181334 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 363773 Page 1 of 1
1.`: tt ONE CIVIC SQUARE JOELLE OGLE
ti, CARMEL, INDIANA 46032 6821 BAYVIEW CLUB DR APT 2 D CHECK AMOUNT: $66.83
jo
i+y;,oh `o r INDPLS IN 46250 CHECK NUMBER: 181334
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 66.83 TRAVEL FEES EXPENSE
PR85CRISED BY STATE BOARD OF ACCOUNTS GENFAA FORM 1(O. IN (1986)
MILEAGE CLAIM i\ LTC), Oj l ES
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
D AV'( FROM TO 11 READING SPEEDOMETER AUTO
POINT POINT I� FINISH NATURE OF BUSINESS TRAVELED f MILES a,
PER MILE
ii t a we i M ME
4 r�11= ff' r �iT�]' a c u rn l- MILt+[%l� 0 i W o in cn, 5 c 5' i
=MM. a
40211�fu (c N. r
�Ri A.) r p i yr }rep I (rk," S
\2 f3U' �lO n MINIM 1= T �o'
2- 'ZiraMaat I
tin ��I r te
rl
P111 IMILMIIIMIIII III=11
1 iE re o f q
MINI immiMm I MIMI
MI
ii
MIMEO REIM! Milk
AUTO LICENSE NO. TOTALS EMEM
f SPEEDOMETER READING columns are to be used only when distance between paints cannot be determined by fixed mileage or official highway map_ R1�1
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 l o a s2 sIbeen aid.
Bate t L. (f j l U t)-- ,':::)r7:9.r--''C"''b.-V."(-dC------
Cp
t j
;I., DEC 3 1 2009
A
l
PRRSCRIRE08T STATE ROARO OF ACCOUNTS jte GNEAL FORM NG, MILAGE CLAIM 1 t� Q GN 111
(GOVERNMENTAL UNIT}
ON ACCOUNT OF APPROPRIATION Na FOR
(OFi7CE, BOARD DEPARTNCEXE OR INSTENTION)
D FROM TO iI
READING T+ AUTO ji _WE
Q NATURE OF BUSINESS MILES d
PONT POINT START TRAVELED I PER MILE It IMAT�PTitliP 'or 1 Iti"i,`� Illt I f' ffifii► l!< ia•i� l �`:z
g WAFA 1 1 D -'U L $�ai��Il[i!�
iIM i lM+ a, G r+ ti 04-4: c. 1 iffnM
�AI'i M IMIRI N ri 1
Si 1l/►Ti ANI iL t p- k j 1b 0 0 I«'�
IM r n i t r► I i /ri g• I i_ MINI
=III 1 l mCShe r ;Y 0 1
Mill
1 FZ
+41• ,GPP✓ e i! cif i-r 'NMI
r t7 h I <a_
UP 0 .f'' ,i '1 r. 1 MEIN
MEM I Imo: ►A e r it iii k
Mi ongranliaMAIIMEN1 Ma. v
AUTO LICENSE NO- TOTALS 1 f7J 4 1 �y. (1 0
SPEEDOMETER READING columns are to be used only whey distance between points cannot be determined by fixed mileage or official highway map-
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, l hereby certify that the foregoing account is just and correct, that the amount claimed is legally due after allowing all just credits
end that no part of the same has been paid.
Date
L. (..0... 1000 e-{ 39 4
��C 1 200 lj
fie
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.
Ogle, Joelle Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/29/09 Reimb. Mileage 12 /18/09 12/29/09 16.23
12/16/09 Reimb. Mileage 12/1 12/16/09 50.60
Total 66.83
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.
Ogle, JoelIe Allowed 20
In Sum of
66.83
ON ACCOUNT OF APPROPRIATION FOR
nd
/OF
PO# or Board Members
INVOICE NO. ACCT #FTITLE AMOUNT
Dept
10/ j 143.4 Reimb. 4343004 16.23 I hereby certify that the attached invoice(s), or
/OR-3 1.4446- Reimb. 4343004 50.60 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
-4 11 i/A
Signature
66.83 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund