212093 08/27/2012 a�yf CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1
ONE CIVIC SQUARE DIANA CORDRAY CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE
o� CARMEL IN 46033-9501 CHECK NUMBER: 212093
CHECK DATE: 8/27/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4343004 15 . 00 TRAVEL PER DIEMS
DIANA LCORDRAY Account Ending 4-83VoV
[
/
07/19n2 L0[WSvAwDEn8ILTHO7NASHYILLE TN
|
LODGING ,
�-
FOOD/BEVERAGE $a»l
TIP $1.25
--
07/20/ I LOEWS HOTELS YANDERBN^aHNuB TN ^ $onso
Mi \ 0��
-- Amva|Dote Departure Dotp-11"
TO 07/ 8n2 07/20/12 `
m 00000000
_
LODGING
07/23/12 T�TRAVE[AG-Wf,-Ilq—CARMEL IN
AVEL AGENCY
r—T IR
_
nmmv^, v^wxc",^^.".-.'.~-'~._--
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.
P ee
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
r 0
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund