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207016 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1 e ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $785.50 CARMEL, INDIANA 46032 807 WCARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 207016 CHECK DATE: 3113!2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4345002 15067 785.50 PROMOTIONAL PRINTING CRaWN TR ®PINY 1 nvo i ce Date Invoice 807 West Carmel Drive 3/8/2012 15067 Carmel, Indiana 46032 Bill To Carmel Police Deptarment 3 Civic Square Carmel, IN 46032 P.O. No. Terms Due Date Net 30 4/7/2012 Item Qty Description Rate Amount 164 3 4x5 Acrylic Billboard w /Black Stand 33.00 99.00T 125 -2 l 6in Blue Rockwell Acrylic Award 35.00 35.00T 155 -2 3 5.5x9.25in Arch Acrylic on black base 33.00 99.00T 2332 5 6x8in Blue Colorific Crystal Award 55.00 275.00T 2360 -3 2 Bin Majestic Gem Crystal Award 65.00 1.30.00T 2362 -3 1 Bin Magnitude Crystal Award 70.00 70.00T Engraving C... 1 Engraving Charge Shield on box 15.00 15.00T ENG -Sub 1 Gold Sublimated Plate for box 7.50 7.50T 243 1 9x12 Solid Wood Plaque w/ Engraving 55.00 55.00T Sales Tax (0.0 $0.00 Thank You For Selecting Crown Trophy For Your Total $785.50 Awards Recognition Needs, Payments /Credits $0.00 Balance Due $785.50 Phone Fax E -mail Web Site 317 -818 -9400 317 818 -9200 crowncarmel @sbcglobal.net www.crowntrophy.com VOUCHER NO. WARRANT NO. ALLOWED 20 Crown Trophy IN SUM OF 807 West Carmel Drive Carmel, IN 46032 $785.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 15067 43- 460.02 $785.50 I hereby certify that the attached invoice(s), or I 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 Friday, March 09, 2012 Chief of Police 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)) 03/08/12 15067 awards bases engraving for awards banquet $785.50 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