HomeMy WebLinkAbout184837 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 362074 Page 1 of 7
ONE CIVIC SQUARE NATALIE LOVE CHECK AMOUNT: $102.56
CARMEL, INDIANA 4CO32 2476 CHASEWAY CT
INDPLS IN 46268 CHECK NUMBER: 184837
CHECK DATE: 412712010
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 102.56 TRAVEL FEES EXPENSE
PRESCRIBED BY STATr BOARD OF ACCOUNTS GENERAL FORM No. In [19861
MILEAGE CLAIM
ro
1GOMMMENTAL UNIT
ON ACCOUNT OF APPROPRIATION NO. FOR
tOMCE, BOARD. DEPARTMFNr OR INSTMMON)
SPEEDOMETER
FROM TO AUT IIILE E
DATE READING
POINT POINT START FINISH NATURE OF BUSINESS TRA tvELED a
PEA MILE
v v
EE
fb
4-0 3F 04
Lo
4 -774
i a S
SZ
1= $4
AUTO LICENSE NO- TOTALS z v
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 leg 1 due, after allowing af edi ts
and that no part of the same has been paid.
Date
APR
4 2010
HY
PRESCRIBED BY STATE BOARD OF ACCOUNTS j� GENERAL FORM I40. 181 (1986)
MILEAGE CLAIM (n I I (1�
To Jj uW
(GOVERNMENTAL UNITI
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTRUnON)
FROM TO SPEEDOMETER AUTO MILEAGE
DA_ TY, 1 READING
2� -J POINT i POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
3 u
bco
M o n Or V i
r 4 cv 3
1
AUTO LICENSE NO. TOTALS
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 atiowin just credits
end that no part of the same has been paid.
Date
BY:
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM NO. 101 (1985)
MILEAGE CLAIM ivm
TO
(GOVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
DATE FROM TO REAED�MET +A AU T, MILEAGE
NATURE OF BUSINESS MILES c
✓i v POINT POINT START FINISH TRAVELED PER MILE
U
rN CA
l
M
Z tP 13
C3 J Z 2 t 1�
2 �n d 4
C7 Q
l�
bC1b 11
a
z o 1 0 4
o
Op V 1 A ?n1n
AUTO, LICENSE NO. TOTALS
f SPEEDOMETER READING columns are to be used only when distance be points cannot be determined by fixed mileage or official highway ma
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 claime ue, after alto g all just cre its,
.end that no part of the same has been paid. ,(�f�
Date 4 1010
PRESCRIBED BY STATE BOARD OF ACCOUNTS
GENERAL FORM N0. 101 (1988}
MILEAGE CLAIM
TO (GOVERNMENTAL 1JYM ON ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPARTMENT OR INSTITUTION)
SPEEDOMETER
ne
110 1 Lb 11 nn Qn u
1 11 mcif)Dn De
FROM TO READING
AUTO MILEAGE
NATURE OF BUSYNESS MILES 1 tj
POINT POINT START FINISH TRAVELED PER MILE
c1 c12-4 E 924
LA n TA 2 7
e3
P i In a<
ran
�C
C1 4 Z •tw
i Lpb ,CZ4-
OP
i b
l lo-
1
i
°CZ 4
[o
AUTO, LICENSE NO. TOTALS 1
SPEEDOMETER' RFADING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map,
all due of t cr edits,
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that e foregoing account is dust and correct, that the amount claimed is legally ter allo g all bus edits
.end that no part of the same has been paid.
Date 4 y Ll I 1 APR 4 2010
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.
362074 Love, Natalie Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4114110 Reimb. Mileage 1016109 3119110 102.56
Total 102.56
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.
362074 Love, Natalie Allowed 20
In Sum of
102.56
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
i
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -6 Relmb. 4343000 102.56 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
22 -Apr 2010
PJ,hP,K",u
Signature
102.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund