167059 12/17/2008 a «f CITY OF CARMEL., INDIANA VENDOR: 083900 Page 1 of 1
0 ONE CIVIC SQUARE JOHN R. ELLIOTT
CARMEL, INDIANA 46032 3041 E CURRY LANE CHECK AMOUNT: $11.50
CARMEL IN 46032 CHECK NUMBER: 167059
CHECK DATE: 1211712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 11.50 TRAVEL LODGING'
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Prescribed,py 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
John R. Elliott Purchase Order No.
3041 E. Curry Lane Terms
Carmel, IN $6033 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/10/08 reimburse Sgt. John Elliott for--parking 11.50
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
1 2hn R. Elliott IN SUM OF
3041 E. Curry Lane
Carmel, IN $6033
11.50
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 11.50 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
December 10 20 08
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund