221018 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 075010 Page 1 of 1
ONE CIVIC SQUARE MICHEAL DIXON CHECK AMOUNT: $18.00
i` pro CARMEL, INDIANA 46032 359 W BUCKEYE STREET
CICERO IN 46034 CHECK NUMBER: 221018
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 10 . 00 TRAVEL & LODGING
1110 4351100 8 . 00 CAR CLEANING
Pay Station Wibw:
Int.eraJ:
10:49
Ex 1 Ited: UVW/2013
13:03
Ticxet Uirtw: 49FM
Transact icri Njiix--f,: 1331
IbLe: D
Par*.i% Fee: $10.00
Total Tax: $U,w
------------------------------------
Total Fee:
Fee Paid:
4)proval NA10w: 040213
TI-Irrik you for y(I.1- visit
Please cc ma again!
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))
06/09/13 parking/accreditation $10.00
06/09/13 car wash/accreditation $8.00
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
Micheal R. Dixon
IN SUM OF $
359 W. Buckeye Street
Cicero, IN 46034
$18.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 43-430.03 $10.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 43-511.00 $8.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 14, 2013
,Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund