HomeMy WebLinkAbout194268 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 365062 Page 1 of 1
ONE CIVIC SQUARE BASELL MAAROUF
i CHECK AMOUNT: $10.95
CARMEL, INDIANA 46032 13239 MIDDLEWOOD LN
FISHERS IN 46038 CHECK NUMBER: 194268
CHECK DATE: 2/312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 10.95 TRAVEL FEES EXPENSE
MAa.r
PRESCRIBED BY STATE BOARD OF ACCOUNTS MILEAGE CLAIM GFNFAAL FOR11 l'o. 101 "w"
j r 1 �,�1�,�
IWVERNMENTAL UNIT)
ON ACCOUNT OF APPROPRIATION NO. FOR
IOncz, BOARD. DEPARTIODQ OR 1NSTTTUr]ONI
D E FROM TO RE NG T*ER AUTO E
POINT POINT START FINISH NATURE OF EUSINESS TRAVELED
LED
PER MILE
AUTO LICENSE NO. TOTALS 2, 1 1
O
f SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage.or official highway map. t
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 allowing all just credits
and that no part of the same has been paid.
Date
0
t o g
j L JAN 0 7 j,
-A
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.
Terms
Maarouf, Basell
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
10.95
1215110 Reimb Mileage 1215110
Total 10.95
bill(s) is (are) true and correct and I have audited same in accordanc
V hereby certify that the attached invoice(s), or e
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Maarouf, Basel Allowed 20
In Sum of
10.95
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT#rTITLE AMOUNT Board Members
Dept
1081 -7 Reimb 4343000 10.95 l 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
10995 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund