182140 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363871 Page 1 of 1
(4) ONE CIVIC SQUARE HALEY WILDRICK
CARMEL, INDIANA 46032 7636 EAST WOODLAWN AVE CHECK AMOUNT: $9.35
INDPLS IN 46239 CHECK NUMBER: 182140
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 9.35 TRAVEL FEES EXPENSE
PRISCRISED BY STATE BOARD OF ACCOUNTS
GENER AL FOAM NO ICI (1996)
C Cif MILEAGE CLAIM A t e 1'� t Yrcc
vE1N IA U111T I
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFi10E, BO. Er OR INSRTUr1ON)
F TO READOhiETEti AUTO 1 IILEAGE
DA/IT i READING
2.a li POINT POINT START FINISH NATURE OF BUSINESS TAA MILES 1
PER MILE
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L SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. i°
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 legall due, after allowing all ust c -this
end that no part of the same has been paid. Z(/)11
Date_ q_ /Q 0061 �L� L
S a ,-r 1r r;---
oq v JAN 0 7 2.110
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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.
Wildrick, Haley Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
114/10 Reimb. Mileage 12/16/09 9.35
Total 9.35
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.
Wildrick, Haley Allowed 20
In Sum of
9.35
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1081 Reimb. 4343000 9.35 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
28 -Jan 2010
Signature
9.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund