HomeMy WebLinkAbout180824 12/30/2009 :1 CITY OF CARMEL, INDIANA VENDOR: 358411 Page 1 of 1
t'�� ONE CIVIC SQUARE JENNIFER HAMMONS
ki'. L CARMEL, INDIANA 46032 634 NORTHVIEW AVENUE CHECK AMOUNT: $97.90
"ti INDIANAPOLIS IN 46220
CHECK NUMBER: 180824
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343004 97.90 TRAVEL PER DIEMS
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL POEM NC. 101 11966)
MILEAGE CLAIM 1 e 'or. c {r-- cl-fro s
j"
(GOVERNMENTAL UNIT?
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, HOARD. DEPARTIFENT OR INSrirlrtOti)
I SPEEDOMETER
DATE_ FROM TO I READING 4- AUTO AGE
Cj c� NATURE OF BUSINESS MILES (y c
POINT POINT I MIRK TRAVELED PER MILE
t 1
t 1 0 I O
1 1(0 's„ M1
11 1 A-- WM HIUMMVEA11.1 11110.11 -L
11 l IS tMo n ay.. w 1111111=111 =EN
t 1 19 (nortre. To-r W G 1
t 20 IL ti O r w
1 i MT tap, ..r• =7 r
=III immliM NM
'I
ri
I I I� i IMMO
AUTO LICENSE NO. TOTALS 1 l i n
t 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 claimed is legally ue, after allowing all just credits
and that no part of the same has been paid.
Date .1 13a 1 9
TOO G Ems`' DEC
dc„ 4
1 _8 b ,Q 10nog t
I Q
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.
358411 Hammons, Jennifer Terms
634 Northview Ave Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/30/09 Reimb. Mileage 11/2 11/30/09 97.90
Total 97.90
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
2 0
Clerk- Treasurer
Voucher No. Warrant No.
358411 Hammons, Jennifer Allowed 20
634 Northview Ave
Indianapolis, IN 46220
In Sum of
97.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO #or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 Reimb. 4343004 97.90 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
23 -Dec 2009
f1fr07..772fi
Signature
97.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1