187946 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364478 Page 1 of 1
ONE CIVIC SQUARE SARA MCMULLEN CHECK AMOUNT: $9.50
CARMEL, INDIANA 46032 10911 VALLEY FORGE CIRCLE
CARMEL IN 46032 CHECK NUMBER: 187946
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4343002 07/08/10 9.50 EXTERNAL TRAINING TRA
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
TO o DR.
(Governmental Unit
i� 1 0 e y- (VA 2 On Account of Appropriation No. Z 20 for
(Office, Board, Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE .SO
20 Point Point Start Finish TRAVELED PER MILE
it
1
r a r IRn
Auto License No- TOTALS 9 SO
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, 1 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
Clam No. Warrant No. I have examined the within claim and
hereby certify as follows;
IN FAVOR OF
That it is in proper form;
That it is duly authenticated as required
by law;
That it is based upon statutory authority;
That it is apparently correct
incorrect
On Account of Appropriation No. for
Disbursing Officer
Allowed 20 (D G M
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in the sum of o•
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
Sarah McMullen
Purchase Order No.
Engineering Department
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/08/10 n/a Mileage Reimbursement 9.50
Storm Water Outfalls testing
Total Total
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.
ALLOWED 20
Sarah McMullen IN SUM OF
Engineering Department
$9.50
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a 07/08/10 2200 4343002 $9.50 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
20
zp
d i nat
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund