245804 06/03/15 �' �,q,� CITY OF CARMEL, INDIANA VENDOR: 363065
`` i CHECK AMOUNT: $*******532.45*
�- Q# �• ONE CIVIC SQUARE JAMES DOWELL
�� ?�: CARMEL, INDIANA 46032 C/O PARKS-ESE CHECK NUMBER: 245804
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CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 532.45 TRAVEL FEES & EXPENSE
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MILEAGE CLAM
sa OR ACOOIINT OF APMPRM110N M 10E
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+ SPMOMSf M PJUU f G aolnmas ara to be used oa+ip wham didauce batman po"taanol be determined by mai=heap*or ofticlal hiShway map.
Peranaet to the Pcovhloea and psualttes of Chapter 199,Acts 31193,Iheraby amttip that the foragalmg account k last and torted.tint the amount claimed fa 1 dao,a ltar OR Just audits 0
end that pop the dme ns been Paid.
Date
M4Y 2015
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Pnrsnant to the pmvtatom and Penalties of Chvier 155,Acts low,I hereby catify that the foregoing acconut is last and correct.that the MaUnt claftied is t due W"Wing all Jna toe
end that no part of the sa=e has been paid.
Rate �/ • ?� L,�
j MAY152015
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WXLEAGIC
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ata ACDOUNT Of AtywatAitatt R
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+ sp>SsDosa>`tER READ)NQ ml==ars is ba and only wbaa distance bahmn pomp cannot be dete:mtned by atant"highway map.
Pcaneat to the pmtdaw sad penalttm of Chapter 188v4d man*W024 ,Acts 1953,iboseby car*ibat the fam"igg ocwnni is lost and comet.Fhat the amount aw wd U 1 dw, r all gall iwt atttii4�.
IHi. �1w bmm paid.
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MAY 15 2095
�r �
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
5/7/15 Reimb. Mileage 1/7-4/17/15 $ 532.45
Total $ 532.45
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.
363065 Dowell,James Allowed 20
9353 Barcroft Dr,Apt A
Indianapolis, IN 46240
In Sum of$
i
$ 532.45
1
ON ACCOUNT OF APPROPRIATION FOR.
108 -ESE
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-3 Reimb. 4343000 $ 532.45 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
May 28,2015
1P.i
i
j' Signature
$ 532.451 Accounts Payable Coordinator
^ Cost distribution ledger classification if Title.r
claim paid motor vehicle highway fund
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