HomeMy WebLinkAbout249399 09/09/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 359461
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $****"**121.71*2713 HIGHLAND PLACE CHECK NUMBER: 249399
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46208 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 121.71 TRAVEL FEES & EXPENSE
". AUG 2 5 2015
I
B'Y. �
GrNrRAL TORY 110.101{1996)
PRRSCRIBrO BY STATr BOARD Or ACCOUNTS
- MILEAGE CLAIM Travel Per Dlem t o8 1-1 1--+3+00+
Fxtended School F nrickment TO
rANHENTAr ^'"^ ON ACCOUNT OF APPROPRIATION NO.
POR 1 Nlkees�a Pittman
Carmel Clay Par s and Kecreation
—w,. BOARD•DMATWENT OR INsnTurJON) '
'--SPEEDOM£T£R AUTO �F
DATE FROM TO READING + NATURY OF BUSINESS MILES_ C
Za_1� POINT POINT START FINISH TAAVELHD PER �
V. i cal ?tom ICG-o W Q J CA" L ��
� Z3
CC_ _ 0;x.ur2lel TU5
L �-a
-mac
C7 Me,
cam. � cof, 1• 3
�M k 73
ao _-7
Z � .
B
AUTO LICENSE NO. TOTALS
+ 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 claimed i{L 1 du ,after aliowing all just credits.
and that no aft of f e same s been paid.
Date
AUG 2� 2015
GnITAAL MAW NO.lot 0,111 '
PRESCRIBED ST STATr BOARD OF ACCOUNTS
MILEAGE CLAIM Travel Fer Diem 108 1-1 1 -+3+00'+
Flxtended School Fnrickment TO
fY1 rnN>t[NTAl—s—i— FOR �il<ees�la Pittman
Y � ON ACCOUNT OF APPROPRIATION NO.
Carmel Cray FarV and Recreation ,
{Oh,..q,sDARD,U[JARTWMff OR TNBTrnrnON) ,
S EEDOMFtEA AUTO MILEAGE
�D FROM TO READING + IDLES a ."6,7 [
NATURE OF BUSINESS TRAVELED
POINT POINT START FINISH PER MILE
Mir Ce 0
km(c, -___
J j [
T
N CPM
— t-
I\A G C:, a
11 3
11 A-
t�S
1
AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns ere to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant to a provisions and peaalttes o!Chapter 155,Acts 1953,I hereby certify that the[oregoing account is just and cozrect,that the amount claimed is leg 11 due,after allowing all just credits.•
and thnt n ori f the same has an aid.
Date t
L,
AUG 2 5 2015
___ _ cur.RAL FORu No.1D)(fan
i
eeescRlem By STATEeoARD or AccouRrs
MILEAGE CLAIM Travel Per Diem 108 1-1 1-+34004
Extended 5c600l F nrickment TO
wnlcRrA• �� NiLees6a Pittman
ON ACCOUNT OF APPROPRIATION NO. FOR
Carmel Clay Par sand Recreation
tOF•...c,BOARD,DO- AATNWT 05 lgbn"LWRI
FROM TO SPEEDOMETER AUTO ��•rt��AyG�E
D READING NATURE OF BUSINESS '
7tj POINT POINT START FINISH TRAVELED PER MILE
c ✓ o I. 73 `
�'1.i7
VvW
c.-
z .
f c_
i6 MU-
MCL. OU
p - MCL C ,C vj 3,b
- L „� A C17LY�1wot+ +`C�rrYME •SNm i
. b 11
2 P
I
AUTO LICENSE NO. TOTALS
+ SPEEDOMETER READING columns are to ba used only when distance between points cannot be determined by fixed mileage or ofiioial highway map. v
Pursuant to the provisions and penalties Chapter 155,Acta 1953,I hereby certify that the foregoing account is just and correct,that tho amount claimed i d e, Iter 'Ing a�ju-st dits.•
and tha p o 1 7T,7n pRtn. \
Date
t
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
8/25/15 Reimb Mileage 2/3- 3/20/15, 5/1 - 5/29/15 $ 121.71
Mileae 10/3- 11/26/14
Mileage 8/4- 9/30/14, 10/3 - 11/26/14, 1/14- 1/29/15
Total $ 121.71
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
120
Clerk-Treasurer
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
$ 121.71
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#orBoard Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1081-11 Reimb 4343000 $ 121.71 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
September 8, 2015
Signature
$ 121.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund