191167 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $286.40
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033 -9501 CHECK NUMBER: 191167
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 286.40 TRAVEL PER DIEMS
DIANA L CORDRAY
Closing Date 10/15/10
Payments and Credits
1 0
e Total
Payments $
@tail "indicates posting date
Payments Amount
09/2 D IANA L CO �T PAYMENT RECEIVED ACH THANK YOU
a h
�IVew Charges
O
cJUilltlla[/
Total
DIANA L CORDRAY 4 -82002 $
Deteii
DIANA L CORDRAY
Card Ending
Amount
09/18/10
10/14/10 SOUTHWEST AIRLINES DALLAS TX CD
SOUTHWEST AIRLINES
From: To: Carrier: Class:
INDIANAPOLIS IN DENVER CO WN W
INDIANAPOLIS IN WN M #4 co
4
c Ticket Number:52621312396�54 Date of Departure: 11/30
°o Passenger Name: CORDRAY /DIANA
a Doc u m ent Type: PAS TI
10114/10
Continued on reverse
Av:
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)) p
O -)Y`
Total
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT, I 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
20
s, g:
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund