175705 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 357980 Page 1 of 1
o a, ONE CIVIC SQUARE JAMES GROSE CHECK AMOUNT: $5,00
CARMEL, INDIANA 46032
CHECK NUMBER: 175705
CHECK DATE: 81612009
DEPA RTMENT A PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 5.00 TRAVEL LODGING
It IIV It II
IIIN/ 1; i It') 11:11!1
Ib
Urivr ..•0 1 uni i 1 11:1'1
11-1.1lik-eml .[;On( Again
...........•c tik)i p fl
HAS I ERVAND
Plit crla.;v 19/117/114 11 liel 1 2
Nequ VIW
Auth# 195111
r
ELLJ C_�
F�I Ij?
WORLDWIDE P SOLUTIONS
WORLDWIDE PARKING SOLUTIONS
71 fi
V 1
P,R�; ;4ed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF .CARMEL
An invoice or 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
James E. Grose Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/9/09 reimburse Det. Jim Grose for parking 5.00
Total
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.
ALLOWED 20
James E. Grose IN SUM OF
5.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# D EP T INVOICE NO. ACCT #!TITLE AMOUNT
�EPr. I hereby certify that the attached invoice(s), or
1110 430 -03 5.00 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
July 29 20 09
A�A� --b. Z"'-A
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund