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