181170 01/13/2010 '14., CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
7., 0 ONE CIVIC SQUARE MEAGAN DECKER CHECK AMOUNT: $16.06
CARMEL, INDIANA 46032 CHECK NUMBER: 181170
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 16.06 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORA NC. 101 (L 6)
MILEAGE CLAIM a0 04-a° N
(GOVERNMENTAL UNI'ft
ON ACCOUNT OF APPROPRIATION NO FOR
(OFFICE, BOARD, DEPAR'r1LE]TT OR INSTITUTION) is
DATE
FROM TO f I S READ NG i AUTO
Za PONT T PONT START FINISH NATURE OF BUSINESS TRAVELED
i PER MILE
12_ vi ,c7 T MENU 4
1 I f
I
4 1
11!
l =mug*
Pint
AUTO LICENSE NO. TOTALS
1 •emu.
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 duel a&r allowing all j'st edits
end that no part of the same has been paid. ,1
Date
L 'i 3 E Lif
g o o 0
„.....„1---/".:\,...,1E.-L. .E-A--
1.
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.
363382 Decker, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/9/09 Reimb. Mileage 12/1 12/4/09 16.06
Total 16.06
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.
363382 Decker, Meagan Allowed 20
In Sum of
A
16.06
ON ACCOUNT OF APPROPRIATION FOR
4O4-- Pfeg -ramFu n d
l
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
Reimb. 4343004 16.06 I hereby certify that the attached invoice(s), or
-7 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
7 -Jan 2010
g 3' /A eVX/71e
Signature
16.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund