227215 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 367462 Page 1 of 1
ONE CIVIC SQUARE AMERICAN PLAQUE COMPANY CHECK AMOUNT: $174.95
CARMEL, INDIANA 46032 PO BOX 1663
SOUTH BEND IN 46634 CHECK NUMBER: 227215
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 26842 3746 174 . 95 PODIUM PLAQUE
Invoice-Order#3746 http://www.pIaquesandpatches.com/Iadmin5/super_invoice.php?oID=3746
American Plaque Company Phone: 1-877-543-6094
(www.plaquesandpatches.com) Fax: (801) 382-5695 PIAOUES
PO Box 1663 s
South Bend, IN 46634 RICHES
U.S.A.
Federal Tax ID #27-2920261 INVOICE — ORDER #3746
BILL TO SHIP TO P.O. DETAILS
Nancy Heck Nancy Heck P.O. Number: 26842
1 Civic Square 1 Civic Square Invoice Date: 08/14/2013
Carmel, Indiana 46033 Carmel, Indiana 46033 Terms: 30 Days
United States United States y
317.571.2474
aworrell@carmel.in.gov
I Order#3746
Date Ordered: Wednesday 14 August, 2013
Payment Method: Purchase Order
Products Model Tax Unit Price Total
1 x Custom Seal and Emblem Plaque Custom Seal/Emb None! $174.95 $174.95
Custom Artwork 1: 1929.podium_cityseal.pdf
Size:Size 12"($127.95)
Finish:Painted As Shown Above
Express Delivery Optional: 12"Express Delivery(+$47.00)
Plaque Stand:Not required
Comments:City of Carmel Seal
Sub-Total: $174.95
FREE SHIPPING!: $0.00
Total: $174.95
Amount Paid: $0.00
Balance Due: $174.95
1 of 1 8/15/2013 1:23 AM
';r CITY OF CARfNiEL, INDIANA VENDOR: 367462 Page 1 of 1
ONE CIVIC SQUARE AMERICAN PLAQUE COMPANY CHECK AMOUNT: $174.95
CARMEL, INDIANA 46032 Po Box 1162
SOUTH BEND IN 46634 CHECK NUMBER: 224406
rOn
CHECK DATE: 912512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359300 26842 3746 174 . 95 PODIUM PLAQUE
I
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))
08/14/13 3746 $174.95
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
American Plaque Company
IN SUM OF $
P. O. Box 1663
South Bend, IN 46634
$174.95
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
26842 + 3746 + 43-593.00 $174.95 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
Sunday, September 22, 2013
r
Director, Community Relations/ Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund