HomeMy WebLinkAbout194956 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 364750 Page 1 of 1
0 ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $105.76
CARMEL, INDIANA 46032 10630 TOOLEV CT
APT IF CHECK NUMBER: 194956
INDIANAPOLIS IN 46234
CHECK DATE: 3/2/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 105.76 TRAVEL FEES EXPENSE
GENRRAL FORM NO, 10 (19
pRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE CLAIM pC
TO CA 9
(GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO, FOR
IOFi ICY, BOARD, DEPARTl@fr OR INSTMMONI
SPEEDOMETER AUTO MfLEAGE
FROM TO I READING
DATE 7 NATURE OF BUSINESS TRAVELED
2�GU1� POINT POINT START FINISH PER LE VA
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AUTO LICENSE NO. TOTALS 4d' —7
SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map /DS 61
e Acts 1953 I hereby certify that the lore ate'
Pursuant to the provisions and penalties of Chapter 155, Y tfY sing account is just and correct, that the amount claimed is legally due, after aliowingg g
and that no pail of the same has been paid.
Date j5" b 1 i
F
'48101011
1 2Ta
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.
364750 Ballinger, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/9/11 Reimb Mileage 12/16/10 2/9/11 105.76
Total 105.76
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.
364750 Ballinger, Jessica Allowed 20
In Sum of
105.76
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -10 Reimb 4343000 105.76 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
24 -Feb 2011
i2yWim
Signature
105.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund