179187 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
0 ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $96.15
CARMEL, INDIANA 46032 C/O PARKS ESE
CHECK NUMBER: 179187
CHECK DATE: 11/11/2009
6EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT D ESCRIPTION
1046 4343004 96.15 TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD OF ACCOUNTS J MILEAGE CLAIM a rn e S V f� LJ�.� e, GFNERAL FORK NG. IQl (198b)
TO
(GOVERNMENTAL UNI'n ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPAATIM(T OR 1NSITTUTIOS)
SPEEDOMETER
DATE FROM TO READING AUTO )AME¢C�E
POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
O 8.
I V. 73
1 o S 8.6 4•
b 'Y Z3
IV. 73
It 6 c/ 7
tnlrs .b 51.73
S• 'f. 73
s s' S/6 2.
10116. Mono •f f 6 2.
Po ants S b Sl.
161 1 9 1
4oiak 6
1 0 L N. 73
to/as -1. 7
4. 7
t.7
p cn cka crl ck� C R 1 15. A t 2
Pr
r�, e
AUTO LICENSE NO, TOTALS 1 41 9D
ER R EADING s ar t be used only when distance between points cannot be determined by fixed mileage or official highway map.
SPEEDOMET column e o Y p g 4
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
end that no part of the same has been paid.
Date
l� Ld�Jf
n
l/ t
3 'o00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
363065 Dowell, James Terms
14328 Banister Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO ]jjjAmount
96.15
10/30/09 Reimb. Mileage 10/1 10/30/09
Total; 96.15
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.
363065 Dowell, James Allowed 20
14328 Banister Dr
Noblesville, IN 46060
In Sum of
96.15
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 96.15 1 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
5 -Nov 2009
Signature
96.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund