HomeMy WebLinkAbout188301 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER CHECK AMOUNT: $33.10
CARMEL, INDIANA 46032
CHECK NUMBER: 188301
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 REIMB 33.10 TRAVEL FEES EXPENSE
FFXSCBISED BY STATE BOARD OF ACCOUNTS G"ITAL FORM 110. ICI 119161
MILEAGE CLAIM I l f �JC
TO
1GOv ERNMLNTAL UNIT) ON ACCOUNT OF APPROPRI NO_ FOR
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SPEEDOMETER AUTO tdILEAG
DATE FROM TO 1 READING t MILES
yr` NATURE OF BUSINESS q r
J 0 POINT POINT START FINISH TRAVELED PER MILE
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SPEEDOMETER READING columns are to be used only when distance between points cannot he 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 leg y ue, after allowAng all just credits,-
-end that no part of the same has been paid.
.Date
JUL 1 5 2010 U
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.
363382 Decker, Meagan Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6125110 Reimb Mileage 6/8 6/25/10 33.10
Total 33.10
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.
363382 Decker, Meagan Allowed 20
In Sum of
33.10
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #ITTLE AMOUNT Board Members
Dept
1082 -1 Reimb 4343000 33.10 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
29 -Jul 2010
Signature
33.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund