218009 03/13/2013 4a a�=uYF CITY OF CARMEL, INDIANA - VENDOR: 353565 Page 1 of 1
i tl, ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $671.60
�. CARMEL, INDIANA 46032 807 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 218009
CHECK DATE: 311312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 25664 17541 671 . 50 AWARDS
CROWN TROPH
Invoice
Date Invoice#
807 West Carmel Drive 3/5/2013 17541
Carmel, Indiana 46032
Bill To
Carmel Police Deptarment
3 Civic Square
Carmel, IN 46032
P.O. No. Terms Due Date
Net 30 4/4/20
Item Qty Description Rate Amount
164 1 4x5 Acrylic Billboard w/Black Stand 33.00 33.00T
155-2 2 5.5x9.25in Arch Acrylic on black base 33.00 66.00T
2332 1 6x8in Blue Colorific Crystal Award 55.00 55.00T
2360-3 3 Bin Majestic Gem Crystal Award 65.00 195.00T
Engraving C... 1 Gold Engraving Charge - Shield on box 50.00 50.00T
ENG-Sub 1 Gold Sublimated Plate for box 7.50 7.50T
242 1 8x10 Classic Wood Plaque w/Engraving- Petty 30.00 30.00T
245 1 14x20 Walnut Plaque with Engraved Plates - Top 190.00 190.00T
Gun
Engraving 5... 1 Engraving Small Plate - Bickel 5.00 SOOT
2409W 1 6x8 Walnut Plaque with Engraved Plate -Top Gun 20.00 20.00T
Set Up Fee 1 Glock Set Up Fee 20.00 20.00T
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $671.50
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $671.50
Phone# Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel @sbcglobal.net www.crowntropliy.com
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 JL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
4
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3A W3
Crown`trophy Carmel Police Departmo t
VENDOR SHIP Chic Square TO
807 Mst Camel Drive Carrnal, IN 46032
Carmel, IN 46032, (3117)571 2659
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-450.02
9 Each awards $671.50 $671.50
Saab Total; $671.50
Send Invoice To: `
Camel Police Department
Attn:'Teresa Ander-son
3 Civic Squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept. :���_`�.+ PAYMENT $679.50
J A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER�TIFYOTHAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP IATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. p�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (/,Chief o3 q Polka
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
- ------ - - -- —.� IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO'or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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.------—--------------------------- - — — -— —----
20
.............................................................._..................................--..............................--...........
Signature
..................................................................................................... ..................
Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crown Trophy
IN SUM OF $
807 West Carmel Drive
Carmel, IN 46032
$671.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25664 I 17541 I 43-450.02 I $671.50 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, March 06, 2013
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))
03/05/13 17541 awards/banquet $671.50
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