172273 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350132 Page 1 of 1
ONE CIVIC SQUARE TONY COLLINS
i 0 CHECK AMOUNT: $608.00
CARMEL, INDIANA 46032 1179 S PERU
CICERO IN 46034 CHECK NUMBER: 172273
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 608.00 ADULT CONTRACTORS
8
Mob o o a �3 INVOICE
o� �t�
APR 3 0 2009 DATE: j�-
BY:
Name Tony Collins
Compa I I 1179 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
Tcollins4500,aol.com
DATE CLASS TAUGHT RATE AMOUNT
Purchase
P.O. OIL C4�
PirF
.g
Budget n
Purchases
c2",
TOTAL
Contractor's Signature
Check Payable to: I
Name
Company I v I C, r
Address
City, State ZIP
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.
00350132 Collins, Tony Terms
1179 South Peru St. Date Due
Cicero, IN 46034
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
04/13109 4/13/09 CPR 3/1/7/09, 4/7/09 20740 608.00
Total 608.00
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
1 20
Clerk- Treasurer
N
Voucher No. Warrant No.
00350132 Collins, Tony Allowed 20
1179 South Peru St.
Cicero, IN 46034.
In Sum of
608.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 4340800 608.00 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
7 -May 2009
Signature
608.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund