172336 05/13/2009 CITY OF CARMEN, INDIANA VENDOR: 357980 Page 1 of 1
ONE CIVIC SQUARE JAMES GROSE
CARMEL, INDIANA 46032
CHECK NUMBER: 172336
CHECK DATE: 511312009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 5.00 TRAVEL LODGING
11r.y I A I I [IN
t U. 111144
011'.':H2
Paid On:
2 Il 119 I15/ 118 11
I
P.1i d
11riginal Fee:$ 5.110
I:s 1 li fin
P% 1 It. till
Change 11. 1111
MEMOMEaft
SC:$ 11.1111
Merchant 10: 0I1I5'1395
•i Mr wxMnk Nw 1k pea
tins I FRGARD
Purchase 119/05 /IlH 11:211:51
Seq# PIlF
Aiithlt 111306/
11011 APPHIJUUD
WORLDWIDE PARKING SOLUTIONS
KEEP "THO's
RIECEOIFT
10 M Ej t=
WORLDWIDE PARKING SOLUTIONS
KEIEF THUS
REECEUPT
11 El 0
3E N-I In
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
reimburse Dot. 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
i
J ames E. Grose IN SUM OF
5.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT 1 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
May 11 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund