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220566 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 065950 Page 1 of 1 ONE CIVIC SQUARE DIANA CORDRAY CARMEL, INDIANA 46032 11843 STONEY BAY CIRCLE CHECK AMOUNT: $604.10 `? CARMEL IN 46033-9501 rori�° CHECK NUMBER: 220566 CHECK DATE: 614/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4343004 604 . 10 WASHINGTON 6/26 'Gold Delta SkyMiles° Credit Card I, A. D E LTA p.3/4\1 owRESS DIANA L CORDRAY �4 "�1 •; ' © ;.,•A' . Closing Date 05/16/13 / ---= Pa m:ents'and,Credits - • .'_Y - . Summary 0 c', Total M Payments v -$ 0 Detail *Indicates posting date o Payments Amount e N O O N O O New Charges Summary Total Total New Charges $ etas ;... .:. .:.. . . . :~ DIANA L CORDRAY Amount 04/23/13 04/24/13 THETRAVELAGENT CARMEL IN $569.10 DELTA AIR LINES INC. From: To: Carrier: Class: INDIANAPOLIS ATLANTA HARTSFIELD DL U WASHINGTON NATIONA DL U ATLANTA HARTSFIELD DL Q INDIANAPOLIS DL Q Ticket Number:00671887502075 Date of Departure:06/26 Passenger Name:CORDRAY/DIANA L Document Type:PASSENGER TICKET ^ ^ 04/24/13 a e 04/25/13 THE TRAVEL AGENT,INCARMEL IN $35.00 3178469619 o 0 0 0 0 Continued on reverse 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. Payee 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund