HomeMy WebLinkAbout189695 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364682 Page 1 of 1
ONE CIVIC SQUARE PAUL BOROWICZ
CHECK AMOUNT: $102.75
CARMEL, INDIANA 46032 11622 LAKE CIRCLE
FISHERS IN 46038 CHECK NUMBER: 189695
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 102.75 EXTERNAL TRAINING TRA
Prescribed by State Beare W A—c is Geaerai Form Nn. 101 (1955)
MILEAGE CLAIM
TC� TO DR.
(Governmental Unit)
On Account of Appropriation No. for
(Office, Board, Department or Institution
DATE FROM TO
ODOME1ER READING' NATURE OF BUSINESS AUTO MILES MILEAGE 57.)
2Q Point Point Start Finish TRAVELED PER MILE
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Auto License No i A TOTALS
SPEEDOMETER READING columns are to be used only when distance between points cannot be determinod 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 claim legally du fter
allowing all just credits and that no part of the same has been paid.
Date t o Q y
-zi
By
VOUCHER NO, WARRANT NO.
ALLOWED 20
Borowicz, Paul
IN SUM OF
$102.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1202 1 010410 0708101 43- 430.02 1 $102.75 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, September 13, 2010
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))
08/25/10 1 010410- 070810 I I $102.75
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