210802 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $82.40
CARMEL, INDIANA 46032 807 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 210802
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 15969 82 .40 OTHER EXPENSES
Ndve CROWN TROPHY Invoice
Date Invoice#
807 West Carmel Drive 6/29/2012 15969
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
P.O.No. Terms Due Date
Net 30 7/29/2012
Item Qty Description Rate Amount
254 2 9x12 Photo Plaque 19.95 39.90T
ENG-Sub 1 Sublimated Plate gold for box 7.50 7.50T
ENG-Sub 1 Engraved badge on box 15.00 15.00T
202 1 6x8in Walnut plaque 20.00 20.00T
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $82.40
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $82.40
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))
06/29/12 15969 engraving/pictures $82.40
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. WARRANT NO.
ALLOWED 20
Crown Trophy
IN SUM OF $
807 West Carmel Drive
Carmel, IN 46032
$82.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
852 15969 I -852.00 I $82.40 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, July 11, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund