178341 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 354940 Page 1 of 1
ONE CIVIC SQUARE THOMAS PERKINS
CARMEL, INDIANA 46032 14150 EQUINE COURT CHECK AMOUNT: $284.20
WESTFIELD IN 46074 CHECK NUMBER: 178341
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NU MBER AMOU DESCRIPTION
1180 4357002 284.20 EXTERNAL TRAINING FEE
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Record Locator: PBEHDH
Flight De artin Arriving Booking
Carrier Number city Date &Time Code
4069 INDIANAPOLIS SAT 170CT CHICAGO OHARE 6:00 PM L
5:50 PM
OPERATED BY AMERICAN EAGLE
American Airlines Thomas Perkins Economy Food For Purchase
p 1822 CHICAGO OHARE SAT PM
6:55 5 PM MIAMI INTERNTNL 10:50 PM L
American Airlines Thomas Perkins Economy Seat 21A Food For Purchase
w 1509 MIAMI INTERNTNL WED 21 OCT CHICAGO OHARE 5:45 PM N
3:35 PM
American Airlines Thomas Perkins Economy Seat 15F Food For Purchase
4252 1 CHICAGO OHARE I WED 21 OCT INDIANAPOLIS 9:05 PM N
7:10 PM
OPERATED BY AMERICAN EAGLE
American Airlines Thomas Perkins Economy Seat 3A Food For Purchase
PASSENGER TICKET NUMBER FARE -USD TAX TICKET TOTAL
THOMAS PERKINS 0012355486400 339.53 67.87 407.40
THOMAS PERKINS Additional Fare Collection 134.20
ADDITIONAL SERVICES DATE CURRENCY AMOUNT
Ticket Change 29 SEP 09 USD 150.00
Payment Type: Exchange
Additional Services are subject to credit card approval at time of ticketing. Additional Services may appear on multiple accompanied
documents as a matter of reference.
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etif lirter�ry Rece`pt Conftlmiattont«
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Date of Issue: 29SEP09<.;
1
Thomas D Perkins:
Thank you for choosing American Airlines American Eagle, a member of the 0 g
oneworldTm Alliance. Below are your itinerary and receipt for the ticket(s)
purchased. Please print and retain this document for use throughout your trip.
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Canada. For in -flight purchases, we will accept American Express® Cards and other N O ML
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NRID:5642154844482914083599600
9/29/2009
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
f 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
1 Terms
Westfield, Indiana 46074
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 -30 -09 Reimburse Thomas D. Perkins for monies he personally $284.20
expended to adjust flight schedule in order to attend IMLA's
Annual Conference in Miami, Horida, on behalt ot the
eit
y 2009, per the attached
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. $284.20
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Thomas D. Perkins IN SUM OF
14150 Eq Court
Westfield, Indiana 46074
$284.20
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -57002 External Training Fees
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1180 28 0 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
3(D 20 c9
Si ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund