182315 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER
CHECK AMOUNT: $68.20
CARMEL, INDIANA 46032
CHECK NUMBER: 182315
CHECK DATE: 211 712 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 RETMB 68.20 TRAVEL FEES EXPENSE
PRPSCRIRED ST STATE BOARD OF ACCOUNTS
G-ER AL iON2d IIG. 101 119861
MILEAGE CLAIM
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO" FOR
(OFFICE, HOARD, DEPARTMENT OR 1Ngr=1014)
3PEEDOMETE.R AUTO l A 1 1 1 2E
DA''Trr,E� FROM TO I READING f NATURE OF HUSINES6 MILES r
ZO POINT TRAVELED
POINT START FINISH PER MILE
y7lon S
'Say'1 4 1 GI S
t� orl c 5 3 fA
f 1 tT c9
70
1 3 1 s
14 mur 2
an
20 on an r�
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6 TCq mk ✓n i n fs� b o
1 M P T
n a'to� p y a S
1 P Ir n J
AUTO LICENSE NO" TOTALS 1 `'SL
SPEEDOMETER READING columns are to be used only when distance between points canot be determined by fixed mileage or official highway. map. Litz {VJJ n Pursuant to the P P rovisions and enalties of Cha P ter 155, Acts 1953, I hereby certiy that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just
end that no part of the same has been paid.
Date o
0o
00
FEB 02 ?010
0
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
1129110 Reimb. Mileage 115 1/29/10 68.20
Total 68.20
1 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
68.20
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1081 -7 Reimb. 4343000 68.20 1 hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
11 -Feb 2010
Signature
68.20 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund