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191303 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 363773 Page 1 of 1 b ONE CIVIC SQUARE JOELLE OGLE CARMEL, INDIANA 46032 9203 CROSSING DR CHECK AMOUNT; $42.75 FISHERS IN 46037 o� CHECK NUMBER: 191303 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 42.75 TRAVEL FEES EXPENSE V. P CRIBEP By STATE BOARD OF ACCOUNTS lei 092+7 MILEAGE CLAIM TO_ cm _k ON ACCOUNT OF APPROPRIATION Na. FOR AUTO MILEAGE DA_TF FROM C) SFADING r: --I NATURE OF BUSINESS YILFS POINT RAVELF0 _01 ART FINISH C V\/ A-A A I i ivul. b (Yief e 11 ,C Ar 4L ff- ­W� V 67 I TF —3- Lk] 473-n A AUTO LICENSE. NO. TOTALS SPEEDOMETER READING columns are to he used only When distance belween 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 ILgally due, after aliowing all just credits and that no part of tile same has been paid. Date 04 OF ACCOUNTS PAYABLE VOUCHER V 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. Terms 363773 Ogle, Joelle Invoice Invoice Description Date Number or note attached invoices) or bill(s)) PO Amount 42.75 9128/10 Reimb. Mileage 912 9128/10 Total 42.75 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. 363773 Ogle, Joelle Allowed 20 In Sum of 42.75 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #TFITLE AMOUNT Board Members Dept 1081 -3 Reimb. 4343000 42.75 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 21 -Oct 2010 Signature 42.75 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund