HomeMy WebLinkAbout191608 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360417 Page 1 of 1
ONE CIVIC SQUARE JESSICA DAVIS
CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032
CHECK NUMBER: 191608
CHECK DATE: 11110/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 60.00 TRAVEL FEES EXPENSE
C&bpy I C)
PRESCRl6E0 BY STATE BOARD OF ACCOUNTS GEkERAL FORT/ NO. 101 (1966)
MILEAGE CLAIM o
Q t
(GOVERNMENTAL UNIT1 ON ACCOUNT OF APPROPRIATION NO- FOR
(pri�CE, BOARD, DEPAATWEKr OR INSTOUTTON)
OEEDOMETEA
DATE FROM TO E READING M tTS W P AGE
NATURE OF BUSINESS TRAVELED D
POINT POINT START FINISH PER MILE
f
Nv
1
D)
jl7 l vi 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.
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 le ally due, after allowing all just credits,-
end that no part of the same has been paid.
Date
CJ
Colo
L
Sep�em bM`Id
PRESCRIBED BY STATE BOARD OF ACCOUNTS GENVIA1 FORM NO. 101 114867
MILEAGE CLAIM rj
TO d
V i
(GOVEANMEN7AL UNIT)
ON ACCOUNT OF APPROPRIATION NO FOR
(OF,1", BOARD. DEPARTWM" OR INSTITUTION]
SD N
DATE FROM TO I READING NG NATURE OF BUSINESS A UTO
MILES c
2 POINT POINT START FINISH TRAVELED P
1
1� AUTO LICENSE NO. TOTALS 1
NaM� ETER 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 credits.-
and that no part of the same has been paid.
Date
q� jai
NOV 0 3 2010
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.
360417 Davis, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/30110 Reimb. Mileage 911 10/30/10 60.00
Total 60.00
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- 16 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
360417 Davis, Jessica Allowed 20
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -11 Reimb. 4343000 60.00 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
4 -Nov 2010
z
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund