184730 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
ONE CIVIC SQUARE JAMES DOWELL
0 CHECK AMOUNT: $282.90
4
CARMEL, INDIANA 46032 C/0 PARKS -ESE
CHECK NUMBER: 184730
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 282.90 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GFNrRAL FORM NO. 301 i199Ff
MILEAGE CLAIM
TO
4GOVERNMENrALUNln ON ACCOUNT OF APPROPRIATION NO. FOR
{OF?[CE, BOAAfl, OFPAA'fl@fr OR 1NSrlT{7IIgN)
SPEEDOMETFR AUTO MILE AGE
FROM TO READING
DATE PORJT POINT START FINISH NATURE OF BUSINESS TRA FLED
PER ?BILE
S (n. b
i
u r 0
AUTO LICENSE NO. TOTALS
-SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage 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 legally due, after ahowing all just credits
end that no part of the same has been paid.
Date
APIR 2 7010
BY:
PRUCRISED 87 STATE WARD OF ACCOUNTS GENER&L FORS xc. loi (i V) 1 MILEAGE CLAIM
caavux� uxm ON ACCOUNT OF APPROPRIATION NO. FOR
HOARD, oEY on 1?1STTru11OR)
SPEEDOMETER AUTO MILEAGE
FROM TO
DATE I HEADING NATURE OF BUSINESS MILES �D
TRAVELED
POINT POINT START FINISH PER MILE
n.
Ah; 4E�
P T7
M C o PT
-Y
4
SIX-
I
AUTO LICENSE NO- TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1453, I hereby certify that the foregoing account is just and correct, that the amount claimed is le q y due of er allowing all just credits
end that f he same has been paid.
nyal
t Date O
V A PIR 7 112 1 0
BY:....
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
14328 Banister Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
411110 Reimb. Mileage 211 411110 282.90
Total 282.90
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
14328 Banister Dr
Noblesville, IN 46060
In Sum of
282.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4,CCT AMOUNT Board Members
Dept
1081 -7 Reimb. 4343000 282.90 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
22 -Apr 2010
Signature
282.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund