222865 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 049300 Page 1 of 1
ONE CIVIC SQUARE CARMEL TROPHIES PLUS LLC CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 411 S RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 222865
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 55535 60 . 00 OTHER CONT SERVICES
Carmel Trophies Plus, LLC
Invoice
411 S. Range Line Road
Carmel, IN 46032 Date Invoice#
11 wards & (Fitts
Phone# 8/7/2013 55535
(317) 844-3770 carmeltrophiesC�'aol.com
Fax# (317) 844-3791 website: www.carmelawards.com
Bill To
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Terms
Andy Wyant Due Upon Receipt
Quantity Description Rate Amount
1 AXE Plate 25.00 25.00
1 Engraving 35.00 35.00
Total $60.00
3rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
am invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
55535 $60.00
I 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
Carmel Trophies Plus
IN SUM OF $
411 South Rangeline Road
Carmel, IN 46032
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 55535 I 43-509.00 I $60.00 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
AUG 12 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund