HomeMy WebLinkAbout190495 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
t: ONE CIVIC SQUARE BROOKE TAFLINGER
CARMEL, INDIANA 46032 11608 BROADWAY Sr CHECK AMOUNT: $34.75
L oN:o INDPLS IN 46280 CHECK NUMBER: 190495
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1081 4343000 34.75 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NG_ 101 (1485)
MILEAGE CLAIM q'
(6OVEBNYENTAL UNIT} '1 l-
ON ACCOUNT OF APPRpPAIATION NO. FOR
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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 clai egally due, after allowing alf just credits
end that no part of the same has been paid.
Date
L
W JRN
SEP 1 7 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.
362215 Taflinger, Brooke Terms
11008 Broadway Ave
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9115110 Reimb. Mileage 8110 9/14/10 34.75
Total 34.75
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.
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of
34.75
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 34.75 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
34.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund