170350 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 00350132 Page 1 of 1
ONE CIVIC SQUARE TONY COLLINS CHECK AMOUNT: $494.00
CARMEL, INDIANA 46032 1179 S PERU
CICEROIN 46034 CHECK NUMBER: 170350
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
-1047 4340800 2/25/09 494.00 ADULT CONTRACTORS
INVOIC
DATE:
Name Tony Collins
Company 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
Tcollins450(H�aol.com
DATE CLASS TAUGHT HOURS RATE AMOUNT
Purcha
Description
G.L# 4 4(�b 1 S20. 43 0fZoo
MAP
�i
Appr0vkMnjq@akL Da a L L UUJ I
TOTAL 1 y,
Contractor's Signature
Check Payable to: Purchase
Name Ins Description
Company P.O. P or F
Address G.L#
City, State ZIP Une
y Lj— r �JCC}� 4 L1ne DesOf u 77
Purchaser Date
A nn.nval Date
1
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.
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
02/25/09 2/25/09 CPR 1/7/09, 2/18/09 po 20236 494.00
Total 494.00
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
aI
494.00
i
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1047 2/25/09 4340800 494.00 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
25 -Mar 2009
Signature
494.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund