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189790 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364688 Page 1 of 1 ONE CIVIC SQUARE SARAH GASPER CARMEL, INDIANA 46032 13158 KNOLLTON CT CHECK AMOUNT: $8.00 •c,� oN FISHERS IN 46038 CHECK NUMBER: 189790 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 8.00 TRAVEL FEES EXPENSE PMCRI9ED BY STATE HOARD OF ACCOUNTS GFJtrAA11'OA71 NG. lC) {L906{ MILEAGE CLAIM TO VERNM EN7 L vN{n ON ACCOUNT OF APPROPRIATION NO_ FOR (OFi'ICP. R BOA PP. PFFAAT?Q7ET OR MSFER7CiON{ SPEEDOMETFA DA E FROM TO I READING AUTO xrt E s NATURE OF BUSINESS MILES Cd POINT POINT START FINISH TRAVELED PEA i TOTALS b AUTO LICENSE NO. f 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 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 SEH U 1 1010 BV 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, Terms Gasper, Sarah Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 8.00 8125110 Reimb Mileage 8125110 Total 8.00 bill(s) is (are) true and correct and I have audited same in accordance I hereby certify that the attached invoice(s), or with IC 5- 11- 10 -1.6 20, Clerk- Treasurer Voucher No. Warrant No. Gasper, Sarah Allowed 20 In Sum of 8.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members Dept 1081 -2 Reimb 4343000 8.00 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 9 -Sep 2010 Signature Is 8.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund