186263 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
0 ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $19.95
+o CARMEL, INDIANA 46032 807 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 186263
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 10957 19.95 OTHER MISCELLANOUS
.r
A
CROWN TROPHY I nvoice
Date Invoice
807 West Carmel Drive h��fi 5/26/2010 10957
Carmel, Indiana 46032r
Bill To 114
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
2 P.O. No. Terms Due Date
olG Net 30 6/25/2010
Item Qty Description Rate Amount
254 1 9x 12 Photo Plaque- Gordon Pipers 19.95 19.95T
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total 19.9 5
Awards Recognition Needs Payments /Credits $0.00
Balance Due $19.95
Phone Fax E -mail Web Site
317 -818 -9400 317 -818 -9200 crowncarmel@sbcglobal.net www.crowntrophy.com
Prnscrbed 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
Crown Trophy Purchase Order No.
f 807 West Carmel Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/26/10 10957 payment for plaque 19.95
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
r
ALLOWED 20
Crown Trophy IN SUM OF
807 West Carmel Drive
Carmel, IN 46032
19.95
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 109577 390 -99 19.95 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
June 3 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund