HomeMy WebLinkAbout240088 12/09/14 �/ i• CITY OF CARMEL, INDIANA VENDOR: 359461
6 ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $********25.08*
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK NUMBER: 240088
y,TON�` INDIANAPOLIS IN 46208 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 25.08 TRAVEL FEES & EXPENSE
PRPSCRICED HT STATE HOARD OF ACCOUNTS Gr IEM FORD 110.101(IM) c
MILEAGE CLAoIM�r�
1 t"7\�. aL ��,Z em
�C�(�1�E1� ��� '�-Nt"ZIGF-4 YV►�l � y�`1 �^ 1
�� (OOVEIINNENTAL UNE[) ON ACCOUNT OF APPROPRIATION NO. FOR
(OFPICY,HOARD,DXV&FrWXKr OR INSWETTION) -
SPEEDOMETER
DATE FROM To READING.+ AUTO MILE E
V NATURE OF BUSINESS MILES. ® O• e Cr-
POINT POINT STAR7 FINISH TRAVELED PER tall£ i J
G!i i7 Ai' -FJ7,10
LJ p CC —b P�l�tl -
nChi t i U
L?14 C- 110.4= c
AUTO LICENSE NO. TOTALS Qt I
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. I Og
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount clahne a y us,after allowing all just credits:
that n art of the saw h e n id.
DEC - 2 2014
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/1/14. Reimb Mileage 6/6-6/25/14 $ 25.08
Total $_ 25.08
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 25.08
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 25.08 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
i
3-Dec 2014
Signature
$ 25.08 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund