HomeMy WebLinkAbout194731 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 359461 Page 1 of 1
ONE CIVIC SQUARE NIKEESHA PITTMAN CHECK AMOUNT: $47.21
CARMEL, INDIANA 46032 2713 HIGHLAND PLACE
INDIANAPOLIS IN 46208 CHECK NUMBER: 194731
CHECK DATE: 2/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 47.21 TRAVEL FEES EXPENSE
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PAESCAIe ED By STATE BOARD Or ACCOUNrS
GEXER&I. FORW 11G. 101 (Mb)
MILEAGE CLAIM. rPAv EL PE¢ DIEM 434300g-
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(OOVERNML —AL UNIT) r5
1 p-q-Ma' c ON ACCOUNT OF APPROPRIATION NO- FOR �fT`�MP.1 1
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SPEEDOMETER
➢ATE FROM TO READING AUTO MILEAGE
NATURE OF BUSINESS MILES
POMT POINT START FINISH 1'AAV£LED PER MILE
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AUTO LICENSE NO. TOTALS (]Z o lJJ rt�
SPEEDOMETER READING columns are to be used only when distance between paints cannot be determined by fixed mileage or official highway map.
Pursues t to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount ctai st gall ua, after aliowing aLl ju credits
and that n art oI the same has been paid.
Date
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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.
359461 Pittman, Nikeesha Terms
2713 Highland Place Date Due
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/31111 Reimb Mileage 113 1131111 47.21
Total 47.21
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
i
Voucher No. Warrant No.
359461 Pittman, Nikeesha Allowed 20
2713 Highland Place
Indianapolis, IN 46208
I n Sum of
47.21
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1081 -11 Reimb 4343000 47.21 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
10 -Feb 2011
/f'Z
Signature
47.21 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I