HomeMy WebLinkAbout182885 03/03/2010 CITY OF CARMEL INDIANA VENDOR: 361054 Page 1 of 1
0 ONE CIVIC SQUARE CHARLES A IMAN
a CARMEL, INDIANA 46032 11018 TAM 0 SHANTER OR CHECK AMOUNT: $38.50
CARMEL IN 46032
CHECK NUMBER: 182885
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 38.50 TRAVEL FEES EXPENSE
PReSCRIR EDDY STATE ROARS OF ACCOUNTS GENERAL FORM NO ,PS 0986)
E MILEAGE CLAIM
lUOVERNMENTAL UNIT1
ON ACCOUNT OF APPROPRIATION NO. FOR
IOFi10E, HOARn, nFPART'M®fT OR INSr[TlrilON)
FROM TO SG ER
AUTO 1dSLEAGE
PEEDIN
DATE POINT POINT START FINISH NATURE OF BUSINESS TRAVELED v
PER WLE
/V? fJf7,1/ 2_ fl 'l�C
r o
i
L�/ C
V
A..,
AUTO LICENSE NO. TOTALS 7 s
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, 1 hereby certify that the ioregoing account is just and correct, that the amount claimed Is 1 ga a fter allowing all just credits,-
end that no part of a sa a has been paid.
Date
FEB 1 7 1010
BY........
f
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.
361054 Iman, Charles Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2110110 Reimb. Mileage 114 2110/10 38.50
Total 38.50
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
i
Voucher No. Warrant No.
Iman, Charles Allowed 20
361054
In Sum of
38.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -3 Reimb. 4343000 38.50 1 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
25 -Feb 2010
fi
Signature
38.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund