251937 12/02/1 5 4'..�,,�' CITY OF CARMEL, INDIANA VENDOR: 367732
® _ ONE CIVIC SQUARE CHALLENGE COINS PLUS CHECK AMOUNT: $""`....379.20;
,_� CARMEL, INDIANA 46032 5840 RED BUG LAKE ROAD,SUITE 35 CHECK NUMBER: 251937
9.y,.oN„�. WINTER SPRINGS FL 32708 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 204623 379.20 OTHER EXPENSES
Challenae C Plus
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
1 800-252-0904
Date: 11/6/2015
Invoice Number:204623
Your new invoice from Challenge Coins Plus
Bill To: Ship To:
City Of Carmel City Of Carmel
PO#33154 PO#33154
One Civic Square One Civic Square
Attn: Jim Spelbring Attn: Jim Spelbring
Carmel,IN 46032 Carmel, IN 46032
USA USA
1 (317)571-2465
P.O Number Terms Ship Date Via
33154 Due Upon Receipt 11/16/2015 UPS
Qty. Description Unit Price Amount
1 UPS International Shipping -Free $0.00 $0.00
60 Custom Challenge Coins $6.32 $379.20
2 Custom Mold Fee $0.00 $0.00
Total: $379.20
Payments/Credits: $0.00
Balance Due: $379.20
Submitted To
NOV&) 2015
Clerk Treasurer
*The charges will appear on your credit card statement as payment to LAPEL PINS PLUS LLC.*
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
11/06/15 ( 204623I I $379.20
301 301
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
CHALLENGE COINS PLUS
5840 RED BUG LAKE ROAD, SUITE 35
IN SUM OF $
WINTER SPRINGS, FL 32708
$379.20
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
204623 ( 110-100.00 I $379.20 1 hereby certify that the attached invoice(s), or
301 301
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
Monday, November 30, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund