HomeMy WebLinkAbout194150 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 360417 Page 1 of 1
ONE CIVIC SQUARE JESSICA DAVIS CHECK AMOUNT: $70.68
CARMEL, INDIANA 46032
CHECK NUMBER: 194150
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 70.68 TRAVEL FEES EXPENSE
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENFA&L FOAM VC. 107 (1985)
r MILEAGE CLAIM
To -TRAV P Ee DIEM
Ti7Cj� j�� �311�j1. �l2tf stt,A�
(C VERNXERTAL 6N FOR
�1�R MEN C� 1 n ON ACCOUNT OF APPROPRIATION NO. R VV
tOFi10E, BOARD, DEPA -MCI T OR 1NSMUTIO7)
SPEEDOMETER AUTO
DATE FROM TO I READING NATURE OF BUSINESS MILES Nino
POINT POINT START FINISH TAAV£LED PER MILE --Z
F
i
0
a t t
y �Z
i
a. `43
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. r T C ^7
0 (ob f q I
PursDant 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 afiowinq all just credits
and that no part of the same has been paid.
Date y
u
f JAN 1 2011
r 7:
Nnemboa i� 1C 20 o
PRGSCRISEU BY STATE BOARD OF ACCOUNTS GENFJIU FORW IIG. 101 119861
MILEAGE CL
TRAVEL PE2 DIEM 1 434 l7
L O I�� +f ro D y V LIML VX
GOVERNMENTAL UNM ON ACCOUNT OF APPROPRIATION NO- FOR 1 'O av
C N9-m t Colo( r :t 2�c >►�nl7r�
(OMGE, BOARD, DEPARTNIXT OR INSTCnrTION)
SPEEDOMETER
DATE FROM TO READING AUTO
NATURE OF BUSINESS MIS v r
POINT POINT START FINISH ]'RAVELED PER MILE
11 1A
N Y
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. f 1
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 aliow 1 just cr dil
end that no part of the same has been paid.
Date
6�
J AN
3 p
—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.
360417 Davis, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12123110 Reimb. Mileage 1111 12/23/10 70.68
Total 70.68
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.
360417 Davis, Jessica Allowed 20
In Sum of$
70.68
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO[ ACCT #MTLE AMOUNT Board Members
Dept
1081 -11 Reimb. 4343000 70.68 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
27 -Jan 2011
Signature
70.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund