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324683 04/30/18 { i ;! *� CITY OF CARMEL, INDIANA VENDOR: 049300,:. . d ONE CIVIC SQUARE CARMEL:TROPHIES PLUS LLC CHECK AMOUNT: $*********9.50* CARMEL, INDIANA 46032 303 W CARMEL DRIVE CHECK NUMBER: 324683 9,;...._.., ' SUITE B CHECK DATE: 04/30/18 t--Brody°' CARMEL IN 46032 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4230200 71721 9.50 OFFICE SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 049300 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CARMEL TROPHIES PLUS LLC IN SUM OF$ 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 $9.50 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 71721 42-302.00 $9.50 1 hereby certify that the attached invoice(s), or 4/27/18 71721 Name Plate for Nathan Chavez $9.50 1192 101 1192 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 Monday,April 30,2018 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 ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Carmel Trophies Plus, LLC Invoice 303 W. Carmel Drive Awards& -01) s Suite B Date Invoice# Carmel, IN 46032 4/27/2018 71721 Bill To City of Carmel Accounts Payable 1 Civic Center Carmel,IN 46032 f P.O_Ifo_ Terms Project Lisa Motz Due Upon Receipt Description Qty Rate Amount Name Plate 1 9.50 9.50 Nathan Chavez Subtotal $9.50 Sales Tau (7.0%) $0.00 Phone# E-mail (317) 544-3770 canneltropMes@aol.com Total $9.50 Payments/Credits $0.00 Web Site www.carmelawards.com Balance Due $9.50