209519 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $5.00
CARMEL IN 46032
o �o CHECK NUMBER: 209519
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 15572 5.00 OTHER MISCELLANOUS
CROWN TROPHY Invoice
Date Invoice
807 West Carmel Drive 5/23/2012 15572
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 6/22/2012
Item Qty Description Rate Amount
Engraving 5... 1 Engraving Small Plate 5.00 5.00T
Sales Tax (0.0 $0.00
Thank You For Selecting Crown Trophy For Your Total $5.00
Awards Recognition Needs, Payments /Credits $0.00
Balance Due $5.00
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
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 15572 42- 390.99 I $5.00 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
Wednesday, May 30, 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))
05/23/12 15572 engraving for FBI plaque $5.00
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