159291 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00350132 Page 1 of 1
ONE CIVIC SQUARE TONY COLLINS CHECK AMOUNT: $488.00
CARMEL, INDIANA 46032 1179 S PERU
CICERO IN 46034 CHECK NUMBER: 159291
CHECK DATE: 5/14/2008
DEPARTMENT A CCOU NT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 488.00 ADULT CONTRACTORS
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INVOICE
DATE:
Name Tony Collins
Company 11179 South Peru St.
Address Cicero, IN 46034
City, State ZIP CPR Hotline: (317) 571 -2690 Ext: 711
Phone Home Phone: (317) 984 -2600
Social Security Number Cell: (317) 445 -1532
Tcollins450a.aol.com
DATE CLASS TAUGHT HOURS RATE AMOUN
g C�� C o per
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TOTAL
Contractor's Signature
Check Payable to:
Name �2!1c Co�� X15
Company
Address 11 a��� I APR
Al
2008
City, State ZIP C1v P,G0 ,Sal, 4 L;Q-
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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.
Collins, Tony
1179 S Peru St. Date Due
Cicero, IN 46034
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/27/08 3/27108 CPR First Aid Classes 488.00
Total 488.00
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
1 20
Clerk- Treasurer
Vodcher No. Warrant No.
Allowed 20
,Collins, Tony
1179 S Peru St.
Cicero, IN 46034 In Sum of
488.00
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 3/27/08 4340800 488.00 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
12 -May 2008
Sig ure
488.00 Business S �i es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund