HomeMy WebLinkAbout190447 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364657 Page 1 of 1
ONE CIVIC SQUARE JESSICA RICHARDS
i CHECK AMOUNT: $41.17
CARMEL, INDIANA 46032 1832 N GLENDORA DR
Z� INDPLS IN 46214 CHECK NUMBER: 190447
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 41.17 TRAVEL FEES EXPENSE
PRLSCBIBLD BY STATE BOARD OF ACCOUNTS
GEXF.PhL FORW NC- 101 tMfil
MILEAGE CLAIM
(GOVERNMENTAL UNIT}
ON ACCOUNT OF APPAOPRTATION NO. FOR
tOF:ICE. BOARD, DEPARTAUX7 OR INSTITUTION)
SP EEDOMETF2t
V DATE FROM TO I READING AUT E c
0 POINT POINT STAR7 FINISH NATURE OF HUSINFS'6 TRAVELED
PER MILE
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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. I 1
Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the loTego ng account is just and correct, that the amount claimed is legally due after aliOwftWz credits
end that I}t ct -ol -1he sa a has been paid.
Date
C� G j
r
t An a Fn
S E P 2 2 2010
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.
364657 Richards, Jessica Terms
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9121110 Reimb Mileage 819 9/9110 41.17
Total 41.17
I 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.
364657 Richards, Jessica Allowed 20
In Sum of
41.17
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO #or INVOICE NO, ACCT #/TITL AMOUNT Board Members
Dept
1081 -4 Reimb 4343000 41.17 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
23 -Sep 2010
Signature
41.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund