172037 04/29/2009 I,
CITY OF CARMEL, INDIANA VENDOR: 080501 Page 1 of 1
ONE CIVIC SQUARE CINDY SHEEKS
;o CARMEL, INDIANA 46032 13731 LAREDO DRIVE CHECK AMOUNT: $19.82
CARMEL IN 46032 CHECK NUMBER: 172037
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1701 4343004 19.82 'TRAVEL PER DIEMS
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.
s u-, P ayee
R k� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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
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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Driving Directions from l Civic Sq Carmel, IN to 49 W Maryland St, Indianapolis, IN Page 1 of 1
AA-APOUEST
Total Time: 33 minutes Total Distance: 16.65 miles
A: 1 Civic Sq, Carmel, IN 46032 -2584
Start out going SOUTHEAST on CIVIC SQ toward S
1 RANGE LINE RD. 0.2 mi
2: Turn RIGHT onto S RANGE LINE RD. 0.5 mi
4`4 3: Turn RIGHT onto E 116TH ST. 1.7 mi
3
4: 4: Turn LEFT onto US 31 S. 1.8 mi
5: Stay STRAIGHT to go onto N MERIDIAN ST. 8.3 mi
6: Turn RIGHT onto W 30TH ST. 0.6 mi
7: Merge onto 1 -65 S via the ramp on the LEFT. 1.6 mi
Em Merge onto N DR MARTIN LUTHER KING JR ST via EXIT
8 114 toward WEST STREET. 0.9 mi
9: N DR MARTIN LUTHER KING JR ST becomes N WEST 0.7 mi
ST.
�0 10: Turn LEFT onto W MARYLAND ST /US 40 E. 0.4 mi
11: End at 49 W Maryland St Indianapolis, IN 46204 -3522
B: 49 W Maryland St, Indianapolis, IN 46204 -3522
Total Time: 33 minutes Total Distance: 16.65 miles
Ali rights reserved. Use subject to License /Copyright Map Legend
Directions and maps are informational only. We make no warranties on the accuracy of their content, road conditions or
route usability or expeditiousness. You assume all risk of use. MapQuest and its suppliers shall not be liable to you for
any loss or delay resulting from your use of MapQuest. Your use of MapQuest means you agree to our Terrns,of Use
http: /www,mapquest.com/maps? I c= Carmel& I s =IN& I a= I +Civic+Square& I z= 46032 &2c India... 4/24/2009
Prescribed by State Board of Accounts
General Form No. 101 (1955)
MILEAGE CLAIM
TO DR.
(Governmental Unit) i
On Account of Appropriation No. for
(Office, Board, Departme(r Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
Auto License No. TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after
allowing all just credits, and that no part of the same has been paid.
Date
Clam No. Warrant No. I have examined the within claim and
hereby certify as follows:
IN FAVOR OF
That it is in proper form;
Vl I C�l� That it is duly authenticated as required
by law;
That it is based upon statutory authority;
I g J That it is apparently correct
incorrect
On Account of Appropriation No. for
--rFu l L)�vrn S Disbursing Officer
Cil l 1
(D
Allowed 20 o F
in the sum of O
(D
O
(OD (�D
rt
m
(Board or commission) 0
O
(D
FILED o
(D
(D
C)
o
N
a
0 m
M m
(Official Title)
O 5
�e (D a