252383 12/08/15 ,��.F�q,Nf`
CITY OF CARMEL, INDIANA VENDOR: 359461
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $*******189.00*
,�� CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK NUMBER: 252383
''��raa'"�°' INDIANAPOLIS IN 46208 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 189.00 TRAVEL FEES & EXPENSE
PARSCRIDED BY STATE BOARD OF ACCOUNTS 6OlP,RAL i0A11HO.101(IYDd)
MILEAGE CLAIM Travel Per D 11
Diem i�08 1-1 1- -34004
Extended School F nric6ment
TO
/.OY ERNNENTAI`^"^
Carmel slay ParKs and Recreation ON ACCOUNT OF APPROPRIATION NO. • FOR Nikeeslla Pittman
(oF'r,.:c•BOARD.DrPART3EIrT OR INSRTTTION) -
DATE FROM TO SPEEDOMETER
READINGAAUUTTOB a MILEAGE c
0j NATURE OF BUSINESS _p
15-- POINT POINT START FINISH TRAVELED PFRMIIB _
r -ra to
Arm �.t
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210 , – 3_, 7 a
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AUTO LICENSE NO. TOTALSq
+ 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 ,ga y q just credits
and thh tt n/� of the same as been paid
Date- '
r
PRLSCRID6 BY STATr HOARD Or ACCOU875. GrRY.RA1 iORL UO.101 llsesl !
y MILEAGE CLAIM Travelr Per Diem 108 i-1 1-x-34004
F,xtendeJ 5c600l F nric6ment TO
ON ACCOUNT OF APPROPRIATION NO. FOR Nfl<eeska Pittman
Carmel C,�ay Par�Cs an� }zecreation
iovP ac,HOARD,DEPARr1DNr OR 1110=1oNI —
SPEEDOMETER
DATE FROM TO READING AUTO HII.EAGE
NATURE OF BUSINESS bIILES, ® O c5-lg f
POINT POINT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO_ TOTALS,, 76
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or olfioial highway map.
Pursuant to the provisions and panalti f Chapter 155,Acts 1953,I hereby cerlliy that the foregoing account 19 just and correct,that the amount claimed is llga due,after allowing all just credits
and th o art of the sa as b e aid,
Date
t
FMCAIStO nr STATE HOARD OF ACCOUNTS GENERAL FOAM NO.101(1900
y "y MILEAGE CLAIM Travel Per Diem 108 1-1 ]-+3-+00+
F,xtencled 5c11L ool Enrichment TO
OOYYrIINHENTA1•^"'^ - Nlkeesha Pittman
Carmel Clay Fa"17 an� ReCreatiOn ON ACCOUNT OF APPROPRIATION NO. FOR
' (Oit..:t,HOARD.DFlAAT1hT(T OR INSTirUIION)
D!� FROM To SREADINGET ER AUTO 1l1LEAGE
24-A= POINT POINT START FINISH NATCIRE OF BUSINESS TRAVELED p @,� 6
PER MILE -
1 /. 2-
GVV 0 -72-6 `
ccG G D 77-5
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MGC ent-ASS,
EKE Z
AUTO LICENSE NO. TOTALS P•$� Tj •
+ SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant a provisions and penalties of Chapter 155,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legally ua,after allowing all just credits:
and that n rt i t e ame has brae
Date
PBG4CIIlSCO HT S=A=L 60ABn Of ACCOUNTS GERERAL fOAY 1W.101 loves)
y y MILEAGE CLAIM Travel Per Diem, 1 o8 1-1 1-x4-34004
Extended School Fnric6ment TO '
r11NMCNrA� �M Nlkeeska Pittman
Carmel Clay Par�Cs and }zecreaLl lon ON ACCOUNT OF APPROPRIATION NO. FOA .
10Pe, .Z AND.WAR"WR OB INSnnrnON)
SPEEDOMETER
DATE. FROM TO READING A�,�U[Y,�Og i1H EAGE
NATURE OF BUSINESS V ®� _ s
POINT POINT START FJNISH TRW= VER MILE
3.� f
c� w t' u P�� e t _® z�
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lr-�& U41--i 172
r
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 1,W,Acts 1953,I hereby certify that the foregoing account is just and correct,that the amount claimed is legaate l du ,after allowing all just credits
aDnd that � tib( he b pale/'
i
y•
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
12/2/15 Reimb Mileae Jun-Aug'15, Oct-Nov'15 $ 189.00
Total Is 189.00
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
I' InSum of$
$ 189.00
ON ACCOUNT OF APPROPRIATION FOR i
r
108 -ESE
i
PO#
or
Deptept# INVOICE NO. ACCT#/TITLE AMOUNT I Board Members
108141 Reimb 4343000 $ 189.00 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
11 i•
I; December 2, 2015
'P
Signature
$ 189.00Accounts Payable Coordinator_
Cost distribution ledger classification if Title -
claim paid motor vehicle highway fund
i