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320066 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 353565 CHECK AMOUNT: S*""`***9.75` ® ONE CIVIC SQUARE CROWN TROPHY =4 CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK NUMBER: 320066 9MtON�� CARMEL IN 46032 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359000 30671 9.75 _ SPECIAL PROJECTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 353565 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CROWN TROPHY IN SUM OF$ CITY OF CARMEL 807 W CARMEL DRIVE 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. CARMEL, IN 46032 Payee $9.75 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Community Relations 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 30671 43-590.00 $9.75 1 hereby certify that the attached invoice(s),or 12/12/17 30671 $9.75 1203 101 1203 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 Thursday, December 14,2017 Heck, Nancy Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice CROWN TROPHY r. Date Invoice#. Nationally Known,Locally Owned 807 West Carmel-Driv-e 12/12/2017 30671 Carmel, Indiana 46032 Bill To City of Carmel 1 Civic Square Carmel, IN 46032 Sharon Kibbe P.O.No. Terms .Payment Due Date Net 30 ' 1/11/2018 Item Quantity Description Rate Amount Magnetic 2 Magnetic Back 1.75 3.50T 911C 2 1.25 x 3 i White Name Badge 8.00 16.00T City of Carmel Logo -Jim Crider, -Valery De Long Subtotal $19.50 Thank You For Selecting Crown Trophy For Sales Tax(0.0%) $0.00 Total $19.50 . Your Awards and Recognition Needs. Payments/Credits $0.00 Balance.Due $19.50 Phone Fax Email Website 317-818-9400 317-818-9200 crowncarmel@sbcglobal.net www.crowntrophy.com