HomeMy WebLinkAbout189863 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364694 Page 1 of 1
ONE CIVIC SQUARE JOSHUA JONES
y` CARMEL, INDIANA 46032 3624 QUINCY DR CHECK AMOUNT: $31.10
ANDERSON IN 46011 CHECK NUMBER: 189863
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343000 31.10 'TPAVEL FEES EXPENSE
FF! CRIBED BY STATE BOARD OF ACCOUNTS I GENFAAL FORD NG. 101 119867
MILEAGE CLAIM
To ��J °P 7, ll h I0111 p
tGOVEANUENTAL 11NI'[)
ON ACCOUNT OF APPROPRIATION NO, FOR
COMM BOARD, DEPARTI(EN7 CA INST=ION)
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS AUTO MILEAGE L POINT POINT START FINISH TRA £LED
PER MILE
i OF
T
f t C VrO
H ce g k
di M
O L
4 T
1
i 10
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 and correct, that the amount claimed is legally due, after allow' all just credits.
and that no
Rart the same has been paid.
Date !1 of '1t
f
A
1 C� AUG 2 5 2010
I
BY......................
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.
Jones, Joshua Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8123110 Reimb Mileage 7/27 8/4/10 31.10
Total 31.10
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.
Jones, Joshua Allowed 20
In Sum of
31.10
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 Reimb 4343000 31.10 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
31.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund