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HomeMy WebLinkAbout193988 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 365041 Page 1 of 1 ONE CIVIC SQUARE SIREEN ZAYED 0 CHECK AMOUNT: $11.00 CARMEL, INDIANA 46032 CHECK NUMBER: 193988 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 11.00 TRAVEL FEES EXPENSE PRESCRIBED BY STATE BOARD OF ACCOUNTS GW..RAL FOAM 110- 101 119853 MILEAGE CLAIM j (Q e �Ye c� TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION ND. FOR (OFFICE, BOARD. DEPARTMENT OR INSnTUT10N) SPEEDOMETER DA,TE FROM TO READING NATURE OF BUSINESS A I.IILES Q r �d POINT POINT START FINISH ('RAVELED PER MILE 12 IV 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 legally due, after aliowing all just credits r end that no part of the same has been paid, Date 17 12� i Z10 J AN 0 5 1011 Y Pte 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. Zayed, Sireen Terms Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12/29110 Reimb Mileage 12/29/10 11.00 Total 11.00 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 Voucher No. Warrant No. Zayed, Sireen Allowed 20 In Sum of 11.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE N0. ACCT #fTITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 11.00 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 13 -Jan 2011 1 Signature 11.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund