249220 09/09/15 r G.IA
CITY OF CARMEL, INDIANA VENDOR: 353565
ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: S'"""259.35'
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 249220
} CARMEL IN 46032 CHECK DATE: 09/09/15
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A�'f TON G�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 33046 23141 259.35TEAM PHOTO PLAQUE
CROWN TROPHY Invoice
Date Invoice #
807 West Carmel Drive 5/1/2015 23141
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
P.O.No. Terms Due Date
Net 30 5/31/2015
Item Qty Description Rate Amount
254 13 9x12 Photo Plaque - Citizens Academy 19.95 259.35T
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $259.35
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $259.35
Phone# Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
_ I
INDIANA RETAIL TAX EXEMPT PAGE
City
of
CarmeL,
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
:]
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
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
Cram Trophy Cwt01 Pollee DopmKment
VENDOR SHIP 3 Civic Squam
ON Mat Carmol Ddvo TO C=ol, IN 46M
Cwmol, IN 46032 (W)571-2&%
CONFIRMATION BVUNIT
CONTRACT PAYMENT TERMS FREIGHT
Account
�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00462.0 D
9 Each team photo plaque $259.35 $259.35
Sub Total: $259.35 i
1
• °•
3
t
1
Send Invoice To:
Carmol P®hco Doptmon4
Attn: Pat Young
3 Civic Squm
CwmGl, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carrel Police Dept. PAYMENT .35
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION UFFIGIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ..s/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. ISP Bf Y®II�O
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 3 0 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER VVARRANTNO`____
ALLOWED 20___
|NTHE SUM UF$
r
ONACCOUNT(}FAPPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#MTLE AMOUNT
| hereby certify that the attached immke(s)' or
bill(s) is (are) true and correct and that the
materials orservices itemized thereon for
which charge iemade were ordered and
rcoaivedexoep�
2O____
.... ................... _............. ___.............___ ......... __........... ..........
'
Signature .
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))
05/01/15 23141 photo plaque $259.35
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crown Trophy
IN SUM OF $
807 West Carmel Drive
Carmel, IN 46032
$259.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33046 I 23141 I -852.00 I $259.35 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
Wednesda , ptember 02, 2015
�Z/ Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund