214978 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS
� CARMEL, INDIANA 46032 411 S RANGELINE ROAD CHECK AMOUNT: $30.00
CARMEL IN 46032 CHECK NUMBER: 214978
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 54590 30 . 00 GENERAL PROGRAM SUPPL
Carmel Trophies Plus, LLC Invoice
411 S. Range Line Road
Carmel, IN 46032 —
- rds & C�'itts
Date Invoice#
wa
Phone# (317) 844-3770 carmeltrophies@aol.com 11/9/2012 54590
Fax# (317) 844-3791 website: www.carmelawards.com
Bill To
Carmel Clay Parks&Recreation
1411 East 116th St. — r
Carmel, IN 46032 C -a, �-VE D
NOV 14 2012
P.O. No. ETerms Matt Le ber Due ceipt
Quantity Description Rate Amount
8 Medals 3.75 30.00
4x 1st Place
4x 2nd Place
Monon Community Center
2012 Fall Open
Purchase
DewIlAon �� I� n ann. MiJ �f
P.O.# L �y� �, P°tJ
i -Z-3 off_
Budgget
Une Descx "ec'
Purchaser two 'l -1 j Z
App Data 2
Total $30.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
049300 Carmel Trophies Plus, Inc. Terms
411 S Rangeline Road
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/6/12 54590 MCC Fall open medals
$ 30.00
Total $ 30.00
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
Voucher No. Warrant No.
049300 Carmel Trophies Plus, Inc. Allowed 20
411 S Rangeline Road
Carmel, IN 46032
In Sum of$
$ 30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 54590 4239039 $ 30.00 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
I
29-Nov 2012
Signature
$ 30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund