HomeMy WebLinkAbout182474 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363901 Page 1 of 1
ONE CIVIC SQUARE CHRISTINA OCONNOR
CHECK AMOUNT: $2.70
CARMEL, INDIANA 46032 6780 SPRINGBROOK S DR
INDPLS IN 46219 CHECK NUMBER: 182474
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 2.70 TRAVEL FEES EXPENSE
PRPSCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110- 101 LIU5)
MILEAGE CLAIM
TO C< fls� /nom- V UV1V�or
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFI BOARD, DEPARTItENT OR FNSTETVTION)
FROM TO SPEEDOM£r£R AUTO MILEAG
I
DATE READING
ZQ --0 POINT POINT START FINISH NATURE OF BUSINESS TRAVELED '50 PER MILE
L F
I
AUTO LICENSE NO. TOTALS �tJ
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 dur, after aliowing just credits,-
end that no rart�of If� same has been paid. Date 1 L k .z
3
00 i!
JAN 2 5 ?010
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.
O'Connor, Christina Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1121110 Reimb. Mileage 1112110 2.70
Total 2.70
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.
O'Connor, Christina Allowed 20
In Sum of
2.70
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081.9 Reimb. 4343000 2.70 E 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
11 -Feb 2010
Signature
2.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund