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206174 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1 Mf ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $90.00 CARMEL, INDIANA 46032 411 S RANGELINE ROAD roN `o CARMEL IN 46032 CHECK NUMBER: 206174 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1401 4355100 53551 90.00 PROMOTIONAL FUNDS Carmel Trophies Plus, LLC Invoice 0 411 S. Range Line Road Carmel, IN 46032 9 l u-ja ds lI tS Date Invoice Phone (317) 844 -3770 carmeltrophies@aol.com 1/30/2012 53551 Fax (317) 844 -3791 website: www.carmelawards.corn Bill To d Carmel City Council 1 Civic Square Carmel, IN 46032 P.O. No. Terms Due Upon Receipt Quantity Description Rate Amount 3 Gavels with Engraving 30.00 90.00 5118 Total $90.00 Prescribed by State 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. l Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Oplt 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 4 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund