HomeMy WebLinkAbout194152 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 363382 Page 1 of 1
ONE CIVIC SQUARE MEAGAN DECKER CHECK AMOUNT: $33.30
}4,r CARMEL, INDIANA 46032
CHECK NUMBER: 194152
CHECK DATE: 2/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION T
1081 4343000 33.30 TRAVEL FEES EXPENSE
PRESCRIBED BY STATE HOARD Or ACCOUNTS CENTRAL FORM NO. 101 (1986)
MILEAGE CLAIM
TO
(OOVERRMENIAL UNI'CI
ON ACCOUNT OF APPROPRSAT NO, FOR
{0P7[Cr, BOARD, DEPARTMENT OR iNSTrrUTICW)
SPEEDOMETER
DATE FROM TO E READING AUTO WLEAGE
z' POINT POINT STAR7 FINISH NATURE OF BUSINESS TRAVELED f
PER MILE
pIr- P} t
-7
i I
2L L
m
tJ 7 q 7 O
C- r o ZPr) v
I
AUTO LICENSE NO. TOTALS
SPEEDOME'T'ER READING columns are to be used ouly when distance between points cannot be determined by lixed. mileage or official highway map. VV v
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 aiiowing all just credits
and that no part of the same has been paid.
Date
YVA
L, JAN 0 7 2011
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
12/16/10 Reimb Mileage 12/2 12/16/10 33.30
Total 33.30
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 Fall Creek Pkwy N Dr
Indianapolis, IN 46208
In Sum of
33.30
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO# or INVOICE NO. ACCT 4MTLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 33.30 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
33.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund