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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