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Home My WebLink About205434 01/17/2012 *f CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1 ONE CIVIC SQUARE CROWN TROPHY CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $766.50 CARMEL IN 46032 .o. o CHECK NUMBER: 205434 CHECK DATE: 1/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4230000 25923 14640 766.50 PARKING PERMITS CROWN TROPHY Invoice Date Invoice 807 West Carmel Drive 12/29/2011 14640 Carmel, Indiana 46032 Bill To City of Carmel 1 Civic Square Carmel, IN 46032 P.O. No. Terms Due Date o j sod; 3 Net 30 1/28/2012 Item Qty Description Rate Amount PNTAGS 250 585 Window Hanger with one color imprint on 1.70 425.00T one side Misc 250 2nd Color Imprint 0.65 162.50T Misc 250 Back Side Imprint 0.65 162.50T Shipping 1 Shipping Handling Charge 16.50 16.50 Sales Tax (0.0 $0.00 Thank You For Selecting Crown Trophy For Your Total $766.50 Awards Recognition Needs, Payments /Credits $0.00 Balance Due $766.50 Phone Fax E -mail Web Site 317 818 -9400 317 818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com 0 INDIANA RETAIL TAX EXEMPT PAGE rme CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL :1NDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION IMAM Drom Trophy Cumol Pollco Dopatmont VENDOR SHIP 3 Civic Squm M7 West Carpel Ddvo TO Carm IN 4MM Dannol, IN 4 32 (317) 579 C B LANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42.00 1 Each wind@a hanger parldng perrnhs $776.50 $776.50 Sub Total: $776.50 r Q0 6r end Invoice To: v Damol Pollea Dopattmonit Attn: Yemsa Andorson 3 Civic squm D@aol, IN 411 2= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT tel Police Dept, PAYMENT X776.50 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 AyTHERE IS AN UNOBLIGATED BALANCE IN !IP REPAID. THIS APPROPRI O SUFFICIENT TO PAY FOR THE ABOVE ORDER. ).D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY RCHASE ORDER NUMBER MUST APPEAR ON ALL i1PPING LABELS. log QQ P o Nco IS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1@�C,ZS��NDFZ�F`t��EAFOF aNOSUPP�EMENZZHFAF�o. CLERK TREASURER A P V. COPY SIGN AND RETURN TO CLERK'S OFFICE 1CUMENT CONTR0 W VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF S ON ACCOUNT OF APPROPRIATION FOR F a 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 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)) 12/29/11 14640 parking permits $766.50 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. WA RRANT NO. ALLOWED 20 Crown Trophy IN SUM OF 807 West Carmel Drive Carmel, IN 46032 $766.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 25923 I 14640 I 42- 300.00 I $766.50 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 Thursday, January 12, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund