252684 12/15/2015 1i'C�F.bf
CITY OF CARMEL, INDIANA VENDOR: T357033
® tl ONE CIVIC SQUARE SHARON KIBBE CHECK AMOUNT: $"*""****52.56*
�.. CARMEL, INDIANA 46032 827 WINTER CT CHECK NUMBER: 252684
'o;,�_�N.�o.`� CARMEL IN 46032 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4343004 52.56 TRAVEL PER DIEMS
Prescribed by State Board of Accounts p� ® p pp General Form No.101 (1955)
MILEAGE CLAIM
City of Carmel, Indiana TO Sharon Kibbe DR.
(Governmental Unit)
Mayor' s Office On Account of Appropriation No. for
(Office,Board,Department or Institution)
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE @$0 . 5 7 5
20 15 Point Point Start J Finish TRAVELED PER MILE
11/6/15 City Hall Indy Airport Take Mayor to Airport (India Trip) 30 . 82 17 72
11/6/15 lIndy Air ort City Hall IReturn to work 30 . 82 17 72
12/8/15 lCity Hall Castleton Square Mall I Select Gifts for outgoing officiali 7 . 44 4 i28
12/8/15 lCastleton Square Mall City Hall Return to work 7 . 44 4 128
12/9/15 lCity Hall Castleton Square Mall Pick up engraved .items 7 . 44 4 28
12/9/15 JCastleton Square Mall City Hall Return to work 7 . 44 4 28
Auto License No. TOTALS 91 . 40 52 156
* 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 12/9/2015 � �
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/09/15 Mileage Claim $52.56
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sharon Kibbe
IN SUM OF $
827 Winter Court
Carmel, IN 46032
$52.56
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Mileage Claim 43-430.04 $52.56 I 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
Monday, December 14, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund