185391 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 360181 Page 1 of 1
ONE CIVIC SQUARE KATHERINE PETSO
i
CARMEL, INDIANA 46032 P o sox szi CHECK AMOUNT: $5.60
ti, eN CARMEL IN 46082 CHECK NUMBER: 185391
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 5.60 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS MILEAGE CLAIM GENF.a AL FOAM 1tO. ICI t19 5)
a
�t
(GOVER NMENT t- A L 11N111
ON ACCOUNT OF APPROPRIATION NO. FOR
(OF710E, HOARD, DEPAATlQ}!r OA INSrrrlrIICN)
FROM TO SPEEDOMETER AUTO MILEAGE
DATE READING
�d POINT POINT START FINISH PER OF BUSINESS TAAVEL7iD MI r
YER MI LE
AUTO LICENSE NO.
TOTALS
t SPEEDOMETER HEADING 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 allowing all just credits
and that no part of the same has been paid.
Date
10i APR 2 6 2010
i 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.
360181 Petso, Kathy Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/26110 Reimb Mileage 4/20110 5.60
Total 5
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and l have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
360181 Petso, Kathy Allowed 20
In Sum of
5.60
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4,CCT #/TITLE AMOUNT Board Members
Dept
1081 -2 Reimb 4343000 5.60 I 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
5 -May 2010
Signature
5.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund