192055 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 083900 Page 1 of 1
b ONE CIVIC SQUARE JOHN R. ELLIOTT CHECK AMOUNT: $64.90
CARMEL, INDIANA 46032 3041 E CURRY LANE
�'ttoa�a CARMEL IN 46032 CHECK NUMBER: 192055
CHECK DATE: 11/23/2010
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 39.50 OTHER MISCELLANOUS
1110 4342100 19.40 POSTAGE
1110 4343003 6.00 TRAVEL LODGING
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1
Park car any vacant space. v
Lock car and keep keys.
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
1performance of their duties.
Managed By
DENISON PARKING, INC.
200 CENTURY BUILDING
36 SOUTH PENNSYLVANIA
PHONE (317) 633 -4003
2 el
22"A 2 5 9 8
EXIT PASS
RETAIN THIS TICKET
YOU MAY BE ASKED
FOR IT AT EXIT
D_ ENISONI PARKING, INC.
300 E. MARKET
MSA LOTS
Toledo Ticket Co. W> Toledo, OH
SAUEREISEN Sales Order 50458
Carder Date 11111118
160 Gamma Drive
Pittsburgh, PA 15238 -2989 USA
Telephone: 412/963.0303 Fax: 4121963 -7620 L L
Bill To: Ship To:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
FORENSIC UNIT- JOHN ELLIOTT AT7N:J.ELLIOTT- FORENSIC UNIT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, fN 46032
PH:317- 416 -4285
Customer Shlp Via F.O.B, Terrria Purchase order Number Sale rson Reference No.
CAR004 FEDEX GND PPD /ADD Visa= VERBAL JOHN ELLIOTT 9954 LDK11 11D
Qty. Shipped Item Number UOM
Qty. Ordered quired Date Unit price
Ordered Item Description Discount Tax 1=xtended Price
1.000 0.000 60OG -SG 80 11/15110 39.500 39.50
BASOLIT SULFUR CEMENT N
1.000 0.000 FGTFX 11/15/10 19.400 19.40
FREIGHT CHARGES FED Eat N
Aft
d a
o-
Non Taxable Subtotal 58.90
Taxable Subtotal 000
Tax 0.00
Total Order 58 g0
Print Date: 11/11/10 1:34 PM File Copy #1
Page 1
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
John R. Elliott Purchase Order No.
3041 E. Curry Lane Terms
Carmel, IN 46033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/8010 reimburse John Elliott for parking 5.00
11/11/10 reimburse John Elliott for lab supplies required 58.90
re- a ent
Total 6 9 0
n
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
John R. Elliott
IN SUM OF
3041 E. Curry Vane
Carmel IN 46033
64.90
ON ACCOUNT OF APPROPRIATION FOR
p olice g eneral fund
Board Members
PO# or PT INVOICE NO. ACCT #/TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
1110 390 -99 39.50 bill(s) is (are) true and correct and that the
1110 421 1.9 .40 materials or services itemized thereon for
1.11.0 430 -03 6.00 which charge is made were ordered and
received except
November 16 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund