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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 •DOMETER READING OF r I �I ,l i i 1 I� -I r• .i1.1.r� �Ir tea. A M_ I��I I II WHOM I ..E PA m DWI MOVE if1�:ll ra �•!�I ..t. L i'''ce rdFA IVA ,t. u/ .ar ROME M will MR. W-O _71 A 0=5i IMAM PRIME M 1��Mi III .a. I� I WE_ I�!'ri�'I t I� Iff t IL'�I� 1 913 AIM IAr11!'I �t. ,�I� I i. Y�, 1 �r. ILj�l� 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: Q 1 0 Q Allowed .20 y a o .J H Q in the sure of O �(D n (D Q OR X n a CD Q (D (Bond or commission) 111 FILED m cn o c� (01kiai Title) O 0 i 17IL�OILt�I e I i 1 �l. l I- �I,�fEl'alS7x7� 1��11 �1/ �►1! LI I�I- SO HIM l� I I��f 1. ,1 _W WMWATAMMIAFM�ll I 1 rM wmr� 11 MOVE �z. A r l�l� iiiiiiiii m I r I .r1 F JI u 1 1 I -�l .A. J. iii I�I- I •�triTilQl._�II- kl M1 1.1 L1L. a A MA L 1 -f '/_�II 1 I I- WA RIP .1i .�1 i I��I r �L, I�I� ll .r1a t CG VA wil 21;.11 WA N WPM I�l� 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 Aliowed 20 o in the sum of O 5 Ln S; x a� CD m o CD i a ;3=d or Commission) Qom, CD III (D Q FILED U e m o o (0;501 Title) (p 0 iZ 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 �L) -e t� ::5 L- E G_ 5r vc a o cc t' P v e 'e av" A�� r Z� -Sy 3 no P a 6 1 F PI-A 4' a C aK i 3 C ia? +2t i Cl vn -fv C rre ,0 W. 13 16 r _e a tb ii VV r z t" G k f jq ee, c G rb SBA h "r e, filpa h I d L� c t 5 A e re 5 to 1 3 11 C ,r I C c ✓iG,v� CHew i1 f aCL- S fit al 'e 9 ii t) -r1 J 1 r L D L L I t t G c L'A 0 6 e- d C C o" r" A ✓0 dZI^J a V I CC 1 C C ti b 1 11 6 c Vi L 4q ada C C iC C l�ii f} ,�E 2 o c A i 1113 D ??qa I?pVj'yL't)J� �i'►V� CCCC t31 T l: od O��eA elrWb,; A s'. JJ i3 C c--Cc a 1 i v b !o l e �t 1 -Ae 6, 6 a ,n '7 10 I 7 C- 1T C2 1e s� PI 1 11 D &I W 1 e t ST E 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