HomeMy WebLinkAbout189996 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364714 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS SNELLING
CHECK AMOUNT: $38.50
CARMEL, INDIANA 46032 423 STONEHEDGE DR
CARMEL IN 46032 CHECK NUMBER: 189996
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 38.50 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF A r -ODNTS GENERAL FORM Ilc. 101 119861
MILEAGE CLAI
ro 1 bocce AS �Nt'i
(GOVERNMENTAL UNITI
ON ACCOUNT OF APPROPRIATION NO- FOR
(OFFICE, BOARD, DEPARTNWa OR INSTITUTION)
SPEEDOMETER
DATE FROM TO READING NATURE OF BUSINESS AUT S M C
POINT POINT START FINISH TRAVELED
PER MILE
esm �4SH au t_ t Z 1
t e=1 3 [,y -L- T+ 5
At.. ).a Ott t!4-- A
t
o 6 z
A x As �c 7
Z5 z '75
2 7 6
Z
T COX E 5 s
L E U t
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 legallyndue, aalio4vin a jus edits
end that no part of the sam has 1b(eeeen paid
Date �eP'[• �tiA 0ko
CM r 5a
SEP072010
BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must s ow-, kind of service,
uni ts, price performed, dates service rendered, by
whom, rates per day, number of hours, rate N
Payee Purchase Order No.
Terms
Snelling, Douglas
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
38.50
9/3110 Reimb Mileage 8110 8131110
Total 38.50
or bill(s) is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s),
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No,
Snelling, Douglas Allowed 20
In Sum of
38.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -8 Reimb 4343000 38.50 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
f72- i✓.h_J
Signature
38.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund