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303858 10/06/16 ,Coq„ Biu",,,`,,� CITY OF CARMEL, INDIANA VENDOR: 359857 `�' i°\. CHECK AMOUNT: $*********9,00" .I ® ONE CIVIC SQUARE SHANE VANNATTER :9 _� CARMEL, INDIANA 46032 CHECK DATE: 10/06/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 520015492178 9.00 OTHER MISCELLANOUS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHANE VANNATTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $9.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 52001549278 42-390.99 $9.00 1 hereby certify that the attached invoice(s),or 9/30/16 52001549278 Parking $9.00 1110 101 1110 101 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, October 05,2016 Tim Green Chief of Police 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer RECEIPT Place ticket an dash face up. Stall # 37 Expiration Date/Time 11:59 PM SEP 28� 2416 Purchase Date/Time:01;50pm Sep 28,2016 Total Due:$9.00 Rate;Expires At M-F$9 Total Paid:$9.00 Payment Type:Card Ticket#00026144 S1N#:520015492178 Setting;15 E WASHINGTON V5 Mach Name: 15 E Washington 1 #****--6094,MasterCard Auth q;00786Z Denison Parking 15 E, Washington x;415 AN7 CONDITIONS �eV' rri,l t no responsibility for loss ip �o;,j�!to vehicle or contents. W do not fake custody of vehicle 'gut only rent space. NON TRANSFERABLE tun ., Cnnsd� TERMS AND CONDITIONS We accept no responsibility for loss or damage to vehicle or contents. We do not talo:custody of vehicle but wla y tent space. (VON TfIANSFERABLE Hurn.—,,B C C—,"i TERMS AND CONDITIONS F(�)r accept no responsibility for loss damage to vehicle or contents. e do not take custody of vehicle but only rent space. NON TRANSFFRARI F