215307 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 363065 Page 1 of 1
ONE CIVIC SQUARE JAMES DOWELL CHECK AMOUNT: $246.89
CARMEL, INDIANA 46032 C/O PARKS-ESE
CHECK NUMBER: 215307
CHECK DATE: 12111/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 246 . 89 TRAVEL FEES & EXPENSE
1'Olf6C1RlaD ST aG2E WARD OF AOOOaM1a am="YOaN W.!Ol 111a0)
� MILEAGE CLAIM '� � `1
To Ames `�w
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ON ACCOUNT OF APPROPRIATION NO FOR
1) FROM TO p � AUTO CAGY
POINT POW START FINISH NATUttR OF 8t13IN833 ,� O •
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+ 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 1185,Acts 1893,I hereby certify that the foregoing account is just and correct,that the amount claimed is Is y du after allowing t credits
end that no art c the same has bran paid.
Data_ I �
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NOV 2 8 2012
BY:
c
nns auew R sure MOM OF ACCOOM ` c ns"NXW}0.IW film
MILEAGE CLAIM
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DATE FROM TO READING ER AUTO aiz!YAGt
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POINT POINT START FURSH NATURE OF BUSINESS TitArm ® PER U"
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AtITO UCIINSE NO. TOTAM 17
+ SPEBDOME'M RUDDiG ooluuns art 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 le y du after allowing just credits,-
end that no cart of the same has been paid.
Date_ „(1
/( NOV 2 8 2012
tB
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
11/26/12 Reimb. Mileage 9/10 - 11/6/12 $ 246.89
Total $ 246.89
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
S'
Voucher No. Warrant No.
363065 Dowell, James Allowed 20
9353 Barcroft Dr, Apt A
Indianapolis, IN 46240
In Sum of$
$ 246.89
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-3 Reimb. 4343000 $ 246.89 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
6-Dec 2012
Signature
$ 246.89 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund