206811 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350034 Page 1 of 1
t ONE CIVIC SQUARE DONALD R SIMPSON
CHECK AMOUNT: $31.00
CARMEL, INDIANA 46032 633 E QUAIL RIDGE DR
WESTFIELD IN 46074 CHECK NUMBER: 206811
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 31.00 EMPLOYEE PEN BENEFI
WHITE RIVER STATE PARK GARAtE
Rcpt# 79848
02121112 15.19 L# 2 A# 2 TXn #84528 7
02/21/12 07.15 In 02/21/12 15:1 Out
TAO 019
Main 12.00
Total Fee 12.00
CASH PAID 12.00
Cash Tender 12,00
Change Due 0.00
Operate, By Superior Parking System
WHITE RIVER STATE PARK GARAGE
Rcpt# 79949
02/22/12 18:26 L# 2 A# 12 Txn#845648
02/22/12 08:55 In 02/22/12 10:26 Out
Tkt# 239190
Main 12.00
Total Fee 12.00
CASH PAID 12.00
Cash Tender 12.00
Change Due 0.00
Operated By Superior Parking System
WHITE RIVER STATE PARK. GARAGE
Rcpt# 79880
02/21/12 23.27 L# Z fl# 3 Txn #845431
02/21/12 17.45 In 02/21/12 23:27 Out
Tkt# 239274
Main 7.00
Total Fee 7.00
CASH PAID 7.00
Cash Tender 20.00
Change Due 13.00
Operated By Superior Parking System
VOUCHER 113883 WARRANT r ALLOWED
T0716 IN SUM OF
SIMPSON, DON
CARMEL WATER
RATIONS
Carmel Water Utility I
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
22112 01- 6040 -05 $31.00
i
i
a
i
Voucher Total $31.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T0716
SIMPSON, DON Purchase Order No.
CARMEL WATER Terms
Due Date 2/23/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2012 22112 $31.00
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
Date O cer