HomeMy WebLinkAbout189761 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
b ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $302.80
y roN `a` CARMEL, INDIANA 46032 C10 PARKS -ESE
CHECK NUMBER: 189761
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DE SCRIPTION
1081 4343000 302.80 TRAVEL FEES EXPENSE
a
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PRESCRLRrD BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM
To
(GOVERNMENTAL UNM ON ACCOUNT OF APPROPRIATION NO- FOR
(3MCE, BOARD, DEPARTMENT OR INSTMTLON)
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(s TRAVELED NATURE OF BUSINESS
POINT POINT START FINISH PER MILE_
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AUTO LICENSE NO.
TOTALS 3t�5 1 V
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 legall due, after allowing all just credits
end that no part of the same has been paid.
-Date
r AUG
2".0 1010
BY
PRESCRIBED BY STATE BOA" OF ACCOU?Ir5 GENERAL FORM NO. IPI (14867
MILEAGE CLAIM t
TO CX CGS
(WVERNSIENTAL UNITt
ON ACCOUNT OF APPROPRIATION NO. FOR
(OPirCE, HOARD. DEPARTMENT OR INSTnIJTION)
FROM TO SPEEDOMETER AUTO 2AILEAGE
DATE READING
Za NATURE OF BUSINESS MILES t4+ ISO
POINT POINT START FINISH TRAVELED
PER MILE
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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. n D t 1 7
Pursuant to the provisions and penalties of Chapter 155, Acts 1953; 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
end that no part of the same has been paid.
Date
ar°
PRPSCN18CO BY STATE BOARD OF ACCOUNTS
GENERAL EOR19 NO. 10] UWS)
MILEAGE CLAIM
To o Enos D •fie, 1�
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
LO➢FICE, BOARD, DEPAATWZKT OB lNSt=108J
SPEEDOMETER J AIII.E�GE
DATE FROM TO I READING NATURE OF BUSINESS a r o�
POINT POINT START FINISH PER MILE
l Mac.
t c�P 7
I
AUTO L €CENSE NO. TOTALS lJ� 9 0
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. 1 1 2 on o, C)
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally after allowing all just credits,,
and that no part of the same has been paid-
Date 7 9L
5
LVA
BY: ......................o
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 invoices) or bill(s)) PO Amount
8117110 Reimb. Mileage 4/13 8/13/10 302.80
Total 302.80
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
302.80
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITL AMOUNT
Dept
1081 -7 Reimb. 4343000 302.80 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
9 -Sep 2010
Signature
302.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund