234000 06/25/14 R,`�u�4�qy*
,,� \� CITY OF CARMEL, INDIANA VENDOR: 363065
ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $*******168.79*
:„ ?�; CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK NUMBER: 234000
Mi�TON�` CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 168.79 TRAVEL FEES & EXPENSE
I
JUN 1 G 2014
Y._
PRESCRIBED BY STATE BOARD OF ACCOUNTS GEN F- /C' go
MILEAGE CLAIMTO
U'PR (GOVERNMENTAL UNITI -
ON ACCOUNT OF APPROPRIATION NO- FOR
(OFFICE,BOARD,DEPART16N17 OR INSTTTlrIION)
FROM TO SPEEDOMETER AUTO UILEAGE
DATE READING .(- NATURE OF BUSINESS MILES (g 05-6 ,
ZD�� POINT i POINT START FINISH TRAVELED PER MILE
-- f
ft) 'i-0
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AUTO LICENSE NO. TOTALS 30 16 V
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mffeage or official highway map.
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is le ally Sue after alfowin all just Credits..
end that np part f thei same has been paid.
Date
Ie,
0
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
363065 Dowell, James Terms
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number . (or note attached invoice(s)or bill(s)) PO# Amount
6/16/14 Reimb. Mileage 5/12-6/12/14 $ 168.79 .
Total $ 168.79
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
120
Clerk-Treasurer
1
Voucher No. Warrant No.
363065 Dowell,James Allowed 20
9353 Barcroft Dr,Apt A
Indianapolis, IN 46240
In Sum of$
$ 168.79
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-3 Reimb. 4343000 $ 168.79 . 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
I
I
19-Jun 2014
I
Signature
$ 168.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i,