162712 08/20/2008 °�"c4NM CITY OF CARMEL, INDIANA. VENDOR: 075010 Page 1 of 1
ONE CIVIC SQUARE MICHAEL DIXON
CARMEL, INDIANA 46032 359 WEST BUCKEYE STREET CHECK AMOUNT: $4.00
CICERO IN 46034
CHECK NUMBER: 162712
CHECK DATE: 8120/2008
DEPARTMENT ACCOUNT PO NU MBER I NUMBER AMOUNT DESCRIPTION
1110 4343003 4.00 TRAVEL LODGING
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1985)
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
Micheal R. Dixon Purchase Order No.
359 W. Buckeye Street Terms
Cicero, IN 46034 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/3/08 reimburse Lt. Dixon for parking for Accreditation re— 4.00
visit
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.
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ALLOWED 20
Ml�-heal R.. Dixon IN SUM OF
359 W. Buckeye Street
Cicero, IN 46034
4.00
ON ACCOUNT OF APPROPRIATION FOR
police g eneral fund
Board Members
PO# EP or
DEPT, INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice or
1110 430 --03 4.00 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
August 13 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund