190432 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE CHECK AMOUNT: $83.19
INDIANAPOLIS IN 46208 CHECK NUMBER: 190432
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 46.04 TRAVEL FEES EXPENSE
1082 4343000 37.15 TRAVEL FEES EXPENSE
PRESCRIBCD BY STATL BOARD OF ACCOUNTS GENFJIILL FORV 11G. 101 11 "6)
MILEAGE CLAIM
To raAsE7L PER DIE
(OOVEANMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR
(OT7CE, BOARD, 01PARTWENT OR 1N5TrnrrlON)
SPEEDOMETER
FROM TO READING NATURE OF BUSINESS
M Cd un r A GE
DATE MILES
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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. IRRL!!/ VVV
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 claimed is 1 gall due, after allowing all just credits
and that no ri of the same has been paid.
Date I
t
SEP 15 1010
BY......
PRFSCRIBED By STATE BOARD OF ACCOUNTS GENNIAL FORM NG, ]hl (1986)
MILEAGE CLAIMTRA,YEL PEQ Di em J0 4
"'OVE11111 TAL 1TNi17 ON ACCOUNT OF APPROPRIATION NO. FOR
CLA-r
{Ori'Z ,BOARD, DFSARTIf}]{r O IMST{TVC10N)
SPEEDOMETER
DATE
FROM To READING AUTO atn v j)
24 I NATURE OF BUSINESS MVS &n
POINT POINT START FINISH TRAV PE R PER MILE
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AUTO LICENSE NO. TOTALS 7
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or ollicial highway map.'
Pursu nt to t Te provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed i ally dpa, alter aliowing all just credits r
end that part of t ame as been paid. AAP�
Da
E' 1 5 2010
By ....................9
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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
8131110 Reimb Mileage 812 8/25/10 46.04
7130/10 Reimb Mileage 711 7130110 37.15
Total 83.19
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
I
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
indianapolis, IN 46208
In Sum of
83.19
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 46.04 1 hereby certify that the attached invoice(s), or
1082 -3 Reimb 4343000 37.15 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
26 -Aug 2010
Signature
83.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund