Loading...
191597 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360074 Page 1 of 1 f ONE CIVIC SQUARE SUE COY CHECK AMOUNT: $89.00 CARMEL, INDIANA 46032 CIO HUMAN RESOURCES ONE CIVIC SO CHECK NUMBER: 191597 CARMEL IN 46032 CHECK DATE: 1111012010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4343002 89.00 EXTERNAL TRAINING TRA ?resuibed by Stale Board of Accounts General Form No. tOt (1955) MILEAGE CLIA11A LtTy o7` arm- TO DR. L (Governmental Unit) l I It LC I� On Account of Appropriation No. for (QM Board, Department or Institution DATE FROM TO ODOMETER RE4DING" NATURE OF BUSINESS AUTO MILES MILEAGE 50 20 Point Point Start F finish TRAVELED PER MILE ti is 1 5 AD i 1' -7 /10 1 r d C ©ud�se d fry elI a a a,ho s ch a, 1 D as 1 L5 to -1 l Cd l© R olm 9 4 !a `4 61 Lo 7 a� -1 a to t4 o I2, 0 o f to fir a w L s 10 o f 110 i fKtwe -,oc 7 JQ L,,2 it V i 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 reap. 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 legally due, after allowing all just credits, and that no part of the same has been paid. Date i Claim No. Warrant No. 1 hcrve examined the within claim and hereby certify as follows: IN FAVOR OF That it is in proper form; That it is duly authenticated as required by law; That it is based upon statutory authority; That it is apparently correct incorrect On Account of Appropriation No. for Disbursing Officer QQ to .2G Allowed o in the sum of n .0 u m G N ro ova (Board or corrumssion) ao I CD FILED rn. Q n �ir o CD (D (0f5no] Title) O O VOUCHER NO. WARRANT NO. ALLOWED 20 Sue Loy IN SUM OF $89.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members 1201 1 041310 1028101 43- 430.02 I $89.00 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 Monday, November 08, 2010 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or 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 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/28/10 1 041310 102810 I I $89.00 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