214588 11/20/2012 ��4R CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS CHECK AMOUNT: $110.00
`�5?a CARMEL, INDIANA 46032 411 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 214588
CHECK DATE: 11/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 54580 110 . 00 OTHER CONT SERVICES
a Carmel Trophies Plus, LLC Invoice
R 411 S. Range Line Road
vhf r Carmel, IN 46032
-gluards & CC fts Date Invoice #
T—L,C
Phone# (317) 844-3770 carmeltrophies@aol.com 11/7/2012 54580
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 Plaque- Flu Vaccination Clinic 90.00 90.00
1 Engraving 20.00 20.00
Total $110.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Trophies Plus
IN SUM OF $
411 South Rangeline Road
Carmel, IN 46032
$110.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT
Board Members
1120 I 54580 I 43-509.00 I $110.00 1 hereby certify that the attached invoice(s), or
J 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
NOV 16 2012
-� Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn 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))
54580 $110.00
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
120
Clerk-Treasurer