179175 11/11/2009 *f CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 807 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 179175
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
)1160 4355100 9976 10.00 PROMOTIONAL FUNDS
1 /3ys f,�
CROWN TROPHY Invoice
Date Invoice
807 West Carmel Drive 1 10/26/2009 9976
Carmel, Indiana 46032
Bill To
City of Carmel
1 Civic Square
Carmel, IN 46032
Nancy Heck
P.O. No. Terms Due Date
Net 30 11/25/2009
Item Qty Description Rate Amount
PNTAGS 1 1.25 x 3 Plastic Name Plate 10.00 10.00T
It
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $10.00
Awards Recognition Needs Payments /Credits $0.00
Balance Due $10.00
Phone Fax E -mail Web Site
317 818 -9400 317 -818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com
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%rescr j2'Sby State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
1]/9/09 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
Crown Trophy
Purchase Order No.
80 W. Carmel Dr. Terms
Ca rmel IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/26/09 9976 Plastic name plate $10.00
Total $10.00
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.
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
:�1/9 09
ALLOWED 20
!Crown Trophy IN SUM OF
807 W. Carmel Dr.
Carmel, IN 46032
10.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9976 4355100 $10.00 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
11Z? 20
Ignatu
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund