183861 03/29/2010 a CITY OF CARMEL, INDIANA VENDOR: 180865 Page 1 of 1
ONE CIVIC SQUARE BARBARA LAMB
0 i CHECK AMOUNT: $22.65
CARMEL, INDIANA 46032 C/0 HUMAN RESOURCES
'+sago CARMEL IN 46032 CHECK NUMBER: 183861
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4343002 22.65 EXTERNAL TRAINING TRA
PRESCRIBED BY STATE BOARD OF ACCOUNTS G F NFRAL FORM NO. 101 (1986)
MILEAGE CLAIM
(G. UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING NATURE OF BUSINESS MILES Q Q
POINT POINT START FINISH TRAVELED PER MILE
s ll i ls
10
AUTO LICENSE NO. TOTALS �TJ �3 C'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 foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
and that no part of the same has been paid.
Date
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
That it is duly authenticated as required
by law
That it is based upon statutory authority
That it is apparently
correct
incorrect
Disbursing Officer
On Account of Appropriation No. for
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A.E. BOYC CO., INC. MUNCIE, IN 01136 0 f
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lamb, Barb
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
1201 I 031510 I 43- 430.02 I ..�5 I hereby certify that the attached invoice(s), or
I 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
Thursday, March 25, 2010
0"�
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/15/10 031510 zZ (,5
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