HomeMy WebLinkAbout181007 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363392 Page 1 of 1
f ONE CIVIC SQUARE JAMES WHITELEY
CARMEL, INDIANA 46032 CHECK AMOUNT: $12.10 i a4 a CHECK NUMBER: 181007
4 ro i i cA
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
.1046 4343004 12.10 TRAVEL PER DIEMS
PPYSCRIBED BY STATE BOARD OF ACCOUNTS GENFAAL FOR/4 N. 101 UVRS)
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MILEAGE CLAIM J/�V,� C7 f Q Q TO v1V \ir\
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(GOVERNMENTAL
Ly ON ACCOUNT OF APPApPRIA7ION NO. FOR
(OFi'ICE, BOARD, DEPARTMENT OR NiSnrirnLON)
DAT FROM TO l SPEEDOMETER M AUTO AGE
POINT POINT I NATURE OF BUSINESS TRAVEL D a 1 "t t
PER MILE
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11.1.1 =111.111111111.11 MEM MM.
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AUTO LICENSE NO. xC Z 1 l TOTALS 1 1 a V
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 1853, I hereby certify that the foregoing account is Eust and correct, that the amount claimed is le.alli,,
r 1 a just credits
end that no art 01 the same has been paid. 01111iiiim.. P r Dae `4 f
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DEC I 0 700
13Yo
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.
363392 Whiteley, James Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/1/09 Reimb. Mileage 11/11 11/30/09 12.10
Total 12.10
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20�
Clerk- Treasurer
Voucher No. Warrant No.
363392 Whiteley, James Allowed 20
In Sum of
12.10
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #ITITLE AMOUNT
Dept
1046 Reimb. 4343004 12.10 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
Signature
12.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund