195141 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 363915 Page 1 of 1
0 1 ONE CIVIC SQUARE KATHERINE DR NE DVILLE CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032
•w;�.. INDPLS IN 46220 CHECK NUMBER: 195141
CHECK DATE: 3/2/2011
DEPARTMENT AC COUN T PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
2200 4343002 40.00 PARKING PASSES
Purdue University
Parking Facilities
504 Northwestern Ave.
Kest Lafayette, IN 47907
parkin0purdue.edu
Full Day
0ty $40.00
Subtotal $40.00
Total Due $40.00
Check $40.00
C; Due $0.00
Receipt: 171970
February 24, X011 4:31 Pik
Drawer: Susan
97tt] ANNUAL PURDUE: ROAD SCHOOL
MARCH 8 -10, 2011
REQUEST FOR PARKING PERMITS
No orders will be accepted after March 1
Na m e _IV/ L ��L? yP ?V J� �T �1J�y1C'C1�1 �Jr�
Agency /Organization Z: cF C A,<
Mailing Address V C yi L c /G
City C,4 State _Z ti /A N A zip '3 o
Phone Fax Email
There will be no pre -sale permits for the Grant Street Garage. If you wish to park in the Grant Street Ga-
rage, simply take a ticket from the machine when entering the garage and pay using the automated
machine in the lobby of the garage when you leave. Parking in the Grant Street Garage is $10.00/
day. If you are a guest at the Union Club Hotel, you will receive a free parking permit upon check
in. Pre -paid parking permits will be mailed in advance with a parking instructions and a map. For
more information visit www.12urdue.edu /12arking /map.html
You may purchase ahead of time an "A" type permit for ALL GARAGES EXCEPT GRANT STREET at
$5.00 per day.
Quantity Total
Permit for March 8, 9, and 10 $15.00
Permit for March 8 ONLY $5.00
Permit for March 9 ONLY $5.00
Permit for March 10 ONLY $5.00
METHOD OF PAYMENT Payment is required upon submission of this form with a check or credit
card information. Parking Services does NOT have the capability to accept purchase orders or claim
vouchers. You may fax your order to the number below.
heck enclosed, payable to Purdue University
Please charge to my Credit Card:
VISA MasterCard Discover
Card Number Expiration Date
Signature
COMPLETE FORM AND RETURN TO:
Parking Facilities
Purdue University
504 Northwestern Avenue
West Lafayette, IN 47907
Fax: 765 494 -9492
Phone: 765 494 -9497
zD 832 232
740
KATHERINE E. NEVILLE 7050212BM5
8012 BITTERN LANE PH. 317 946 5955 2 2
INDIANAPOLIS, IN 46256 Dar,
E'
PAY TO THE I
ORDER OF.....�
I
CHAS
JPMorgan chase Bank N.A
Indianapolis, Indiana 46277
www.Chase.com
MEMO •7y
0
6
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
Katie Neville
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2124/11 Parking passes for Purdue Road School $40.00
8 passes
OAA AA
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
Ka tie Neville
IN SUM OF
Engineering Dept.
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or AV ICE NO. ACCT #/TITLE AMOUNT
n /ADEPT. 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund