168216 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 354376 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY P TOLSON CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 110 SHOSHONE DRIVE
"toN �o CARMEL IN 46032 CHECK NUMBER: 168216
CHECK DATE: 1/2112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT. DESCRIPTION
1125 4340400. 2008 300. 0.0 PARK BOARD SALARY
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2008 CARMEL CLAY BOARD OF PARKS RECREATION
Name and Address:
Patricia Chester
5041 Deer Ridge Court '9360 o
Carmel, iN 46033
Susannah H. Dillon
507 Cornwall Court
Carmel, IN 46032
Daniel T. Dutcher
11583 Sutton Place Drive 3 JAN 6 2009
Carmel, IN 46032': i
r
James L. Engledow
13851 Riverwood Way
Sod
Carmel, IN 46032
Tricia Hackett
12432 Glendurgan Drive
Carmel, IN 46032
Judith F. Hagan
10946 Spring Mill Lane a 20,1)06
Carmel, IN 46032
Joan B. Ketterman
3413 Eden Hollow Place
Carmel, IN 46033
Joe Miller
13607 Thistlewood Dr. E. os
Carmel, IN 46032
Timothy P. Tolson
110 Shosone Drive
Carmel, I N 46032
Pumhaw A,
oescription
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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.
Tolson, Timothy Terms
910 Shosone Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
116109 2008 Park Board Annual Pay 300.00
Total 300.00
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.
Tolson, Timothy Allowed 20
110 Shosone Drive
Carmel, IN 46032
In Sum of
4_ 300.00
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ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT WTITILE AMOUNT Board Members
Dept
1125 2008 4340400 300.00 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
6 -Jan 2009
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund