249656 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 353565
® ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $**......18.50*
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 249656
CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 23025 18.50 BUILDING MATERIAL
CROWN7TROPHY Invoice
Date Invoice#
807 West Carmel Drive 4/14/2015 23025
Carmel, Indiana 46032
Bill To
r
Carmel Clay Parks and Rec AUG 2 6 2015
1235 Central Park Dr. E.
Carmel, IN 46032
Dawn Koepper
P.O. No. Terms Due Date
XX-1910 Net 30 5/14/2015
Item Qty Description Rate Amount
Engraving 5... 3 Round Plastic Disc 5.00 15.00T
Shipping& ... 1 Shipping &Handling Charge 3.50 3.50
Sales Tax(0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $18.50
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $18.50
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
4/14/15 23025 Replacement locker numbers xxi 910 $ 18.50
Total I $ 18.50
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.
353565 Crown Trophy Allowed 20
807 West Carmel Drive
Carmel, IN 46032
In Sum of$
$ 18.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. PCCT#MTLE AMOUNT Board Members
Dept#
1093 23025 4235000 $ 18.50 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
September 17, 2015
Signature
$ 18.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i
I