HomeMy WebLinkAbout194783 02/16/2011 f CITY OF CARMEL, INDIANA VENDOR: 362215 Page 1 of 1
ONE CIVIC SQUARE BROOKE TAFLINGER CHECK AMOUNT: $67.90
CARMEL, INDIANA 46032 11008 BROADWAY ST
INDPLSIN 46280 CHECK NUMBER: 194783
CHECK DATE: 2116/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 67.90 TRAVEL FEES EXPENSE
PRESCRIBED HT STATL BOARD OF ACCOUNTS GWJIAL FORM TIC. IN (1905)
MILEAGE CLAIM
TO b
(GOVERNMENrAL UNIn
ON .ACCOUNT OF APPROPRIATION NO. FOR
(OFFICE, BOARD, DEPAAr.MKr OR TNSrirurlos)
SPEEDOMETER
DATE FROM TO I READING f NATURE OF BUSINESS MILES
v POINT POINT START FINISH TRAVELED PER MILE
Lc
C,
1
t` C ACC. s ice c1C
c •Gti.re _'�c� lq .8 9
taco `t
o c
I-r7 16
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.
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 aliowing all just credits
and that no part of the same has been paid.
Date
4A IV
e
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.
362215 Tafkinger, Brooke Terms
11008 Broadway Ave
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
1121111 Reimb. Mileage 9/21/10 1/21/11 67.90
To 67.90
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.
362215 Taflinger, Brooke Allowed 20
11008 Broadway Ave
Indianapolis, IN 46280
In Sum of
67.90
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 Reimb. 4343000 67.90 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
67.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund