HomeMy WebLinkAbout163686 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00350132 Page 1 of 1
ONE CIVIC SQUARE TONY COLLINS
CARMEL, INDIANA 46032 1179 S PERU CHECK AMOUNT: $266.00
CICEROIN 46034
CHECK NUMBER: 163686
CHECK DATE: 9117/2008
DEPARTM ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 8 -5 -08 266.00 ADULT CONTRACTORS
I
INVOICE
DATE:
Name ITony Collins i
Company 1179 South Peru St.
Address Cicero, IN 46034
'City, State ZIP CPR Hotline: (317) 571 -2690 Eyt: 711
Phone Home Phone: (317) 984 -2600
Social Security Number Cell: (317) 445 -1532
Tcollins450(E.aol.com
DATE CLASS TAUGHT HOURS RATE I AMOUNT
AUG 2 p
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TOTAL (o
Contractor's Signature
Check Payable to: Q
Name I✓jn 1���� 9
Company P.O. (9 L F
Address o.L A 6,- w aG
City, State ZIP P��.S, q )0 r� --a
Date
APP Date 19747125
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No. 17744 P
350132 Tony Collins Terms
1179 South Peru St. Date Due
Cicero, IN 46034
Invoice Invoice Description
Date Number 'or note attached invoice's) or bill's)) Amount
08/05/08 8/05/08 CPR Class 8 students 8/5/08 266.00
To 266.00
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.
350132 Tony Collins Allowed 20
1179 South Peru St.
Cicero, IN 46034
In Sum of
266.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 E3-5-09 4340800 266.00 1 hereby certify that the attached invoice(s), or
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
27 -Aug 2008
Signature
266.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund