192793 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $80.00
CARMEL IN 46032 CHECK NUMBER: 192793
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 12256 80.00 PROMOTIONAL FUNDS
CROWN TROPHY
Invoice
Date Invoice
807 West Carmel Drive 12/8/201.0 12256
Carmel, Indiana 46032
Bill To
City of Carmel
1 Civic Square
Carmel, IN 46032
Melanie Lentz
P.O. No. Terms Due Date
Net 30 1/7/2011
Item Qty Description Rate Amount
2324 1 7.25x9in Crystal Shield Award 65.00 65.00T
Set Up Fee 1 Set Up Fee 15.00 15.00T
N _WDWAIIOOCIïż½
OL
Sates Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $80.00
Awards Recognition Needs Payments /Credits $0.00
F Balanee Due $80.00
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
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1160 12256 43- 551.00 $80.00 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
Friday, December 10, 2010
Ma or
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))
12108/10 12256 $80.00
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