215902 12/25/2012 �M CITY OF CARMEL, INDIANA VENDOR: 366090 Page 1 of 1
0 ONE CIVIC SQUARE TOD F PARKER
CARMEL, INDIANA 46032 2937 WESTLEIGH DRIVE CHECK AMOUNT: $40.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 215902
CHECK DATE: 12125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 121712 40 . 00 OTHER EXPENSES
INVOICE
Date: 12-17-2012
To: Carmel From: Tod F. Parker
2937 Westleigh Dr.
Indianapolis, IN 46268
Quantity Description
Price/ea Amount
Panoramic Print (12x36) $40.00
Subtotal $40.00
Total Due $40.00
Please make all checks payable to: Tod F Parker
If you have any questions or comments please contact me at
317-363-5855
or the address found above.
You may also e-mail me at: tod@phototac.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tod F. Parker
IN SUM OF $
2937 Westleigh Drive
Indianapolis, IN 46268
$40.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1 120-851.00 I $40.00 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
DEC 17 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
$40.00
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