189804 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CHECK AMOUNT: $72.00
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE
CARMEL IN 46033 CHECK NUMBER: 189804
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 72.00 EXTERNAL TRAINING TRA
Prescribed by Stale Board of Accounts MILEAGE CLAIM General Form No. 101 (1955)
S AD m I TO p4 674i 5 DR.
(Governmental nit)
On Account of Appropriation No. for
(Office, Board, Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
d Point Point Start Finish TRAVELED PER MILE
5 D E C r i na L t. 5r: 4, 14 5 ,ff9 C-UIIJ67 0610 EMA o�) PC
G C 1 IJ W tel:
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Auto License No. TOTALS
'SPEEDOMETER READING columns are to be used only when distance between points cannot be determin Id by fixed mileage or official highway map. Q
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 U SEP 13 2010
allowing all just credits, and that no part of the same has been paid.
gY
Date
Claim No. WcurcLnt No. I have exctnnined 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
o -0 0�.
Allowed ,20 (D o
in the sum of O
o
(D
10(D�
(Bond of commission) I 0
FILED
Q m
n o
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p Q
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E i
En (Official Title)
Prescribed by State Board of Accounts General Form No. 101 (1955)
TO r 1 L DR.
(Governmental Unit) SEP 1 9 Z 7�n
J 3 On Account of Appropriation No. for
(Office, Board, Department or Institution
DATE FROM TO ODOMETER READING* NATURE OF BUSINESS AUTO MILES MILEAGE
24 Point Point Start Finish TRAVELED PER MILE
y ONE G 62WVE ('v- o i A b
g f r, 6) u c -G i
g Lx Z -C tWid, 0o1 co ue -Z-
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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, 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 i' y ��l
Claim No. Warrant No. I have examined 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
n
cD
Allowed 20 (D o
in the sum of o
TAT
CD In
(D
ID
(Board or Commission) I H
FILED
cD
ca�o
o
a¢
m
Cn m
9
(OAmcd Tifle)
in
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parr; Griffiths
IN SUM OF
$72.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1202 1 060910 0701101 43- 430.02 1 $41.00 1 hereby certify that the attached invoice(s), or
T 1202 1 050710 0607101 43- 430.02 1 $31.00 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))
09/08/10 060910 070110 $41.00
09/08/10 1 050710 060710 I I $31.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IG 5- 11- 10 -1.6
1 20
Clerk- Treasurer