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HomeMy WebLinkAbout 10/21/14 CITY OF CARMEL, INDIANA VENDOR: 261400 CHECK AMOUNT: $********12.32*ONE CIVIC SQUARE JANET ARNONE CARMEL, INDIANA 46032 COMM CENTER CHECK NUMBER: 238313 COMM CENTER CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4343002 12.32 EXTERNAL TRAINING TRA Prescribed by State Board of Accounts General Form No.101(1955) MILEAGE CLAIM TO ( DR. (Governmental unit) On Account of Appropriation No. 7 ©7-- for Ice, 13oar . Department or Institution) DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE @SIP 20 Point Point Start Finish TRAVELED PER MILE 3• I Auto License No. TOTALS ZZ- ZJ 32 — * SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the'amount 'claimed.is legally due, after allowing all just credits, and that no part of the same has been paid. Date Clcdm No. Warrant No. I have examined the within claim and hereby certify as follows: IN FAVOR OF That it is in proper form; /!�, Than it is duly authenticated as required �a C�-y� by law; That it is based upon statutory authority; That it is apparently {correct < Z incorrect On Account of Appropriation No. OL for Disbursing Officer Allowed 20 (D � o p5 in the sum of$ Q 0 OQRI- J' O (D (D r cD c�U CD 0 (Board or Commission) ( a O O � FnM (D o � m o as � (D �... . 0 CD CD 0CD CCn ( 5 (Official Title) , U)96 O 0 ((D a