175635 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $97.70
CARMEL, INDIANA 46032 411 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 175635
CHECK DATE: 8/6/2009
DEP ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 50485 97.70 BUILDING REPAIRS MA
Carmel Trophies Plus, Inc. Invoice
411 S. Rangeline Road
Carmel, IN 46032 Date Invoice
7/28/2009 50485
Bill To
Brookshire Golf Club
12120 Brookshire Parkway
Cannel, LN 46033
P.O. No. Terms
Dave Van Bruanene Due Upon Receipt
Quantity Description Rate Amount
Melissa Montgomery
7 Plate 2.50 17.50T
161 Engraving Characters 0.20 32.20T
2 Room Signs 4.00 8.00T
2 Laser Engraving 20.00
4t
Sales Tax 7.00°/
P .E. 4 SE PAY
FROM THIS COPY
Total $104.54
Phone Fax E -mail Web Site
(317) 844 -3770 (317) 844 -3791 canneltrophies a aol.com Nvww.canneltrophiesplus.coni
Prescribed by State j joard of Ac unts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (flev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
�'M-e\ Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 0
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VO NO. WARRANT NO.
�i ALLOWED 20
l� -�rme1 1ropl�;eS (t�IvS IN SUM OF$
"40
ON ACCOUNT OF APPROPRIATION FOR
�o) Ci Lb
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
a t7- D7 0 Sal U O 7D 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
J .v 3 20 6
.A�
S'
nature';
z tJ
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund