225333 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 353565 Page 1 of 1
ONE CIVIC SQUARE CROWN TROPHY CHECK AMOUNT: $780.00
?o CARMEL,INDIANA 46032 807 W CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 225333
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 19144 780 . 00 OTHER CONT SERVICES
Nhuf
Invoice
CROWN17TROPHY
Date Invoice#
807 West Carmel Drive 10/10/2013 19144
Carmel, Indiana 46032
Bill To
City of Carmel
2 Civic Square
Carmel, IN 46032
Denise Snyder
P.O. No. Terms Due Date
Net 30 11/9/2013
Item Qty Description Rate Amount
993BC 1 Custom Bronze casting - Carmel Fire Dept 780.00 780.00T
Per John Moriarty
Sales Tax (0.0%) $0.00
Thank You For Selecting Crown Trophy For Your Total $780.00
Awards & Recognition Needs, Payments/Credits $0.00
Balance Due $780.00
Phone # Fax# E-mail Web Site
317-818-9400 317-818-9200 crowncarmel @sbcglobal.net www.crovvntrophy.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crown Trophy
IN SUM OF $
807 West Carmel Drive
Carmel, IN 46032
$780.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 19144 I 43-509.00 I $780.00 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
OCT 41 2013
Fire Chief
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))
19144 $780.00
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