183665 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2773 HIGHLAND PLACE CHECK AMOUNT: $35.25
INDIANAPOLIS IN 46208 CHECK NUMBER: 183665
CHECK DATE: 3125/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 35.25 TRAVEL FEES EXPENSE
FRISMSED BY STATE BOARD OF ACCOUNTS GENERAL FOAU NO- 101 11986)
1vIILEAGE CL AIM TRA VEL. PEQ DIED 16 100011 4300!
Xr�ULVD Sam
JaUVERNMENTAL UNm
ON ACCOUNT OF APPROPRIATION NO. FOR
C,P.,R"AZL_ 4 \X.�L F FI rf`1M
(OFZCE. BOAND, DE}ANT6CNT OR MSMYTION)
SPEEDOMETER
DATE FROM TO READING A
NATURE OF BUSINESS MI E 00 C
2 A D_ POINT POINT START FINISH
TRAVELED PER 141LE
.f d1� WOO Off' %u 'r CAQI 4 H �J 2 5
k N Z O IL i 3a 5 '7 5
D MaNcrt e J BK• use '3� i '15
i O Ce,- 1 a o
MC
s~t" Ce s1c (NOVA) Y�k0l) e G tr c c¢o -A� 9 40
50
911 Mlrj OF C6 mv u —v at.E wet+ Jkw �j tv e x 3 S
OIL i
i
AUTO LICENSE No. TOTALS
SPEEDOMETER READING coluinns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
Pursuant t the visions and pe alties of Chapter 155, Acts 1953, I hereby GaTtify that the foregoing account is just and correct, that the amount claimed is lly 6, after alio ing all just credits
rnd that n p f t e ame h b pa'
Date
2010
t�iDvJ. �yJC' -tot•1
=LO BY
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/26110 Reimb. Mileage 211 2/26110 35.25
Total 35.25
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
i
Voucher No. Warrant No,
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
35.25
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 reimb. 4343000 35.25 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
35.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund