210329 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $213.94
1, CARMEL, INDIANA 46032 C/O PARKS ESE
CHECK NUMBER: 210329
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 213.94 TRAVEL FEES EXPENSE
FIRICAUMD In STIR BOARD OF ACCOUNT'S GOIOIAL rONW }o. 101 (low
MILEAGE CLAIM
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SPEEDOMETER READING columns an to be used only when distance between points cannot be determined by fixed mileage OVL official highway map. v
Pursuant to the provisions and penalties of Chapter 155, Acts 1893, I hereby certify that the foregoing account is Just and correct, that the amount claimed is le y du after allowing just credits
end that no art 9f the same has been paid.
Date
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PIESO t W NY UATE NOMD OF ACCOUNTS MILEAGE CLAIM acAm" rONM a6. 101 11900
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AUTO LICENSE NO. TOTALS G�` 7
SPEEDONWM HEADING 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 1893, I hereby certify that the foregoing account is just and correct, that the amount claimed is Is y du after allowing just credits
end that no art of the same has been paid.
Date
r:
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
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/19/12 Reimb. Mileage 4/16 6/12/12 213.94
Total 213.94
1 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
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of
213.94
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -3 Reimb. L4 q3D00 213.94 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
28 -Jun 2012
Signature
213.94 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund