Loading...
HomeMy WebLinkAbout194752 02/16/2011 =9� CITY OF CARMEL, INDIANA VENDOR: 364943 Page 1 of 1 ONE CIVIC SQUARE VICKI RUBIO CHECK AMOUNT: $77.83 CARMEL, INDIANA 46032 CHECK NUMBER: 194752 CHECK DATE: 2/16/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE 1081 4343000 77.83 TRAVEL FEES EXPENSE I I PRFSCRIBEP BY STATE ROAAn Or ACCO111775 GFXFR AL -FORM 110. 101 119867 MILEAGE CL f'!. r� I (GOVERNMENTAL 61NM ON ACCOUNT OF APPROPRIATION NO. FOR LPi:ICY, HOARV. 47EPARTMEIfT OR 1K3rMJr1CW) SP EEDOMETER D FROM TO I READING AUTO MILEAGE POINT POINT START FINISH NATURE OF BUSINESS TRAVELS d ED PER 1dII:E VI 0 1 o. ;cif t t viltat 1 r'xilp* L )doaL nnnn 7011 I (.crc G I' 0 l l ,t) A s 1 .t ^46m 2r Ar67 S t l Q— RO I Cho 11 IV 1 l' t!° ti il'-aq 9D i D O a 1125 O r S U it 7 O 1 011 V-42 P t i);Ioii C Al1T0 LICENSE NO, TOTALS C 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 iusl and correct, that the amount claimed is -leg rz f teer ing all iust credits end that no part g of the same has been paid. Date �LJ JAS! 3 1 20 11 D �y. 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 364943 Rubio, Vicki Invoice Invoice Description Date Number or note attached invoice(s) or bill(s)) PO Amount 77.83 1128111 Reimb Mileage 12/22/10 1128111 Total 77.83 I hereby certify that the attached invoice(s), or b6l(s) is (are) true and correct and I have audited same in accordance with IC 6- 11- 10 -1.6 20_ Clerk Treasurer Voucher No. Warrant No, 364943 Rubio, Vicki Allowed 20 In Sum of 77.83 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1081 -3 Reimb 4343000 77.83 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 Signature 77.83 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund