HomeMy WebLinkAbout192632 12/10/2010 f CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER CHECK AMOUNT: $83.85
z CARMEL, INDIANA 46032
CHECK NUMBER: 192632
CHECK DATE: 1211012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 83.85 TRAVEL FEES EXPENSE
PRPSCftIBCD BY STATE BOAR]) OF ACCOUNTS
GENERAL FORM NO- 101 [14a6)
MILEAGE CLAIM �C
TO
IGOVERNMENIAI. UNI'C)
ON ACCOUNT OF APPROPRIATN. FOR
,OF, BOANP. DEP"TW[E?,r OR INSTrrU •ION)
SPEEDOMETER AUTO MILE E
DATE FROM TO BEADING h NATURE OF BUSINESS MILES c
2a POINT 4 POTNT START FINISH TRAVELED PER MILE
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AUTO LICENSE NO. TOTALS I ?D gs
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 aliowing all just credits
and that no part of the same has been paid.
Date
Oq I c--j e�q
DP' 0 3 2010 �f
7
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.
363382 Decker, Meagan Terms
350 W Fall Creek Pkwy N Dr
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/30/10 Reimb Mileage 1111 11/30110 83.85
Total 83.85
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.
363382 Decker, Meagan Allowed 20
350 W Fail Creek Pkwy N Dr
Indianapolis, IN 46208
In Sum of
83.85
w
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 83.85 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
9 -Dec 2010
Signature
83.85 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund