204739 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
f ONE CIVIC SQUARE CARMEL TROPHIES PLUS
CHECK AMOUNT: $74.00
CARMEL, INDIANA 46032 411 5 RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 204739
CHECK DATE: 12120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 53427 74.00 OTHER CONT SERVICES
Carmel Trophies Plus, LLC S"SyQ1Ce
411 S. Range Line Road
Carmel, IN 46032
wards Iiffs Date Invoice
Y
Phone (317) 844.3770 carmeltrophies@aol.com 12/12/2011 53427
Fax (317) 844 -3791 website: www.carmetawards.com
Bill To
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Terms
Due Upon Receipt
Quantity Description Rate Amount
1 A6600 Acrylic 54.00 54.00
1 Laser Engraving 20.00 20.00
Total 574.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Trophies Plus
IN SUM OF
411 South Rangeline Road
Carmel, IN 46032
$74.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT /TITLE I AMOUNT Board Members
T
1120 I 53427 I 43- 509.00 I $74.00 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
DEC 11 2611
l
Fire Chief
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))
53427 $74.00
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