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169645 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 40354407 Page 1 of 1 ONE CIVIC SQUARE CLARK TILSON CHECK AMOUNT: $5.40 CARMEL, INDIANA 46032 11231 ROLLING SPRINGS DRIVE CARMEL IN 46033 CHECK NUMBER: 169645 CHECK DATE: 3/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 5.00 TRAVEL LODGING s orrnf'snn rar <ing tiarke,f Square Center Deni :nn Parking, Inc. in:crt Har•r.rtde up 9h. -n Paying at Pag :Station N Iw ,]irate! DnP1 irate itet# MIM19IWY "2 F 7111fy /h'Jfl'if 11):4!7 P,, i d !;o 7 1617 117 d 11 :27 Duration: 11111;4. Paid 5 D Ilrg. Frn: 5.1111 F(- r. File 1 Credit .1111 C, -lit Card: 1br1vr• not tine anti l: 11:86 I hank-You :on( ngain Cam- �g V& ft -kip ul Mum Did WORLDWIDE. PWYJNG SOLUTIONS KEEP THOS RECEIPT El 0 10 IM M WORLOWIDE PARKING SOLUTIONS KEEP THOS RECEOPT 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 i T. Clark Tilson Purchase Order No. 11231 Rolling Springs Drive Terms Carmel, IN 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) reimburse Det. Clark Tilson 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 T .'"Clark Tilson IN SUM OF 11231 Rolling Springs Drive Carmel, IN 46033 ON ACCOUNT OF APPROPRIATION FOR p olice general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 430 -03 5.00 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 February 26 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund