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211759 08/14/2012
CITY OF CARMEL, INDIANA VENDOR: 357980 Page 1 of 1 0 ONE CIVIC SQUARE JAMES GROSE CARMEL, INDIANA 46032 CHECK NUMBER: 211759 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4358200 5 . 00 SPECIAL INVESTIGATION Grose, orni�an rarrc�.ng "arket Square Center nenison Parking, Inr_ Insert 6arcode up When Paying at Pay Statinn Ticket# : 52526245 Entered 2012/08/07 18:56 Paid [in 2012/08/07 15:09 Duration: 1:12:42 Paid : $ 5.00 Urg. Fee: $ 5.00 Fee File: 1 Credit : $ 0.00 Credit Card: Drive out time until: 15:24 [hank-Vou..Come Again ««.......... Swiped UISA Purchase 12/08/07 14:07:45 Seq# POF Auth# 417096 000 APP60UED ®U WORLDWIDE PARKING SOLUTIONS 1E L'1 fJ R IE C I E P T 0 El ©�' UM F0 C: WORLDWIDE PARKING SOLUTIONS KEEP TH93 R E C E O PT ©0©M= 1 � n WORLDWIDE PARKING SOLUTIONS N\\ Il_... 5f p LI fr it 1.1 Y � 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 Purchase Order No. Terms Date Due r Invoice Invoice Description Amount r ,_ Date Number (or note attached invoice(s) or bill(s)) 08/07/12 reimbursement for parking $5.00 s#, O� I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same ire d with IC 5-11-10-1.6 20 Clerk-Treasurer i/ y,d •S v":, �:�,,, AIM VOUONFR N0. WARRANT NO. Jf'm �— ALLOWED 20 IN SUM OF $ $5.00 ONACCOUNT OF APPROPRIATION FOR IFCSI Police Department PC* INVOICE NO. ACCT#/TITLE AMOUNT _ 1710 Board Members 43-582.00 $5.00 I 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 Thursday, August 09, 2012 Chief of Police Title 1edger classification if �r- vehicle highway fund