217106 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY
CARMEL, INDIANA 46032 807 W CARMEL DRIVE CHECK AMOUNT: $170.00
CARMEL IN 46032
CHECK NUMBER: 217106
CHECK DATE: 2113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4350900 17330 170 . 00 OTHER CONT SERVICES
CROWN TROPHY Invoice
Date Invoice#
807 West Carmel Drive 2/6/2013 17330
Carmel, Indiana 46032
Bill To
Carmel Redevelopment Commission
30 W. Main Street, Suite 220
Carmel, IN 46032
Matt Worthley
P.O.No. Terms Due Date
Net 30 3/8/2013
Item Qty Description Rate Amount
2366-3 2 9.5in Diligence Crystal 85.00 170.00T
Sales Tax(0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $170.00
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $170.00
Phone# Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel @sbcglobal.net www.crowntrophy.com
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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.
"� IPayee
1
Crown r* y Purchase Order No.
X07 armd Drive Terms
Carmel fZ /U Q32— Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1133o Cr 5141 170.°D
Total ll�,ou
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
907 �✓ Cyr rne( Dr.
Cyr Yr�e� i/ 46on
$ I�O,00
ON ACCOUNT OF APPROPRIATION FOR
I �al /43so�o�
Board Members
PO#or
D PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
d 1733o 'f 3 5020 Q 00 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
20U
Signature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund