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HomeMy WebLinkAbout183652 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 364002 Page 1 of 1 ONE CIVIC SQUARE ASHLEY LIVINGSTON CARMEL, INDIANA 46032 3404 WOODFRONT PLACE CHECK AMOUNT: $94.22 INDIANAPOLIS IN 46222 CHECK NUMBER: 183652 CHECK DATE: 3/25/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 94.22 TRAVEL FEES EXPENSE PRLSCBIBED BY STATE BOAAb OF ACCOUNTS GENERAL FORM 7'r. 101 11W83 MILEAGE CLAIM To l J v /nn I60VERNH ENFAL Illll'ty ON ACCOUNT OF APPROPRIATION NO. FOR ((�9�L, B�11p, oEPA1['r1�XXr OR INSTTTUf10N) SPEEDOMETER DiA'��G{ggg� FROM TO I READING AUTO MILEAGE c 2� L POINT POIt9T STAR7 FINISH NATURE OF BUSINESS TR C PER MILE t' t 7 Cf: O Wn Fl L F dr tG Jflki T7 1 ''1 X f I C i —1 4 n J LS I it Mon OVI T P c' :F' 5k- (Xec) AUTO LICENSE NO 1 TOTALS I WY 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 due, after aliowing all just credits :and that no part of the same has been paid. Date Ty�i t aye....................... C/ 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. Livingston, Ashley Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 2!16110 Reimb Mileage 1125 2/16110 94.22 Total. 94.22 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. Livingston, Ashley Allowed 20 In Sum of �4 94.22 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE N0. ACCT #fTITLE AMOUNT Board Members Dept 1081 -2 Reimb 4343000 94.22 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 -Mar 2010 Signature 94.22 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund