189491 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
ONE CIVIC SQUARE JESSICA RICHARDS
i CHECK AMOUNT: $37.81
CARMEL, INDIANA 46032 1832 N GLENDORA DR
INDPLS IN 46214 CHECK NUMBER: 189491
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 37.81 TRAVEL FEES EXPENSE
PRESCRIBED 07 STATE BOARD OF ACCOUNTS GENERAL FORT/ NO. le] (1986)
MILEAGE CLAIM M
tWVERNHENTAL UNIT]
ON ACCOUNT OF APPROPRI NO- FOR
(OFFICE. 0 ABU. MPABTl(FNT OR INSTmITION)
T SPEEDOMETER
DATE FROM TO READING AUTO IIII SAGE
POINT I POINT START FINISH NATURE OF BUSINESS TRAVELED
PER t
tl8 _(1..`"' +i.. 't,1J!= '"18...., ,,.y k v ``'v'`1' C �.1 I
r:n
7 rill VA Iff a. ul r
1Y'
3 M mnmrt TME ,1
F
i
i
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 arld correct, that the amount claimed t ally due, aftejali ng all ed s
and that no part of the same has been paid.
Date
R�I f
�W
1 2010
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.
Richards, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
815110 Reimb Mileage 5128 8/4/10 37.81
Total 37.81
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.
Richards, Jessica Allowed 20
In Sum of
37.81
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 Reimb 4343000 37.81 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
26 -Aug 2010
Signature
37.81 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
it