181360 01/13/2010 4 9. -.-4 CITY OF CARMEL, INDIANA VENDO 359461 Page 1 of 1
.1; i ONE CIVIC SQUARE NIKEESHA PITTMAN
CHECK AMOUNT: $33.44
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 181360
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 33.44 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL -FORIA RO. lel (1986)
MILEAGE CLAIM-
TO PE2 DIEM 4b- too oil 4343ob9-
GOYERi1L FNTAL UNrrF ON ACCOUNT OF APPROPRIATION NO. FOR \-''EE PrrtlAA4
tOF71CP, BOARD, DEPART XT 011 INSITTUIIQN) I
FROM TO I SPEEDOMETER k AUTO MILEAGE
�p DATE I READING NATURE OF BUSINFS6 I t MILES C 0- EA
f-� 4
P OINT POINT In= TRAVELED PER MILE
t f:0971'T'� I 0 ..1 D 1 I t ?�1� �I
u E i!• t �1' �wiPr. 1• I i'� I I 546
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AUTO LICENSE NO. TOTALS W
SPEEDOMETE; Ti.' DING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursu• t to the p ovisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claim e• a y due, a er allowing all just credits
end that p rt of t e s. e has been paid
Date A 1
D
1
JO f
L` aQ
I!
DEC 2 1 2009 J,
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/22/09 Reimb. Mileage 12/1 12/21/09 33.44
Total 33.44
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of$
33.44
ON ACCOUNT OF APPROPRIATION FOR
$O4TProgram Fund
la/
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
A846 reimb. 4343004 33.44 I hereby certify that the attached invoice(s), or
/0 $1 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
Signature
33.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund