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172250 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1 ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $276.00 CARMEL, INDIANA 46032 411 S RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 172250 CHECK DATE: 5/13/2009 DEPARTMENT ACCOUNT PO NU INV OICE NUMBER AM OUN T D ESCR IP TION 1192 T 4239099 50272 276.00 OTHER MISCELLANOUS a Carmel Trophies Plus, Inc. Inv®ICe 41 1 S. Ran Road Carmel, IN 46032 Date Invoice 4/13/2009 50272 Bill To Citv of Cannel I Civic Center Cannel, IN 46032 P.O. No. Terms Abor Day Due Upon Receipt Quantity Description Rate Amount DARBN M1NDHAM /ARB0R DAY 3 8 X 10 Plaque 45.00 135.00 3 Laser Lnoraving 30.00 90.00 6 Art Work 8.50 51.00 PLEASE PAY T THIS COP Total $276.00 Phone Fax E -mail Web Site (3 17) 844 -3770 (317) 844 -3791 camieltrophies@aol.com aol.com www.canneltrophIesplus.com 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)) 04/13/09 50272 Arbor Day materials $276.00 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 VOUCHER NO. WARRAN NO. Carrn,el Trophy Plus, Inc. ALLOWED 20 IN SUM OF 411 S. Rangeline Road Carmel, IN 46032 $276.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 50272 42- 390.99 $276.00 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 Monday) Jay 11, 2009 irector, 6cs Title Cost distribution ledger classification if claim paid motor vehicle highway fund