HomeMy WebLinkAbout193109 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 355994 Page 1 of 1
ONE CIVIC SQUARE PAMELA GRIFFITHS
CARMEL, INDIANA 46032 12906 DOUBLE EAGLE DRIVE CHECK AMOUNT: $129.50
CARMEL IN 46033 CHECK NUMBER: 193109
CHECK DATE: 12122/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4343002 129.50 EXTERNAL TRAINING TRA
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Claim No Wca[CMt No._ I have 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 Office:
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acam No WcLrrcmt. No. I hmre excrnlined the within cicum 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 a correct
apparently incorrect
On Account of Appropriation No, for
Disbursing Officer
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Prescribed by State Board of Accounts General Form No. 101 (1955)
Awn I MILEAGE CLAIflfll TO DR.
(Governmen Unit
On Account of Appropriation No. for
(Offi Board Department or Institution
DATE FROM TO
ODOMETER READING' NATURE OF BUSINESS AUTO MILES MILEAGE
20 Point Point Start Finish TRAVELED PER MILE
a to C c t� ,n h r2 TZ 061 �t AV&J A
C br e �r 61 Z2191A 1
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to 1 3 11 C ,r I C
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Auto License No. TOTALS Jf sS 5o
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, 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
VO NO. WARRANT NO.
ALLOWED 20
Pam Griffiths
IN SUM OF
$129.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
T Board Members
1202 092310 110910 43- 430.02 $55.50 I hereby certify that the attached invoice(s), or
1202 081210 092310 43- 430.02 $33.00 bill(s) is (are) true and correct and that the
1202 1 070610 081110 43- 430.02 I $41.00 materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 20, 2010
i
Director, IS
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))
12/20110 092310 110910 $55.50
12/20/10 f 081210 092310 $33.00
12/20/10 I 070610 081110 I I $41.00
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- 10 -1.6
20
Clerk- Treasurer