HomeMy WebLinkAbout260141 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 353565
d "il ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: S*******110.00*
s. ?� CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 260141
CARMEL IN 46032 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 33980 26362 110.00 PHOTO PLAQUE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CROWN TROPHY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
807 W CARMEL DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$110.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
=3t 3_ 980 26362 42-390.99 $110.00 1 hereby certify that the attached invoice(s),or 6/20/16 26362 photo plaque for K9's Leo&Kasey $110.00
1110 101 1110 101
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
Wednesday,June 22,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
-�
CROWN��I TROPH Invoice
•'• Date Invoice#
Nationally Known,Locally Owned
807 West Carmel Drive 6/20/2016 26362
Carmel, Indiana 46032
Bill To
Carmel Police Department
3 Civic Square
Carmel, IN 46032
P.O.No. Terms Payment Due Date
Net 30 7/20/2016
Item Quantity Description Rate Amount
243 2 9x12 Solid Wood Photo Plaque w/ 55.00 110.00T
Engraving
Subtotal $110.00
Thank You For Selecting Crown Trophy For Sales Tax(0.0%) $0.00
Total $110.00
Your Awards and Recognition Needs. payments/Credits $0.00
Balance Due $110.00
Phone Fax Email Website
317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com
City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
®'j�' Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JL FEDERAL EXCISE TAX EXEMPT 33980
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ONINVOICES,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
6/10/2016 353565
CROWN TROPHY Police Department
VENDOR 807 W CARMEL DRIVE SHIP 3 Civic Square
TO Carmel,IN 46032-
CARMEL,IN 46032-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
5578
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 42-390.99 Fund: 101 General Fund
1 Each Photo Plaque $110.00 $110.00
Sub Total $110.00
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Send Invoice To:
Police Department K9plaques fiorrLeo
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3 Civic Square R �• "'"" 1-
Carmel,IN 46032- a Lj7.4
o PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $110.00
SHIPPING INSTRUCTIONS `AIP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED
TITLE
CONTROL NO. 33980 CLERK-TREASURER