HomeMy WebLinkAbout184907 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 360491 Page 1 of 1
ONE CIVIC SQUARE ERIC PURNELL
CHECK AMOUNT: $114.00
.I� CARMEL, INDIANA 46032
12185 PEBBLE ST
o -o UNIT 300 CHECK NUMBER: 184907
FISHERS IN 46038
CHECK DATE: 4/27/2010
DEPARTMENT A CCOU NT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 114.00 TRAVEL FEES EXPENSE
PIMSCRIBrD By STAU BOARD OF ACLOONTS p� GENF31AL FORW Igo 101 tinfil
MILEAGE CLAIM
TR AVE L FELL DeM
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{GOVfANif AL IiN!'1't ON ACCOUNT OF APPROPRIATION NO. FOR
(ORGY, 90tiAO, OFPART@rr Op lNSr[rUT101i)
£'SPEEDOMETER
D$T FROM Ta I HEADING NATURE OF B A MtLES Q
-1-� POINT POINT START FINISH TRAVELED PER MILE l fUJ
4 61
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ao '2.110 >�OY1
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AUTO LICENSE NO. TOTALS 7 V
SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map. r
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 alio just credits
and that no art of the same has been paid.
Date
�RW3
APP 4X010
I
BY:
PAESCfIIAro BY STATE aOAAD OF ACCOUNTS
GFIITAALi0A NG. YQ7 I19661
MILEAGE CLAIM y R E L VIEM �e
cbvmel ld E5 L-- T°
(GO. -W ENTA. I...III
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF--0, BOAIID, DE]Axr a r OR ims icK
SPEEDOMETER
Dq(T FROM TO i BEADING NATURE OF BUSINESS A MtLES T
POINT POINT STAB? FINISH TRAVELED PER MILE
It
i
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1 y'
m
�cy IM
o 7
0
r w
AUTO LICENSE NO. TOTALS
l
SPEEDOMETER READING columns axe to be used only when distance between points cannot be determined by fixed mileage or official highway. map. ✓�l/�+{
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, afteealiowin all just credits
and that n o Part of- �t/h /e, same has been paid.
Date,
W3
APR 1 4 20IG
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, ratesiper day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360491 Purnell, Eric Terms
Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4114110 Reimb Mileage 1/4 3/31110 114.00
Total 114.00
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.
360491 Purnell, Eric Allowed 20
.r
In Sum of
114.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1081 -9 Reimb 4343000 114.00 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
ALawmo--1
Signature
114.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund