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206629 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1 ONE CIVIC SQUARE CARMEL TROPHIES PLUS CARMEL, INDIANA 46032 411 S RANGELINE ROAD CHECK AMOUNT: $60.00 CARMEL IN 46032 CHECK NUMBER: 206629 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 53591 60.00 OTHER CONT SERVICES Carmel Trophies Plus, LLC In 411 S. Range Line Road Carmel, IN 46032 1gwards OjlftS Date Invoice Phone (317) 844 -3770 carmeltrophies@aol.com 2/10/2012 53591 Fax (317) 844 -3791 website: www.carmetawards.com Bill To Carmel Fire Department 2 Civic Square Carmel, IN 46032 P.O. No. Terms Due Upon Receipt Quantity Description Rate Amount 1 Axe Plate 25.00 25.00 1 Engraving 35.00 35.00 i 1 I i I i i Total $60.00 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)) 53591 $60.00 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 N WARRANT NO. ALLOWED 20 Carmel Trophies Plus IN SUM OF 411 South Rangeline Road Carmel, IN 46032 $60.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I 53591 I 43- 509.00 I $60.00 1 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 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund