194033 01/26/2011 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
I: 0 ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $339.80
�.r CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
CARMEL IN 46033 -9501 CHECK NUMBER: 194033
CHECK DATE: 1126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 325.80 LTI
1701 4343004 14.00 PARKING
C
slymbs
0ma Root Gume
Centm! Puking
101 1W. Ohlt� 'Street
Indl.dnamlis5
Rot 2E68
OVHIU HQ3 I I At 7 WO 039
01/21/11 in 01/21/1.1 -15:23 Out
To# 018191
in 14.00
Mal Fbe 14AO
CNHPAID WOO-
Cahma TUC
2 =I�cyu
Chanoo Due. 01 10 0
Ph. (31 634-9090
THANK YOU! PLEADE, COME ACAIN!
DIANA L CORDRAY p. 4n
Detail Continued
Amount
1/04/11
1/05/ DELTA AIR LINES CARMEL IN $290.80
R LINES.
From: To: Carrier. Class:
INDIANAPOLIS IN ATLANTA GA DL LB
SAVANNAH GA DL LB
ATLANTA GA DL U8
INDIANAPOLIS IN DL UB
Ticket Number: 00678604610154 Date of Departure: 02/04
Passenger Name: CORDRAY /DIANA L
Document Type: PASSENGER TICKET
)1/06/11
6819104139980074612317 8469619 IN $35.00
TRAVEL AGENCY
]1/08/11
fees
Amount
Total Fees for this Period $0.00
.Interest Charged
Amount
Total Into-rest Charged for this Period $0.00
2011 Fees and Interest:Totais Year -to -Date
Amount
Total Fees in 2011 $0.00
Total Interest in 2011 $0.00
Continued on next page
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
O
v U q
e I v o
Total 3 Y 8 L�
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
0s"i tiattu re
Cost distribution ledger classification if
claim paid motor vehicle highway fund