179368 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 354940 Page 1 of 1
ONE CIVIC SQUARE THOMAS PERKINS
CARMEL, INDIANA 46032 14150 EQUINE COURT CHECK AMOUNT: $35.00
WESTFIELD IN 46074
CHECK NUMBER: 179368
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
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1180 4357002 35.00 BAGGAGE FEES
9vx anG=,10 on(8s®.. BAGGAGE CHARGE RE('E'LPT' d�111r4�U�C�1071A8�09Q`0es®
PASSENGER E
,.F ERKINS /,THOMAS
Checked Bag Fee 1 20,= 00 USD
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4.069 OCTOBER 17, 2009 _I
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NOTICE
PASSENGER TICKET AND BAGGAGE CHECK International (Warsaw Convention) Notice
PASSENGER COUPON If the passenger's journey involves an ultimate destination or stop in a country other than the country
of departure, the Warsaw Convention may be applicable and the Convention governs and in most
cases limits the liability of carriers for death or personal injury and for loss of or damage to baggage.
See also the notices entitled "Advice to International Passengers on Limitation of Liability' and "Notice
of Baggage Liability Limitations
NOTICE
Domestic Notice
This portion of the ticket should Air Transportation to be provided between points in the U.S. (including its overseas territories and
be retained as s evidence of your possessions) is subject to the individual contract terms (including rules, regulations, tariffs and condi- N
journey. tions) of the transporting air carriers, which are herein incorporated by reference and made part of the
A summary of Terms and Condi- contract of carriage.
tions applicable to your travel on Where this coupon is issued for transportation, or services other than air travel, specific terms and
American Airlines and affiliated conditions may apply. These terms and conditions may be included in the ticket set or may be obtained
carriers is available at aa.com or on from the issuing company or agent.
ticket jackets which are available at Please make sure you have received the important legal notices entitled "Conditions of Contract
the airport. "Notice of Incorporated Terms 'Notice of Baggage Liability Limitations and "Notice of Overbooking"
or the specific terms and conditions relating to non -air transportation or services. If not, contact the
nearest office of the company or agent to obtain copies.
I
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
Thomas D. Perkins
Purchase Order No.
14150 Equine Court
Terms
Westfield, Indiana 46074
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 -4 -09 Reimburse Thomas D. Perkins for monies he personally $35.00
expended for baggage fees charged by the airline
r. Perk att endance a s 74th Annual Conference on
behalf of the City of eannef, held in kfiani�, Flofida
nctob.-r 17 P1 P009) Per the attq(-hpd
Total3.5 �d®
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
J
VOUCHER NO. WARRANT NO.
ALLOWED 20
Thomas D. Perkins IN SUM OF
14 Equine Court
Westfield, Indiana 46074
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -57002 External Training Fees
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 35.00 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
2007
atu re
Cost distribution ledger classification if Tltle
claim paid motor vehicle highway fund