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CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS
s� CARMEL, INDIANA 46032 411 S RANGELINE ROAD CHECK AMOUNT: $75.50
CARMEL IN 46032 CHECK NUMBER: 198941
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 52831 75.50 OTHER CONT SERVICES
Carmel Trophies Ptus, LLC
V
411 S. Range Line Road
Invoice
Carmel, IN 46032
gulards 011ts Date Invoice
Phone (317) 844 -3770 carmeltrophies@aol.com 6/22/2011 52831
Fax (317) 844 -3791 website: www.carmelawards.com
Bill To
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
PLEASE PAY
FROM THIS (COPY
P.O. No. Terms
Andrew Wyant Due Upon Receipt
Quantity Description Rate Amount
1 St. Vincent Plaque P4457 55.50 55.50
1 Engraving 20.00 20.00
Total $75.50
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))
52831 $75.50
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
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Carmel Trophies Plus
IN SUM OF
411 South Rangeline Road
Carmel, IN 46032
$75.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 52831 I 43- 509.00 I $75.50 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund