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
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ON ACCOUNT OF APPROPRIATION NO. FOR
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SPEEDOMETER
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PER MILE
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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