184898 04/27/2010 a CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $50.00
INDIANAPOLIS IN 46208
CHECK NUMBER: 184898
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 50.00 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF AMOUNTS
GF1i6HAI.F AV No. IC] 1198&)
MILEAGE CLAIM.. "yeL PEe DIEM 81- I 4 O
�xmhL �tivl'E�C[`
ioovERH►ICHrAS uHm ON ACCOUNT OF APPROPRIATION NO. FOR
(OFa1Cr, BOARD, OFPARTI@IT OR INSTrrunQH)
SPEEDOMETER
DATE FROM To I READING NATURE OF BUSINESS A S0
POINT POINT START FINISH
PER MILE
Y M .O
»J GTE- W MWA 6'4 r -N i 5 5
J 0 0 t 3 vs.
C Z
NA MO 1 G $200 F-- w GI1'ItJ I 7
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9 CND�I GI �i3 1[t E5 4D b 0
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I
AUTO LICENSE NO. TOTALS \tyC'�} r
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. f �rvv
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 leg ly d after allowing all just credits
end that no a of the sa a has been paid.
Date
I�J�1l� r1G� C 11A �1L(c� P-f\Cr- TD �j•� AP R
BY:......
W
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
3131110 Reimb. Mileage 311 3130110 50.00
Total 50.00
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
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
In Sum of
it
50.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -11 reimb. 4343000 50.00 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
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund