HomeMy WebLinkAbout172070 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350407 Page 1 of 1
0 ONE CIVIC SQUARE CLARK TILSON CHECK AMOUNT: $5.50
CARMEL, INDIANA 46032
CHECK NUMBER: 172070
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 5.50 TRAVEL LODGING
THIS CONTRACT LIMITS OUR
PARK CAR LIABILITY
SPACE, LOCK CAR AND KEEP KEYSD
THIS FACILITY ONLY PROVIDES q
E WILL
PARKING SPACE. DENISON PARKING
PERSONALT PROPERTYg LE ANY
NATURE LEFT IN OR ON ANY CAR OR
LOSS OF OR DAMAGE TO ANY CAR
DUE TO FIRE, THEFT; EXPLOSION,
RE COLLISION. WE WILL NOT BE
t RESPONSIBLE IF YOUR VEHICLE IS
I STOLEN OR DAMAGED. UNLESS
i NOTIFIED, VEHICLES LEFT OVER 30
DAYS WILL BE TOWED AT
RISK AND EXPENSE. OWNER'S
PAC
I
Ascribed 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
Travis C. Tilson Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/21/09 reimbursement for parking Officer Tilson 5.50
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
Tra vis C. Tilson
IN SUM OF
5.50
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -03 5.50 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
April 22, 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund