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186781 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1 ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $2,318.90 CARMEL, INDIANA 46032 807 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 186781 CHECK DATE: 6/2312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4345002 26933 11098 1,245.90 MERCHANT PARKING PERM 1207 4239099 11135 1,073.00 OTHER MISCELLANOUS r. R Invoice C OWN TROPHY Date Invoice 807 West Carmel Drive 6/9/2010 11098 Carmel, Indiana 46032 Bill To City of Carmel 1 Civic Square Carmel, IN 46032 Tim Zellers P.O. No. Terms Due Date Net 30 7/25/2009 Item Qty Description Rate Amount PNTAGS 250 585 Window Hanger with one color imprint on 1.65 412.50T one side Misc 250 Second color Imprint on front 0.65 162.50T M1SC 250 One color Imprint on back 0.65 162.50T Misc 250 Reflective Color Light Green on Front 1.98 495.00T Shipping 1 Shipping Handling Charge 13.40 13.40 Sales Tax (0.0 $0.00 Thank You For Selecting Crown Trophy For Your Total $1,245.90 Awards Recognition Needs, Payments /Credits $0.00 Balance Due $1,245.90 Phone Fax E -mail Web Site 317 -818 -9400 317 -818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com INDIANA RETAIL TAX EXEMPT PAGE C of �'armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 26933 3 9MCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 ?URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO: DESCRIPTION June 14, 2010 merchan t arking permits VENDOR Crown Trophy SHIP City of Carmel Police Department 807 West Carmel Drive TO 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 250 merchant parking permits 1,245.90 t 7 >p 4. f r jp 3 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCO T RO_ E PROJECT ACCOUNT AMOUNT 1110 s YMEN7 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 666 W fI NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS AP ROPRIATION SUFFICIENT TO PAY F- R THE ABOVE ORDER. p C.Q.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f PURCHASE ORDER NUMBER MUST APPEAR ON ALL aA SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 6fpBolice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- CLERK-TREASURER DOCUMENT CONTROL NO- A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO.,_ a ALLOWED 20 IN THE SUM OF i ON ACCOUNT OF APPROPRIATION FOR i t 4 Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT I DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for i which charge is made were ordered and received except F 2© Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board o1 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. 26933F 807 West Carmel Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/9/10 11098 payment for merchant parking permits 1,245.90 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. ALLOWED 20 Crown Trophy IN SUM OF 807 West Carmel Drive Carmel, IN 46032 1,245.90 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Poi or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice {s or 26933F 11.098 5t�t 1,245.90 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 ,Tune 14 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund CROWN TROPHY Invoice Date Invoice 807 West Carmel Drive 6/11 /2010 11135 Carmel, Indiana 46032 Bill To City of Carmel 1 Civic Square Carmel, IN 46032 P.O. No. Terms Due Date Net 30 7/11/2010 Item Qty Description Rate Amount 2217 1 19in Championship Silver Cup 295.00 295.00T 2310 1 9in Crystal Sport Pedestal Award 58.00 58.00T 2312 5 13in Crystal Pedestal Sport Ball 100.00 500.00T 2825 5 6in Crystal Sport Pedestal Award 44.00 220.00T City Golf Championship at Brookshire Sales 'Tax (0.0 $0.00 Thank You For Selecting Crown Trophy For Your Total $1,073.00 Awards Recognition Needs, Payments /Credits $0.00 Balance Due $1,073.00 Phone Fax E -mail Web Site 317 818 -9400 317 -818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com VOUCHER NO. WARRANT NO. ALLOWED 20 Crown Trophy IN SUM OF 807 West Carmel Drive Carmel, IN 46032 $1,073.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1207 11135 42- 390.99 $1,073.00 1 hereby certify that the attached invoice(s), or 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, June 14, 2010 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/11/10 11135 Trophy $1,073.00 1 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