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190909 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 242250 Page 1 of 1 ONE CIVIC SQUARE SCOTT PILKINGTON CARMEL, INDIANA 46032 309 MAY APPLE CIRCLE CHECK AMOUNT: $5.00 .ow WESTFIELD IN 46074 CHECK NUMBER: 190909 CHECK DATE: 1011312010 DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 5.00 TRAVEL LODGING r- Un N n.i Park car in any va a space. Lock car and keep eys. Management of this facility will not be liable for personal property of any nature left in or on any car unless checked with cashier, or for loss of or damage to any car due to fire, explosion, theft, collision or freezing of radiator or battery or any other cause whatsoever unless due to negligence of parking employees acting in performance of their duties. Managed By DENISON PARKING, INC. 200 CENTURY BUILDING 36 SOUTH PENNSYLVANIA PHONE (317) 633- 09 211-91 2 EXIT PASS RETAIN THIS TICKET YOU MAY BE ASKED FOR IT AT EXIT DENISON PARKING, INC. 300 E. MARKET- MSA LOTS Toledo Ticket Co. QD. Toledo, OH Prescrieed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Scott Pilkington Purchase Order No. 418 Elnora Lane Terms Westfield, IN 46074 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/5/10 reimburse Scott Pilkin ton for parking for on—going 5.00 investigation Total 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 S cott Pilkington IN SUM OF 418 Elnora Lane Westfield, IN 46074 5.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -03 5.00 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 October 7 20 10 ��6&4p-p I). Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund