206197 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $27.00
CARMEL IN 46032 CHECK NUMBER: 206197
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359000 14865 27.00 SPECIAL PROJECTS
CROWN TROPHY Invoice
Date Invoice
807 West Carmel Drive 2/9/2012 14865
Carmel, Indiana 46032
Bill To
City of Carmel
1 Civic Square
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 3/10/2012
Item Qty Description Rate Amount
ENG -Sub 4 1.25 x 4 Gold Sublimated Plate 6.75 27.00T
or k a�lks
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Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $27.00
Awards Recognition Needs Payments /Credits $0.00
Balance Due $27.00
Phone Fax E -mail Web Site
317 818 -9400 317 818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com
Prescribed by State Board of Accounts 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))
02/09/12 14865 $27.00
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. WA RRANT NO.
Crown Trophy ALLOWED 20
IN SUM OF
807 West Carmel Drive
Carmel, IN 46032
$27.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1203 14865 43- 590.00 $27.00
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
Monday, February 13, 2012
Community Relations
�,�/1�l
Cost distribution ledger classification if k �i
claim paid motor vehicle highway fund