HomeMy WebLinkAbout186899 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363864 Page 1 of 1
0 ONE CIVIC SQUARE JASON ANDERSON CHECK AMOUNT: $15.50
CARMEL, INDIANA 46032 617 N MAIN ST
TIPTON IN 46072 CHECK NUMBER: 186899
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 15.50 TRAVEL FEES EXPENSE
i
PRFSCR1BLD BY STATL BOARD OF ACCOUNTS GENFRAL FORK 11C. IQ] 11986)
MILEAGE CLAIM
TO Ht2j��son
0.SOY?
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
tOFF[CE, BOARD, DEPAAT}Elrr OR INSTITUTION)
SPEEDOMETER AUTO MILEAGE
DATE FROM To I READING t- NATURE OF BUSINESS WLES c
zd Ip pOT POINT START FINISH TRAVELED
PER MILE
�z
Vr re T rac-1- a i I
i
To, Lc o �f v
9W 1111
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, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits
end that no part of the same has been paid.
Date S'2 7— to
Jug 0 4 2010 j
.......................1
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.
363864 Anderson, Jason Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/27/10 Reimb. Mileage 513 5/13/10 15.5Q
Total 15.50
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
Voucher No. Warrant No.
363864 Anderson, Jason Allowed 20
In Sum of
15.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -5 Reimb. 4343000 15.50 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
17 -Jun 2010
Signature
15.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund