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204085 11/30/2011
CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY CARMEL, INDIANA 46032 11643 STONEY BAY CIRCLE CHECK AMOUNT: $7.95 CARMEL IN 46033 -9501 CHECK NUMBER: 204085 CHECK DATE: 11/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 7.95 REPORT Gold Delta SkyMile0 Credit Card A. D E LTA p.3 /8 AMERIfAN E�wRess DIANA L CORDRAY m Closing Date 11/15/11 n•a 9 rP eymentS and Crecillts Y P/ E t 4 4 {ti 4 x f L R 3 ;k fi •t 4 ::Summary E Total Payments $455.65 Credits $0.00 0 a Total, Payments and Credli s. $455.65 0 Detail "Indlcatespostingdate `y: a Payments Amount Q 10/26/11 PAYMENT RECEIVED ACH -THANK YOU $455.65' 0 :a r f ai v tj 1� i s•v i� y T 't y 1 )i.i�t t' ry �itt j l 3 s a it i v 4l t P 3'.. i F t Lt �T >IY�i���/�t�Il".��C� z' a �.4 4f` �v a C tri'�:�c f� Su ES 'v i ilce'�j n �e Se'i r O ,.t• •z sr fi T� E�. 1 4 S r r Summary A 33 3 t r Total Total Charges $1,117.55 ;Detail WM DIANA L C©RDRAY Card Ending 4 -82002 Amount 11106/11 EXPERIANCREDITR866 r 9 -0416 CA 57 95 866 -369 -0 41 6 e 1 ion s; ir 11/07/11 AA AIR TICKET SALE4DALLAS TX $60.00 AMERICAN AIRLINES From: To: Carrier: Class: N/A N/A AA 00 N/A YY 00, N/A YY QO N/A YY 00 Ticket Number: 0010752675733 Date of Departure: 11107 oassenaer N?—e: CO ^GAY /DIANA vw "11/10/11 CAREY LIMOUSINE INDIINDIANAPOLiS IN $47 1 317-241-2522 ie Description CHARTER SERV!C 11112111 AA MISC SALE/ TAX/ FPLIOEN?X AZ $25.00 AMERICAN AIRLINES From: To: Carrier: Class: 4 N/A N/A YY 00 N/A YY 00 d YY 00 w N/A YY 00 Ticket Number: 0010261695173 Date of Departure: 1 1/12 N Passenger Name: CO Document Typ 5 BALZAG= 11/13/1 SHERATON PHOENIX DTWPHOENIX AZ $971.48 a Arrival Date Depar ure Dale 1/08/11 F)Oc000 LOC^-L -ING Prescribed by Slate 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)) Total 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 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund