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HomeMy WebLinkAbout190651 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 363864 Page 1 of 1 ONE CIVIC SQUARE JASON ANDERSON CARMEL, INDIANA 46032 617 N MAIN ST CHECK AMOUNT: $25.25 TIPTON IN 46072 CHECK NUMBER: 190651 CHECK DATE: 10113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 25.25 TRAVEL FEES EXPENSE a FRLSCRIHLO BY STATE HOARD OF ACCOUNTS GENRAAL FOR}t!!O. 101 11988) MILEAGE CLAIM T tnovFxNfleNrAluruTi C ON ACCOUNT OF APPROPRIATION NO. FOR to'. HOARD, DFSARTKEn OR INSnTLITION) FROM TO SPEEDOMETER AUTO URZAGE DATE READING READING Aa POINT POINT START FINISH NATURE OF SUSINE56 TRAVELED PER MILE �c J^ w! JAD 6om #1 I t V n F{' yY1u/ CS lfl U 1 j✓ff� Off' i a:l (Yt ✓rn i o woc r C. I iZ L; of WOC Ce 1 AUTO LICENSE NO_ TOTALS Lq3 3 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 legally due, after allowing all just Bits end that no part of the same has been paid. Date fy r4 SEA' 2 8X010 ]BY:...................... PRESCRIBED BY STATE BOARD OF ACCOUNTS GENYAAL FORW 1[O. 101 f1496) MILEAGE CLAIM 6 TO— E SE (GOVERNMENTAL UNIT} ON ACCOUNT OF APPROPRIATION NO- FOR (OFFICE, BOARD, UPARn INT OR INSTITUTION) FROM TO SPEEDOMETER AUTO MILEAGE DATE READING POINT POINT START FINISH NATURE OF BUSINESS TRAVELED r PER MILE 1 i* w K Tne., 5 tb Wa T AUTO LICENSE NO. TOTALS 7, 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 legally due, after w g just credits end that no part of the same has been paid. Date I rM JK r (I SEP OIL k 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. 363864 Anderson, Jason Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bili(s)) PO Amount 9/23110 Reimb, Mileage 8/12 9116110 25.25 Total 25.25 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, 363864 Anderson, Jason Allowed 20 In Sum of$ 25.25 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1081 -5 Reimb. 4343000 25.25 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 7 -Oct 2010 Signature 25.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund