251953 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 353565
® =1 ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $ .....299.25'
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 251953
vM�TpN-�` CARMEL IN 46032 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 33241 24661 299.25 PHOTO PLAQUE
r Invoice
N-OWNIV-1 TROPHY Date Invoice#
America's Largest Awards Supplier 11/10/2015 24661
807 West Carmel Drive
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel,IN 46032
P.O.No. Terms Due Date
Net 30 12/10/2015
Item Qty Description Rate Amount
254 15 9x12 Photo Plaque - Citizens Academy 19.95 299.25T
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $299.25
Awards & Recognition Needs. Payments/Credits $0.00
Balance Due $299.25
Phone# Fax # E-mail Web Site
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
(�° INDIANA RETAIL TAX EXEMPT PAGE
City
®J,Lr Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M24i
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
X90996 .
Tmphy CmrmGl PollcG DGpMftMGRt
VENDOR SHIP 3 CIVIC SgUM
W West Cil 1Ymol DdvG TO Cm`lffif i alp IN 48M
Calfs®l, IN 461 2 (397)671-2M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-02.00
9 Each photo plaque $299.26 $299.26
Sub Total: $299.26
16.1
A. t�
Send Invoice To: }
Carmel Pollce Dep2nlen4
Attn: Pat Young
CIVIC squm
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. \7 PAYMENT
• 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 CERTIFYTHAT, HERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS AP�AT ON UFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �Zhld o9 Polleo
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 33241 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
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))
11/10/15 24661 photo plaque $299.25
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
$299.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
33241 I 24661 I -852.00 I $299.25 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
Tuesday, November 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund