223886 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 367554 Page 1 of 1
ONE CIVIC SQUARE CROWN AWARDS
CARMEL, INDIANA 46032 9 SKYLINE DRIVE CHECK AMOUNT: $197.00
?� HAWTHORNE NY 10532 CHECK NUMBER: 223886
ON O
CHECK DATE: 911012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 31884271 197 . 00 OTHER EXPENSES
IN INV®ICE # 31884271
CROWN AWARDS
NINE SKYLINE DRIVE, HAWTHORNE, N.Y. 10532 800-765-2003 Date PO #
Customer ID# 81539934 08/28/13 24491
Bill To Ship To
THE CARMEL FIRE DEPARTMENT THE CARMEL FIRE DEPARTMENT
ATTN: ACCOUNTS PAYABLE DENISE SNYDER
ACCOUNTS PAYABLE 2 CIVIC SQ
1 CIVIC SQ CARMEL, IN 46032-7543
CARMEL, IN 46032-7543
317-571-2622 317-571-2622
DSNYDER @CARMEL.IN.GOV
DSNYDER @CARMEL.IN.GOV
JOSEPH MARKULIS
Sales Sales Terms Description Due Date Req Ship Engraving Ship
Rep. Order# Date Due Date Via
JMR 04472884 N30 NET 30 DAYS 08/28/13 UGD
Quantity Item# Description Unit Extended
Price Price
12 LMCLST-BK COSMIC BLACK ICICLE INSERT STA 4.75 57.00
12 MYCRCFLM FLAG MAN AO 00
12. ENLUS ENG-1.25"X 2.25" SHINY BLACK
.00 .00
1 EXENGTR EXTRA ENGRAVING CHRG-TROPHIES .00 .00
50 CM09RCRS 2" 3D CROSSED,FLAGS MEDAL SLV 2._19 109.50
50 RIRWBS SILVER METALLIC RED/WH/BLUE RI .10 5.00
50 NOBOX ***NO PRESENTATION CASE!!!*** .00 .00
50 NOENG ******NO ENGRAVING!!****** .00 .00
1 FRTCMB SHIPPING&HANDLING-COMBINED 25.50 25:50
Card Holder Type Non Tax Subtotal 197.00
Visit us at
THE CARMEL FIRE DEPARTMEN www.CrownAwards.com Taxable Subtotal
Card# OR Tax 00
Exp.Date
call us at Total Order 197.00
Authorization 1-800-765-2003 Deposit
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Check'No.
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NOTES: Balance: 197.00
CUSTOMER SERVICE : 800 - 765 - 2003
CRR'NINV
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))
31884271 $197.00
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.
ALLOWED 20
Crown Awards
IN SUM OF $
9 Skyline Drive
Hawthorne, NY 10532
$197.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
248 31884271 1 120-851.00 I $197.00 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
SEP - 9 2013
hZW0t-)1fffk' -
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund