HomeMy WebLinkAbout185262 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00351101 Page 1 of 1
ONE CIVIC SQUARE PEGGY GORDON
�1 CARMEL, INDIANA 46032 C/O COMM CENTER CHECK AMOUNT: $193.96
C/O COMM CENTER CHECK NUMBER: 185262
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4343002 193.96 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No- 101 (1855)
MILEAGE CLAIM
TO DR.
(Governmental it)
On Account of Appropriation No. pz- for
i ce, oar epartment or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
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S 3,r3
t 3; t_3
I o o' j� `a�, 111, 2 la y 8 -5
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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, 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. T
Date
Claim No, Warrant No. I have excunined the within claim and
hereby certify as follows:
IN FAVOR OF
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
On Account of Appropriation No. for
Disbursing Officer
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in the sum of I o 5
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VOUCHE NO. WARRANT NO.
ALLOWED 20
Peggy Gordon
IN SUM OF
7256 Jessman Road E. Drive
Indianapolis, In. 46256
$193.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 43- 430.02 $193.96 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, May 07, 2010
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
05/07/10 I I I $193.96
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