HomeMy WebLinkAbout186271 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER
CHECK AMOUNT: $32.35
CARMEL, INDIANA 46032
CHECK NUMBER: 186271
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 32.35 TRAVEL FEES EXPENSE
,l
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 110. 101 L1985)
MILEAGE CLAIM
To
IGOVERNMENTAL UNTLT ON ACCOUNT OF APPRO TION NO. FOR
(OF. BOARD, DEPART nXT OR INSTRUTION)
SPEEDOMETER
DATE FROM TO REARING NATURE OF BUSINESS AUTO �E
1 MILES
2 a Q POINT POINT START FINISH TRAVELED PER MILE
b5
3
1 cc h ffln 5 S
s "l 3 6�
YN
T S L �e n c
2
1
AUTO LICENSE NO_ TOTALS
6 f-4 '7
2 3 VVV
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 IoTegoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits r
end that no part of the same has been paid.
Date
JUN 0 1 2010
O
ro 'W a
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized
rate hourknumber service, where performed,
price per nit etc.
dates service rendered, by
whom, rates per day, number of h o
Payee Purchase Order No.
Terms
363382 Decker, Meagan
f
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
32.35
4130/10 Reimb Mileage 411 4130110
Total 32.35
voice(s), or bill(s) is (are) true and correct and I have audited same in accordance
I hereby certify that the attached in
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
r
Voucher No. Warrant No.
363382 Decker, Meagan Allowed 20
In Sum of
32.35
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 32.35 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
3 -Jun 2010
Signature
32.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund