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HomeMy WebLinkAbout186421 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00353070 Page 1 of 1 ONE CIVIC SQUARE DAVID MCCOY CHECK AMOUNT: $17.50 CARMEL, INDIANA 46032 /o co is eh CHECK NUMBER: 186421 CHECK DATE: 61912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4343002 17.50 EXTERNAL TRAINING TRA PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGE CLAIM V� y MC C� i C i`"'C` 1 C� C TO V (GOVERNMENTAL UNIT) t5 ON ACCOUNT OF APPROPRIATION NO. FOR (OFFICE, BOARD, DEPARTMENT OR INSTITUTION) SPEEDOMETER AUTO MILEAGE DATE FROM TO READING NATURE OF BUSINESS MSS n Q 49 so i b POINT POINT START FINISH TRAVELED PER MILE 3'- 3 F�Stf i rS iri pry oLlc�= S�r1 d� S 2& CLic% S 1G� AMI'I,';^ Ca (�'e<<`r c: 4 11-11W L 1!'t C L CC i clJ AUTO LICENSE NO. TOTALS J 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 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 Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority. correct That it is apparently incorrect Disbursing Officer On Account of Appropriation No. for m p Q. O a q n Q cb Allowed 19_ P� rr 2 5 N in the sum of b Fr m m a CD co M H m SL 5. r-. w rL a o (Board or Commission) FILED p m W C m a (Official Title) H G M m b tv A.E. BOYCE CO., INC. bMCIE, W 01136 Iff 3 VOUCHER NO. WARRA N ALLOWED 20 David McCoy IN SUM OF $17.50 ON ACCOUNT OF APPROPRIATION FOR Carmel IS Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1202 I 052610 I 43- 430.02 $17.50 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 Monday, June 07, 2010 Director, IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 192 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)) 05/26/10 052610 $17.50 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