174285 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of
ONE CIVIC SQUARE CROWN TROPHY
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $3,715.00
CARMEL IN 46032 CHECK NUMBER: 174285
CHECK DATE: 718/2009
DEP ARTMENT ACCOUNT P O NUM INVOICE NUMBER AMOU DES CRIPTION
'k2 4346500 9042 2,250.00 CITY PROMOTION ADVERT
902 4230200 9172. 70.00 OFFICE SUPPLIES'
1352 5023990 9370 150.00 OTHER EXPENSES
1110 4230100 21018 9371 1,245.00 PARKING PERMITS
CROWN TROPHY Invoice
1 Date Invoice
6/25/2009 9371
807 West Carmel Drive
Carmel, Indiana 46032
Bill To
City of Carmel
1 Civic Square
Carmel, IN 46032
Tim Zellers
P.O. No. Terms Due Date
Net 30 7/25/2009
Item Qty Description Rate Amount
PNTAGS 250 585 Window Hanger with one color imprint 1.65 412.50T
on one side
Misc 250 Second color Imprint on front 0.65 162.50T
Misc 250 One color Imprint on back 0.65 162.50T
Misc 250 Reflective Color Light Green on Front 1.98 495.00T
Shipping 1 Shipping Handling Charge 12.50 12.50
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $1,245.00
Awards Recognition Needs, Payments /Credits $0.00
Balance Due $1,245.00
Phone Fax E -mail Web Site
317- 818 -9400 317 -818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com
-CROWN TROPHY lnV ®ICS
6 Date Invoice
807 West Caravel Drive ��T 6/25/2009 9370
Caravel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 317 -571 -2720
P.O. No. Terms Due Date
Net 30 7/25/2009
Item Qty Description Rate Amount
566 3 8 x 10 Black Piano Wood Plaque w/ Blue 50.00 150.00T
Marble Plate
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $150.00
Awards Recognition Needs, payments /Credits $0.00
Balance Due $150.00
Phone Fax E -mail Web Site
317 818 -9400 317 -818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com
K PAGE
JJL of Carmel INDIANA RETAIL TAX EXEMPT 7 CERTIFICATE NO. 003120155 002 0 f
C 0
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21
10-NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46O3Z -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FOR! A APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
J une Ong Darking permits
VENDOR Crown Trophy SHIP City of Carmel Police Department
807 West Carmel Drive TO 3 Civic Square
Carmel, IN 46032 Carmel, In 46032
ATTN: Lt. Tim Zel &Ars
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
250 585 Window hanger withone color imprint on one side 1.65 412.50
250 second dolor imprint on front .65 162.50
250 one color imprint on back .65 162.50
250 reflective color light green on front 1.98 495.00
Quo t
•s.z
'M r A il
e
0 Send Invoice To:
City of Carmel Po l cep' ar -m
a
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 1,232.50
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 301 stslailonery printed material
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION S F�TO PAY FOR THE ABOVE ORDER.
r
•C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Isistant Chie£ of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO M. COPY SIGN AND RETURN TO CLERK'S OFFICE
4,10UCHER NO._.,_...----- WARRANT NO
ti ALLOWED 20
IN THE SUM OF
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescri4ed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 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.
1
Payee
Crown Trophy Purchase Order No. 21
807 West Carmel Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/25/09 9370 payment for plaques for Teen Academy 150.00
6/25/09 9371- payment for parking permits 1,245.00
Total 1,395.00
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
.w
1
ALLOWED 20
Crown Trophy IN SUM OF
807 =West Carmel Drive
Carmel, IN 46032
1,395.00
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 9370 852 150.00 bill(s) is (are) true and correct and that the
21018F 9371 301 1,245.00 materials or services itemized thereon for
which charge is made were ordered and
received except
June 29 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
NkV CROWN TROPHY invoice
Date Invoice
1
807 West Carmel Drive 5/14/2009 9042
Carmel, Indiana 46032
Bill To
Carmel Redevelopment Commission
I I I West Main Street, Ste 140
Carmel, IN 46032
Sherry Mielke
P.O. No. Terms Due Date
Net 30 6/13/2009
Item Qty Description Rate Amount
CU01 I Carnegie Library Sign 2,250.00 2,250.00T
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $2,250.00
Awards Recognition Needs, Payments /Credits $0.00
Balance Due $2,250.00
Phone Fax E -mail Web Site
317 818 -9400 317 818 -9200 crowncarmel@sbcglobal.net www.crowntrophy.com
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 7995)
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
C roa�`> �rU lJy Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a.
Total 2 250
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
�7 IN SUM OF
s ,2.25 0, (!5�6
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
U G y 2, 25UG'O 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
17 20
Sig
Director Operations
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CROWN TROPHY Invoice
Date Invoice
4
807 West Carmel Drive 5/28/2009 9172
Caravel, Indiana 46032
Bill To
Carmel Redevelopment Commission
111 West Main Street, Ste 140
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 6/27/2009
Item Qty Description Rate Amount
891 2 loin Marble Desk Plate 35.00 70.00T
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $70.00
Awards Recognition Needs, Payments /Credits $0.00
Balance Due $70.00
-Phone Fax E-mail Web Site
317- 818 -9400 317- 818 -9200 crowncarmel@sbcglobal.net www.crowntrophy.com
Prescribed y 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.
S
Payee
C, avh vanhG Purchase Order No.
Terms
Cif✓//J9P /V 32 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1
L;
Total 7f_U
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. aA
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
l ALLOWED 20
IN SUM OF
CoirP� /y 7�OG 32-
ON ACCOUNT OF APPROPRIATION FOR
3 0&;0
Board Members
PO# or
DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
9 9 172 1 23 a <va 70000 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
20 �9
X f
Sign ure
Director i Operations
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund