207775 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $5,024.25
CARMEL, INDIANA 46032 411 S RANGELINE ROAD
yl. i�o CARMEL IN 46032 CHECK NUMBER: 207775
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 53680 5,024.25 OTHER CONT SERVICES
Carmel Trophies Plus, LLC I
411 S. Range Line Road
Carmel, IN 4602
-guja ds ClffS Date Invoice
Phone (317) 844.3770 carmeltrophies@aol.com 3/8/2012 53680
Fax (317) 844 -3791 website: www.carmelawards.com
Bill To
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Terms
Yearly Awards Due Upon Receipt
Quantity Description Rate Amount
4 30 Year Awards 300.00 1,200.00
Howard Miller Clock
4 Engraving 10.00 40.00
2 25 Year Awards 128.00 256.00
Crystal Flame
2 Engraving 10.00 20.00
8 20 Year Awards 108.00 864.00
Clock Wall Plaques
8 Engraving 20.00 160.00
23 15 Year Awards 58.50 1,345.50
Large Acrylic Flame
23 Laser Engraving 20.00 460.00
5 10 Year Awards 51.00 255.00
Medium Acrylic Flames
5 Laser Engraving 20.00 100.00
5 5 Year Awards 42.75 213.75
Small Acrylic Flames
5 Laser Engraving 20.00 100.00
1 Engraving Coin 10.00 10.00
Total $5,024.25
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))
53680 $5,024.25
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. W ARRAN T NO.
ALLOWED 20
Carmel Trophies Plus
IN SUM OF
411 South Rangeline Road
Carmel, IN 46032
$5,024.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE I AMOUNT
Board Members
1120 I 53680 I 43- 509.00 I $5,024.25 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
APR 9 20
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund