242070 2 /10/2015 y ui caa+. CITY OF CARMEL, INDIANA VENDOR: 359461
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $*******102.90*
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK NUMBER: 242070
INDIANAPOLIS IN 46208 CHECK DATE: 02/10/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 102.90 TRAVEL FEES & EXPENSE
• 1
PRPSCRIBED BY STATE HOARD OF ACCOUNTS GENERAL FORL 110.101 LIM) 1 '
MILEAGE CLAIM Travel Per])iem 1081-1 •1-9-34004
Extended 15A001 Enrichment TO
G0 FRNHE and
ON ACCOUNT OF APPROPRIATION NO. FOR ' �IA\I
lkeesha Pittman
Carmel Clay Par�Cs and izecreation ,
IOri, .BOARD.sESARTIDNT OR INSTUMIOH)
DATE FROM TO READING TER AUTO �HILEAGE'
POINT POINT START FINISH NATURE OF BUSINESSTRAVELED m
_ PER MILE
JaWVAA 14 M cr— �o� t— aJAMITME V r T
l5 y4 0 W
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i�lCc� 101 - �a c 3.o lo`t3
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ra, vol✓ �1V --vWta L 14.&F7 7.
AUTO LICENSE NO. TOTALS 1
+ 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,I hereby certify that the foregoing account is just and correct,that the amount claimetallaue, r allowing all just credits
and that n part of the same has been paid.
Date 1�____ __�
j
, FEB - 3 2015
BY-
�
,� j
r
PALSCRIDW BY STATr BOARD OF ACCOUNTS GENERAL FORM 101 119D6]
y MILEAGE CLAIM rraVel+ Per piem '108 1-1 1-}-34004
Extenclecl School Fnrickment
TO '
Oo�F11NHEN7A�`^"'^ ON ACCOUNT OF APPROPRIATION NO. FOR ' vfkeeska Pittman
Carmel Clay pacreation
lOii7—.BOARD.DrlARTln]n'OR 1NSftTVIION)
SPEEDOMETER
�D FROM TO READING NATURE OF BUSINESS AUTO' UILEAGE'D c
POINT POINT STAR7 FINISH TRAVELfO PER MIL
L 6t3
M S
.D
cx� y G.L.—a —V —� x k` ������ PUu
CG Val Edo Co FI� �t' ' � 3•D S
1 V�i� cz ,! µ� 3.C)
F 3.
AUTO LICENSE NO. TOTALS c �� q(2A
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. DC7 1
Pursuant to the provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account In just and correct,that the amount claimed is 1 gall due,after allowing all just credits
and that/ paid.
L
Date
ff
I
Eby:FEB -3 2015
PRLSCRISED DY STATE BOARD OF ACCOUNTS GENERAL FORM 110.101 pve0
L y MILEAGE CLAIM Travel Fer Diem 108 1-1 1-9-34004
Extendedjchool Enrichment TO -
�1pYI�NMEN=A.•� L Nikeesha Pittman
ON ACCOUNT OF APPROPRIATION NO. FOR
Carmel_Clay ParKs and Recreation
t0Vk—.BOARD.DEPARTWENT OR U131=10N)
DATE FROM TO ,SPEEDOMETER AUTO UILEAGE
READING t
EAe
POINT POINT START FINISH NAT[)RE OF BUSINESS 1 MVELED PER MILE
PER MILE
,orMCC q,>N 3 ? -?tai <_dAppw
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c--- W9 O
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AUTO LICENSE NO. TOTALS foAo
+ SPEEDOMETER READING columns are to be used Only when distance between points cannot be determined by fixed mileage or official highway map.
Puraua t to the provisions and penalties of Chapter 155,Acts 1983,I hereby cerlify that the foregoing account is just and correct,that the amount claim s 1 due,after allowing all just credits.-
and
redits:-and tha part of the same has be paid.
Dat
FEB -32015
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
1/30/15 Reimb Mileage 8/4- 9/3.0/14, 1/14- 1/29/15 $ 102.90
Total $ 102.90
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
i
Voucher No. Warrant No. f
t
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
Jn Sum of$
$ 102.90
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 Reimb 4343000 $ 102.90 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
II
I
February 5, 2015
I
Signature
$ 102.90 ; Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
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