192048 11/23/2010 a F CITY OF CARMEL, INDIANA VENDORS 363065 Page 1 of 1
0 ONE CIVIC SQUARE JAMES DOWELL
CARMEL, INDIANA 46032 CIO PARKS ESE CHECK AMOUNT: $281.95
CHECK NUMBER: 192048
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CHECK DATE: 11123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 281.95 TRAVEL FEES EXPENSE
PR1 =5CgIB LD BY SiASi BOARD Of ACCOUNTS GF�c4:R L "01111 IiG. JAI 119861
MILEAGE CLAIM r '7
TO Z a m eS L
I s5YN'A, uNl'I')
v e l Per {1'1 ON ACCOUNT OF APPROPRIATION HO FOR
IOFFICP, HOARD, DLP"TLEEh7 OR INSTIMICINJ rr
SPEEDOMETER
DA'TEEY FROM TO �I READ NG f AUTO I,LiLBAGE
2- 1Q- POINT POINT START FINISH NATURE OF BUSINESS TRA MILES
VELED t
PER MILE
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AUTO LICENSE NO" TOTALS 3
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 gall due, after a1' all just credits
end that no part of the same has been paid.
Date
q3q
M CUM
l
17 1010
BY:
GENFRA FORM 21O- 101 (1785)
PRLscR16ED BY STATE BOARD OF ACCOONTs
MILEAGE CLAI
0S I
c� t60V ERNN ENIAL 117 ON ACCOUNT O�PROPRIATION NO- FOR
V
tot, —,HOAR .DEPAR OR Mrrr TION)
SPEEDOMETER AUTO MILEAGE
DATE FROM TO A READING 1,.uyEg C
v -La POINT POINT START FINISH NATURE OF RUSFNESfi PER WL r
TRAVELED
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AUTO LICENSE NO. TOTALS l
SPEEDOMETER READING columns are to be used only when distance between points cannot he 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 aliowing all j t credits
and that no part of the same has been paid.
Date
ne
NOV 17 1010
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
11/17/10 Reimb. Mileage 8120 11/17/10 281.95
Total 281.95
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.
363065 Dowell, James Allowed 20
14328 Banister Dr
Noblesville, IN 46060
In Sum of
281.95
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #iTJTLE AMOUNT Board Members
Dept
1081 -7 Reimb. 4343000 281.95 1 hereby certify that the attached invoice(s), or
bi1(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
18 -Nov 2010
Signature
281.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund