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320235 01/04/18 _ ':; CITY OF CARMEL, INDIANA VENDOR: 049300 ONE CIVIC SQUARE CARMEL TROPHIES PLUS LLC CHECK AMOUNT: $**....**40.00* 4 CARMEL, INDIANA 46032 303 W CARMEL DRIVE CHECK NUMBER: 320235 ,9 SUITE B CHECK DATE: 01/04/18 Mr3Nl6° CARMEL IN 46032 y DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 71169 26.00 OFFICE SUPPLIES 1192 4230200 71190 14.00 OFFICE SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 049300 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CARMEL TROPHIES PLUS LLC IN SUM OF$ CITY OF CARMEL 303 W CARMEL DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE B rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CARMEL, IN 46032 Payee $40.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 71169 42-302.00 $26.00 1 hereby certify that the attached invoice(s),or 12/20/17 71169 Name plates for Shestak and Green,1 desk $26.00 1192 101 Prior Year 1192 101 holder 71190 42-302.00 $14.00 bill(s)is(are)true and correct and that the 12/21/17 71190 2 desk holders $14.00 1192 101 Prior Year materials or services itemized thereon for 1192 101 which charge is made were ordered and received except Wednesday,January 03, 2018 Mike Hollibaugh 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 distribution !r classification if claim paid motor vehicle highway fund. Clerk-Tre 9r Carmel Trophies Plus, LLC Invoice 303 W. Carmel Drive Avards& -61"s Suite B Date Invoice# Carmel, IN 46032 12/20/2017 71169 Bill To City of Carmel Accounts Payable 1 Civic Center Carmel,IN 46032 P.O. No. Terms Project Lisa Motz Due Upon Receipt Description Qty Rate Amount Name Plate 2 9.50 19.00 Joe Shestak Tim Green Desk Holder 1 7.00 7.00 Subtotal $26.00 Sales Tax (7.0%) $0.00 Phone# E-mail (317) 844-3770 carmeltrophies@aol.com Total $26.00 Payments/Credits $0.00 Web Site www.cannelawards.com Balance Due $26.00 l Carmel Trophies Plus, LLC Invoice 303 W. Carmel Drive aid sae rfts Suite B Date Invoice# Carmel, IN 46032 12/21/2017 71190 Bill To f City of Carmel t! � Accounts Payable 1 Civic Center Carmel,IN 46032 P.O. No. Terms Project Lisa Motz Due Upon Receipt Description Qty Rate Amount Desk Holder 2 7.00 14.00 Subtotal $14.00 Sales Tax (7.0%) $0.00 Phone# E-mail (317) 844-3770 carmeltrophies@aol-com Total $14.00 Payments/Credits $0.00 Web Site www.carmelawards.com Oalance Due $14.00