184871 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363773 Page 1 of 1
ONE CIVIC SQUARE JOELLE OGLE
CHECK AMOUNT: $36.50
CARMEL, INDIANA 46032 9203 CROSSING DR
o INDPLS IN 46037 CHECK NUMBER: 184871
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 36.50 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS FAAL FORM NO. �D! CiP66)
MILEAGE CLAIM !o e-[
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(GOVERNMENTAL. UNLTI ON ACCOUNT OF APPROPRIATION NO. FOR
[OFFICE, HOARD. DEPARTMENT OA INSTITUTION)
SPEEDOMETER
LES
2 DA Tg FROM TO I READING AUTO M I�"
_l o POINT POINT START nwrsii NATURE OF BUSINESS TRAVEL D
PER MILE
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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, aitgr�liowing all just credits
and that no part of the same has been paid.
Date
�3
Y v l
APR 1 4 201
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.
363773 Ogle, Joelle Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4114110 Reimb. Mileage 312 3/30/10 36.50
Total 36.50
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
Voucher No. Warrant No.
363773 Ogle, Joelle Allowed 20
In Sum of
36.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO4 or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -3 Reimb. 4343000 36.50 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
!l
Signature
36.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund