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164180 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1 b ONE CIVIC SQUARE CARMEL TROPHIES PLUS CARMEL, INDIANA 46032 41 S RANGELINE ROAD CHECK AMOUNT: ?0.50 CARMEL IN 46032 CHECK NUMBER: 164180 CHECK DATE: 913012008 DEPARTME A CCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRI 1192 4230200 49540 20 OFFICE SUPPLIES 4 M d Cartnef")Trophies Plus, Inc. City of Carmel Invoice 411 S. Rangehne Road ORIGINAL. INVOICE Date Invoice Carmel, M 46032 Dept. of Community Services 9/18/2008 49540 Bill To City of Carmel 1 Civic Center Carmel. IN 46032 P.O. No. Terms Lisa Stewart Due Upon Receipt Quantity Description Rate Amount 1 Plate 5.50 5.50 1 Nick Mishler Laser Engraving 15.00 15.00 Lisa Stewart 571 -2417 PLEASE PAY FROM THIS C()PY Total $20.50 Phone Fax E -mail Web Site (317) 844 -3770 (3'17) 844 -3791 carmeltrophies @aol.com www.canueltrophiesplus.com Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 4( 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)) Total Q 6 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. WARRANT NO. ALLOWED 20 IN SUM OF l'V Z/& ON ACCOUNT OF APPROPRIATION FOR S Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or �l q 1 1q q?D. W bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except i e Cost distribution ledger classification if Title claim paid motor vehicle highway fund