015
fk
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
57960 $12.00
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
, 20
Clerk-Treasurer