217162 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 357980 Page 1 of 1
ONE CIVIC SQUARE JAMES GROSE
CARMEL, INDIANA 46032
CHECK NUMBER: 217162
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 12 . 00 SPECIAL INVESTIGATION
GroS e-
PLAZA PARK
Rcpt# 27074
OU25/1315•14 L.# 2 A# 20 T xn# 46782
01/25,'13 12.46 In 01/25/13 15:14 Out
Tkt# 065104
REGULAR RATE $ 12.00
Total Fee s
$ 12.00-
XXXXXXXXXXXX7N,
Approval No.•415251
Reference No.:2N
Change Due $ 0.00
THANK. Y9J
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
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/25/13 reimburse parking-Grose $12.00
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.
ALLOWED 20
Jim Grose
IN SUM OF $
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-582.00 $12.00 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
G�0 cl-FD
Thursday, February 07, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund