177598 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $1,130.00
CARMEL, INDIANA 46032 411 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 177598
CHECK DATE: 9/29/2009
DEPARTM ACCOUNT PO N INVOICE NUMBER AM OUNT DESCRIP
902 4359003 1,130.00 FESTIVAL /COMMUNITY EV
f
09 -19 -2009 16:40 CARMEL TROPHIES 3170443791 PACE:1
Carmel Trophies Plus, Inc. Invo
411 S. Ran.�eline Road
Carmel, 1N 46032 natp Invoice
9/19/2009 50912
Bill To
Cannel Att AutUIllUbllia
Vniicssa S. Stiles, APR
Vidwy Sun, tae.
1'. O. Bos 199114
Uidiaiuipolis, IN 402:9
P. O. No. Terms
1)iw. Upon Receipt
Quantity Description Rato Amount
20 Custnm RihlmnS with artwork 15.00 X00.01)
20 X x 10 Pliique wJplcxi and photo ou(pril 37.50 750.00
2 9 x 12 Plaque w /plrxi initl P1u1(0 nU(plrt 40.00
f ,S1JP( 1.1S WITH YOLOZ TAX Num AFR
Sales 1'iix 7.00% 0.00
I
1'L L: 1 AY
FROM THIS c o py
Total $1.130.00
Phone Fax E -mail Web Site PPG
(317) 94 -3770 (:317) 84=4 -3791 cuiriiitItrophics(iikiril. con l W\V%V.CaritlelliuyitIies itus.k'om
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.
n Payee
TI, 5 Purchase Order No.
��l ��r��r��� �Ocr�/ Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
IN SUM OF
/3C�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
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
which charge is made were ordered and
received except
�y 20
Signature
n'rpctnr of Operations
Cost distribution ledger classification if TI le
claim paid motor vehicle highway fund