HomeMy WebLinkAbout188594 08/04/2010 CITY OF CARMEL, INDIANA VENDOR: 358408 Page 1 of 1
ONE CIVIC SQUARE TIFFANY BUCKINGHAM
CARMEL, INDIANA 46032 5130 PRIMROSE AVE CHECK AMOUNT: $170.50
INDIANAPOLIS IN 46205
CHECK NUMBER: 188594
CHECK DATE: 8!412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 170.50 TRAVEL FEES EXPENSE
PRUCRIBEU BT STATC BOARD Or ACCOUNTS
GENF.RALrORId I +G. 107 119867
MILEAGE CLAIM
(GpVFANN [NTAL TJTU1't
ON ACCOUNT OF APPROPRIATION NO. FOR
IOFnCE, BOARD, VE?Aan@rr OR tN5T17nrn0N)
SPEEDOMETFR
DATg FROM TO I READING AUTO E
Z° POINT POINT START FINISH NATURE OF BUSiNE56 r
PER MIL£
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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. 3 1
Pursuant to the provisions and penalties of Chapter 1.55, 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 par! 1 of J the same has been paid
Date
t q �q
JUL 15 2010
1
BY:
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized
rate s o hour. number rvice, rice per performed, dates service rendered, by
whom, rates per day, number of hours,
Payee Purchase Order No.
Terms
358408 Buckingham, Tiffany
5130 Primrose Ave
Indianapolis, IN 46205
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
170.50
614110 Reimb. Mileage 4112 6!4110
Mileage 2122 3129110
Total 170.50
I 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.
358408 Buckingham, Tiffany Allowed 20
5130 Primrose Ave
Indianapolis, IN 46205
In Sum of
170.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1081 -2 Reimb. 4343000 170.50 l 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
29 -Jul 2010
Signature
170.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund