162691 08/20/2008 I
CITY OF CARMEL, INDIANA VENDOR: 00350132 Page 1 of 1
ONE CIVIC SQUARE TONY COLLINS CHECK AMOUNT: $304.00
CARMEL, INDIANA 46032 1179 S PERU
CICERO IN 46034 CHECK NUMBER: 162691
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 7 -15 -08 304.00 ADULT'CONTRACTORS
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DATE:
Name La met e pQ r-5 ITony Collins
O Comaany 11179 South Peru S*_.
Address (Cicero, IN 46034 I
i City, State ZIP !CPR Hotline: (3 17) 571 -2690 Ext: 711 i
1 Phone (Home Phone. (317) 9S^ 2600
Social Security Number (Cell: (31 7) 445 -1532
Tco1lins450(tiaol.com
I DATE j CLASS TAUGHT I HOURS RATE I AMOUNT j
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Contractor's Signature
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Check Payable to:
Name ���r►ls
Company
Address Ii7M
City, State r
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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
07/15/08 7/15/08 CPR Class 8 students 7/8/08 304.00
Total 304.00
1 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
304.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 7-15 OS 4340800 304.00 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
31 -Jul 2008
V "r, 1(%
Signature
304.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund