HomeMy WebLinkAbout188816 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
t ONE CIVIC SQUARE PAMELA GRIFFITHS CHECK AMOUNT: $46.00
s, CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
o� 6� CARMEL IN 46033 CHECK NUMBER: 188816
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1,202 4343002 031210040210 46.00 EXTERNAL TRAINING TRA
i
Prescribed by State Board of Accounts General Form No. 101 (1955)
MILEAGE CLAIM
/`t lJ M 14Z TO P lT n l -74 7 DR.
(Governmental Unit)
I On Account of Appropriation No. for
(Office, Board, Department or Institution)
DATE FROM TO ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE O. 5-0
20 Point Point Start Finish TRAVELED PER MILE
0 L 6i G-s Ci l
10 1 i W YhAJ 4 6 O G6 WA i C I- I- -2 rVJVY1 a J4
15 J0 0 t Ct rc u I u, 19 7" L A o ct; cir 1YIr' G
U 4 6 JALL,
21 1(1 116 ,G C 3 i i hr A "n n -k izL-D M 6CrVZ4tt
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3 C1 I U is V'� C s r C6u W L "C
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Auto License No. TOTALS q,7 L o0
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 o /o
I
y Claire No. Warrant No. I have examlfned 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
(Q 'P 9 o
c
Allowed 20 (D
00
in the suin of o
PE
fD
0
(Bocud or Commission)
a o
M
FILED m
a
O
R.
Q
N (D
cn N
(offical Title) rt
O.
En
0 (D
Vl R NO'. WARRANT NO.
ALLOWED 20
Pam Griffiths
IN SUM OF
$46.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT
Board Members
1202 1 031210 0402101 43- 430.02 1 $46.00 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, August 16, 2010
r
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. 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/16/10 1 031210 040210 $46.00
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